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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.<\/p>\n
Opioid Use Often Persists in Workers’ Compensation Claimants<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy<\/font><\/p>\n 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.<\/p>\n Draft Recommendation Statement<\/a><\/p>\n Evidence Review — Children<\/a><\/p>\n Evidence Review — Pregnant Women<\/a><\/p>\n Antibiotics, Acid Suppressants in Infancy May Up Obesity Risk<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Black, Low-Income Women May Not Report Barriers to Care<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n 50 Percent of Children Aged 2 to 5 Years Fear Doctor Visits<\/font><\/p>\n 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<\/i>.<\/p>\n More Information<\/a><\/p>\n Diagnoses, Treatment of Mental Health Conditions Up in College<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Link Between Statins, Non-CVD Outcomes Lacks Evidence<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Erectile Dysfunction Common in Childhood Cancer Survivors<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Announces Initiative to Reinvent Physician Training<\/font><\/p>\n 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.<\/p>\n More Information<\/a><\/p>\n Psoriasis Linked to Increased Risk for Inflammatory Bowel Disease<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Angiotensin-Converting Enzyme Inhibitors May Up Lung CA Risk<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Prenatal Exposure to Phthalates Linked to Language Delay<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Community Health Worker Intervention Beneficial<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Therapeutic Lifestyle Intervention in Church Helpful for BP Control<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Mortality Among Young People Declined From 1999 to 2015<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Low Levels of Flu Reported in U.S. From May to October<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Health Officers Express Concerns About Vaccine Exemptions<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Many Hospitals Noncompliant With Record Request Regulations<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Nurse-Led Care Efficacious, Cost-Effective for Gout<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Paid Family Leave Policies May Modestly Increase Breastfeeding<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Healthier Diet Tied to Lower Mortality Risk in CRC Patients<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n ASN: Home Dialysis Associated With Improved Survival<\/font><\/p>\n 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.<\/p>\n Abstract<\/a><\/p>\n More Information<\/a><\/p>\n Odds of Overweight\/Obesity Up for Children With Autism<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Prior-Season Vaccination Does Not Curb Flu Shot Effectiveness<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Trump Administration Announces Plan to Cut Drug Prices<\/font><\/p>\n 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.<\/p>\n HHS Study<\/a><\/p>\n New York Times<\/i> Article<\/a><\/p>\n Alcohol Disorder Screening in Women Post-RYGB Inadequate<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Bill to Fight U.S. Opioid Crisis Signed Into Law<\/font><\/p>\n 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.<\/p>\n More Information<\/a><\/p>\n Independent Links for Genetics, Lifestyle With Incident Stroke<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Pneumococcal Vaccine Recs Cause Confusion Among Docs<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Pace of Change Has Accelerated in Alternative Payment Models<\/font><\/p>\n 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.<\/p>\n More Information<\/a><\/p>\n Half of Women to Develop Stroke, Dementia, or Parkinsonism<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Allopurinol Linked to Reduced Risk for CKD Stage \u22653 in Gout<\/font><\/p>\n THURSDAY, Oct. 25, 2018 (HealthDay News) — For patients with gout, allopurinol is associated with a reduced risk for developing chronic kidney disease stage \u22653, according to a study published online Oct. 8 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Tibia Lead Levels Linked to Risk of Resistant-Hypertension<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA Approves First New Influenza Drug in 20 Years<\/font><\/p>\n 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.<\/p>\n More Information<\/a><\/p>\n 7 Children Dead From Adenovirus Outbreak in New Jersey<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — New Jersey health officials on Wednesday confirmed the deaths of seven children after infection with an adenovirus.<\/p>\n More Information<\/a><\/p>\n Article from The Record<\/i> (Bergen County)<\/a><\/p>\n Prevalence of Pediatric Metabolic, Bariatric Surgery Examined<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Arthritis in Adulthood Linked to Childhood Maltreatment<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AGA Issues Guidelines for Opioid-Induced Constipation<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text – Guideline (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Technical Review (subscription or payment may be required)<\/a><\/p>\n Most Supplements Contain Prohibited Stimulants<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editor’s Note (subscription or payment may be required)<\/a><\/p>\n Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n High-Dose Flu Vaccine May Cut Hospitalization in Dialysis Patients<\/font><\/p>\n 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<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n USPSTF Recommends Screening Women for Partner Violence<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Clinicians should screen women of reproductive age for intimate partner violence (IPV) and refer women to ongoing support services if necessary, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Oct. 23\/30 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Evidence Report<\/a><\/p>\n Final Recommendation Statement<\/a><\/p>\n Editorial<\/a><\/p>\n Editorial<\/a><\/p>\n Preeclampsia Tied to Increased Risk for Vascular Dementia<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Preeclampsia seems to be associated with an increased risk for dementia, especially vascular dementia, with a stronger correlation for late-onset disease, according to a study published online Oct. 17 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n White House Unveils New Insurance Option for Small Firms<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.<\/p>\n AP News<\/i> Article<\/a><\/p>\n More Information<\/a><\/p>\n Inadequate Reimbursement May Mar Diabetes Prevention Program<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — The costs of delivering a new Medicare Diabetes Prevention Program (MDPP) may be higher than the expected reimbursement, according to a study published in the November issue of Medical Care<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Unrestricted Diet OK More Than One Day Before Colonoscopy<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Unrestricted diets are acceptable more than one day before colonoscopy among patients using a split-dose bowel regimen, according to a study published in the October issue of Gastrointestinal Endoscopy<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Periodontitis Linked to Higher BP in Adults With Treated HTN<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — For adults with treated hypertension, periodontitis is associated with higher mean systolic blood pressure (BP) and with increased odds of unsuccessful hypertensive treatment, according to a study published online Oct. 22 in Hypertension<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Kids’ Sport Participation Tied to Higher Bone Mass in Young Adults<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Children who are consistent sport participators have greater bone mineral content (BMC) at age 20 years, according to a study published online Oct. 17 in the Journal of Bone and Mineral Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Advance Care Planning Lowers Symptoms in Teens With HIV<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Family-centered pediatric advance care planning (FACE pACP) is associated with a lower likelihood of symptoms and suffering for adolescents with HIV, according to a study published online Oct. 19 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Neglect Higher in For-Profit Nursing Homes<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Residents of for-profit nursing homes are more likely to suffer neglect compared with elderly residents living in the community or in not-for-profit facilities, according to a study published online Oct. 9 in Gerontology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Strong Link for Peds Obesity, Slipped Capital Femoral Epiphysis<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — High childhood body mass index (BMI) is strongly correlated with slipped capital femoral epiphysis (SCFE), according to a study published online Oct. 22 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Postnatal Education Increases Pain Relief Use at Vaccinations<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — In-hospital postnatal education about infant pain management at vaccinations leads to more frequent use of pain relief interventions, according to a study published online Oct. 22 in CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n