January 2017 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for January 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Smoking Imposes Heavy Burden on Global Economy

TUESDAY, Jan. 31, 2017 (HealthDay News) -- Nearly 6 percent of the world's health care spending is tied to smoking, according to research published online Jan. 30 in Tobacco Control.

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CVD-Related Hospital Admissions Up Second Day After Snowstorm

TUESDAY, Jan. 31, 2017 (HealthDay News) -- There is a sharp increase in hospital admissions for cardiovascular events two days after a major snowfall, according to research published online Jan. 30 in the American Journal of Epidemiology.

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Many VHA Patients Eligible for Lung Cancer Screening

TUESDAY, Jan. 31, 2017 (HealthDay News) -- Many Veterans Health Administration (VHA) patients are eligible for lung cancer screening (LCS) with low-dose computed tomography (CT), and the use of LCS is increasing slowly among eligible patients, according to two studies published online Jan. 30 in JAMA Internal Medicine.

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Mandibular Advancement Therapy Reduces OSA Severity

MONDAY, Jan. 30, 2017 (HealthDay News) -- Mandibular advancement therapy can improve symptoms in patients with severe obstructive sleep apnea (OSA); however, even with high treatment compliance the therapy has no effect on endothelial function and blood pressure, according to a study published online Jan. 27 in the American Journal of Respiratory and Critical Care Medicine.

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Review: Intentional Weight Loss Improves Daytime Sleepiness

FRIDAY, Jan. 27, 2017 (HealthDay News) -- For overweight or obese adults, intentional weight loss is associated with improvement in daytime sleepiness, according to a review published online Jan. 24 in Obesity Reviews.

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Rates of Heart Failure Rising in the United States

FRIDAY, Jan. 27, 2017 (HealthDay News) -- Heart failure rates are increasing in the United States, and cardiovascular disease remains the leading cause of death, even as the mortality rate from cardiovascular disease is falling, according to a new report from the American Heart Association (AHA).

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Level 3 Polysomnography Data Noninferior for OSA

FRIDAY, Jan. 27, 2017 (HealthDay News) -- For patients with suspected obstructive sleep apnea (OSA), use of level 3 (L3) polysomnography (PSG) data with fewer recording channels is noninferior to level 1 (L1) PSG, according to a study published online Jan. 24 in the Annals of Internal Medicine.

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Anxiety, Depression May Up Mortality Risk for Some Cancers

THURSDAY, Jan. 26, 2017 (HealthDay News) -- Anxiety and depression may increase the risk of death from certain cancers, according to research published online Jan. 25 in The BMJ.

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28% of Adults, 9% of Teens Use Tobacco Products in U.S.

THURSDAY, Jan. 26, 2017 (HealthDay News) -- Despite the dangers, many American adults and teens still use tobacco products, according to a report published in the Jan. 26 issue of the New England Journal of Medicine.

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Most PCPs Oppose Complete Repeal of the Affordable Care Act

THURSDAY, Jan. 26, 2017 (HealthDay News) -- A majority of primary care doctors oppose full repeal of the Affordable Care Act, according to a perspective piece published online Jan. 25 in the New England Journal of Medicine.

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Strategies Presented for Addressing Uncompensated Time

THURSDAY, Jan. 26, 2017 (HealthDay News) -- Strategies can be employed to help physicians deal with the increasing burden of uncompensated tasks, according to an article published in Medical Economics.

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USPSTF: Not Enough Evidence to Screen for OSA in Asymptomatic

WEDNESDAY, Jan. 25, 2017 (HealthDay News) -- Current evidence is insufficient to assess the balance of benefits and harms of screening for obstructive sleep apnea (OSA) in adults without any known signs or symptoms of the condition, according to a U.S. Preventive Services Task Force (USPSTF) recommendation published in the Jan. 24/31 issue of the Journal of the American Medical Association.

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Catheter Safeguards at Hospitals Cut Bloodstream Infection Rates

TUESDAY, Jan. 24, 2017 (HealthDay News) -- Improved catheter safety measures in hospitals significantly reduce bloodstream infections and health care costs, according to a review published recently in JAMA Internal Medicine.

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ACA Has Increased Coverage, Access for Chronically Ill Patients

TUESDAY, Jan. 24, 2017 (HealthDay News) -- Millions of Americans with a chronic illness gained health insurance coverage after the Affordable Care Act went into effect in 2010, according to a study published online Jan. 24 in the Annals of Internal Medicine.

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Many Advanced NSCLC Patients Not Getting Helpful Treatment

MONDAY, Jan. 23, 2017 (HealthDay News) -- Many U.S. patients with late-stage non-small-cell lung cancer (NSCLC) do not receive treatments that could prolong their lives, according to a study published online Jan. 18 in the Journal of Thoracic Oncology.

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Obesity Underrepresented in Medical Licensing Exams

FRIDAY, Jan. 20, 2017 (HealthDay News) -- The most important concepts of obesity prevention and treatment are not adequately represented on the U.S. Medical Licensing Examination (USMLE) Step examinations, according to a study published recently in Teaching and Learning in Medicine.

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Report Highlights National Cardiovascular Trends in 2014

FRIDAY, Jan. 20, 2017 (HealthDay News) -- Cardiovascular trends have been reported using data from four American College of Cardiology National Cardiovascular Data Registries (NCDR). The report was published recently in the Journal of the American College of Cardiology.

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Increased Risk of Obesity for Children With Asthma

FRIDAY, Jan. 20, 2017 (HealthDay News) -- The risk of developing obesity during childhood and adolescence is increased for children with asthma, according to a study published online Jan. 20 in the American Journal of Respiratory and Critical Care Medicine.

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Soft Robotic Sleeve Can Replicate Heart's Natural Rhythm

THURSDAY, Jan. 19, 2017 (HealthDay News) -- Scientists are reporting some early success with a soft robotic device aimed at treating advanced heart failure. The findings have been published in the Jan. 18 issue of Science Translational Medicine.

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Increasing Severity of Airflow Limitation Linked to Lung CA Risk

THURSDAY, Jan. 19, 2017 (HealthDay News) -- For older heavy cigarette smokers, the severity of airflow limitation is associated with increasing lung cancer risk, according to a study published online Jan. 11 in the Annals of the American Thoracic Society.

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Physician Excess Charges Create Financial Burden for Patients

TUESDAY, Jan. 17, 2017 (HealthDay News) -- Many doctors bill their private-paying patients two, three, even six times more than what Medicare pays for the same services, according to a research letter published in the Jan. 17 issue of the Journal of the American Medical Association.

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Current Asthma Ruled Out for One-in-Three Diagnosed Adults

TUESDAY, Jan. 17, 2017 (HealthDay News) -- About one-third of adults with a history of physician-diagnosed asthma within the past five years have no evidence of asthma, according to a study published in the Jan. 17 issue of the Journal of the American Medical Association.

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BNP, Gal-3 Levels Predict 60-Day Readmission in Heart Failure

MONDAY, Jan. 16, 2017 (HealthDay News) -- For patients with acute decompensated heart failure (ADHF), measurement of B-type natriuretic peptide (BNP) and galectin-3 (Gal-3) before discharge can predict hospital readmission within 60 days, according to a study published in the Feb. 1 issue of The American Journal of Cardiology.

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Tobacco Counseling for Youth, Adults Cuts Smoking Prevalence

FRIDAY, Jan. 13, 2017 (HealthDay News) -- Tobacco counseling for youth or adults can reduce the prevalence of smoking cigarettes during adult years, according to a study published in the January/February issue of the Annals of Family Medicine.

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Left Ventricular Assist Device Ups QoL in Ambulatory Heart Failure

FRIDAY, Jan. 13, 2017 (HealthDay News) -- Left ventricular assist devices (LVADs) improve quality of life in ambulatory patients with advanced heart failure, but increase lifetime costs, according to a study published online Jan. 11 in JACC: Heart Failure.

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CDC: Higher Risk of Death From Leading Causes in Rural America

THURSDAY, Jan. 12, 2017 (HealthDay News) -- Americans who live in rural areas have a higher risk of death from five leading causes than people who live in urban locations, according to research published in the Jan. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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β-Blockers Linked to Reduced Mortality in HFrEF, A-Fib

THURSDAY, Jan. 12, 2017 (HealthDay News) -- β-blockers are associated with significantly reduced mortality, but not hospitalizations, in patients with heart failure and reduced ejection fraction (HFrEF) and atrial fibrillation (AF), according to a study published online Jan. 11 in JACC: Heart Failure.

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Post-Op Incentive Spirometry Not Beneficial After Bariatric Surgery

WEDNESDAY, Jan. 11, 2017 (HealthDay News) -- For patients undergoing bariatric surgery, postoperative incentive spirometry (IS) does not affect postoperative hypoxemia, arterial oxygen saturation, or postoperative pulmonary complications, according to a study published online Jan. 11 in JAMA Surgery.

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Tobacco Control Plays Key Role in Saving Both Lives and Dollars

WEDNESDAY, Jan. 11, 2017 (HealthDay News) -- Smoking kills about six million people a year, and costs the world more than $1 trillion a year in health care expenses and lost productivity, but billions of dollars and millions of lives could be saved through higher tobacco prices and taxes, according to a report from the World Health Organization and the U.S. National Cancer Institute.

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Excessive FDA Regulation Driving High Drug Prices

WEDNESDAY, Jan. 11, 2017 (HealthDay News) -- The excessive regulatory regime at the U.S. Food and Drug Administration is an important driver of high drug prices, and should be curbed to introduce more competition and lower prices, according to a report published online Jan. 5 by the National Center for Policy Analysis.

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Decline in MRSA Infection Rates in Veterans Affairs Facilities

TUESDAY, Jan. 10, 2017 (HealthDay News) -- Methicillin-resistant Staphylococcus aureus (MRSA) rates decreased through September 2015 in Veterans Affairs facilities, according to a study published in the January issue of the American Journal of Infection Control.

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Acid Suppression in Pregnancy Linked to Childhood Asthma

TUESDAY, Jan. 10, 2017 (HealthDay News) -- Women who take acid-suppressing medications during pregnancy may have a child at increased risk of developing asthma, according to a review published online Jan. 9 in the Journal of Allergy and Clinical Immunology.

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Teaching Service Cuts Resource Use in COPD Exacerbations

MONDAY, Jan. 9, 2017 (HealthDay News) -- An internal medicine teaching service can reduce resource use in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in a community teaching hospital, according to a study published online Jan. 4 in the Journal of Evaluation in Clinical Practice.

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Delayed Chemo After Surgery Still Beneficial in Lung Cancer

FRIDAY, Jan. 6, 2017 (HealthDay News) -- Chemotherapy that's been delayed due to slow recovery from non-small-cell lung cancer (NSCLC) surgical resection can still provide real benefit to patients, according to a study published online Jan. 5 in JAMA Oncology.

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Exercise + Weight Loss Improves Asthma Control in Obese

FRIDAY, Jan. 6, 2017 (HealthDay News) -- For obese patients with asthma, adding exercise to a weight-loss program results in improved clinical control, according to a study published in the Jan. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Cancer Mortality Rates Continue to Decline in the United States

THURSDAY, Jan. 5, 2017 (HealthDay News) -- Cancer mortality rates in the United States have dropped 25 percent since the early 1990s, according to a new report published online Jan. 5 in CA: A Cancer Journal for Clinicians.

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Respiratory Muscle Strength Can Predict Survival in ALS

THURSDAY, Jan. 5, 2017 (HealthDay News) -- Respiratory muscle strength assessments can predict survival or ventilator-free survival in amyotrophic lateral sclerosis (ALS), according to research published online Dec. 30 in the American Journal of Respiratory and Critical Care Medicine.

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2000 to 2011 Saw Shift in Treatment for Advanced NSCLC

THURSDAY, Jan. 5, 2017 (HealthDay News) -- From 2000 to 2011 there were shifts in the treatment of advanced-stage non-small-cell lung cancer (NSCLC), with modest survival gains, according to a study published online Jan. 3 in the Journal of Clinical Oncology.

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New Model IDs Inflammatory Asthma Without Sputum

WEDNESDAY, Jan. 4, 2017 (HealthDay News) -- A new prediction model identifies eosinophilic asthma without the need for sputum induction, according to a study published online Dec. 28 in Allergy.

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Alcohol Abuse Ups Risk of Several Heart Conditions

TUESDAY, Jan. 3, 2016 (HealthDay News) -- Alcohol abuse increases the risk of atrial fibrillation (AF), myocardial infarction (MI), and congestive heart failure (CHF) as much as other well-established risk factors, according to a study published in the Jan. 3/10 issue of the Journal of the American College of Cardiology.

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Greater Drop in Readmissions With ACA Program Penalties

TUESDAY, Jan. 3, 2016 (HealthDay News) -- There is a greater reduction in readmission rates at hospitals subject to penalties under the Affordable Care Act's Hospital Readmission Reduction Program (HRRP), according to a study published online Dec. 27 in the Journal of the American Medical Association.

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