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February 2013 Briefing - Dermatology

February 2013 Briefing - Dermatology

Here are what the editors at HealthDay consider to be the most important developments in Dermatology for February 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.

Review: Growing Body of Evidence Linking Diet to Acne

THURSDAY, Feb. 28 (HealthDay News) -- Evidence suggests that there may be a connection between acne and diet, particularly foods with a high glycemic index, according to a review published in the March issue of the Journal of the Academy of Nutrition and Dietetics.

Abstract (http://www.andjrnl.org/article/S2212-2672(12)01923-5/abstract )Full Text (subscription or payment may be required) (http://www.andjrnl.org/article/S2212-2672(12)01923-5/fulltext )

CMS Issues Final Rule on Physician Sunshine Act

THURSDAY, Feb. 28 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) have issued a final rule requiring drug and device manufacturers and group purchasing organizations (GPOs) to report payment or gifts of more than $10 to physicians, hospitals, and other providers, and necessitating manufacturers and GPOs to report ownership or investment interests held by physicians or their family members.

More Information (http://www.gpo.gov/fdsys/pkg/FR-2013-02-08/pdf/2013-02572.pdf )

Isotretinoin Not Linked to Increased Risk of IBD

WEDNESDAY, Feb. 27 (HealthDay News) -- Among women of reproductive age, isotretinoin is not associated with an increased risk for inflammatory bowel disease (IBD), including ulcerative colitis (UC) or Crohn's disease (CD), according to research published in the February issue of JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1654866#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1654866 )Editorial (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1654867 )

Preparation Underway for Implementation of ACA in 2014

TUESDAY, Feb. 26 (HealthDay News) -- As the implementation of the Affordable Care Act (ACA) nears, states are preparing for some of its provisions, including expanded access to Medicaid and the Children's Health Insurance Program (CHIP) and the use of information technology, according to a report issued by the Kaiser Family Foundation.

More Information (http://www.kff.org/medicaid/2013medicaid50statesurvey.cfm )

Study Examines Botox Dose Disparity in Aesthetic Face Tx

FRIDAY, Feb. 22 (HealthDay News) -- For patients undergoing onabotulinum toxin A injections, the difference in doses given to achieve desired results in the muscles of the upper and lower face results from variable amounts of paralysis needed to achieve the desired aesthetic effects, according to a study published online Feb. 21 in JAMA Facial Plastic Surgery.

Abstract (http://archfaci.jamanetwork.com/article.aspx?articleid=1655116#Abstract )Full Text (subscription or payment may be required) (http://archfaci.jamanetwork.com/article.aspx?articleid=1655116 )

Adding Elesclomol to Paclitaxel for Advanced Melanoma Studied

FRIDAY, Feb. 22 (HealthDay News) -- Lactate dehydrogenase (LDH) levels may be predictive of success in treating chemotherapy-naive patients with advanced melanoma with a combination of elesclomol plus paclitaxel, according to research published online Feb. 11 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/02/08/JCO.2012.44.5585.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/02/08/JCO.2012.44.5585.full.pdf+html )

CMS Proposes Payment and Policy Updates for 2014

THURSDAY, Feb. 21 (HealthDay News) -- Payment and policy updates have been proposed for 2014, according to the Centers for Medicare and Medicaid Services (CMS) Advanced Notice and draft Call Letter published Feb. 15.

More Information (http://www.cms.gov/apps/media/press/release.asp?Counter=4540&intNumPerPage=10&checkDa%20te=&checkKey=&srchType=1&numDays=3500&sr )

ASPS: Plastic Surgery Procedures Increasing in U.S.

THURSDAY, Feb. 21 (HealthDay News) -- Plastic surgery is increasing in the United States, with 14.6 million cosmetic plastic procedures carried out in 2012, up 5 percent since 2011, according to a report published by the American Society of Plastic Surgeons (ASPS).

More Information (http://www.plasticsurgery.org/News-and-Resources/2012-Plastic-Surgery-Statistics.html )

Report Discusses Impact of ACGME 2011 Requirements

THURSDAY, Feb. 21 (HealthDay News) -- Although many residency program directors approve of individual components within the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements introduced in 2011, less than half express overall approval, according to a perspective piece published in the Feb. 21 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214483 )

Faster Adoption of Electronic Health Records Needed

WEDNESDAY, Feb. 20 (HealthDay News) -- The adoption of electronic health records (EHRs) by health providers for Medicare is increasing, but not quickly enough to avoid penalties in 2015, according to a letter published in the Feb. 21 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMc1213481 )

Multimodality Approach Needed to Reengineer Health Care

TUESDAY, Feb. 19 (HealthDay News) -- A multimodality approach focusing on reengineering the U.S. health care system may provide a way to improve quality and reduce costs, according to a viewpoint published in the Feb. 20 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1653532 )

CMS: Unnecessary Medicare Regulations to Be Reformed

TUESDAY, Feb. 19 (HealthDay News) -- Medicare regulations which are unnecessary, obsolete, or excessively burdensome on hospital or health care providers will be reformed, according to a rule proposed by the Centers for Medicare & Medicaid Services (CMS) in response to the President's instructions in Executive Order 13563.

Proposed Rule (http://www.gpo.gov/fdsys/pkg/FR-2013-02-07/html/2013-02421.htm )Press Release (http://www.hhs.gov/news/press/2013pres/02/20130204d.html )

Artificial Intelligence Can Improve Patient Care

TUESDAY, Feb. 19 (HealthDay News) -- Use of an artificial intelligence (AI) framework can improve patient outcomes at one-third of the costs of the current standard of care, according to a study published online Jan. 2 in Artificial Intelligence in Medicine.

Abstract (http://www.aiimjournal.com/article/S0933-3657(12)00151-0/abstract )Full Text (subscription or payment may be required) (http://www.aiimjournal.com/article/S0933-3657(12)00151-0/fulltext )

Two-Step Irradiance OK for Superficial Skin Cancer Lesions

MONDAY, Feb. 18 (HealthDay News) -- A two-step irradiance protocol with topical δ-aminolevulinic acid (ALA) and photodynamic therapy (PDT) minimizes pain while maintaining comparable clinical outcomes for the treatment of non-melanoma skin cancer lesions, according to a study published online Feb. 6 in Lasers in Surgery and Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22118/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22118/full )

Mycobacterial Infection Seen After Laser Resurfacing

MONDAY, Feb. 18 (HealthDay News) -- Nontuberculous mycobacterial infection can occur after fractionated carbon dioxide (CO2) laser resurfacing, according to a case series published in the March issue of Emerging Infectious Diseases.

Full Text (http://wwwnc.cdc.gov/eid/article/19/3/12-0880_article.htm )

Health Care-Associated Infections Decreased in 2011

FRIDAY, Feb. 15 (HealthDay News) -- In 2011, decreases were noted for some health care-associated infections (HAIs), according to a report prepared by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/hai/pdfs/SIR/SIR-Report_02_07_2013.pdf )

IOM Urges International Action to Eradicate Fake Drugs

THURSDAY, Feb. 14 (HealthDay News) -- Falsified and substandard medications pose public health problems around the world, and international action should be taken to combat the phenomenon, according to a report published Feb. 13 by the Institute of Medicine (IOM).

More Information (http://www.iom.edu/Reports/2013/Countering-the-Problem-of-Falsified-and-Substandard-Drugs.aspx )

Psychological, Sexual Impact of Female Breadwinners Explored

THURSDAY, Feb. 14 (HealthDay News) -- For couples in which the wife earns more than the husband, there may be psychological and sexual implications, according to a study published in the March issue of the Personality and Social Psychology Bulletin.

Abstract (http://psp.sagepub.com/content/39/3/359.abstract )Full Text (subscription or payment may be required) (http://psp.sagepub.com/content/39/3/359.full )

Oregon Experiment Will Provide Insight Into ACO-Based Reform

WEDNESDAY, Feb. 13 (HealthDay News) -- The outcome of the Oregon experiment, an ambitious program centered on a model of an accountable care organization (ACO), will offer important lessons for the wider implementation of ACOs as cost-saving mechanisms, according to a perspective piece published online Feb. 13 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214141?query=featured_home )

Tedizolid Phosphate Viable for Bacterial Skin Infections

WEDNESDAY, Feb. 13 (HealthDay News) -- Six days of tedizolid phosphate treatment is noninferior to a 10-day course of linezolid for treating acute bacterial skin and skin structure infections (ABSSSIs), according to a study published in the Feb. 13 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1570280#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1570280 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1570263 )

Health Insurance Exchanges Are Top Priority on U.S. Agenda

WEDNESDAY, Feb. 13 (HealthDay News) -- The public's health care agenda places creation of a health insurance exchange or marketplace as a top priority, according to a report published by the Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health.

More Information (http://www.kff.org/kaiserpolls/8405.cfm )

Increasing Patient Activation Tied to Lower Health Care Costs

MONDAY, Feb. 11 (HealthDay News) -- Patient activation is associated with improved outcomes and lower health care costs, according to a review published in the February issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/2/207.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/2/207.full )

Final HIPAA Omnibus Rule Goes Into Effect March 26

FRIDAY, Feb. 8 (HealthDay News) -- The final omnibus rule, which makes changes to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, goes into effect March 26, and physicians must be in compliance by Sept. 23.

More Information (https://west.exch021.serverdata.net/owa/redir.aspx?C=2BpJN5QLtEmB-5Woq0l-bNrw6TmX2c8I7hgPmbx20P3Mfgjo9nB4RSWE9wgEPgrSDXzoR0FnkQ4.&URL=http%3a%2f%2fwww.gpo.gov%2ffdsys%2fpkg%2fFR-2013-01-25%2fpdf%2f2013-01073.pdf )

Mohs Surgery OK in Seniors Aged 90 Years or Older

FRIDAY, Feb. 8 (HealthDay News) -- Mohs micrographic surgery (MMS) is safe in seniors aged 90 years or older, according to a study published in the February issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(12)01143-7/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(12)01143-7/fulltext )

Doctors' Perceptions of Psoriasis Therapies Vary

THURSDAY, Feb. 7 (HealthDay News) -- Doctors who treat patients with psoriasis show wide variation in their beliefs about the safety and effectiveness of psoriasis treatments, according to a study published in the February issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622%2812%2900785-2/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622%2812%2900785-2/fulltext )

Physicians' Pay for Existing Patients Dropped in 2012

TUESDAY, Feb. 5 (HealthDay News) -- Physicians' pay for existing patients dropped considerably in 2012, according to the results of the Fee Schedule Survey published Jan. 31 in Physicians Practice.

More Information (http://www.physicianspractice.com/fee-schedule-survey/2012-fee-schedule-survey-data )

FSMB: Approaches Explored for Expediting Multi-State Licenses

MONDAY, Feb. 4 (HealthDay News) -- New approaches are being explored for streamlining physician multi-state licensure to accommodate the use of telemedicine in the delivery of health care, according to a report from a meeting held from Jan. 16 to 17 by the Federation of State Medical Boards (FSMB).

More Information (http://www.fsmb.org/pdf/nr-licensure-meeting.pdf )