Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for November 2013. 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.
Mercury Levels Drop One-Third in Women of Childbearing Age
WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Blood mercury levels in women of childbearing age dropped 34 percent from an initial survey conducted in 1999 to 2000 to follow-up surveys conducted from 2001 to 2010, according to a report by the Environmental Protection Agency (EPA).
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BRCA2 Familial Breast CA Risk High Even Without BRCA Mutation
WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Women from BRCA2 families who do not carry a mutation in the BRCA2 breast cancer susceptibility gene still have a nearly five-fold higher risk of developing breast cancer, according to a study published online Nov. 27 in Cancer Epidemiology, Biomarkers & Prevention.
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Spatiotemporal Analysis Emphasizes Value of Vaccination
WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Spatiotemporal data emphasizes the importance of vaccination programs, according to research published in the Nov. 28 issue of the New England Journal of Medicine.
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Age at First Childbirth Influences Later Diabetes Risk
WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Age at first childbirth is associated with the risk of diabetes in postmenopausal women, according to a study published online Nov. 15 in Diabetes Care.
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Insurance Exchanges May Benefit Small Medical Practices
WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Small medical practices may not need to offer their employees health insurance, although there may be advantages to doing so, according to an article published Nov. 10 in Medical Economics.
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Practices Should Start Preparing for Transition to ICD-10
TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.
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Chest Pain Characteristics Don't Help Diagnose AMI in Women
TUESDAY, Nov. 26, 2013 (HealthDay News) -- Small differences are observed in the sex-specific diagnostic performance of chest pain characteristics (CPCs) for diagnosing acute myocardial infarction (AMI), according to a study published online Nov. 25 in JAMA Internal Medicine.
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Longer Wait to Surgery Worsens Survival in Uterine Cancer
TUESDAY, Nov. 26, 2013 (HealthDay News) -- Women who have longer wait times from diagnosis of uterine cancer to definitive surgery have reduced overall survival, according to research published online Nov. 25 in the Journal of Clinical Oncology.
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Barriers Identified for HPV Vaccination Among U.S. Teens
TUESDAY, Nov. 26, 2013 (HealthDay News) -- Barriers to human papillomavirus (HPV) vaccination in U.S. adolescents have been identified, according to a review published online Nov. 25 in JAMA Pediatrics.
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No Link Between Menopausal Hormones and Cognition
TUESDAY, Nov. 26, 2013 (HealthDay News) -- Postmenopausal hormone levels are not generally associated with cognition or mood, according to a study published online Nov. 25 in the Proceedings of the National Academy of Sciences.
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American Medical Groups Protesting Physician Cuts
MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.
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Sugar-Sweetened Beverages Linked to Endometrial Cancer
MONDAY, Nov. 25, 2013 (HealthDay News) -- A higher intake of sugar and sugar-sweetened beverages is associated with a higher risk of some endometrial cancers, according to a study published online Nov. 22 in Cancer Epidemiology, Biomarkers & Prevention.
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Family Doc Finds Mid-Level Providers Increase Revenue
MONDAY, Nov. 25, 2013 (HealthDay News) -- Hiring mid-levels -- physicians assistants and nurse practitioners -- can improve productivity, resulting in increased physician take-home pay, according to an article published Nov. 10 in Medical Economics.
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White House Extends Enrollment Deadline for Health Insurance
FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.
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Researchers Study Factors in Uncomplicated Pregnancy
FRIDAY, Nov. 22, 2013 (HealthDay News) -- Factors associated with uncomplicated pregnancy have been identified, according to a study published online Nov. 21 in BMJ.
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Rape, Sexual Assault Likely Underestimated by Crime Survey
FRIDAY, Nov. 22, 2013 (HealthDay News) -- Rape and sexual assault are likely underestimated on the National Crime Victimization Survey (NCVS) and a new survey should be developed for more accurate estimation of incidence, according to a report published by the National Academy of Sciences.
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CDC Report: Health Disparities Persist in America
THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.
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Many Women With Pelvic Prolapse Prefer to Keep Uterus
THURSDAY, Nov. 21, 2013 (HealthDay News) -- More women may prefer uterine preservation to hysterectomy for the treatment of pelvic organ prolapse symptoms, according to research published in the November issue of the American Journal of Obstetrics & Gynecology.
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PTSD Linked to Overweight, Obesity in Women
THURSDAY, Nov. 21, 2013 (HealthDay News) -- Women with symptoms of posttraumatic stress disorder (PTSD) are more likely to become overweight or obese, according to a study published online Nov. 20 in JAMA Psychiatry.
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Phthalate Exposure Linked to Higher Odds of Preterm Birth
THURSDAY, Nov. 21, 2013 (HealthDay News) -- Exposure to phthalates during pregnancy is associated with significantly higher odds of preterm birth, according to a study published online Nov. 18 in JAMA Pediatrics.
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Younger Age Is Significant QoL Predictor Post-Breast Biopsy
WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For women undergoing percutaneous breast biopsy procedures, younger age is a significant predictor of decreased short-term quality of life, according to a study published online Nov. 19 in Radiology.
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Surgeons Emotionally Affected by Surgical Complications
WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Many surgeons are profoundly emotionally affected by surgical complications, according to a study published in the December issue of the British Journal of Surgery.
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Increase in Breast MRI Screening From 2005 to 2009
WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The use of breast magnetic resonance imaging (MRI) in women increased through 2009, according to two studies published online Nov. 18 in JAMA Internal Medicine.
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Health Care Frustration Higher in U.S. Than Other Countries
TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.
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Asthma Tied to Increased Time to Pregnancy
TUESDAY, Nov. 19, 2013 (HealthDay News) -- Asthma prolongs time to pregnancy, according to a study published online Nov. 14 in the European Respiratory Journal.
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Study Supports AAP Allergy Prevention Recommendations
MONDAY, Nov. 18, 2013 (HealthDay News) -- The delay of solid foods until at least 17 weeks of age and continued breastfeeding when cow's milk protein is introduced to infants' diets correlate with a reduced likelihood of food allergies, according to a study published online Nov. 18 in Pediatrics.
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Guidelines Issued for Managing Diabetes in Pregnancy
FRIDAY, Nov. 15, 2013 (HealthDay News) -- Guidelines have been formulated for the management of pregnant women with diabetes; the clinical practice guideline has been published in the Nov. 1 issue of the Journal of Clinical Endocrinology & Metabolism.
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FDA Requests Safety Measures for Topical Antiseptics
FRIDAY, Nov. 15, 2013 (HealthDay News) -- The U.S. Food and Drug Administration is requesting manufacturers of certain topical antiseptics make changes to their labeling and packaging that will enhance product safety, according to a Drug Safety Communication issued by the agency.
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Obama Nominates Health Care Law Backer to Be Surgeon General
FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.
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New Guidelines Issued for Managing Overweight, Obesity
FRIDAY, Nov. 15, 2013 (HealthDay News) -- Evidence-based recommendations for the management of overweight and obesity have been developed by the American Heart Association and the American College of Cardiology; the guidelines were published online Nov. 12 in Circulation and the Journal of the American College of Cardiology.
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Bariatric Surgery Linked to Increased Pregnancy Risks
FRIDAY, Nov. 15, 2013 (HealthDay News) -- Women with a history of bariatric surgery are at increased risk for preterm or small-for-gestational-age babies, according to a study published online Nov. 12 in BMJ.
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Obama: You Can Keep Your Health Plan (for a Year)
THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.
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Depression Risk Drops From Pre- to Post-Final Period
THURSDAY, Nov. 14 (HealthDay News) -- There is a higher risk of depression before and a lower risk after the final menstrual period (FMP), according to a study published online Nov. 13 in JAMA Psychiatry.
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Health Care Enrollments Fall Far Short of White House Estimates
THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.
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No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief
THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.
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Enterococci, GBS Appear to Rarely Cause Acute Cystitis
WEDNESDAY, Nov. 13 (HealthDay News) -- Although organisms such as enterococci or group B streptococci are often detected along with Escherichia coli in cultures of voided midstream urine, they usually are not found in cultures of catheter urine, according to research published in the Nov. 14 issue of the New England Journal of Medicine.
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Obesity Ups Women's Death, Disability Risk Before Age 85
WEDNESDAY, Nov. 13 (HealthDay News) -- Obese older women are at higher risk of death, disease, and disability before age 85, relative to healthy-weight women, according to a study published online Nov. 11 in JAMA Internal Medicine.
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New Models Could Alleviate Primary Care Provider Shortage
WEDNESDAY, Nov. 13 (HealthDay News) -- New models of primary care delivery could reduce the anticipated primary care physician shortage, according to an article published Nov. 4 in Medical Economics.
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Many Would Give Health Plans Private Info to Save Money: Poll
WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.
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Population Aging Crisis May Have Been Overestimated
WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.
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Teen Bullies, Bullied Engage in More Sexual Risk-Taking
TUESDAY, Nov. 12 (HealthDay News) -- High school bullies and bully-victims are more likely to engage in casual sex and sex under the influence of alcohol and drugs than their peers, with the association seen primarily for heterosexual youth, according to a study published online Nov. 11 in Pediatrics.
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Initial Health-Plan Enrollment Falls Below Expectations
TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.
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Intraoperative Radiotherapy Promising for Breast Cancer
TUESDAY, Nov. 12 (HealthDay News) -- For women with breast cancer, intraoperative radiotherapy is a promising alternative to external beam radiotherapy (EBRT), according to two studies published online Nov. 11 in The Lancet and The Lancet Oncology.
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Many Americans Want Docs to Help Explain Genetic Tests
TUESDAY, Nov. 12 (HealthDay News) -- When it comes to genetic testing, Americans support more research, laws to protect against discrimination, and involving medical professionals in offering guidance, according to research published online Nov. 7 in Genetics in Medicine.
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Analysis Describes Economic Anatomy of U.S. Health Care
TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.
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Thromboembolism Prophylaxis Underused After C-Section
TUESDAY, Nov. 12 (HealthDay News) -- Thromboembolism prophylaxis is underused among women who undergo cesarean delivery in the United States, according to a study published online Nov. 6 in Obstetrics & Gynecology.
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Young Age at Menarche Doesn't Equate to Earlier Sex
TUESDAY, Nov. 12 (HealthDay News) -- Younger age at menarche (AAM) does not confer increased risk of early first sexual intercourse (FSI), according to a study published online Nov. 11 in Pediatrics.
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Poor Coverage of Breastfeeding Found at First Prenatal Visit
MONDAY, Nov. 11 (HealthDay News) -- Education about breastfeeding at the first prenatal visit typically is infrequent and limited, according to research published online Nov. 6 in Obstetrics & Gynecology.
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HPV Test Ordering Varies Widely in Family Medicine
MONDAY, Nov. 11 (HealthDay News) -- There is considerable practice variation in the ordering of human papillomavirus (HPV) testing among family medicine practitioners performing a Papanicolaou smear, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.
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Misuse of Antibiotics Prevalent in Gynecologic Surgery
FRIDAY, Nov. 8 (HealthDay News) -- Most women who undergo antibiotic-appropriate gynecologic procedures receive appropriate antibiotic prophylaxis, while antibiotics are administered to more than 40 percent of those undergoing antibiotic-inappropriate procedures, according to a study published online Nov. 6 in Obstetrics & Gynecology.
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Obama 'Sorry' Some People Losing Health Coverage
FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.
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Prenatal Program Effective for Speakers of Limited English
FRIDAY, Nov. 8 (HealthDay News) -- A group prenatal visit program for Japanese women in the United States with limited English proficiency is well rated by the participants, who report that they like the social support of being with other pregnant women, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.
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Clot Risk High for Pregnant Women in Hospital
FRIDAY, Nov. 8 (HealthDay News) -- Pregnant women admitted to the hospital for reasons other than delivery or venous thromboembolism are at higher risk of a first venous thromboembolism, particularly during the third trimester and among older women, according to a study published online Nov. 7 in BMJ.
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Telemedicine Represents Enhanced Care Model
THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.
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FDA to Ban Trans Fats in Foods
THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.
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Aspiring Doctors Are Optimistic About the Future of Medicine
THURSDAY, Nov. 7 (HealthDay News) -- Aspiring doctors are optimistic about the future of medicine, according to a report published by the National Academy of Future Physicians and Medical Scientists.
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Family Meals, Associated Rituals Could Lower Child, Adult BMI
THURSDAY, Nov. 7 (HealthDay News) -- Family meals and their related rituals are associated with both child and adult body mass index (BMI), according to a study published online Oct. 1 in Obesity.
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Amount of Care Similar for Rural, Urban Medicare Users
THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.
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Sebelius on Exchange Website: 'Delay Is Not an Option'
WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.
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Assisted Conception Doesn't Up Overall Cancer Risk in Children
WEDNESDAY, Nov. 6 (HealthDay News) -- Assisted conception is not associated with an overall increase in cancer risk among children, according to a study published in the Nov. 7 issue of the New England Journal of Medicine.
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CDC Suggests Ways to Increase CRC Screening Rates
WEDNESDAY, Nov. 6 (HealthDay News) -- Various approaches should be implemented to increase the use of colorectal cancer (CRC) screening tests, according to the November issue of the U.S. Centers for Disease Control and Prevention's Vital Signs.
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SGO Issues Top Five Choosing Wisely Recommendations
WEDNESDAY, Nov. 6 (HealthDay News) -- The top five gynecologic oncology-related issues that physicians and patients should question have been released by the Society of Gynecologic Oncology (SGO) as part of the Choosing Wisely campaign.
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Provider Reminder Tool Can Improve Screening Rates
WEDNESDAY, Nov. 6 (HealthDay News) -- A care coordinator and clinical reminder tool can enhance providers' ordering of preventive health screenings, according to a study published in the September/October issue of the Journal for Healthcare Quality.
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Diet Quality in Midlife Associated With Healthy Aging
TUESDAY, Nov. 5 (HealthDay News) -- Diet quality in midlife is associated with increased odds of healthy aging, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.
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Senators Seek Answers on Health Marketplace Woes
TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.
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In the Doctor's Lounge With Dr. Cindy Haines
FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.
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In the Doctor's Lounge With Dr. Cindy Haines
TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.
Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
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Pesticide Exposure Linked to Endometriosis Risk
TUESDAY, Nov. 5 (HealthDay News) -- Two organochlorine pesticides (OCPs), β-hexachlorocyclohexane (HCH) and mirex, are associated with the risk of endometriosis, according to a study published online Nov. 5 in Environmental Health Perspectives.
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One Dose of HPV Vaccine Induces Long-Term Antibodies
TUESDAY, Nov. 5 (HealthDay News) -- Women who receive only one dose of a human papillomavirus (HPV) vaccine have readily detectable antibody levels that remain stable for four years, according to a study published in the November issue of Cancer Prevention Research.
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Placental Growth Factor Useful for Predicting Preeclampsia
TUESDAY, Nov. 5 (HealthDay News) -- Low plasma placental growth factor (PlGF) concentration has high sensitivity and negative predictive value for preeclampsia within 14 days, according to a study published in the Nov. 5 issue of Circulation.
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Symptomatic Uterine Fibroids Cause Substantial Morbidity
MONDAY, Nov. 4 (HealthDay News) -- Symptomatic uterine leiomyomas (fibroids) have a substantial impact on quality of life, according to research published in the October issue of the American Journal of Obstetrics & Gynecology.
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Family Planning Program for Teens With Diabetes Effective
MONDAY, Nov. 4 (HealthDay News) -- A self-administered preconception counseling program on family planning for teenage girls with diabetes is associated with greater knowledge and a willingness to discuss reproductive health with health care providers and may reduce sexual activity, according to a study published online Oct. 15 in Diabetes Care.
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Bariatric Surgery May Improve Sexual Function in Women
MONDAY, Nov. 4 (HealthDay News) -- Women who undergo bariatric surgery to achieve weight loss have significant improvements in sexual function, according to research published online Nov. 4 in JAMA Surgery.
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HPV-Based Screening Beats Cytology for Invasive Cervical CA
MONDAY, Nov. 4 (HealthDay News) -- For women who undergo regular screening, human papillomavirus (HPV)-based screening is more efficacious than cytology-based screening for the prevention of invasive cervical cancer, according to a study published online Nov. 3 in The Lancet.
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AAP Reaffirms Support for Condom Use in Adolescents
FRIDAY, Nov. 1 (HealthDay News) -- The American Academy of Pediatrics (AAP) supports the use of condoms as an effective method of contraception in adolescents, according to a policy statement published online Oct. 28 in Pediatrics.
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Six People Signed Up on Day One of Federal Exchange Website
FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.
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U.S. Premature Birth Rate Continues to Decline
FRIDAY, Nov. 1 (HealthDay News) -- The rate of premature births has declined to a 15-year low of 11.5 percent, according to the 2013 March of Dimes Premature Birth Report Card.
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Physician Buy-In Key to Reducing Health Care Costs
FRIDAY, Nov. 1 (HealthDay News) -- Physician buy-in is essential for creation of any new payment system aimed at reducing health care costs, according to an article published Oct. 21 in Medical Economics.
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