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August 2013 Briefing - Radiology

August 2013 Briefing - Radiology

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

Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

More Information (http://www.treasury.gov/press-center/press-releases/Pages/jl2152.aspx )

Researchers Discuss Overdiagnosis of Thyroid Cancer

WEDNESDAY, Aug. 28 (HealthDay News) -- The increasing incidence of small and indolent thyroid cancer and stable mortality rates suggest overdiagnosis, according to an analysis published online Aug. 27 in BMJ.

Abstract (http://www.bmj.com/content/347/bmj.f4706 )Full Text (subscription of payment may be required) (http://www.bmj.com/content/347/bmj.f4706.pdf%2Bhtml )

Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1733718#Abstract )Full Text (subscription of payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1733718 )

Use of Intra-Op Cholangiography in Cholecystectomy Questioned

TUESDAY, Aug. 27 (HealthDay News) -- Intraoperative cholangiography does not prevent common duct injury during cholecystectomy, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1733717#Abstract )Full Text (subscription of payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1733717 )Editorial (subscription of payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1733697 )

Thyroid Ultrasound May Be Useful in Reducing Unnecessary Biopsies

TUESDAY, Aug. 27 (HealthDay News) -- Thyroid ultrasound imaging can be used to identify patients at low risk of thyroid cancer, according to a study published in the Aug. 26 issue of JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731965#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731965 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731961 )

Specific Lymphoma Treatment Linked to Stomach Cancer

MONDAY, Aug. 26 (HealthDay News) -- Patients with Hodgkin's lymphoma treated with high-dose radiation to the stomach and high-dose chemotherapy with procarbazine have a nearly 80-fold higher risk of developing stomach cancer, according to a study published online Aug. 26 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/08/22/JCO.2013.50.6832.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/08/22/JCO.2013.50.6832.full.pdf+html )

Imaging Important in Treating Boston Marathon Injuries

MONDAY, Aug. 26 (HealthDay News) -- Blast injuries within civilian populations such as the Boston Marathon bombings should immediately be imaged by radiology or computed tomography to quickly assess damage and determine the course of treatment, according to a study published online Aug. 26 in Arthritis Care & Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/acr.22113/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/acr.22113/pdf )

Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

Full Text (http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=98 )

Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374836 )

Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/08/19/cmaj.121990 )

High-Altitude Pilots Have More White Matter Hyperintensities

MONDAY, Aug. 19 (HealthDay News) -- Pilots of U-2 high-altitude reconnaissance aircraft with occupational exposure to hypobaria show a significant increase in both the number of and volume of white matter hyperintensities (WMH), according to a study published in the Aug. 20 issue of Neurology.

Abstract (http://www.neurology.org/content/81/8/729.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/81/8/729.full )

HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/08/20130815a.html )

Depression Up in Post-Radiation Head & Neck Cancer Survivors

FRIDAY, Aug. 16 (HealthDay News) -- For post-radiotherapy survivors of head and neck cancer, depression is fairly common, but treatment is underutilized, according to research published online Aug. 15 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1725714#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1725714 )

IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

More Information (http://www.iom.edu/Reports/2013/Partnering-with-Patients-to-Drive-Shared-Decisions-Better-Value-and-Care-Improvement.aspx )

Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1299.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1299.full )

Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

More Information (http://investors.athenahealth.com/phoenix.zhtml?c=213592&p=irol-newsArticle&ID=1846875&highlight= )

MRI-Guided Ultrasound Surgery Beneficial for Essential Tremor

WEDNESDAY, Aug. 14 (HealthDay News) -- Patients with severe, medication-refractory essential tremor benefit from the use of transcranial magnetic resonance imaging (MRI)-guided focused ultrasound thalamotomy, according to a study published in the Aug. 15 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1300962 )

Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1726999#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1726999 )

Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1728725 )

Low Risk Rule Cuts Use of X-Rays in Child Ankle Injuries

TUESDAY, Aug. 13 (HealthDay News) -- Introduction of the Low Risk Ankle Rule in emergency departments significantly reduces the rate of pediatric ankle radiography, according to research published online Aug. 12 in CMAJ, the Journal of the Canadian Medical Association.

Abstract (http://www.cmaj.ca/content/early/2013/08/12/cmaj.122050 )Full Text (http://www.cmaj.ca/content/early/2013/08/12/cmaj.122050.full.pdf+html )

New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

More Information (http://www.acponline.org/pressroom/cpph.htm?hp )

Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

Abstract (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/abstract )Full Text (subscription or payment may be required) (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/fulltext )

U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1346.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1346.full )

Individualized Breast Cancer Screening Catches More Cancer

MONDAY, Aug. 12 (HealthDay News) -- A breast cancer screening program tailored to participants' individual risk profiles has a higher-than-expected breast cancer detection rate in 40- to 49-year old women, according to a pilot study published in the August issue of Radiology.

Abstract (http://radiology.rsna.org/content/268/2/347.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/268/2/347.full )

Post-Op Cervical Fusion X-Rays May Be Superfluous

MONDAY, Aug. 12 (HealthDay News) -- X-rays taken during postoperative visits following cervical fusion surgery are rarely of value when history and exam are normal, according to a study published in the July issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00074-0/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00074-0/fulltext )

Carbon Ion Radiation Safe and Effective for Spinal Tumors

MONDAY, Aug. 12 (HealthDay News) -- In patients with inoperable spinal tumors, carbon ion radiotherapy (CIRT) is a safe and effective treatment, according to a study published online Aug. 12 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28177/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28177/full )

Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

Full Text (http://www.jstor.org/stable/10.1086/672271 )

Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0105.htm )

Physicians' Malpractice Concerns Predict More Testing

FRIDAY, Aug. 9 (HealthDay News) -- Physicians' concerns about malpractice risk predict more aggressive diagnostic testing practices in office-based care, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1383.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1383.full )

New Lung Cancer Classification IDs Recurrence After Resection

FRIDAY, Aug. 9 (HealthDay News) -- The new International Association for the Study of Lung Cancer (IASLC), American Thoracic Society (ATS), and European Respiratory Society (ERS) lung adenocarcinoma classification can be used to predict recurrence after limited resection, according to a study published online Aug. 7 in the Journal of the National Cancer Institute.

Abstract (http://jnci.oxfordjournals.org/content/early/2013/08/05/jnci.djt166.abstract )Full Text (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/05/jnci.djt166.full )Editorial (subscription or payment may be required) (http://jnci.oxfordjournals.org/content/early/2013/08/05/jnci.djt197.extract )

MRI-Guided Cryoablation Viable for Recurrent Prostate Cancer

FRIDAY, Aug. 9 (HealthDay News) -- In men with recurrent prostate cancer following radiation therapy, magnetic resonance imaging (MRI)-guided focal cryoablation is feasible and seems safe, according to a study published in the August issue of Radiology.

Abstract (http://radiology.rsna.org/content/268/2/451.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/268/2/451.full )

AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.amednews.com/article/20130805/government/130809987/1/ )

Mortality 38 Percent for Spinal Cord Injury Tied to C-Spine Fx

TUESDAY, Aug. 6 (HealthDay News) -- For older adults with spinal cord injuries (SCIs) related to cervical spine (C-spine) fractures, injury level and severity of SCI are risk factors for mortality, according to a study published in the August issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00122-8/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00122-8/fulltext )

Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

More Information (http://accme.org/sites/default/files/630_2012_Annual_Report_20130724_0.pdf )