February 2018 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for February 2018. 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.

Varicose Veins May Increase Likelihood of Blood Clots

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Patients with varicose veins have a significantly increased risk of incident deep vein thrombosis (DVT), and may have increased risks of pulmonary embolism (PE), and peripheral artery disease (PAD), according to a study published in the Feb. 27 issue of the Journal of the American Medical Association.

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Early Studies Often Show Exaggerated Treatment Effect

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, according to research published online Feb. 21 in the Mayo Clinical Proceedings.

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COPD Hospitalizations, Deaths, Prevalence Higher in Rural Areas

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) prevalence, Medicare hospitalizations, and deaths are significantly higher in rural areas, according to research published in the Feb. 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Female Infertility Tied to Asthma Managed With Rescue Inhalers

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Women with current asthma who use intermittent reliever treatment with short-acting beta-agonists have reduced fertility, according to a study published online Feb. 14 in the European Respiratory Journal.

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Lead, Other Toxic Metals Found in E-Cigarette Vapors

MONDAY, Feb. 26, 2018 (HealthDay News) -- Toxic metals, including lead, leak from some Electronic cigarettes (e-cigarettes) heating coils and are present in the aerosols inhaled by users, according to a study published in the February issue of Environmental Health Perspectives.

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Understanding Rx Nonadherence Can Improve Adherence

MONDAY, Feb. 26, 2018 (HealthDay News) -- Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence, according to a report published by the American Medical Association (AMA).

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Recommendations for Optimizing Hidden Curriculum in Medicine

MONDAY, Feb. 26, 2018 (HealthDay News) -- In a position paper published online Feb. 27 in the Annals of Internal Medicine, the American College of Physicians (ACP) presents recommendations for optimizing clinical learning environments by fostering a positive hidden curriculum in medicine.

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Artificial Intelligence May Help Prevent Physician Burnout

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Artificial intelligence (AI), in which computers can be trained to recognize patterns in large quantities of data, may be able to reduce physicians' burdens, saving them time and energy, according to a report published in Medical Economics.

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CDC: No Change in Percentage of Uninsured in U.S. From '16 to '17

THURSDAY, Feb. 22, 2018 (HealthDay News) -- The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017, according to a report published online Feb. 22 by the National Center for Health Statistics.

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No Evidence Use of SEP-1 Bundle Ups Survival in Sepsis

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- For adults with sepsis, use of the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) or its hemodynamic interventions is not associated with improved survival, according to a review published online Feb. 19 in the Annals of Internal Medicine.

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Aspirin, Rivaroxaban Similar After Total Hip, Knee Arthroplasty

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- For patients who have undergone total hip or knee arthroplasty, extended prophylaxis with aspirin does not differ significantly from rivaroxaban for venous thromboembolism prevention, according to a study published in the Feb. 21 issue of the New England Journal of Medicine.

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Odds of ARDS Up After Cardiac Surgery During Flu Season

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- Undergoing cardiac surgery during the influenza season is associated with increased likelihood of development of acute respiratory distress syndrome (ARDS), according to a research letter published in the Feb. 21 issue of the New England Journal of Medicine.

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Accelerated Lung Function Decline for Women Who Clean

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- Accelerated lung function decline is seen in women responsible for cleaning at home or working in occupational cleaning, according to a study published online Feb. 16 in the American Journal of Respiratory and Critical Care Medicine.

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Burnout Found Prevalent Among Doctors in Single Health System

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Burnout is prevalent among physicians, affecting over one-third of physicians in a single health system, and is associated with health care delivery, according to a research letter published online Feb. 19 in JAMA Internal Medicine.

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Mortality Risks of Exclusive Cigar, Cigarette, Pipe Use ID'd

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Exclusive current cigarette and cigar use is associated with increased risk of all-cause mortality, according to a study published online Feb. 19 in JAMA Internal Medicine.

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Long-Term Inhaled Corticosteroid Use May Raise Fracture Risk

FRIDAY, Feb. 16, 2018 (HealthDay News) -- Long-term, high-dose use of inhaled corticosteroids (ICSs) is associated with a modest increase in the risk of hip and upper extremity fractures in patients with chronic obstructive pulmonary disease (COPD), according to a study published in the February issue of CHEST.

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Influenza A(H3N2) Viruses Predominate 2017-2018 Season

FRIDAY, Feb. 16, 2018 (HealthDay News) -- Most influenza viruses identified in the 2017 to 2018 season are influenza A, with A(H3N2) viruses predominating, according to research published in the Feb. 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Many in Oregon View Alcohol As More Harmful Than Marijuana

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Just more than half of surveyed adults consider alcohol to be more harmful than marijuana, according to a study published in the April issue of Preventive Medicine.

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Patients Want Physicians to Have Greater Connectivity

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Most patients want greater connectivity, online tools and text messaging, as well as more time with their physicians, according to a report published in Medical Economics.

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Ultra-Processed Food Linked to Increased Overall Cancer Risk

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Consumption of ultra-processed food is associated with increased risk of overall and breast cancer, according to a study published online Feb. 14 in The BMJ.

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Safety of PERC Tool Validated for Very Low Risk PE Rule Out in ER

WEDNESDAY, Feb. 14, 2018 (HealthDay News) -- For low risk patients with suspected pulmonary embolism (PE), randomization to eight-item PE rule-out criteria (PERC) seems safe, according to a study published in the Feb. 13 issue of the Journal of the American Medical Association.

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Four Best Practices Outlined to Prevent Health Care Cyberattacks

TUESDAY, Feb. 13, 2018 (HealthDay News) -- Four best practices outlined that can help prevent health care cyberattacks, which increased from 2016 to 2017, according to a report published in Managed Healthcare Executive.

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Education About Imaging Most Often Given by Ordering Provider

TUESDAY, Feb. 13, 2018 (HealthDay News) -- For patients undergoing imaging examinations, 78 percent reported receiving some form of pre-examination information, while 52 percent sought information themselves, according to a study published online Feb. 13 in Radiology.

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Opioid Use Linked to Risk of Invasive Pneumococcal Disease

MONDAY, Feb. 12, 2018 (HealthDay News) -- Opioid use is associated with elevated risk of invasive pneumococcal disease (IPD), especially for long-acting, high-potency, and high-dose opioids, according to a study published online Feb. 13 in the Annals of Internal Medicine.

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EHRs Not Sufficient to Ensure Success in Value-Based Care

MONDAY, Feb. 12, 2018 (HealthDay News) -- Electronic health records (EHRs) are not sufficient to ensure success in value-based care, according to an article published in Medical Economics.

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Top Consumer Concerns Reported About Physicians

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Health care consumers have four major concerns regarding their physicians, according to a report published by Managed Healthcare Executive.

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Injury Scene Characteristics Linked to Injury Mortality

FRIDAY, Feb. 9, 2018 (HealthDay News) -- The characteristics of an injury scene are associated with injury mortality, with increased odds of death linked to increased distance to the nearest trauma center, according to a study published online Feb. 7 in JAMA Surgery.

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Inhaled Nitric Oxide Doesn't Cut Mortality for Neonates

FRIDAY, Feb. 9, 2018 (HealthDay News) -- For neonates born at 22 to 29 weeks' gestation with respiratory distress syndrome (RDS), off-label use of inhaled nitric oxide (iNO) is not associated with reduced mortality, according to a study published online Feb. 9 in Pediatrics.

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Prenatal, Early Life Fructose Intake Associated With Asthma

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Maternal prenatal and early childhood intake of sugar-sweetened beverages and fructose is associated with current asthma in midchildhood, regardless of adiposity, according to a study published in the Annals of the American Thoracic Society.

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Rooming-In May Up Outcomes in Neonatal Abstinence Syndrome

FRIDAY, Feb. 9, 2018 (HealthDay News) -- For newborns with neonatal abstinence syndrome (NAS), rooming-in with the mother or other family members is associated with improved outcomes, according to a review published online Feb. 5 in JAMA Pediatrics.

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FDA Says U.S. Will Now Produce Critical MRI Component

THURSDAY, Feb. 8, 2018 (HealthDay News) -- A long-feared shortage of a substance used in millions of medical imaging procedures each year in the United States appears to have been avoided, federal officials report.

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Poll: Personal Beliefs Shouldn't Allow Doctors to Refuse to Treat

THURSDAY, Feb. 8, 2018 (HealthDay News) -- Most people do not believe that professionals including health care providers should be allowed to refuse to provide services based on their conscience or beliefs, according to a recent HealthDay/The Harris Poll.

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Percentage of Children Having Asthma Attacks Decreasing

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- From 2001 to 2016 there was a decrease in the proportion of children having asthma attacks in the United States, according to research published in the Feb. 6 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Expenditures Rising for Treating Obesity-Related Illness in U.S.

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- The amount of U.S. health care resources devoted to treating obesity-related illness in U.S. adults rose 29 percent from 2001 to 2015, according to a review published in the January issue of Clinical Chemistry.

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Stem Cell Transplant May Be Effective for Systemic Sclerosis

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- Stem cell transplant may be an effective treatment for systemic sclerosis (SSc), according to a small study published online Feb. 2 in the International Journal of Rheumatic Diseases.

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Humanities Exposure Positively Impacts Medical Students

MONDAY, Feb. 5, 2018 (HealthDay News) -- Exposure to the humanities correlates with less burnout and higher levels of positive personal qualities among medical students, according to a study published online Jan. 29 in the Journal of General Internal Medicine.

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Pre-Op Exercise in Lung Cancer Patients Halves Complications

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Preoperative exercise halves the rate of postoperative complications in patients with lung cancer, according to a review published Feb. 1 in the British Journal of Sports Medicine.

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Factors Identified That Impact Physicians IT Adoption

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Physicians have considerable concerns about the efficacy and evidence base of health information technology (IT), according to a report published by the American Medical Association (AMA).

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Persistent Respiratory Issues in Youth May Decline Lung Function

FRIDAY, Feb. 2, 2018 (HealthDay News) -- For young adults, persistent respiratory symptoms are associated with accelerated decline in lung function, according to a study published online Jan. 25 in the American Journal of Respiratory and Critical Care Medicine.

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Chronic Disease Major Risk Factor for Cancer, Cancer Mortality

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Chronic disease is associated with a substantial proportion of the risk of incident cancer and cancer mortality, according to a study published online Jan. 31 in The BMJ.

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Medicaid Expansion Cuts Out-of-Pocket Spending

THURSDAY, Feb. 1, 2018 (HealthDay News) -- States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending, according to a study published online Jan. 24 in Health Affairs.

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