September 2018 Briefing – OBGYN & Women’s Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for September 2018. This roundup includes the latest research news from […]

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health 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.

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.

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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.

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Surgical Mesh Itself Not Tied to Increased Complications

FRIDAY, Sept. 28, 2018 (HealthDay News) — Use of mesh is not independently associated with an increase in the rate of complications of pelvic organ prolapse repair, according to a study published in the August issue of The Journal of Urology.

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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

No Benefit to Negative Pressure Wound Therapy After C-Section

FRIDAY, Sept. 28, 2018 (HealthDay News) — For obese women, use of prophylactic negative pressure wound therapy versus standard dressings does not reduce superficial surgical site infections after cesarean section, according to a study published in the August issue of Obstetrics & Gynecology.

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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.

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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.

AP News Article

Heading a Soccer Ball Found to Be Riskier for Female Players

THURSDAY, Sept. 27, 2018 (HealthDay News) — Female soccer players exhibit more widespread evidence of microstructural white matter alteration than males, despite having similar exposure to heading, according to a study recently published in Radiology.

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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.

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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.

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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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Editorial (subscription or payment may be required)

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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Editorial (subscription or payment may be required)

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.

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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.

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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.

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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).

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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.

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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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New Risk Factors Identified for Varicose Vein Disease

MONDAY, Sept. 24, 2018 (HealthDay News) — New risk factors have been identified for varicose vein disease, including height, according to a study published online Sept. 24 in Circulation.

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Editorial (subscription or payment may be required)

Most Breast Cancer Diagnoses Given Over the Phone

MONDAY, Sept. 24, 2018 (HealthDay News) — Currently, most patients receiving a breast cancer diagnosis receive the information over the phone, according to a study published online Aug. 7 in Supportive Care in Cancer.

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MRI Indicates Sacroiliitis in Some Healthy Individuals

MONDAY, Sept. 24, 2018 (HealthDay News) — Magnetic resonance imaging (MRI) positive for sacroiliitis is seen in a considerable number of healthy individuals without back pain, according to a study recently published in Arthritis & Rheumatology.

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Some Clinicians, Patients Record Clinic Visits for Patient Use

FRIDAY, Sept. 21, 2018 (HealthDay News) — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research.

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Long-Term Outcomes of Breast Implants Explored

FRIDAY, Sept. 21, 2018 (HealthDay News) — The long-term outcomes of breast implants include increased rates of certain conditions for silicone implants, according to a study published online Sept. 14 in the Annals of Surgery.

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Ground Beef Recalled After E. Coli Outbreak

FRIDAY, Sept. 21, 2018 (HealthDay News) — More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli after eating the meat.

AP News Article
Cargill Statement

Mortality Rate From Heart Failure Higher in Women Than Men

FRIDAY, Sept. 21, 2018 (HealthDay News) — Despite decreases in overall heart failure incidence and mortality in ambulatory patients from 2009 to 2014, mortality rates remain higher in women than in men, according to a study recently published in CMAJ, the journal of the Canadian Medical Association.

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Dozens of Medical Groups Join Forces to Improve Diagnoses

FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).

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Lifestyle Interventions Cut Excess Gestational Weight Gain

FRIDAY, Sept. 21, 2018 (HealthDay News) — Lifestyle interventions focusing on diet and physical activity result in less excess gestational weight gain (GWG) among women with overweight and obesity, according to a study published in the September issue of Obesity.

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Promising New Way to Identify Breast Cancer Tumors

FRIDAY, Sept. 21, 2018 (HealthDay News) — Molecular markers of breast cancer tumors can be identified by focusing on parameters of a cell’s nucleus, and aided by machine learning, according to a study published online Sept. 4 in npj Breast Cancer.

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Research Links Doctor Burnout to Patient Safety Incidents

THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes

THURSDAY, Sept. 20, 2018 (HealthDay News) — The prevalence of type 1 and type 2 diabetes is 0.5 and 8.5 percent, respectively, among U.S. adults, according to a study published online Sept. 4 in The BMJ.

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Gestational Diabetes Tied to Subsequent Glucose Disorders

THURSDAY, Sept. 20, 2018 (HealthDay News) — Untreated gestational diabetes (GD) is associated with development of subsequent glucose metabolism disorders in mothers, but is not significantly associated with the composite outcome of childhood overweight/obesity in long-term follow-up of offspring, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.

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Hospitals Charge 479 Percent of Cost of Drugs on Average

THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).

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Cardiac Monitoring Needed for High-Risk Breast Cancer Patients

THURSDAY, Sept. 20, 2018 (HealthDay News) — Risk of cardiotoxicity is higher for patients receiving trastuzumab and/or anthracyclines for the treatment of breast cancer, according to a study published in the Aug. 1 issue of JACC: Cardiovascular Imaging.

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Editorial (subscription or payment may be required)

Residents Should Take Advantage of Paid Time Off

THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire.

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California Lawsuit Claims AbbVie Paid Doctors to Prescribe Humira

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — A lawsuit filed Tuesday in California claims that pharmaceutical company AbbVie used cash, gifts, and services to induce doctors to overprescribe the widely used drug Humira (adalimumab), ignoring the medicine’s potentially lethal side effects.

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Patient-Directed IV Remifentanil Cuts Epidural Conversions

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Compared with intramuscular pethidine, use of intravenous remifentanil patient-controlled analgesia (PCA) in labor reduces the proportion of epidural conversions, according to a study published in the Aug. 25 issue of The Lancet.

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Editorial (subscription or payment may be required)

Global Prevalence of Insufficient Activity 27.5 Percent

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.

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Editorial

Second HPV-Related Primary Cancers Common in Survivors

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The risk of human papillomavirus-associated second primary cancers (HPV-SPCs) among survivors of HPV-associated cancers is significant, according to a study published online Sept. 7 in JAMA Network Open.

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20% of Children, Adolescents Use Prescription Medications

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics.

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Editorial

Patient Health Information Often Shared Electronically

WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

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Active Choice Intervention Tied to Increase in Flu Shot Rates

TUESDAY, Sept. 18, 2018 (HealthDay News) — An active choice intervention is associated with an increase in influenza vaccination rates, according to a study published online Sept. 14 in JAMA Network Open.

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Editorial

U.S. Senate Passes Opioids Bill

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