AVERAGE WAIT

Wait times are an average and provided for informational purposes only. What does this mean?

September 2013 Briefing - Geriatrics

September 2013 Briefing - Geriatrics

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

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721.full.pdf+html )

Poll: Americans Anxious About Long-Term Care

MONDAY, Sept. 30 (HealthDay News) -- More than two-thirds of Americans are worried about how they will pay for long-term care, and more than two-thirds of them are likely to need it someday, according to the results of a Harris Interactive/HealthDay poll.

More Information (http://consumer.healthday.com/senior-citizen-information-31/misc-aging-news-10/americans-anxious-about-costs-of-long-term-care-poll-680470.html )

Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

More Information (http://www.hhs.gov/ )

Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

More Information (http://themorningconsult.com/topline-results-september-2013-tracking-poll/ )

DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

More Information (http://www.dol.gov/ebsa/faqs/faq-noticeofcoverageoptions.html )

Mobile Devices Can Facilitate Universal Vital Sign Monitoring

MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/4/883.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/117/4/883.long )

Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.full.pdf+html )

HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

More Information (https://www.healthcare.gov/ )

Post-Hip Replacement Mortality Drops in England and Wales

FRIDAY, Sept. 27 (HealthDay News) -- Postoperative mortality following total hip replacement has decreased in England and Wales, according to research published in the Sept. 28 issue of The Lancet, a theme issue on surgery.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61749-3/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61749-3/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61891-7/fulltext )

Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

Abstract (http://amj.aom.org/content/56/4/1050.abstract )Full Text (subscription or payment may be required) (http://amj.aom.org/content/56/4/1050.full )

Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

Full Text (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-physicians-can-increase-employee-satisfaction-their-medical-practice?page=0,0 )

Mobile Apps May Expand Dermatology Practice

FRIDAY, Sept. 27 (HealthDay News) -- Mobile apps may offer an opportunity to expand delivery of dermatological care, according to research published online Sept. 25 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1741083#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1741083 )

Effect of Testosterone on CV Disease in Men Uncertain

FRIDAY, Sept. 27 (HealthDay News) -- Further research is required to determine the relationship between testosterone levels and cardiovascular disease in men and to explore the risk-benefit of testosterone therapy, according to a review published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.full.pdf+html )

CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a2.htm?s_cid=mm6238a2_w )

HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

More Information (https://www.healthcare.gov/ )

High Sensitivity for Ottawa Subarachnoid Hemorrhage Rule

THURSDAY, Sept. 26 (HealthDay News) -- For patients presenting to the emergency department with headache peaking within one hour and no neurologic deficits, the Ottawa Subarachnoid Hemorrhage Rule is highly sensitive for identifying subarachnoid hemorrhage, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741823#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741823 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741799 )

Dementia Needs to Become a Government Priority

THURSDAY, Sept. 26 (HealthDay News) -- Governments must make dementia a priority, according to a report published by Alzheimer's Disease International.

More Information (http://www.alz.co.uk/research/WorldAlzheimerReport2013.pdf )

ACP Launches Clinical Support Tool for Internal Medicine Docs

THURSDAY, Sept. 26 (HealthDay News) -- A web-based clinical decision support tool has been developed specifically for internal medicine physicians, according to a report published by the American College of Physicians (ACP).

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

No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/25/WNL.0b013e3182a9584c.full.pdf+html )

Improved Vision From Cataract Surgery Appears to Aid Survival

THURSDAY, Sept. 26 (HealthDay News) -- Surgical correction of visual impairment (VI) due to cataract is associated with significantly better long-term survival in older persons after adjusting for known cataract and mortality risk factors and indicators of general health, according to a study published in the September issue of Ophthalmology.

Abstract (http://www.aaojournal.org/article/S0161-6420(13)00143-7/abstract )Full Text (subscription or payment may be required) (http://www.aaojournal.org/article/S0161-6420(13)00143-7/fulltext )

Antibiotic Protocol Selects Against Drug Resistance

THURSDAY, Sept. 26 (HealthDay News) -- Cycling between antibiotics can select against the development of drug resistance, according to a study published in the Sept. 25 issue of Science Translational Medicine.

Abstract (http://stm.sciencemag.org/content/5/204/204ra132 )Full Text (http://stm.sciencemag.org/content/5/204/204ra132.full )

HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

More Information (https://www.healthcare.gov/ )

More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/09/20130925a.html )

Chronic Kidney Disease Up in the Oldest Old in the U.S.

WEDNESDAY, Sept. 25 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) has increased among U.S. adults aged 80 years or older, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741807 )

ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1741855 )

Second Bone Mineral Density Test Doesn't Up Fx Prediction

TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741821#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741821 )

Diet, Diet + Exercise Better Than Exercise Alone in Knee OA

TUESDAY, Sept. 24 (HealthDay News) -- For overweight and obese adults with knee osteoarthritis (OA), 18 months of diet and diet + exercise interventions is better than an exercise only intervention, with lower knee compressive force in the diet group and lower plasma interleukin-6 (IL-6) levels in both groups, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741824#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741824 )

HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

More Information (https://www.healthcare.gov/ )

Arsenic Exposure Ups Risk for Cardiovascular Disease

TUESDAY, Sept. 24 (HealthDay News) -- Chronic exposure to low-to-moderate levels of inorganic arsenic is associated with increased risk of cardiovascular morbidity and mortality, according to research published online Sept. 24 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1740759 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1740760 )

ACP Releases Guideline for Obstructive Sleep Apnea

TUESDAY, Sept. 24 (HealthDay News) -- The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1740756 )

Medicare Managed Care More Apt for Nursing Home Residents

TUESDAY, Sept. 24 (HealthDay News) -- For nursing home residents with advanced dementia, Medicare managed care is associated with more appropriate, less burdensome care, according to a study published online Sept. 23 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1740697#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1740697 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1740696 )

Medicare Expenditure Per Patient Up for Acute MI

TUESDAY, Sept. 24 (HealthDay News) -- For patients with acute myocardial infarction (AMI), Medicare expenditures per patient increased significantly from 1998-1999 to 2008, according to research published online Sept. 23 in JAMA Internal Medicine.

Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1740698 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1740695 )

Marriage Shown to Provide Cancer Survival Benefit

TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.abstract )Full Text (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.49.6489.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/09/18/JCO.2013.51.5080.full.pdf+html )

FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369431.htm )

HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

More Information (https://www.healthcare.gov/ )

FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm )

HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

More Information (https://www.healthcare.gov/ )

Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

More Information (http://newsroom.accenture.com/news/more-than-40-percent-of-us-consumers-willing-to-switch-physicians-to-gain-online-access-to-electronic-medical-records-according-to-accenture-survey.htm?c=hls_fy13prtwt_10000108&n=smc_0713#sf17115649g )

Use of Digoxin Ups Risk of Death in Systolic Heart Failure

MONDAY, Sept. 23 (HealthDay News) -- Digoxin therapy was independently associated with increased mortality in patients with systolic heart failure, according to research published in the September issue of Circulation: Cardiovascular Quality and Outcomes.

Abstract (http://circoutcomes.ahajournals.org/content/6/5/525.abstract )Full Text (http://circoutcomes.ahajournals.org/content/6/5/525.full )

Post-Op Delirium Common in Elderly Spinal Surgery Patients

MONDAY, Sept. 23 (HealthDay News) -- There is an overall incidence of delirium events of 8.4 per 1,000 in patients undergoing lumbar spine surgical procedures, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Incidence_and_Risk_Factors_for_Postoperative.19.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Incidence_and_Risk_Factors_for_Postoperative.19.aspx )

Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.full.pdf+html )

Statin Use Tied to Increased Risk of Cataracts

FRIDAY, Sept. 20 (HealthDay News) -- Statin users are at increased risk for cataracts, according to a study published online Sept. 19 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1739520#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1739520 )

PSA Testing Tied to Higher Socioeconomic Status

FRIDAY, Sept. 20 (HealthDay News) -- Prostate-specific antigen testing is more likely among affluent men, according to a study published in the October issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)04094-9/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)04094-9/fulltext )

Cost and Perceived Need Barriers to Diabetes Eye Care

FRIDAY, Sept. 20 (HealthDay News) -- Cost, lack of insurance, and no need are the most commonly cited reasons why adults with diabetes do not seek annual eye care, according to a study published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.full.pdf+html )

Mild Adverse Events Common With Chiropractic Care

FRIDAY, Sept. 20 (HealthDay News) -- Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Outcomes_of_Usual_Chiropractic__The_OUCH.3.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Outcomes_of_Usual_Chiropractic__The_OUCH.3.aspx )

Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/467.abstract?sid=de84fee1-68b9-4629-9da0-445437383dab )Full Text (http://www.annfammed.org/content/11/5/467.full )

New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/406.full )Full Text (http://www.annfammed.org/content/11/5/406.full )Editorial 1 (http://www.annfammed.org/content/11/5/402.full )Editorial 2 (http://www.annfammed.org/content/11/5/400.full )

Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

Abstract (http://qualitysafety.bmj.com/content/22/10/809.abstract )Full Text (http://qualitysafety.bmj.com/content/22/10/809.full )Editorial (http://qualitysafety.bmj.com/content/22/10/798.full )

Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Abramson (http://www.nejm.org/doi/full/10.1056/NEJMp1304681 )Full Text - Goldfarb and Morrison (http://www.nejm.org/doi/full/10.1056/NEJMp1306457 )

Enhanced Care Program Set Up at Six Mayo Clinic Hospitals

WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.

More Information (http://www.mayoclinic.org/news2013-rst/7666.html )

Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1583.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1583.full )

EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

More Information (http://www.cdc.gov/nchs/data/databriefs/db129.htm )

Routine Screening IDs Elderly at Risk of Mobility Limitation

TUESDAY, Sept. 17 (HealthDay News) -- Routine screening can identify older adults at risk of mobility limitation, and addressing their functional deficits with mobility devices and exercise can lead to improvement in mobility limitation, according to a review published in the Sept. 18 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1738875#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1738875 )

More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

More Information (http://cancerprogressreport.org/2013/pages/toc.aspx )

Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )

CDC Report Sheds Light on Antibiotic-Resistant Infections

MONDAY, Sept. 16 (HealthDay News) -- Antibiotic-resistant infections claim the lives of 23,000 people in the United States every year and take a tremendous financial toll on the already overburdened health care system, according to a report issued Sept. 16 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/media/releases/2013/p0916-untreatable.html )

FDA Approves New Device for Enlarged Prostate

MONDAY, Sept. 16 (HealthDay News) -- The UroLift system has been approved by the U.S. Food and Drug Administration to treat low or blocked urine flow in men aged 50 and older who have an enlarged prostate.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm368325.htm )

Racial Composition of Residents Tied to Nursing Home Quality

MONDAY, Sept. 16 (HealthDay News) -- The racial composition of nursing home residents has an influence on financial and quality performance, according to a study published online June 26 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12079/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12079/full )

Cinnamon Cuts Blood Glucose Levels in Diabetes Patients

MONDAY, Sept. 16 (HealthDay News) -- Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/452.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/452.full )

High Burden of Endocarditis in Older Adults

FRIDAY, Sept. 13 (HealthDay News) -- The 2007 American Heart Association guidelines recommending a restriction of antibiotic prophylaxis have not increased the rates of hospitalization or adjusted mortality for endocarditis among Medicare beneficiaries, although the burden of endocarditis is high, according to a study published online Aug. 28 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1732398 )

Cervical Spine Range of Motion May Affect Postural Stability

FRIDAY, Sept. 13 (HealthDay News) -- In adults with neck pain, those with asymmetry in the range of motion (ROM) of the upper cervical spine (UCS) have increased postural sway compared with those with symmetry, but postural function does not differ between the groups, according to research published in the Sept. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09010/The_Influence_of_Cervical_Spine_Flexion_Rotation.6.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09010/The_Influence_of_Cervical_Spine_Flexion_Rotation.6.aspx )

Farmers' Market Coupons Up Produce Purchases for Poor

FRIDAY, Sept. 13 (HealthDay News) -- Health Bucks, a farmers' market incentive coupon program, increases access to produce in low-income communities, according to research published online Aug. 29 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0285.htm )

Nearly a Third of Vaccines at Pharmacies Given Off-Hours

FRIDAY, Sept. 13 (HealthDay News) -- Almost one-third of vaccinations given to adults at community pharmacies are administered during off-clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/429.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/429.full )

Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

Abstract - Fortney (http://www.annfammed.org/content/11/5/412.abstract )Full Text (http://www.annfammed.org/content/11/5/412.full )Abstract - Beach (http://www.annfammed.org/content/11/5/421.abstract )Full Text (http://www.annfammed.org/content/11/5/421.full )

U.K. Nursing Students Report Seeing Lax Infection Control

THURSDAY, Sept. 12 (HealthDay News) -- U.K. nursing students report a solid understanding of infection control policies and compliance, or lack thereof, based on preclinical classroom instruction, according to a study published in the September issue of the American Journal of Infection Control.

Abstract (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(13)00187-9/fulltext )

ER Visits After Surgery Fairly Common in Medicare Patients

THURSDAY, Sept. 12 (HealthDay News) -- About 20 percent of Medicare patients discharged following six common inpatient surgeries visit the emergency department within 30 days, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1600.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1600.full )

Individual Physician-Level Incentives Improve BP Control

TUESDAY, Sept. 10 (HealthDay News) -- Individual physician-level financial incentives are associated with greater blood pressure control or appropriate response to uncontrolled blood pressure, but neither physician-level nor practice-level incentives result in greater use of guideline-recommended medications, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1737042 )

Prevalence of Hospitalization Due to Hypertensive Disease Up

TUESDAY, Sept. 10 (HealthDay News) -- From 1980 to 2007, the prevalence of hospitalization attributable to hypertensive disease increased for U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01067-9/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01067-9/fulltext )

About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

More Information (http://www.epocrates.com/oldsite/statistics/2013%20Epocrates%20Mobile%20Trends%20Report_FINAL.pdf )

Treatment in Critical Care Often Perceived As Futile

TUESDAY, Sept. 10 (HealthDay News) -- Intensive care unit (ICU) treatment is frequently perceived as futile by critical care specialists, and entails considerable costs, according to a study published online Sept. 9 in JAMA Internal Medicine.

Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1735897 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1735891 )

'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1355?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1355.full )

Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

More Information (http://www.physicianspractice.com )

Physicians Rarely Remind Patients to Use Sunscreen

FRIDAY, Sept. 6 (HealthDay News) -- Physicians very rarely educate patients regarding the use of sunscreen and sun-protective behaviors, according to a study published online Sept. 4 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1735118#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1735118 )

Moderate Exercise Doesn't Up Risk of Knee Osteoarthritis

THURSDAY, Sept. 5 (HealthDay News) -- Middle-aged adults who participate in moderate weekly physical activity do not increase their risk of knee osteoarthritis, according to a study published online Aug. 27 in Arthritis Care & Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/acr.22120/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/acr.22120/pdf )

Door-to-Balloon Times Have Improved in Primary PCI

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention (PCI), despite improvement in door-to-balloon times there has been no change in in-hospital mortality, according to a study published in the Sept. 5 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1208200?query=featured_home )

Major Health Care-Linked Infections Cost $9.8 Billion

WEDNESDAY, Sept. 4 (HealthDay News) -- The total annual cost associated with the five major health care-associated infections (HAIs) is $9.8 billion, according to a meta-analysis published online Sept. 2 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1733452#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733452 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733445 )

Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1734702#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734702 )

Medication Adherence Up With Fixed Dose Combo Strategy

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with or at high risk of cardiovascular disease (CVD), a fixed-dose combination (FDC) strategy for antiplatelet, statin, and blood pressure lowering medications is associated with improved medication adherence and with reductions in systolic blood pressure (SBP) and low-density lipoprotein cholesterol (LDL-C), according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1734704 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734680 )

Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731967#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731967 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731959 )

CDC: 200,000 Avoidable Deaths From Cardiovascular Disease

TUESDAY, Sept. 3 (HealthDay News) -- There were about 200,000 avoidable deaths from cardiovascular disease in 2010 in the United States, with deaths occurring disproportionately among those over 65 years old, males, non-Hispanic blacks, and those in the South, according to a report published in the Sept. 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0903a1.htm?s_cid=mm62e0903a1_w )

Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733450 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733448 )

Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644.full )

Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

Press Release (http://www.k-state.edu/media/newsreleases/aug13/workaholics82213.html )