January 2019 Briefing - Dermatology

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Here are what the editors at HealthDay consider to be the most important developments in Dermatology for January 2019. 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.

Methotrexate Well Tolerated, Effective for Psoriasis in Chinese

THURSDAY, Jan. 31, 2019 (HealthDay News) -- Methotrexate is well tolerated and effective for psoriasis in a Chinese population and is more effective for those without psoriatic arthritis, according to a study published online Jan. 30 in JAMA Dermatology.

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Off-Label Uses in Dermatology Often Missing From Compendia

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- The compendia used by Medicare for making coverage determinations are inadequate for dermatologic illnesses, and there is considerable discrepancy between compendia, according to a study published online Jan. 23 in JAMA Dermatology.

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Washington State Declares Health Emergency as Measles Spreads

MONDAY, Jan. 28, 2019 (HealthDay News) -- A statewide public health emergency was declared in Washington after a measles outbreak near Portland, Oregon, reached 31 cases on Friday. The outbreak in the Pacific Northwest is in what has been called an antivaccination "hot spot" in the United States, the Associated Press reported.

AP News Article

Report IDs Areas Lacking Good Practice in Health Tech Assessment

FRIDAY, Jan. 25, 2019 (HealthDay News) -- In a report published in the January issue of Value in Health, an ISPOR--The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).

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Measles Outbreak Prompts Public Emergency in Washington State

THURSDAY, Jan. 24, 2019 (HealthDay News) -- An ongoing measles outbreak has led to a public health emergency being declared in Clark County, Washington.

CBS News Article

Guidelines Developed for Managing Severe Atopic Dermatitis

TUESDAY, Jan. 22, 2019 (HealthDay News) -- Guidelines have been developed for the management of severe atopic dermatitis (AD); the recommendations have been published as a clinical management review in the January issue of The Journal of Allergy and Clinical Immunology: In Practice.

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Wait Times Have Improved in VA Health Care System

FRIDAY, Jan. 18, 2019 (HealthDay News) -- From 2014 to 2017, there were improvements in wait times in the Department of Veterans Affairs (VA) health care system, resulting in reduced wait times versus the private sector (PS) in 2017, according to a study published online Jan. 18 in JAMA Network Open.

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Editorial

Melanoma Survival Varies Among U.S. States

FRIDAY, Jan. 18, 2019 (HealthDay News) -- U.S. states with more physicians and a larger percentage of non-Hispanic whites have worse melanoma survival, according to a study published online Jan. 16 in the Journal of the American Academy of Dermatology.

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FDA Down to 5 Weeks of Funding to Review New Drug Applications

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.

CNN News Article

Dermatologists' Rx for Antibiotics Dropped From 2008 to 2016

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Dermatologists' use of antibiotics to treat inflammatory skin conditions like acne and rosacea is decreasing, according to a study published online Jan. 16 in JAMA Dermatology.

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Editorial

Adoption of Advanced Health IT Capabilities Inconsistent

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.

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Study Explores Influence of Genetics, Environment in Disease

TUESDAY, Jan. 15, 2019 (HealthDay News) -- The influence of heritability and environmental factors has been identified for a large number of phenotypes, according to a study published online Jan. 14 in Nature Genetics.

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American College of Physicians Releases 7th Edition of Ethics Manual

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Ethical principles are discussed in an updated Ethics Manual, issued by the American College of Physicians (ACP) and published as a supplement to the Jan. 15 issue of the Annals of Internal Medicine.

American College of Physicians Ethics Manual
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Investigational Cream Promising for Atopic Dermatitis

MONDAY, Jan. 14, 2019 (HealthDay News) -- Topical application of a transient receptor potential vanilloid subfamily, member 1 (TRPV1) antagonist may be an effective and safe treatment for patients with mild-to-moderate atopic dermatitis (AD), according to a phase IIb study published online Jan. 8 in the British Journal of Dermatology.

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Prices Still Explain High U.S. Health Care Spending

FRIDAY, Jan. 11, 2019 (HealthDay News) -- The difference in health spending between the United States and other countries is still explained by health care prices, according to a study published in the January issue of Health Affairs.

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Private Equity Acquisition of Physician Practices Discussed

THURSDAY, Jan. 10, 2019 (HealthDay News) -- The phenomenon of private equity acquisition of physician practices is discussed in an Ideas and Opinions piece published online Jan. 8 in the Annals of Internal Medicine.

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Minority Med Students Report More Barriers to Dermatology

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Minority medical students report a variety of barriers to applying for a dermatology residency, according to a research letter published online Jan. 9 in JAMA Dermatology.

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Measles Outbreak in New York State Largest in Recent History

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- There have been at least 112 confirmed cases of measles in Rockland and Orange counties and at least 55 in New York City in what officials say is the largest measles outbreak in New York state in recent history.

CNN Article

Many Female Health Care Workers Live in Poverty

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Many U.S. female health care workers, particularly women of color, live in poverty and lack health insurance, according to a study published online Dec. 20 in the American Journal of Public Health.

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Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- The costs of oral and injectable brand-name drugs increased from 2008 to 2016, with most of the increase due to existing drugs, while new drugs accounted for cost increases in specialty and generic drugs, according to a study published in the January issue of Health Affairs.

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Medical Marketing Has Increased in Past 20 Years

TUESDAY, Jan. 8, 2019 (HealthDay News) -- From 1997 through 2016, there was an increase in medical marketing, especially direct-to-consumer (DTC) advertising, according to research published in the Jan. 1/8 issue of the Journal of the American Medical Association.

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Cancer Death Rate in U.S. Decreased Continuously From 1991 to 2016

TUESDAY, Jan. 8, 2019 (HealthDay News) -- The overall cancer death rate decreased continuously by 27 percent from 1991 to 2016, according to a report published online Jan. 8 in CA: A Cancer Journal for Clinicians.

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ACA Coverage Gains Could Erode Without Individual Mandate

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains, according to a study published in the January issue of Health Affairs.

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Hypertension With Psoriasis Tied to More Cardiac Interventions

FRIDAY, Jan. 4, 2019 (HealthDay News) -- Psoriasis is associated with an increased risk for cardiovascular interventions in patients with hypertension, according to a study published in the December issue of The Journal of Dermatology.

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Classification of Psoriasis Severity Depends on Definition

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Depending on the definition used, there are large variations in the proportion of patients identified as having moderate-to-severe psoriasis, according to a study published in the December issue of the British Journal of Dermatology.

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Limited Examination Detects Scabies With High Sensitivity

WEDNESDAY, Jan 2, 2019 (HealthDay News) -- Examination limited to hands, feet, and lower legs has a sensitivity of about 90 percent for detecting scabies, according to a study published online Dec. 27 in PLOS Neglected Tropical Diseases.

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