Here are what the editors at HealthDay consider to be the most important developments in Family Practice for September 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.
Pharmaceutical Executive Defends 400 Percent Price Hike
FRIDAY, Sept. 28, 2018 (HealthDay News) — A pharmaceutical executive is defending his company’s 400 percent price hike on an antibiotic, according to a report published in Formulary Watch.
Increased Cardiovascular Risk for Diclofenac Initiators
FRIDAY, Sept. 28, 2018 (HealthDay News) — Diclofenac initiators have increased cardiovascular risk compared with non-initiators, according to a study published online Sept. 4 in The BMJ.
Handheld Device Inspired by Star Trek May Allow Rapid Diagnosis
FRIDAY, Sept. 28, 2018 (HealthDay News) — A device inspired by the Star Trek famous tricorder device pairs a handheld sensor with a smartphone app to measure the levels of various metabolites associated with multiple diseases in fluid samples from patients, according to a report published in an upcoming issue of Biosensors and Bioelectronics.
Tenth-Graders Use Combustible, Edible, Vaporized Cannabis
FRIDAY, Sept. 28, 2018 (HealthDay News) — Among 10th-grade students using cannabis, edible and vaporized products are used in addition to combustible products, with 61.7 percent reporting multiple administration methods, according to a study published online Sept. 28 in JAMA Network Open.
Physicians Often Don’t Address Their Burnout
FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire.
Implementing EMRs Affects Time Spent With Patients in Clinic
FRIDAY, Sept. 28, 2018 (HealthDay News) — Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.
Proton Pump Inhibitor Use Tied to Hip Fracture in Dialysis Patients
FRIDAY, Sept. 28, 2018 (HealthDay News) — Proton pump inhibitor (PPI) use is associated with increased risk of hip fracture among dialysis patients, according to a study published online Sept. 27 in the Clinical Journal of the American Society of Nephrology.
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CDC: Congenital Syphilis More Than Doubled Since 2013
FRIDAY, Sept. 28, 2018 (HealthDay News) — The number of cases of sexually transmitted diseases (STDs) is continuing to increase, with an associated increase in the number of cases of congenital syphilis, according to a report published by the U.S. Centers for Disease Control and Prevention.
Press Release
2017 STD Surveillance Report
Strategies to Cut Cardiovascular Risk Factors Show Mixed Results
FRIDAY, Sept. 28, 2018 (HealthDay News) — Cardiovascular disease (CVD) risk factors remain prevalent despite known, proven strategies to reduce risk, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Prevalence of TBI 2.5 Percent Among U.S. Children
FRIDAY, Sept. 28, 2018 (HealthDay News) — The prevalence of traumatic brain injury (TBI) is 2.5 percent among U.S. children, and TBI is associated with several health conditions, according to a study published online Sept. 24 in JAMA Pediatrics.
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Business Degree Increasingly Useful for Doctors
THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.
80,000 Americans Died From Influenza Over Last Year
THURSDAY, Sept. 27, 2018 (HealthDay News) — Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press.
Opioid Bill Gets Bipartisan Support
THURSDAY, Sept. 27, 2018 (HealthDay News) — In a rare bipartisan move, both the House and Senate have reached a compromise on legislation to address the opioid epidemic.
Final Update on Salmonella-Tainted Honey Smacks Cereal
THURSDAY, Sept. 27, 2018 (HealthDay News) — A total of 135 people across 36 states fell ill with Salmonella after eating Kellogg’s Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.
AAP Provides Recommendations for Teen Drivers, Parents
THURSDAY, Sept. 27, 2018 (HealthDay News) — In a policy statement published online Sept. 24 in Pediatrics, recommendations are presented to help pediatricians provide guidance for teenage drivers and their families.
Newer Hormonal Contraception May Cut Ovarian Cancer Risk
THURSDAY, Sept. 27, 2018 (HealthDay News) — There is a reduction in ovarian cancer risk associated with use of contemporary combined hormonal contraceptives, according to a study published online Sept. 26 in The BMJ.
Guidelines Updated for Adult Congenital Heart Disease
THURSDAY, Sept. 27, 2018 (HealthDay News) — Updated guidelines have been developed for management of adult congenital heart disease (ACHD), according to a report published online Aug. 16 in Circulation.
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Grip Strength Tied to Pulmonary Function in Older Women
THURSDAY, Sept. 27, 2018 (HealthDay News) — For older Korean women, handgrip strength is positively associated with pulmonary function, according to a study published in the July issue of the Journal of the American Geriatrics Society.
Practices Should Set Rules for Staff Social Media Use
THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.
HIV Infection Diagnoses on the Rise in Young Homosexual Men
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Among men who have sex with men (MSM), the change in the annual number of HIV diagnoses from 2008 to 2016 varies with age, according to research published in the Sept. 21 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Burnout, Career Choice Regret Prevalent in U.S. Residents
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.
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Lawn-Mower-Related Injuries Are Most Often Lacerations
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — From 2006 through 2013, the weighted estimate of lawn-mower-related injuries was 51,151, with the most common injuries being lacerations, fractures, and amputations, according to a study published online Aug. 1 in Public Health Reports.
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Childhood Poverty Can Affect Cognitive Skills in Old Age
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Variation in childhood socioeconomic position (SEP) partially accounts for cognitive performance in older age, with adverse childhood SEP associated with lower level of baseline cognitive performance, according to a study published online Sept. 26 in Neurology.
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Many Countries Failing on Non-Communicable Dz Death Targets
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Many countries are falling short on targets to reduce mortality from non-communicable diseases (NCDs), according to a study published in the Sept. 22 issue of The Lancet.
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Head CT Decision Aid Ups Parent Knowledge in Child Head Trauma
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open.
Lorcaserin Facilitates Weight Loss in Overweight, Obese
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Lorcaserin facilitates sustained weight loss without increasing the rate of major cardiovascular events among overweight or obese patients, according to a study published in the Sept. 20 issue of the New England Journal of Medicine.
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Combo Therapy Not Needed If Low RA Disease Activity Achieved
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Once low rheumatoid arthritis (RA) disease activity is achieved with tocilizumab (TCZ) plus methotrexate (MTX), patients can discontinue MTX without significant disease worsening, according to a study published in the August issue of Arthritis & Rheumatology.
Policies Should Encourage Healthy Food Consumption
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Diet is an important component that impacts cardiovascular risk, and policies should be implemented to improve dietary composition, according to an article published in the Aug. 21 issue of the Journal of the American College of Cardiology.
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High Nicotine Concentrations Delivered by ‘Pod Mods’
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — “Pod mods,” which are small, rechargeable devices that aerosolize liquid solutions containing nicotine encapsulated in cartridges, pose a danger to adolescent users, according to a perspective article published in the Sept. 20 issue of the New England Journal of Medicine.
Initial Abx Feasible Alternative for Uncomplicated Appendicitis
TUESDAY, Sept. 25, 2018 (HealthDay News) — The cumulative incidence of appendicitis recurrence within five years is 39.1 percent among patients with uncomplicated acute appendicitis initially treated with antibiotics, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.
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Cancer-Related Gene Variations Frequently Reclassified
TUESDAY, Sept. 25, 2018 (HealthDay News) — Among individuals undergoing hereditary cancer testing, some variants of uncertain significance are reclassified, with almost one-quarter of those variants reclassified at a single commercial laboratory, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.
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Education Can Up Emotional Intelligence in Residents
TUESDAY, Sept. 25, 2018 (HealthDay News) — Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence (EI), according to a study published online Sept. 20 in Advances in Medical Education and Practice.
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Total Diabetes at 14 Percent in U.S. Adults for 2013-2016
TUESDAY, Sept. 25, 2018 (HealthDay News) — The prevalence of diabetes was 14.0 percent among U.S. adults in 2013 to 2016, with prevalence of undiagnosed diabetes 4.3 percent, according to a September data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Facebook Program Doesn’t Up Smoking Abstinence at One Year
TUESDAY, Sept. 25, 2018 (HealthDay News) — The Tobacco Status Project (TSP) Facebook smoking cessation intervention for young adults does not improve abstinence from smoking over one year, according to a study published in the September issue of Addiction.
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Physician-Group ACOs Generate Medicare Savings
TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.
AAP Report Addresses Managing Fetal Alcohol Spectrum Disorder
TUESDAY, Sept. 25, 2018 (HealthDay News) — In a clinical report published online Sept. 10 in Pediatrics, recommendations are presented to support pediatric providers in managing patients with a diagnosis of fetal alcohol spectrum disorder (FASD).
In 2016, Proportion of Uninsured Americans Down to 10 Percent
TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.
Positive Link Between Air Pollution, Diagnosis of Dementia
TUESDAY, Sept. 25, 2018 (HealthDay News) — There is a positive association between residential levels of air pollution and being diagnosed with dementia, according to a study published in the September issue of BMJ Open.
Inflammatory Back Pain Resolves in Many Patients
TUESDAY, Sept. 25, 2018 (HealthDay News) — Inflammatory back pain (IBP) often resolves, while in 30 percent of patients it progresses to spondyloarthritis (SpA) within 10 years, according to a study published in a recent issue of Arthritis & Rheumatology.
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Participation Up With Online Diabetes Prevention Program
MONDAY, Sept. 24, 2018 (HealthDay News) — For overweight/obese veterans with prediabetes, participation is higher for online Diabetes Prevention Programs (DPPs), but weight loss is similar for online and in-person DPPs, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
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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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