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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics 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
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 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 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 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 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 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 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 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 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 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 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 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 Changes in Nomenclature for Perioperative Cognitive Disorders<\/font><\/p>\n MONDAY, Oct. 22, 2018 (HealthDay News) — Recommendations have been developed for nomenclature of cognitive changes associated with anesthesia and surgery; the recommendations were published in the November issue of Anesthesiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/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 Procurement Requirements Drive Interoperability in Health Care IT<\/font><\/p>\n THURSDAY, Oct. 18, 2018 (HealthDay News) — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.<\/p>\n More Information<\/a><\/p>\n Recreational Marijuana Now Legal in Canada<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.<\/p>\n The New York Times<\/i> Article<\/a><\/p>\n CMAJ<\/i> Editorial<\/a><\/p>\n Lung Cancer Deaths 28% Lower in California Than Rest of U.S.<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Treatment Tied to Survival Benefit in Complex Bladder Cancer<\/font><\/p>\n WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Cancer treatment is associated with a clinically meaningful survival benefit in older, medically complex patients with superficial bladder cancer (SBC), according to a study published online Oct. 5 in Cancer<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Few Seniors Who Self-Harm Referred for Mental Health Care<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — Most older adults who self-harm are not referred to mental health services, according to a study published online Oct. 15 in The Lancet Psychiatry<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n High Risk for Readmission for Takotsubo Syndrome<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — Patients with Takotsubo syndrome (TTS), which is characterized by transient left ventricular dysfunction with symptoms and electrocardiogram changes mimicking acute myocardial infarction (AMI), have lower mortality during the index admission than AMI patients but are frequently readmitted within 30 days, according to a study published online Sept. 28 in the European Heart Journal – Quality of Care & Clinical Outcomes<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n 2006 to 2015 Saw Decrease in Medicare Beneficiary ICU Use<\/font><\/p>\n TUESDAY, Oct. 16, 2018 (HealthDay News) — From 2006 to 2015, there was a significant decrease in intensive care unit (ICU) admissions among Medicare fee-for-service beneficiaries, according to a research letter published online Oct. 15 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Without Medicaid Expansion, Poor Patients Forgo Medical Care<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.<\/p>\n AP News<\/i> Article<\/a><\/p>\n Cataract Surgery Tied to Drop in Cognitive Decline in Seniors<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Cataract surgery is associated with a reduction in the rate of cognitive decline among older adults, according to a study published online Oct. 11 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Hospitalization Tied to Brain Abnormalities in Older Adults<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Hospitalization is associated with lower white matter integrity among older adults, according to a study published online Sept. 24 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Active Pharmaceuticals ID’d in >700 Dietary Supplements <\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Cases Show Periodic Fasting May Cut Medication Use in T2DM<\/font><\/p>\n MONDAY, Oct. 15, 2018 (HealthDay News) — Medically supervised, therapeutic fasting regimens can help reverse type 2 diabetes (T2D) and minimize the need for pharmacological interventions, according to a case series published online Oct. 9 in BMJ Case Reports<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Zoledronate Lowers Fracture Risk in Women With Osteopenia<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — The risk for fragility fractures is significantly lower in women with osteopenia who receive zoledronate than in those who receive placebo, according to a study published online Oct. 1 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Eye Trauma Secondary to Falls in Older Adults Increasing<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — Eye trauma as a secondary admission diagnosis is increasing, largely because of an increased incidence of falls in older individuals, according to a study published online Oct. 4 in JAMA Ophthalmology<\/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 Skills-Based Intervention Did Not Cut Systolic BP After Stroke, TIA<\/font><\/p>\n FRIDAY, Oct. 12, 2018 (HealthDay News) — A culturally tailored, skills-based educational intervention did not reduce systolic blood pressure at one year after stroke\/transient ischemic attack, according to a study published online Oct. 8 in JAMA Neurology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Spending Often Persists in High-Cost Medicare-Medicaid Eligible<\/font><\/p>\n THURSDAY, Oct. 11, 2018 (HealthDay News) — More than half of patients who are dually eligible for Medicare and Medicaid and are designated as high-cost in one year remain persistently high-cost over three years, according to a study published online Oct. 2 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Diet Less Important Than Genes for High Serum Urate Levels<\/font><\/p>\n THURSDAY, Oct. 11, 2018 (HealthDay News) — Diet explains little of the variation in serum urate levels in the general population, while genetic factors make a greater contribution, according to a meta-analysis published online Oct. 10 in The BMJ<\/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 Review: Vitamin D Does Not Appear to Prevent Fractures, Falls<\/font><\/p>\n THURSDAY, Oct. 11, 2018 (HealthDay News) — Vitamin D supplementation does not prevent fractures or falls or have a clinically meaningful impact on bone mineral density in pooled analyses, according to a review and meta-analysis published online Oct. 4 in The Lancet Diabetes & Endocrinology<\/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 Atrial Fibrillation Tied to Higher Dementia Risk in Older Adults<\/font><\/p>\n WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Atrial fibrillation (AF) is associated with a faster global cognitive decline and an increased risk for dementia in older people, though anticoagulants may reduce dementia risk in AF patients, according to a study published online Oct. 10 in Neurology<\/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 Aetna-CVS Merger Approved<\/font><\/p>\n WEDNESDAY, Oct. 10, 2018 (HealthDay News) — A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.<\/p>\n The New York Times<\/i> Article<\/a><\/p>\n ADA, EASD Issue New Recommendations for T2DM<\/font><\/p>\n WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Recommendations for the management of type 2 diabetes have been updated, according to a consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) published online Oct. 5 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Long-Term Aspirin Use Linked to Reduction in Liver Cancer Risk<\/font><\/p>\n WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Regular long-term aspirin use is associated with a dose-dependent reduction in the risk for hepatocellular carcinoma (HCC), according to a study published online Oct. 4 in JAMA Oncology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Prevalence of Anxiety, Depression Up for Adults With Arthritis<\/font><\/p>\n WEDNESDAY, Oct. 10, 2018 (HealthDay News) — The age-standardized prevalences of symptoms of anxiety and depression among adults with arthritis are 22.5 and 12.1 percent, which are considerably higher than those among adults without arthritis, according to research published in the Oct. 5 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA Approves Marketing of First User-Fitted Hearing Aid<\/font><\/p>\n TUESDAY, Oct. 9, 2018 (HealthDay News) — The first hearing aid that does not require the assistance of an audiologist or other health care provider has been approved by the U.S. Food and Drug Administration.<\/p>\n More Information<\/a><\/p>\n Minority Residents Experience Burdens Linked to Race\/Ethnicity<\/font><\/p>\n TUESDAY, Oct. 9 2018 (HealthDay News) — Minority residents describe burdens associated with race\/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Application of Blood Pressure Guidelines Ups Treatment<\/font><\/p>\n TUESDAY, Oct. 9, 2018 (HealthDay News) — Implementation of the 2017 American College of Cardiology\/American Heart Association (ACC\/AHA) blood pressure guideline would direct initiation and intensification of antihypertensive medication treatment to adults at high risk for cardiovascular disease (CVD) events, according to a study published in the Sept. 11 issue of the Journal of the American College of Cardiology<\/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 Industry-Funded Trials Often Involve Employees in Studies<\/font><\/p>\n FRIDAY, Oct. 5, 2018 (HealthDay News) — Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Digital Cognitive Therapy Eases Daytime Effects of Insomnia<\/font><\/p>\n FRIDAY, Oct. 5, 2018 (HealthDay News) — Digital cognitive behavioral therapy (dCBT) is effective in improving functional health, psychological well-being, and sleep-related quality of life in people reporting insomnia, according to a study published online Sept. 25 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Increase in In-Hospital, Post-Discharge Death With HRRP<\/font><\/p>\n FRIDAY, Oct. 5, 2018 (HealthDay News) — Announcement and implementation of the Hospital Readmissions Reduction Program (HRRP) was not associated with increases in in-hospital or post-discharge mortality after acute myocardial infarction (AMI), heart failure, or pneumonia, according to a study published online Sept. 28 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n