May 2015 Briefing - Rheumatology

Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for May 2015. 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.

AMA: Physicians Driving the Slowing of Health Care Costs

FRIDAY, May 29, 2015 (HealthDay News) -- Low physician spending is contributing to an overall slowing of health care costs, according to a viewpoint piece published by the American Medical Association (AMA).

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Antiatherosclerotic Activity ID'd for MTX, Adalimumab in RA

TUESDAY, May 26, 2015 (HealthDay News) -- Potential mechanisms for the antiatherosclerotic activity of methotrexate (MTX) and adalimumab in rheumatoid arthritis (RA) have been identified, according to a study published in the May issue of Arthritis & Rheumatology.

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Caution Urged When Using EHR Shortcut Features

TUESDAY, May 26, 2015 (HealthDay News) -- Caution should be exercised with use of electronic health record (EHR) documentation short cuts, according to a report published in Medical Economics.

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DXA Screening Found to Be Underused and Overused

TUESDAY, May 26, 2015 (HealthDay News) -- Too few women at high risk for osteoporosis are being tested for the condition, while too many women at low risk are being screened, according to new research published online May 19 in the Journal of General Internal Medicine.

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Large Practices Focused on Small Selection of EHR Products

FRIDAY, May 22, 2015 (HealthDay News) -- Sixty percent of clinicians in practices with 26 or more clinicians report use of one of 10 electronic health record (EHR) products, according to a report published by AmericanEHR Partners.

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Front Desk Staff Has Key Role in Managing Practice Cash Flow

FRIDAY, May 22, 2015 (HealthDay News) -- Three steps that can be implemented by front desk staff can help increase practices' cash flow, according to an article published in Medical Economics.

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AMA: Avoiding Distress in Medical School

FRIDAY, May 22, 2015 (HealthDay News) -- Understanding the key drivers underlying medical students' distress can help address the issues and enhance student well-being, according to an article published by the American Medical Association.

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Adherence to Mediterranean Diet Not Linked to Risk of RA

WEDNESDAY, May 20, 2015 (HealthDay News) -- Adherence to a Mediterranean diet is not associated with incidence of rheumatoid arthritis (RA) in U.S. women, according to a study published in the May issue of Arthritis Care & Research.

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Pain Med Rx + Medical Cannabis Doesn't Seem to Up Abuse Risk

TUESDAY, May 19, 2015 (HealthDay News) -- Medical marijuana users don't appear to increase their risk for drug or alcohol abuse if they also take prescription pain medications (PPMs), according to research published in the May issue of the Journal of Studies on Alcohol and Drugs.

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Tips Provided for Doctors Who Want to Move to Private Practice

MONDAY, May 18, 2015 (HealthDay News) -- For physicians who want to transition to private practice, several factors need consideration, including finances, legal matters, and insurance, according to an article published in Medical Economics.

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Some Gene Activity Differs Depending on Season

WEDNESDAY, May 13, 2015 (HealthDay News) -- When the seasons change, immune system response may also change, which might explain why conditions such as rheumatoid arthritis and cardiovascular disease are worse in the winter than in the summer, according to a study published online May 12 in Nature Communications.

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Disc Degeneration Tied to Severe Abdominal Aortic Calcification

TUESDAY, May 12, 2015 (HealthDay News) -- Greater abdominal aortic calcification (AAC) severity, faster AAC progression, and higher mortality are seen for older men with severe disc degeneration, according to a study published in the May issue of Arthritis & Rheumatology.

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Guidance Offered to Help Doctors Deal With 'Dr. Google'

TUESDAY, May 12, 2015 (HealthDay News) -- Good communication is the key to resolving conflicts between the tests and treatment a patient may want based on online searches and those a physician believes are necessary, according to an article published online in Medical Economics.

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New Health Care Index Reports Increases in Consumer Costs

TUESDAY, May 12, 2015 (HealthDay News) -- A new Health Care Index shows increases in consumer costs, according to a report published by U.S. News & World Report.

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Nondisclosure Clauses Often Used in Malpractice Settlements

TUESDAY, May 12, 2015 (HealthDay News) -- Nondisclosure clauses are frequently used in malpractice settlement agreements, according to research published online May 11 in JAMA Internal Medicine.

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FDA: Senza Device Relieves Spinal Pain Without Paresthesia

MONDAY, May 11, 2015 (HealthDay News) -- The Senza spinal cord stimulation system has been approved by the U.S. Food and Drug Administration to treat chronic intractable pain of the trunk and/or limbs, including pain associated with failed back surgery syndrome, low back pain, and leg pain. The device can reduce pain without the paresthesia that characterizes more traditional pain-relieving methods, according to a news release issued by the agency.

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AMA: Six Traits of Financially Prepared Female Physicians

MONDAY, May 11, 2015 (HealthDay News) -- The traits of a financially prepared female physician include having a retirement portfolio that is on track or ahead of schedule for age and career stage, having a liquid emergency fund, and feeling adequately protected in the event of a disability, according to a report published by the American Medical Association (AMA).

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Medical Students Want to Focus Learning on Preparing for Future

THURSDAY, May 7, 2015 (HealthDay News) -- Medical students report wanting to learn more about topics that are not currently being taught, including leadership training, health policy, health economics, and experiential learning, according to a report from the American Medical Association (AMA).

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ACA Tied to Nearly 17 Million Gaining Health Coverage

THURSDAY, May 7, 2015 (HealthDay News) -- As a result of the Affordable Care Act (ACA), nearly 17 million previously uninsured Americans now have health coverage, according to a 2013 to 2015 report from the Rand Corporation.

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Strategies Provided for Maximizing Payment

WEDNESDAY, May 6, 2015 (HealthDay News) -- Physicians should use standard billing practices, including regular statements, to maximize accounts, and know that collection agencies and lawyers can help collect payment when necessary, according to an article published in Medical Economics.

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High-Value Research of 2014 Presented for Rheumatology

WEDNESDAY, May 6, 2015 (HealthDay News) -- Articles relating to arthritis treatment, vasculitides, and scleroderma are included in a special update summary published online April 30 in the Annals of Internal Medicine.

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Proteinuria Level Predicts Renal Outcome in Lupus Nephritis

WEDNESDAY, May 6, 2015 (HealthDay News) -- Proteinuria levels at 12 months are the best predictor of long-term renal outcome in patients with lupus nephritis, according to a study published in the May issue of Arthritis & Rheumatology.

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Five 'Top Issues' to Be Discussed at AMA Medical Student Forum

MONDAY, May 4, 2015 (HealthDay News) -- Issues that will be at the forefront of the National Medical Student Meeting include vaccinations, health care economics, Medicaid expansion, medical education loans, and the nationwide opioid epidemic, according to a report from the American Medical Association (AMA).

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High Doses of Triptorelin Needed for Ovarian Suppression in SLE

MONDAY, May 4, 2015 (HealthDay News) -- For female patients with childhood-onset systemic lupus erythematosus (SLE) who require treatment with cyclophosphamide, sustained complete ovarian suppression is achieved in 90 percent of the patients with triptorelin at a weight-adjusted dose of 120 µg/kg body weight, according to a study published in the May issue of Arthritis & Rheumatology.

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