October 2018 Briefing - Hematology & Oncology

Here are what the editors at HealthDay consider to be the most important developments in Hematology & Oncology for October 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.

Barriers to Prostate Cancer Research in Black Men Identified

WEDNESDAY, Oct. 31, 2018 (HealthDay News) -- A lack of understanding of terminology, health care system distrust, and a lack of prostate cancer knowledge are among the barriers to genomic testing for prostate cancer and prostate cancer research participation among black men, according to a study published in the November issue of the American Journal of Preventive Medicine.

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Link Between Statins, Non-CVD Outcomes Lacks Evidence

WEDNESDAY, Oct. 31, 2018 (HealthDay News) -- There is a lack of convincing evidence for an association between statin use and non-cardiovascular disease (CVD) outcomes, according to a review published in the Oct. 16 issue of the Annals of Internal Medicine.

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Genetic Risk Score IDs Breast CA Risk in Female Child CA Survivors

WEDNESDAY, Oct. 31, 2018 (HealthDay News) -- A polygenic risk score (PRS) can identify subsequent breast cancer risk among childhood survivors of cancer, according to a study published online Oct. 26 in Clinical Cancer Research.

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Black, Low-Income Women May Not Report Barriers to Care

WEDNESDAY, Oct. 31, 2018 (HealthDay News) -- Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography, according to a study published online Sept. 24 in Cancer.

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Erectile Dysfunction Common in Childhood Cancer Survivors

TUESDAY, Oct. 30, 2018 (HealthDay News) -- The prevalence of erectile dysfunction (ED) is 29 percent among male childhood cancer survivors (CCS), according to a research letter published online Oct. 4 in JAMA Oncology.

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AMA Announces Initiative to Reinvent Physician Training

TUESDAY, Oct. 30, 2018 (HealthDay News) -- The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the "Reimagining Residency" initiative, aimed at improving residency training.

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Angiotensin-Converting Enzyme Inhibitors May Up Lung CA Risk

TUESDAY, Oct. 30, 2018 (HealthDay News) -- The use of angiotensin-converting enzyme inhibitors (ACEIs) is associated with an increased risk for lung cancer compared with angiotensin receptor blockers, according to a study published online Oct. 24 in the BMJ.

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Pilot Studies May Shed Light on How to Treat Lymphedema

TUESDAY, Oct. 30, 2018 (HealthDay News) -- Treatment with ketoprofen may improve the skin biology in lymphedema, with improvements noted in histopathology and skin thickness, according to a study published online Oct. 18 in JCI Insight.

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New Method Estimates Risk for Recurrence in Breast Cancer

TUESDAY, Oct. 30, 2018 (HealthDay News) -- The risk for breast cancer recurrence can be extracted using disease-specific survival data, according to a study published online Oct. 18 in Cancer Epidemiology, Biomarkers & Prevention.

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Many Hospitals Noncompliant With Record Request Regulations

MONDAY, Oct. 29, 2018 (HealthDay News) -- Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.

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Healthier Diet Tied to Lower Mortality Risk in CRC Patients

MONDAY, Oct. 29, 2018 (HealthDay News) -- Colorectal cancer (CRC) patients who follow healthy diets before or after diagnosis have a decreased risk for mortality, according to a study published online Oct. 19 in the Journal of Clinical Oncology.

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Smoking Associated With Head, Neck Surgery Complications

MONDAY, Oct. 29, 2018 (HealthDay News) -- Smoking is associated with increased rates of postoperative wound disruption and subsequent reoperation among patients undergoing free flap reconstruction of the head and neck, according to a study published online Oct. 18 in JAMA Facial Plastic Surgery.

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Hypofractionated Radiation OK for Localized Prostate CA

MONDAY, Oct. 29, 2018 (HealthDay News) -- A new clinical guideline for early-stage prostate cancer supports the use of shortened courses of radiation therapy, according to an article published in Practical Radiation Oncology.

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Durvalumab Extends Survival in Stage III Non-Small Cell Lung CA

MONDAY, Oct. 29, 2018 (HealthDay News) -- Durvalumab results in significantly longer overall survival than placebo among patients with stage III, unresectable non-small cell lung cancer who did not have disease progression after concurrent chemoradiotherapy, according to a study published Sept. 25 in the New England Journal of Medicine.

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Cancer Survival Higher in Teens, Young Adults Than Other Groups

FRIDAY, Oct. 26, 2018 (HealthDay News) -- Overall, cancer survival among adolescents and young adults (AYAs) has consistently exceeded that of other age groups except during the HIV/AIDS epidemic, according to a study published Oct. 15 in the Journal of the National Cancer Institute.

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Trump Administration Announces Plan to Cut Drug Prices

FRIDAY, Oct. 26, 2018 (HealthDay News) -- In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.

HHS Study
New York Times Article

Tobacco Use Remains Leading Modifiable Cause of Cancer

THURSDAY, Oct. 25, 2018 (HealthDay News) -- Tobacco use remains the leading modifiable cause of cancer and should be a priority for cancer control, according to a report published online Oct. 10 in CA: A Cancer Journal for Clinicians.

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Pace of Change Has Accelerated in Alternative Payment Models

THURSDAY, Oct. 25, 2018 (HealthDay News) -- The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

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Open Surgery for Early Lung CA Tied to Long-Term Opioid Use

THURSDAY, Oct. 25, 2018 (HealthDay News) -- Surgical invasiveness might play a role in the odds of becoming a long-term opioid user after early-stage lung cancer surgery, according to a research letter published online Sept. 24 in JAMA Oncology.

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Most Supplements Contain Prohibited Stimulants

WEDNESDAY, Oct. 24, 2018 (HealthDay News) -- Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.

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Hispanics With HIV Face Higher Risk for HPV-Related Cancer

WEDNESDAY, Oct. 24, 2018 (HealthDay News) -- HIV-infected Hispanics have an increased risk for human papillomavirus (HPV)-related cancers than Hispanics in the general population, according to a study published online Oct. 22 in Cancer.

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White House Unveils New Insurance Option for Small Firms

TUESDAY, Oct. 23, 2018 (HealthDay News) -- A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

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A-Fib Patients With Cancer Less Likely to See Cardiologist

TUESDAY, Oct. 23, 2018 (HealthDay News) -- Atrial fibrillation (AF) patients with cancer are less likely to see a cardiologist and fill prescriptions for anticoagulants, according to a study published in the Oct. 16 issue of the Journal of the American College of Cardiology.

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Thermal Ablation Acceptable for Early Lung Cancer

TUESDAY, Oct. 23, 2018 (HealthDay News) -- Thermal ablation (TA) is a safe, effective treatment for stage 1 non-small cell lung cancer (NSCLC), according to a study recently published in Radiology.

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Diagnostic Strategy Can Rule Out PE in Pregnant Women

MONDAY, Oct. 22, 2018 (HealthDay News) -- A diagnostic strategy based on pretest clinical probability assessment, high-sensitivity D-dimer testing, bilateral lower-limb compression ultrasonography (CUS), and computed tomography pulmonary angiography (CTPA) can safely rule out pulmonary embolism (PE) in pregnant women, according to a study published online Oct. 23 in the Annals of Internal Medicine.

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Aspirin, Anticoagulants Similarly Prevent VTE After TKA

FRIDAY, Oct. 19, 2018 (HealthDay News) -- Among patients undergoing total knee arthroplasty (TKA), aspirin alone may provide protection against postoperative venous thromboembolism (VTE) that is similar to that of other anticoagulants, according to a study published online Oct. 17 in JAMA Surgery.

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Light Use of Topical Skin Tx Before Radiotherapy Seems Safe

FRIDAY, Oct. 19, 2018 (HealthDay News) -- Contrary to the advice most cancer patients receive, light or moderate use of topical agents before radiation treatment does not appear to increase the radiation dose to the skin, according to a study published online Oct. 18 in JAMA Oncology.

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Sharp Drop in U.S. Life Expectancy Rankings by 2040

THURSDAY, Oct. 18, 2018 (HealthDay News) -- The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.

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Procurement Requirements Drive Interoperability in Health Care IT

THURSDAY, Oct. 18, 2018 (HealthDay News) -- Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.

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Deep Learning Algorithm Can ID Mammographic Breast Density

THURSDAY, Oct. 18, 2018 (HealthDay News) -- A deep learning (DL) algorithm can successfully assess mammographic breast density, according to a study published online Oct. 16 in Radiology.

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Plasma-Based Genotyping Aids Targeted Tx of Metastatic NSCLC

THURSDAY, Oct. 18, 2018 (HealthDay News) -- Integration of plasma next-generation sequencing (NGS) into the routine management of metastatic non-small cell lung cancer (NSCLC) results in an increase in the detection of therapeutically targetable mutations, according to a study published online Oct. 11 in JAMA Oncology.

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Recreational Marijuana Now Legal in Canada

WEDNESDAY, Oct. 17, 2018 (HealthDay News) -- Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.

The New York Times Article
CMAJ Editorial

Lung Cancer Deaths 28% Lower in California Than Rest of U.S.

WEDNESDAY, Oct. 17, 2018 (HealthDay News) -- Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research.

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Treatment Tied to Survival Benefit in Complex Bladder Cancer

WEDNESDAY, Oct. 17, 2018 (HealthDay News) -- Cancer treatment is associated with a clinically meaningful survival benefit in older, medically complex patients with superficial bladder cancer (SBC), according to a study published online Oct. 5 in Cancer.

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Positive HPV Status Tied to Better Cervical Cancer Prognosis

TUESDAY, Oct. 16, 2018 (HealthDay News) -- Women with high-risk human papillomavirus (hrHPV)-positive cervical tumors have a substantially better prognosis than women with hrHPV-negative tumors, according to a study published online Oct. 1 in PLOS Medicine.

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CHF in Pregnancy Up for Cancer Survivors With Cardiac Toxicity

TUESDAY, Oct. 16, 2018 (HealthDay News) -- The incidence of congestive heart failure (CHF) during pregnancy is 31 percent among women with a history of cardiotoxicity associated with cancer treatment, according to a study published in the Oct. 23 issue of the Journal of the American College of Cardiology.

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Without Medicaid Expansion, Poor Patients Forgo Medical Care

MONDAY, Oct. 15, 2018 (HealthDay News) -- Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.

AP News Article

In NSCLC, Longer Survival With Brigatinib Than Crizotinib

MONDAY, Oct. 15, 2018 (HealthDay News) -- Among patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) who have not previously received an ALK inhibitor, progression-free survival is significantly longer in those who receive treatment with brigatinib versus crizotinib, according to a study published online Sept. 25 in the New England Journal of Medicine.

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Active Pharmaceuticals ID'd in >700 Dietary Supplements

MONDAY, Oct. 15, 2018 (HealthDay News) -- Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open.

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Multicomponent Intervention Can Reduce Sitting Time at Work

FRIDAY, Oct. 12, 2018 (HealthDay News) -- A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms, according to a study published online Oct. 10 in The BMJ.

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FDA Approves New DNA-Based Test to Verify Blood Compatibility

FRIDAY, Oct. 12, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has approved the ID CORE XT DNA-based test to help doctors verify blood compatibility before a transfusion.

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Ultrasound Can Predict Success of AV Fistula for Hemodialysis

FRIDAY, Oct. 12, 2018 (HealthDay News) -- Detection of arteriovenous fistula (AVF) blood flow, diameter, and depth on ultrasound can predict AVF clinical maturation, according to a study published online Oct. 11 in the Journal of the American Society of Nephrology.

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Low-Dose Aspirin May Reduce Ovarian Cancer Risk

THURSDAY, Oct. 11, 2018 (HealthDay News) -- Low-dose aspirin use is associated with a reduced risk for ovarian cancer, according to a study published online Oct. 4 in JAMA Oncology.

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Midlife PSA Predicts Aggressive Prostate Cancer in Black Men

THURSDAY, Oct. 11, 2018 (HealthDay News) -- Midlife levels of prostate-specific antigen (PSA) strongly predict future development of aggressive prostate cancer among black men, according to a study published online Sept. 17 in European Urology.

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Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

The New York Times Article

Duvelisib Promising for Chronic Lymphocytic Leukemia, SLL

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- For patients with relapsed or refractory (RR) chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL), the oral, dual inhibitor of phosphoinositide 3-kinase-δ and -γ, duvelisib, seems effective, according to a study published online Oct. 4 in Blood.

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Long-Term Aspirin Use Linked to Reduction in Liver Cancer Risk

WEDNESDAY, Oct. 10, 2018 (HealthDay News) -- Regular long-term aspirin use is associated with a dose-dependent reduction in the risk for hepatocellular carcinoma (HCC), according to a study published online Oct. 4 in JAMA Oncology.

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FDA Approves HPV Vaccine for People Through Age 45

TUESDAY, Oct. 9, 2018 (HealthDay News) -- U.S. Food and Drug Administration approval of the Gardasil 9 human papillomavirus (HPV) vaccine has been expanded to include people ages 27 through 45, the agency said in a news release.

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Weight Loss May Cut Breast CA Risk in Postmenopausal Women

TUESDAY, Oct. 9, 2018 (HealthDay News) -- Postmenopausal women with weight loss have a reduced risk for breast cancer, according to a study published online Oct. 8 in Cancer.

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Integrated Classifier Identifies Benign Lung Nodules

TUESDAY, Oct. 9, 2018 (HealthDay News) -- An integrated plasma proteomics classifier, which integrates the relative abundance of two plasma proteins with a clinical risk prediction model, can distinguish benign from malignant lung nodules in those at low-to-intermediate risk for cancer, according to a study published in the September issue of CHEST.

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Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 (HealthDay News) -- Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

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Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 (HealthDay News) -- Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

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Daily Drinking Associated With Increased Mortality Risk

FRIDAY, Oct. 5, 2018 (HealthDay News) -- Daily drinking, even at low levels, may be detrimental to one's health, according to a study published online Oct. 3 in Alcoholism: Clinical & Experimental Research.

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More Than 14 Million Preteens Need to Receive HPV Vaccine

FRIDAY, Oct. 5, 2018 (HealthDay News) -- More than 14 million additional 11- to 12-year-olds need to be vaccinated to reach the American Cancer Society goal of 80 percent of adolescents being up to date (UTD) with the human papillomavirus vaccination (HPVV) by their 13th birthday by 2026, according to a study published online Sept. 26 in Cancer.

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Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 (HealthDay News) -- A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

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Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Cancer Risk Varies for Hispanics, Including in Puerto Rico

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Hispanics have lower incidence and mortality than non-Hispanic whites for all cancers combined, although there is considerable variability in cancer risk within the U.S. Hispanic population, according to a report published online Oct. 4 in CA: A Cancer Journal for Clinicians.

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Genomic Screening Can ID Undetected BRCA1/2 Cancer Risk

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Exome sequencing-based screening may identify pathogenic and likely pathogenic (P/LP) BRCA1/2 variants that might otherwise remain undetected, according to a study published online Sept. 21 in JAMA Network Open.

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FDA Seizes Documents From E-Cigarette Maker JUUL

THURSDAY, Oct. 4, 2018 (HealthDay News) -- Thousands of pages of documents were seized from the electronic cigarette (e-cigarette) maker JUUL by the U.S. Food and Drug Administration during a surprise inspection last week as part of the agency's investigation into the company's marketing practices.

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JUUL Laboratories Have Largest Market Share of E-Cigarettes

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- From 2016 to 2017, sales of electronic cigarettes (e-cigarettes) by JUUL Laboratories increased 641 percent, with their sales comprising 29 percent of total e-cigarette sales by December 2017, according to a research letter published in the Oct. 2 issue of the Journal of the American Medical Association.

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Treatment Linked to Cognitive Scores in Breast Cancer Survivors

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- For breast cancer survivors, treatment and age-related phenotypes and genotypes are associated with a longitudinal decrease in cognitive function, according to a study published online Oct. 3 in the Journal of Clinical Oncology.

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Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 (HealthDay News) -- In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

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For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 (HealthDay News) -- Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

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Negligible Drop in Neoplastic Lesion Dx After First Round of FIT

TUESDAY, Oct. 2, 2018 (HealthDay News) -- After the first round of a fecal immunochemical test (FIT)-based, multiple-round, long-term screening program, there is a negligible reduction in detection rates for neoplastic lesions in the proximal versus the distal colon, according to a study published online Oct. 2 in the Annals of Internal Medicine.

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Second Opinion at NCI Center Valuable for Breast CA Patients

TUESDAY, Oct. 2, 2018 (HealthDay News) -- Almost 43 percent of patients diagnosed with breast cancer presenting to a National Cancer Institute (NCI)-designated cancer center for a second opinion have a change in diagnosis, according to a study published in the October issue of the Annals of Surgical Oncology.

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Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 (HealthDay News) -- The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

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Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 (HealthDay News) -- In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

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FDA Approves New Treatment for Squamous Cell Carcinoma

MONDAY, Oct. 1, 2018 (HealthDay News) -- Libtayo (cemiplimab-rwlc) injection has been approved by the U.S. Food and Drug Administration to treat metastatic cutaneous squamous cell carcinoma, the agency said in a news release.

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Risk of Relapse Up for Teens, Young Adults With Leukemia

MONDAY, Oct. 1, 2018 (HealthDay News) -- Adolescents and young adults (AYA; aged 15 to 39 years) with acute lymphoblastic leukemia (ALL) have increased risk of on-therapy relapse and relapse after completing therapy compared with children with ALL, according to a study published online Sept. 27 in Cancer Epidemiology, Biomarkers & Prevention.

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More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 (HealthDay News) -- From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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Risk of Venous Thromboembolism Recurrence High

MONDAY, Oct. 1, 2018 (HealthDay News) -- The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.

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