April 2017 Briefing - Rheumatology

Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for April 2017. 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.

Meeting Organizers Overlooking Qualified Female Scientists

FRIDAY, April 28, 2017 (HealthDay News) -- Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.

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AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

FRIDAY, April 28, 2017 (HealthDay News) -- Physicians should take three essential steps to reduce the amount of unwanted, unused, and expired medications in an effort to avoid non-medical uses of the drugs, according to a new recommendation from the American Medical Association (AMA) Task Force to Reduce Opioid Abuse.

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Older Women Show Limited Understanding of Osteoporosis

FRIDAY, April 28, 2017 (HealthDay News) -- Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy, according to a study published April 19 in the Journal of the American Geriatrics Society.

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Combo Rx for Fibromyalgia Tied to Higher Adherence

FRIDAY, April 28, 2017 (HealthDay News) -- Medication adherence is better for combination prescription initiators with fibromyalgia syndrome (FMS), although expenditures for total health care are higher with combination prescriptions, according to a study published online April 18 in Pain Practice.

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Risk Factors in Six Areas Tied to Physician Burnout

THURSDAY, April 27, 2017 (HealthDay News) -- Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.

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Single-Payer Health System Bill Moves Forward in California

THURSDAY, April 27, 2017 (HealthDay News) -- A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.

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Metal Sensitization More Likely for Women After Arthroplasty

THURSDAY, April 27, 2017 (HealthDay News) -- Among patients reporting pain but no infection after total joint arthroplasty (TJA), women have a higher rate and greater severity of metal sensitization than men, according to a study published April 19 in the Journal of Bone & Joint Surgery.

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Genetic Variant Tied to MS and Systemic Lupus Identified

THURSDAY, April 27, 2017 (HealthDay News) -- A genetic variant that is associated with both multiple sclerosis and systemic lupus erythematosus (SLE) has been identified, according to a study published online April 26 in the New England Journal of Medicine.

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MTX + Adalimumab Beneficial in JIA-Associated Uveitis

THURSDAY, April 27, 2017 (HealthDay News) -- Treatment with adalimumab plus methotrexate is effective in children and adolescents with active juvenile idiopathic arthritis-associated (JIA-associated) uveitis, according to a study published online April 26 in the New England Journal of Medicine.

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Early RA Treatment Important for Long-Term Outcomes

THURSDAY, April 27, 2017 (HealthDay News) -- Early treatment of rheumatoid arthritis (RA) is important for long-term outcomes, and there has been a decrease in mortality rates attributable to RA, according to two studies published online April 20 in Arthritis & Rheumatology.

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Abstract -- Kiadaliri
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Mindfulness-Based Stress Reduction May Ease Back Pain

TUESDAY, April 25, 2017 (HealthDay News) -- For patients with low back pain, mindfulness-based stress reduction (MBSR) may be associated with short-term improvements in pain intensity and physical functioning, according to a review published online April 24 in the Annals of Internal Medicine.

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Potential Benefits, Risks of OpenNotes Discussed

WEDNESDAY, April 19, 2017 (HealthDay News) -- The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.

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Costs Up With Specialist As Predominant Provider of Care

TUESDAY, April 18, 2017 (HealthDay News) -- For older adults with multimorbidity, having a specialist as the predominant provider of care (PPC) is associated with higher spending and lower continuity of care, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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Doctors Need to Be Mindful of What They Post on Social Media

MONDAY, April 17, 2017 (HealthDay News) -- Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.

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Uveitis Risk Higher Among Individuals With Psoriasis

MONDAY, April 17, 2017 (HealthDay News) -- Patients with severe psoriasis and those with mild psoriasis and concomitant psoriatic arthritis have an increased risk of uveitis, according to a study published online April 13 in JAMA Ophthalmology.

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Treatment Plan From Massage Therapist Alleviates Chronic LBP

FRIDAY, April 14, 2017 (HealthDay News) -- Massage therapy may provide some relief in chronic low back pain, according to a study published online recently in Pain Medicine.

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Specific Factors Influence First-Line Biologic Rx for Psoriasis

WEDNESDAY, April 12, 2017 (HealthDay News) -- The presence of psoriatic arthritis, patient weight, registration country, employment status, and disease severity are the main factors influencing first-line biologic treatment selection for patients with psoriasis, according to a study published online April 7 in the British Journal of Dermatology.

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Expectations, Concerns Vary With Age for Adults at Pain Clinic

WEDNESDAY, April 12, 2017 (HealthDay News) -- Patient expectations and concerns vary by age among adults attending a chronic pain clinic, according to a study published online March 30 in Pain Practice.

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Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors

MONDAY, April 10, 2017 (HealthDay News) -- An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.

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Eval, Mgmt of RA in Women Can Be Compromised by Obesity

MONDAY, April 10, 2017 (HealthDay News) -- C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels in the evaluation and management of rheumatoid arthritis may be affected by obesity in women, according to a study published online April 10 in Arthritis Care & Research.

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MACRA Changes Government Approach to Doctor Payment

FRIDAY, April 7, 2017 (HealthDay News) -- Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government's approach to physician payment, according to a March 27 policy brief published in Health Affairs.

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Risk Adjustment, Reinsurance Transfer Offer Financial Benefit

THURSDAY, April 6, 2017 (HealthDay News) -- Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.

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Second Opinion Yields Different Diagnosis for 1 in 5 Patients

WEDNESDAY, April 5, 2017 (HealthDay News) -- One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.

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Doctors Must Be Wary of HIPAA Violations With Online Reviews

TUESDAY, April 4, 2017 (HealthDay News) -- Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.

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Use of Health Literacy Tools Can Promote Shared Decision Making

MONDAY, April 3, 2017 (HealthDay News) -- Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.

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