Here are what the editors at HealthDay consider to be the most important developments in Family Practice for October 2018. 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.
Opioid Use Often Persists in Workers’ Compensation Claimants
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Many patients in a workers’ compensation cohort have persistent opioid use, according to a study published online Oct. 26 in JAMA Network Open.
USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women. These findings form the basis of a draft recommendation statement published online Oct. 30.
Draft Recommendation Statement
Evidence Review — Children
Evidence Review — Pregnant Women
Antibiotics, Acid Suppressants in Infancy May Up Obesity Risk
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Prescription of antibiotics and acid-suppressing medications in early childhood is associated with an increased risk for obesity, according to a study published online Oct. 30 in Gut.
Black, Low-Income Women May Not Report Barriers to Care
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography, according to a study published online Sept. 24 in Cancer.
Abstract
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50 Percent of Children Aged 2 to 5 Years Fear Doctor Visits
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Half of parents report that their children aged 2 to 5 years are afraid of going to the doctor, according to survey results published in the Oct. 15 Mott Poll Report.
Diagnoses, Treatment of Mental Health Conditions Up in College
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Among college students, self-reported diagnoses and treatment of mental health conditions are increasing, according to a study published online Oct. 24 in the Journal of American College Health.
Link Between Statins, Non-CVD Outcomes Lacks Evidence
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — There is a lack of convincing evidence for an association between statin use and non-cardiovascular disease (CVD) outcomes, according to a review published in the Oct. 16 issue of the Annals of Internal Medicine.
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Erectile Dysfunction Common in Childhood Cancer Survivors
TUESDAY, Oct. 30, 2018 (HealthDay News) — The prevalence of erectile dysfunction (ED) is 29 percent among male childhood cancer survivors (CCS), according to a research letter published online Oct. 4 in JAMA Oncology.
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AMA Announces Initiative to Reinvent Physician Training
TUESDAY, Oct. 30, 2018 (HealthDay News) — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.
Psoriasis Linked to Increased Risk for Inflammatory Bowel Disease
TUESDAY, Oct. 30, 2018 (HealthDay News) — Psoriasis appears to be significantly associated with inflammatory bowel disease (IBD), according to a review published online Oct. 24 in JAMA Dermatology.
Angiotensin-Converting Enzyme Inhibitors May Up Lung CA Risk
TUESDAY, Oct. 30, 2018 (HealthDay News) — The use of angiotensin-converting enzyme inhibitors (ACEIs) is associated with an increased risk for lung cancer compared with angiotensin receptor blockers, according to a study published online Oct. 24 in the BMJ.
Prenatal Exposure to Phthalates Linked to Language Delay
TUESDAY, Oct. 30, 2018 (HealthDay News) — Prenatal exposure to phthalates is associated with language delay in children, according to a study published online Oct. 29 in JAMA Pediatrics.
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Community Health Worker Intervention Beneficial
TUESDAY, Oct. 30, 2018 (HealthDay News) — A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Therapeutic Lifestyle Intervention in Church Helpful for BP Control
TUESDAY, Oct. 30, 2018 (HealthDay News) — A therapeutic lifestyle change (TLC) intervention plus motivational interviewing (MINT) sessions delivered in churches can reduce systolic blood pressure (BP) among blacks compared with health education (HE) alone, according to a study published online Oct. 9 in Circulation: Cardiovascular Quality and Outcomes.
Mortality Among Young People Declined From 1999 to 2015
TUESDAY, Oct. 30, 2018 (HealthDay News) — Mortality rates for infants and youths generally declined in the United States from 1999 to 2015, though they remain higher than rates in Canada and England/Wales, with especially high rates among black and American Indian/Alaskan Native youth, according to a study published online Oct. 1 in JAMA Pediatrics.
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Low Levels of Flu Reported in U.S. From May to October
MONDAY, Oct. 29, 2018 (HealthDay News) — From May 20 to Oct. 13, 2018, low levels of influenza activity were reported in the United States, according to a study published online Oct. 25 in Morbidity and Mortality Weekly Report.
Health Officers Express Concerns About Vaccine Exemptions
MONDAY, Oct. 29, 2018 (HealthDay News) — After the passage of Senate Bill 277 (SB277) in California, which eliminated nonmedical vaccine exemptions for school entry, health officers and immunization staff reported concerns including an increase in medical exemptions, according to a study published online Oct. 29 in Pediatrics.
Many Hospitals Noncompliant With Record Request Regulations
MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.
Nurse-Led Care Efficacious, Cost-Effective for Gout
MONDAY, Oct. 29, 2018 (HealthDay News) — For patients with gout, nurse-led care is efficacious and cost-effective compared with usual care led by general practitioners (GPs), according to a study published Oct. 20 in The Lancet.
Paid Family Leave Policies May Modestly Increase Breastfeeding
MONDAY, Oct. 29, 2018 (HealthDay News) — Women in states with paid family leave (PFL) policies have a modestly greater likelihood of exclusively breastfeeding at six months, according to a study published online Oct. 25 in the American Journal of Public Health.
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Healthier Diet Tied to Lower Mortality Risk in CRC Patients
MONDAY, Oct. 29, 2018 (HealthDay News) — Colorectal cancer (CRC) patients who follow healthy diets before or after diagnosis have a decreased risk for mortality, according to a study published online Oct. 19 in the Journal of Clinical Oncology.
ASN: Home Dialysis Associated With Improved Survival
MONDAY, Oct. 29, 2018 (HealthDay News) — Home hemodialysis (HHD) is associated with better survival than in-center hemodialysis (IHD) among incident dialysis patients, according to a study presented at the American Society of Nephrology’s Kidney Week, held Oct. 23 to 28 in San Diego.
Odds of Overweight/Obesity Up for Children With Autism
MONDAY, Oct. 29, 2018 (HealthDay News) — Children with autism spectrum disorder (ASD) have increased odds of overweight/obesity compared with general population controls after adjustment for child co-occurring conditions, according to a study published online Oct. 9 in The Journal of Pediatrics.
Abstract/Full Text (subscription or payment may be required)
Prior-Season Vaccination Does Not Curb Flu Shot Effectiveness
FRIDAY, Oct. 26, 2018 (HealthDay News) — Prior-season vaccination is not associated with reduced vaccine effectiveness (VE) among children aged 2 to 17 years, according to a study published online Oct. 26 in JAMA Network Open.
Trump Administration Announces Plan to Cut Drug Prices
FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.
HHS Study
New York Times Article
Alcohol Disorder Screening in Women Post-RYGB Inadequate
FRIDAY, Oct. 26, 2018 (HealthDay News) — Assessing the frequency and quantity of alcohol consumption may be inadequate for identifying alcohol-related problems in women who have undergone Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online Oct. 11 in the Annals of Surgery.
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Bill to Fight U.S. Opioid Crisis Signed Into Law
THURSDAY, Oct. 25, 2018 (HealthDay News) — A bipartisan bill meant to combat the United States’ opioid abuse epidemic was signed into law Oct. 24 by President Donald Trump.
Independent Links for Genetics, Lifestyle With Incident Stroke
THURSDAY, Oct. 25, 2018 (HealthDay News) — Genetic and lifestyle factors are independently associated with incident stroke among men and women aged 40 to 73 years, according to a study published online Oct. 24 in the BMJ.
Pneumococcal Vaccine Recs Cause Confusion Among Docs
THURSDAY, Oct. 25, 2018 (HealthDay News) — While primary care physicians overwhelmingly recommend pneumococcal vaccines, there is a gap in their knowledge of how to implement related vaccine recommendations, according to a study published in the Journal of the American Board of Family Medicine.
Pace of Change Has Accelerated in Alternative Payment Models
THURSDAY, Oct. 25, 2018 (HealthDay News) — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.
Half of Women to Develop Stroke, Dementia, or Parkinsonism
THURSDAY, Oct. 25, 2018 (HealthDay News) — One in two women and one in three men will develop dementia, stroke, or parkinsonism during their lifetime, according to a study published online Oct. 1 in the Journal of Neurology, Neurosurgery & Psychiatry.
Abstract/Full Text (subscription or payment may be required)
Allopurinol Linked to Reduced Risk for CKD Stage ≥3 in Gout
THURSDAY, Oct. 25, 2018 (HealthDay News) — For patients with gout, allopurinol is associated with a reduced risk for developing chronic kidney disease stage ≥3, according to a study published online Oct. 8 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Tibia Lead Levels Linked to Risk of Resistant-Hypertension
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Tibia lead levels are associated with resistant-hypertension (HTN), according to a study published online Oct. 24 in the Journal of the American Heart Association.
FDA Approves First New Influenza Drug in 20 Years
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — For the first time in nearly two decades, the U.S. Food and Drug Administration has approved a new type of antiviral influenza drug.
7 Children Dead From Adenovirus Outbreak in New Jersey
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — New Jersey health officials on Wednesday confirmed the deaths of seven children after infection with an adenovirus.
More Information
Article from The Record (Bergen County)
Prevalence of Pediatric Metabolic, Bariatric Surgery Examined
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — From 2005 through 2014, an estimated 14,178 metabolic and bariatric surgery (MBS) procedures were performed among pediatric patients aged 20 years and younger with severe obesity, according to a research letter published online Oct. 22 in JAMA Pediatrics.
Abstract/Full Text (subscription or payment may be required)
Arthritis in Adulthood Linked to Childhood Maltreatment
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — The prevalence of arthritis is higher among adults who experience severe and/or frequent childhood maltreatment, according to a study published online Oct. 17 in Arthritis Care & Research.
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AGA Issues Guidelines for Opioid-Induced Constipation
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Recommendations for medical management of opioid-induced constipation include laxatives as first-line agents, according to a guideline from the American Gastroenterological Association (AGA) published online Oct. 17 in Gastroenterology.
Abstract/Full Text – Guideline (subscription or payment may be required)
Abstract/Full Text – Technical Review (subscription or payment may be required)
Most Supplements Contain Prohibited Stimulants
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.
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Editor’s Note (subscription or payment may be required)
Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Compared with physician models of care, midwifery care is associated with lower odds of poor birth outcomes for low-income women, according to a study published in the October issue of BMJ Open.
High-Dose Flu Vaccine May Cut Hospitalization in Dialysis Patients
WEDNESDAY, Oct. 23, 2018 (HealthDay News) — Receipt of the high-dose influenza vaccine in 2016 to 2017 was associated with lower rates of hospitalization among dialysis patients, according to a study published online Oct. 23 in the Clinical Journal of the American Society of Nephrology.
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Editorial (subscription or payment may be required)
USPSTF Recommends Screening Women for Partner Violence
2013 to 2024 Saw Decrease in Benzodiazepine Prescribing 
Pediatricians Report Immigrant Families Avoiding Care for Their Children 
Psychiatrists Only Agree 55 Percent of the Time on Diagnoses 
Napping Opportunity May Improve Clinical Performance of Anesthesia Residents 
Socioeconomic Status Linked to Mortality After Acute Hip Fracture Surgery 
People Using Illicitly Sourced Fentanyl Face Worse Outcomes Than Medically Sourced Users 
Data Reveal No Hypersensitivity Due to Axillary Brachial Plexus Block Alone 
Tranexamic Acid Yields Lower Incidence of Red-Cell Transfusion in Noncardiac Surgery 
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