Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for July 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.
Health 'Mutual Accountability' Pilot Program Launching
WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.
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Reversal of Medical Practices Common Over Past Decade
TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.
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About One in Five Children Outgrow Asthma
TUESDAY, July 30 (HealthDay News) -- About 20 percent of children experience remission of their childhood asthma, which is less likely for females, children sensitized to furred animals, and children with severe asthma, according to a study published online July 29 in Pediatrics.
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USPSTF: Low-Dose CT Screening Benefits Smokers
MONDAY, July 29 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) finds that low-dose computed tomography (LDCT) screening is associated with reductions in lung cancer and all-cause mortality for high-risk smokers. This Recommendation Statement is based on an evidence review published online July 30 in the Annals of Internal Medicine.
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ASCO Issues Recommendations for Promoting Tobacco Control
MONDAY, July 29 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has updated the 2003 recommendations on tobacco cessation and control; the policy statement has been published online July 29 in the Journal of Clinical Oncology.
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FDA: New Test Detects TB and Antibiotic Resistance
FRIDAY, July 26 (HealthDay News) -- A new test to detect bacteria that cause tuberculosis (TB) and simultaneously determine if the bacteria are resistant to the antibiotic rifampin has been approved by the U.S. Food and Drug Administration.
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Resveratrol Reduces Positive Effects of Exercise Training
FRIDAY, July 26 (HealthDay News) -- Supplementation with resveratrol, a compound found in red wine, negates positive health effects of exercise training in older men, according to a study published online July 22 in The Journal of Physiology.
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COPD Linked to Increased Risk of Cerebral Microbleeds
FRIDAY, July 26 (HealthDay News) -- Chronic obstructive pulmonary disease (COPD) is associated with an increased prevalence of cerebral microbleeds, particularly in deep or infratentorial locations, according to a study published online July 25 in the American Journal of Respiratory and Critical Care Medicine.
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Sleep Disordered Breathing Tied to Lower Exercise Capacity
THURSDAY, July 25 (HealthDay News) -- Sleep-disordered breathing (SDB) severity is associated with lower functional aerobic capacity (FAC) and increased blood pressure, according to a study published in the June 1 issue of The American Journal of Cardiology.
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IOM Confirms Geographic Variation in Health Spending
THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.
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Study Examines Addictiveness of Menthol Cigarettes
THURSDAY, July 25 (HealthDay News) -- The addictiveness of menthol cigarettes, which are particularly popular with African-Americans and young people, may be due to their interaction with nicotinic acetylcholine (nACh) receptors in the brain, according to a review published online July 23 in Frontiers in Pharmacology.
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New Mutation Identified in Pulmonary Arterial HTN
WEDNESDAY, July 24 (HealthDay News) -- A new mutation has been identified in pulmonary arterial hypertension, and riociguat appears to be beneficial in treating the condition, according to three studies published in the July 25 issue of the New England Journal of Medicine.
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Docs Need to Follow Patients' Lead, Embrace Social Media
WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).
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Support for Banning Smoking in Locations With Children
WEDNESDAY, July 24 (HealthDay News) -- Most adults support banning smoking in locations where children are present, including vehicles, businesses, and daycare/babysitting facilities, according to a report published by the C.S. Mott Children's Hospital.
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U.S. Physicians Not Supportive of Changes in Payment Models
TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.
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Low Rate of Change in Care With Transthoracic Echocardiography
TUESDAY, July 23 (HealthDay News) -- Although more than 90 percent of transthoracic echocardiograms (TTEs) are considered appropriately used, only about 30 percent result in active change in care, according to a study published online July 22 in JAMA Internal Medicine.
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Pros and Cons of Electronic Cigarette Regulation Discussed
TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.
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Premiums Expected to Be About 20 Percent Lower in 2014
MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).
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Cough in Adolescent Boys May Signal Aspirated Blowgun Dart
MONDAY, July 22 (HealthDay News) -- Twenty websites have been identified that give instructions on how to make blowgun darts, but few offer safety warnings, and cases of adolescent boys who have accidentally aspirated the darts have been reported, according to a case report published online July 22 in Pediatrics.
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Tablets Help Physicians Keep Up With Medical Research
MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.
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Use of Radiographs Increasing for Children With Asthma
MONDAY, July 22 (HealthDay News) -- Emergency department use of radiographs is increasing for children with asthma; and there is considerable variation between hospitals in the use of diagnostic testing for children with community-acquired pneumonia (CAP), according to two studies published online July 22 in Pediatrics.
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Newer Anticoagulants Linked to Gastrointestinal Bleeding
FRIDAY, July 19 (HealthDay News) -- Patients taking the new generation of oral anticoagulants appear to have a higher risk of gastrointestinal bleeding compared with standard care, particularly when treated for venous thrombosis or acute coronary syndrome, according to a review published in the July issue of Gastroenterology.
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Top Challenges for Docs Include Financial Management
FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.
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Missed Diagnoses, Med Errors Most Common Malpractice Claims
FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.
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CT Screens Prevent Few Deaths in Those at Low Risk of Lung Cancer
WEDNESDAY, July 17 (HealthDay News) -- The relatively greatest number of deaths from lung cancer is prevented when screening with low-dose computed tomography (CT) is targeted to those at highest risk, according to research published in the July 18 issue of the New England Journal of Medicine.
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Changes Necessary to Help Homeless Quit Smoking
WEDNESDAY, July 17 (HealthDay News) -- Many homeless are interested in quitting smoking, and specific interventions are necessary for this population, according to a perspective piece published in the July 18 issue of the New England Journal of Medicine.
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Financial Incentives Can Drive Health IT Adoption
WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.
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Redesign of Medical Education Needed for Chronic Disease Era
TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.
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CMS Medicare Physician Fee Schedule Could Benefit Docs
TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.
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Improvements Made to CMS Online Directory of Physicians
TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.
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EHRs May Slow Growth in Ambulatory Health Care Costs
MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.
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More Job Opportunities Available for Physicians
MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).
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CMS Proposes New Rule for Outpatient Payment Policies
MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.
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FDA Approves Gilotrif for Late-Stage Lung Cancer
FRIDAY, July 12 (HealthDay News) -- The drug Gilotrif (afatinib) has been approved by the U.S. Food and Drug Administration to treat spreading cases of non-small-cell lung cancer (NSCLC) caused by certain gene mutations, the agency said Friday.
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Physicians Frustrated by Third-Party Interference
FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.
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AMA Offers Guidance for Improving EHR Effectiveness
FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).
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Grants of $150 Million for Community Health Centers
THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).
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Health Searches May Be Leaked to Third Parties
THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.
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U.S. Adults Value Health Care Provider Skill Evaluation
THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.
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Docs Don't Often Talk to Patients About Dietary Supplements
THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.
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One in Five U.S. Adults Will Have Trouble Paying Medical Bills
THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).
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Quality Metrics Play Small Role in Physician Compensation
THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).
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In 2010, Blood Transfusion Most Frequent Hospital Procedure
THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).
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Red Cross Issues Emergency Call for Blood Donors
THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.
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Improvements Noted in U.S. Health From 1990 to 2010
WEDNESDAY, July 10 (HealthDay News) -- From 1990 to 2010, considerable progress has been made in improving health in the United States, according to a report published online July 10 in the Journal of the American Medical Association.
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Particulate Air Pollutants Linked to Lung Cancer Risk
WEDNESDAY, July 10 (HealthDay News) -- Particulate air pollutants are associated with an increased risk of lung cancer, particularly adenocarcinoma, and both gaseous and particulate pollutants are linked to heart failure hospitalization and mortality, according to two studies published online July 10 in The Lancet Oncology and The Lancet.
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Improvement Needed in Drug Post-Marketing Studies
WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.
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Tablets More Useful Than Smartphones for Docs Using EHRs
WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.
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Health Insurance Marketplaces Not Required to Verify Claims
WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.
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Digital Divide Plagues Underserved Areas
TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.
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Adoption of Electronic Health Records Is Progressing
TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.
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Practices Are Not Ready for Implementation of ICD-10
MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).
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Obama Administration: ACA's Employer Mandate Delayed
WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.
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More Than 40 Percent of Docs Report Work Dissatisfaction
WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.
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CT Pulmonary Angiography Linked to Overdiagnosis of PE
WEDNESDAY, July 3 (HealthDay News) -- The increased use of computed tomography (CT) pulmonary angiography is associated with increased incidence of pulmonary embolism among U.S. adults, but with minimal decrease in mortality from pulmonary embolism, according to an analysis published online July 2 in BMJ.
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Docs Impact Comparative Effectiveness Research Opinion
TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.
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Sleep-Restricted Adults With Late Bedtimes Gain More Weight
MONDAY, July 1 (HealthDay News) -- Sleep-restricted adults with late bedtimes may gain more weight due to an overall increased caloric intake and a higher late-night calorie consumption, according to a study published in the July issue of SLEEP.
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