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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine 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
Greater Weight Loss With Gastric Bypass Than Other Bariatric Sx<\/font><\/p>\n WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Roux-en-Y gastric bypass (RYGB) is associated with greater weight loss at one, three, and five years than sleeve gastrectomy (SG) or adjustable gastric banding (AGB), though it also has the highest rate of 30-day adverse events, according to a study published Oct. 29 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/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 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 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 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 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 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 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 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 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 In Complicated UTI, Cefiderocol Noninferior to Imipenem-Cilastin<\/font><\/p>\n MONDAY, Oct. 29, 2018 (HealthDay News) — For complicated urinary tract infections caused by multidrug-resistant Gram-negative uropathogens, the siderophore cephalosporin cefiderocol is non-inferior to imipenem-cilastatin, according to a study published online Oct. 25 in The Lancet Infectious Diseases<\/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 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 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 Oxygen Saturation Should Not Top 96 Percent in Acutely Ill<\/font><\/p>\n THURSDAY, Oct. 25, 2018 (HealthDay News) — For acutely ill patients, an oxygen saturation of no more than 96 percent should be maintained, according to a clinical practice guideline published online Oct. 24 in the BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/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 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 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 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 Algorithm-Defined Tx Duration Non-Inferior in Staph Bacteremia<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — For patients with staphylococcal bacteremia, an algorithm that defines treatment duration results in a non-inferior rate of clinical success compared with usual care, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association<\/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 Almost One in 10 Treated in Hospital for Non-Fatal Injury<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — In 2013, 9.8 per 100 people were treated in the hospital for a non-fatal injury, with costs estimated at $1.853 trillion, according to a study published online Oct. 8 in Injury Epidemiology<\/i>.<\/p>\n Abstract\/Full Text<\/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 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 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 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 Health Enterprise Zone Initiative Cut Hospitalizations, Costs<\/font><\/p>\n WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Maryland’s Health Enterprise Zone Initiative reduced hospitalizations and led to net cost savings, according to a study published in the October issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (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 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 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 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 Intensive SBP Tx Cuts Kidney Damage Biomarkers in Incident CKD<\/font><\/p>\n TUESDAY, Oct. 23, 2018 (HealthDay News) — Patients with incident chronic kidney disease (CKD) in the setting of intensive systolic blood pressure (SBP) treatment have decreases rather than increases in kidney damage biomarkers, according to a study published online Oct. 23 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Diagnostic Strategy Can Rule Out PE in Pregnant Women<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — A diagnostic strategy based on pretest clinical probability assessment, high-sensitivity D-dimer testing, bilateral lower-limb compression ultrasonography (CUS), and computed tomography pulmonary angiography (CTPA) can safely rule out pulmonary embolism (PE) in pregnant women, according to a study published online Oct. 23 in the Annals of 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 Guidelines Outlined to Ease Peds Transition to Adult Health Care<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Guidelines have been updated to support the health care transition from adolescence to adulthood, according to a clinical report published online Oct. 22 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Percent Weight Regain Predicts Health Risks Post-Bariatric Surgery<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Measuring the percentage of weight regained following the maximum amount of weight lost after Roux-en-Y gastric bypass (RYGB) surgery best predicts a patient’s risk for several serious health problems, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial<\/a><\/p>\n Glucose Dysregulation Seen Years Before Diabetes Diagnosis<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Individuals who develop diabetes or prediabetes have elevated fasting plasma glucose (FPG) at least 10 years before diagnosis, according to an observational study recently published in the Journal of the Endocrine Society<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: First U.S. Case of Rat-Borne Andes Virus Diagnosed<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — The first confirmed U.S. case of a virus carried by South American rodents occurred earlier this year, the U.S. Centers for Disease Control and Prevention says.<\/p>\n CNN<\/i> Article<\/a><\/p>\n CDC Case Report<\/a><\/p>\n Variability in Geographic Availability of New Antibiotics<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — There is considerable variability in the geographic availability of antibiotics, according to a study published online Oct. 16 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Limited Success for Changing Diet and Exercise Among Nurses<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — Implementation of a workplace intervention to change diet and physical activity (PA) behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging, according to a study recently published in the Journal of Nutrition Education and Behavior<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Transcatheter Mitral Valve Repair Benefits Some With Heart Failure<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — Transcatheter mitral-valve repair results in a lower rate of hospitalization and lower all-cause mortality than medical therapy alone among patients with heart failure and moderate-to-severe secondary mitral regurgitation who remain symptomatic despite the use of guideline-directed medical therapy, according to a study published online Sept. 23 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Poor Experience With PCP Linked to Hospitalization in CKD<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — For Hispanic patients with chronic kidney disease (CKD), lower perceived quality of the patient experience with their primary care physician is associated with increased risk of hospitalization, according to a study published online Oct. 18 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 2014 to 2016 Saw 470 Percent Increase in HIV PrEP Use in U.S.<\/font><\/p>\n FRIDAY, Oct. 19, 2018 (HealthDay News) — From 2014 to 2016 there was an increase in the annual number of HIV preexposure prophylaxis (PrEP) users in the United States, although only about 7 percent of those with indications for PrEP were prescribed PrEP in 2016, according to research published in the Oct. 18 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n