Curated News: JAMA

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9-Jun-2016 12:05 PM EDT
Six in Ten Adults Prescribed Opioid Painkillers Have Leftover Pills
Johns Hopkins Bloomberg School of Public Health

In the midst of an epidemic of prescription painkiller addiction and overdose deaths, a new Johns Hopkins Bloomberg School of Public Health survey suggests that more than half of patients prescribed opioids have leftover pills – and many save them to use later.

Released: 7-Jun-2016 11:05 AM EDT
Children Who Spend an Extra Week in the Womb Have Higher School Test Scores, Risk Disability
University of Florida

Researchers have found that spending a week longer in the womb may give babies a tiny leg up on cognitive ability. The trade-off, however, seems to be a slight increase in the chance of having a physical disability.

2-Jun-2016 1:00 PM EDT
Anesthesia Is Safe in the Young, Study Finds
Columbia University Irving Medical Center

A single exposure to general anesthesia poses no cognitive risk to healthy children under age three, a critical time in brain development, according to a multicenter study led by Columbia University Medical Center and NewYork-Presbyterian/Morgan Stanley Children’s Hospital.

Released: 6-Jun-2016 1:05 PM EDT
Personalized Medicine Leads to Better Outcomes for Patients with Cancer
UC San Diego Health

In a meta-analysis of hundreds of clinical trials involving thousands of patients, researchers at University of California San Diego School of Medicine report that therapeutic approaches using precision medicine, which emphasizes the use of individual genetics to refine cancer treatment, showed improved response and longer periods of disease remission, even in phase I trials.

3-Jun-2016 10:05 AM EDT
Two Kinds of Medicare – Two Kinds of Patients? New Findings Could Make a Difference for Health Policy
Michigan Medicine - University of Michigan

Nearly 1 in 3 American senior citizens choose to get their government-funded Medicare health coverage through plans run by health insurance companies. The rest get it straight from the federal government. But if health policy decision-makers assume the two groups are the same, they’re mistaken, a new study finds.

Released: 4-Jun-2016 11:00 AM EDT
Researchers Find Up to One-Quarter of Lung Cancer Patients May Be Ineligible for Immunotherapy
UT Southwestern Medical Center

A significant proportion of lung cancer patients also have autoimmune disease, which may make them unsuitable for increasingly popular immunotherapy treatments, a team of researchers at UT Southwestern Medical Center’s Harold C. Simmons Comprehensive Cancer Center has found.

26-May-2016 6:00 AM EDT
Surgery and Opioids: Changing the Perioperative Patient Experience and Expectation
Pennsylvania Medical Society

This story looks at the use of opioids to recover from surgeries, while examining patient expectations and current practices. This story also covers an initiative entitled "Opioids for Pain: Be Smart. Be Safe. Be Sure."

26-May-2016 4:00 PM EDT
U.S. May Be Greatly Undercounting Pediatric Concussions
Children's Hospital of Philadelphia

Researchers suggest that the number of child and youth concussions may be vastly underestimated in the U.S. A single-center study in a large pediatric network found that four out of five children diagnosed with concussion were seen at primary care practices, not in an emergency department (ED). However, most national counts of pediatric concussion rely solely on ED visits or school athletics data.

Released: 27-May-2016 9:00 AM EDT
Every Monday Should Be World No Tobacco Day
Monday Campaigns

On May 31st, the World Health Organization hopes to spur the nearly one billion smokers worldwide to put down their cigarettes for World No Tobacco Day. While this annual event generates media attention and is a potential starting point for many quit attempts, without a sustained effort these smokers will likely be puffing away again in a matter of weeks. Researchers say that one way to keep the momentum going after this once-a-year push to get smokers’ attention, is to use every Monday as a weekly opportunity to support smokers in their efforts to quit and stay quit.

24-May-2016 12:00 PM EDT
Women May Be Able to Reduce Breast Cancer Risk Predicted by Their Genes
Johns Hopkins Bloomberg School of Public Health

Women with a high risk of developing breast cancer based on family history and genetic risk can still reduce the chance they will develop the disease in their lifetimes by following a healthy lifestyle, new research led by the Johns Hopkins Bloomberg School of Public Health suggests.

Released: 25-May-2016 1:05 PM EDT
Antiretroviral Therapy May Not Be Enough to Reduce HIV-Associated Arterial Inflammation
Massachusetts General Hospital

Additional immune-system-modulatory approaches may help reduce risk of cardiovascular disease.

Released: 25-May-2016 11:05 AM EDT
Study Published in JAMA Psychiatry Examines Suicide Attempt Risk Factors, Methods and Timing, Related to Deployment Among Active Duty Soldiers
Uniformed Services University of the Health Sciences (USU)

Suicide attempts, like suicides, have increased in the U.S. Army over the last decade. To better understand and prevent suicidal behavior, researchers from the Uniformed Services University of the Health Sciences (USU), the University of California, San Diego, Harvard Medical School, and the University of Michigan examined timing and risk factors for suicide attempts among U.S. Army enlisted Soldiers. They found the highest risk was among those who never deployed, and those who never deployed were at greatest risk during their second month of service.

19-May-2016 2:05 PM EDT
Telephone-Based Cognitive Behavioral Therapy Significantly Improves Menopause Symptoms
Fred Hutchinson Cancer Center

Chatting on the phone with a “sleep coach” and keeping a nightly sleep diary significantly improve sleep quality and reduce insomnia in women through all stages of menopause, according to a new study published in JAMA Internal Medicine. The study also found that such phone-based cognitive behavioral therapy significantly reduced the degree to which hot flashes interfered with daily functioning.

20-May-2016 11:00 AM EDT
Extreme Preemies Disadvantaged in Employment, Income, Self-Esteem, Marriage and More by Their 30s
McMaster University

Extremely low birth weight (ELBW) babies who survive are more likely to be disadvantaged in employment, income, self-esteem, marriage and more by the time they reach their 30s. A longitudinal study has followed the ELBW survivors born between 1977 and 1982.

   
18-May-2016 1:00 PM EDT
Visual Impairment, Blindness Cases in U.S. Expected to Double by 2050
NIH, National Eye Institute (NEI)

The number of people with visual impairment or blindness in the United States is expected to double to more than 8 million by 2050, according to projections based on the most recent census data and from studies funded by the National Eye Institute, part of the National Institutes of Health. Another 16.4 million Americans are expected to have difficulty seeing due to correctable refractive errors that can be fixed with glasses, contacts or surgery.

18-May-2016 9:05 AM EDT
Lowering Blood Pressure Reduces Risk of Heart Disease in Older Adults Without Increasing Risk of Falls
Atrium Health Wake Forest Baptist

Intensive therapies to reduce high blood pressure can cut the risk of heart disease in older adults without increasing the risk for falls, according to doctors at Wake Forest Baptist Medical Center.

Released: 19-May-2016 1:05 PM EDT
USC Study Finds Blindness and Visual Impairment Will Double by 2050
Keck Medicine of USC

A study published today by researchers at the University of Southern California (USC) Roski Eye Institute in JAMA Ophthalmology found that the U.S. prevalence in visual impairment (VI) and blindness is expected to double over the next 35 years. By 2050, the number of Americans with a variety of eye disease and impairment issues, including age-related macular degeneration (AMD), glaucoma, diabetic retinopathy (DR) and cataracts, will dramatically increase impacting both individuals and society.

Released: 18-May-2016 3:05 PM EDT
Investigational Therapy May Treat Life-Threatening GI Leaks Without Surgery
Baylor University Medical Center

Researchers repurposing E-Vac procedure to treat issues in the gastrointestinal tract.

12-May-2016 8:05 AM EDT
30% of Female Physicians Report Sexual Harassment
Michigan Medicine - University of Michigan

In a survey of high-achieving physician-scientists, nearly a third of women reported experiencing sexual harassment.

12-May-2016 8:05 AM EDT
30% of Female Physicians Report Sexual Harassment
Michigan Medicine - University of Michigan

In a survey of high-achieving physician-scientists, nearly a third of women reported experiencing sexual harassment.

12-May-2016 3:00 PM EDT
Surgery Surprise: Rural Hospitals May Be Safer and Less Expensive for Common Operations
Michigan Medicine - University of Michigan

They may be small. They may be in rural towns. They may only have a couple of surgeons. But for common operations, critical access hospitals may be safer and less expensive than their larger cousins, a new study finds.

Released: 11-May-2016 12:05 PM EDT
Genetic Variants May Put Some Soldiers at Higher Risk of PTSD
UC San Diego Health

In a massive analysis of DNA samples from more than 13,000 U.S. soldiers, scientists have identified two statistically significant genetic variants that may be associated with an increased risk of post-traumatic stress disorder (PTSD), an often serious mental illness linked to earlier exposure to a traumatic event, such as combat and an act of violence.

9-May-2016 11:40 AM EDT
Breast Cancer Detection Rates of Mammogram Readers Don’t Decline Over Time
University of Warwick

A new study has found there is no decline over time in the accuracy of medical staff who analyse mammogram scans for indications of breast cancer. Research conducted at the University of Warwick investigated whether detection rates dropped towards the end of each batch of mammogram readings.

Released: 9-May-2016 3:05 PM EDT
Changing Default Prescription Settings in Electronic Medical Records Increased Prescribing Rates of Generic Drugs, Penn Medicine Study Finds
Perelman School of Medicine at the University of Pennsylvania

A new study from researchers at the Perelman School of Medicine at the University of Pennsylvania, found that a simple change to prescription default options in electronic medical records immediately increased generic prescribing rates from 75 percent to 98 percent.

Released: 9-May-2016 11:05 AM EDT
Pesticide Exposure May Be ALS Risk Factor
Michigan Medicine - University of Michigan

ALS is a debilitating, progressive disease without a cure. Researchers now find pesticides and other environmental toxins could play a part in the disease’s onset.

Released: 5-May-2016 6:05 PM EDT
RAND/Harvard Study Shows Teledermatology Increases Patient Access to Specialized Skin Care
PR Pacific

Offering virtual dermatology care significantly improved access to specialized skin care for a group of patients that traditionally has limited options, according to an independent study led by researchers at the RAND Corporation and Harvard Medical School’s Department of Health. The findings appear in a JAMA Dermatology article published online May 4.

Released: 2-May-2016 3:05 PM EDT
National Study Shows New Ways to Stop Weight Gain Cut Young Adults' Obesity Risk by Half
LifeSpan

Miriam Hospital researcher leads effort to identify alternative ways to stop weight gain.

Released: 2-May-2016 2:05 PM EDT
National Institutes of Health Launches Research Program to Address Surgical Disparities
American College of Surgeons (ACS)

On April 18, the National Institute on Minority Health and Health Disparities (NIMHD), part of the National Institutes of Health (NIH), announced the launch of an initiative to support research to better understand and address disparities in surgical care and outcomes for disadvantaged populations.

26-Apr-2016 4:00 PM EDT
Costs for Orally-Administered Cancer Drugs Skyrocket
University of North Carolina Health Care System

An analysis by a University of North Carolina at Chapel Hill researcher reports in JAMA Oncology that a month of treatment with orally-administered cancer drugs introduced in 2014 were, on average, six times more expensive at launch than cancer drugs introduced in 2000 after adjusting for medical inflation. Drugs approved in 2000 cost an average of $1,869 per month compared to $11,325 for those approved in 2014.

22-Apr-2016 7:05 PM EDT
Time Spent Working Rotating Night Shift and Risk of Heart Disease
JAMA - Journal of the American Medical Association

Among female registered nurses, working a rotating night shift for 5 years or more was associated with a small increase in the risk of coronary heart disease, according to a study appearing in the April 26 issue of JAMA.

22-Apr-2016 7:05 PM EDT
Outcomes of Immunotherapy Tablet for House Dust Mite Allergy-related Asthma
JAMA - Journal of the American Medical Association

The addition of a house dust mite (HDM) sublingual allergen immunotherapy (SLIT) tablet to maintenance medications improved time to first moderate or severe asthma exacerbation during a period of inhaled corticosteroid (ICS) reduction among adults with HDM allergy-related asthma not well controlled by ICS, according to a study appearing in the April 26 issue of JAMA.

22-Apr-2016 7:05 PM EDT
Breast Density and Outcomes of Supplemental Breast Cancer Screening
JAMA - Journal of the American Medical Association

In a study appearing in the April 26 issue of JAMA, Elizabeth A. Rafferty, M.D., formerly of Massachusetts General Hospital, Boston, and colleagues evaluated the screening performance of digital mammography combined with tomosynthesis (a type of imaging) compared with digital mammography alone for women with varying levels of breast density.

22-Apr-2016 7:05 PM EDT
Poor Understandability of Notifications Sent to Women Regarding Breast Density
JAMA - Journal of the American Medical Association

In a study appearing in the April 26 issue of JAMA, Nancy R. Kressin, Ph.D., of the Veterans Affairs Boston Healthcare System, Boston University School of Medicine, and colleagues examined the content, readability, and understandability of dense breast notifications sent to women following screening mammography.

Released: 20-Apr-2016 1:05 PM EDT
Detecting When the Most Common Skin Cancer Turns Dangerous
Michigan Medicine - University of Michigan

A team of researchers who specialize in treating cancers of the eye wanted to identified EZH2 as a marker for aggressive basal cell skin cancer. It may also provide a potential target for treatment.

Released: 20-Apr-2016 11:05 AM EDT
Researchers Identify New Way to Measure Autism in Boys
George Washington University

Researchers have developed a new method to map and track the function of brain circuits affected by autism spectrum disorder (ASD) in boys using brain imaging.

Released: 20-Apr-2016 12:05 AM EDT
JAMA Looks to SCCA Physicians to Address Future of Immunotherapy
Seattle Cancer Care Alliance

The April 19, 2016 issue of The Journal of the American Medical Association (JAMA) features an editorial by two Seattle Cancer Care Alliance (SCCA) medical oncologists who specialize in melanoma: Dr. Shailender Bhatia and Dr. John Thompson. Their editorial addresses the state of immunotherapy drugs, specifically PD-1 blockade, in the treatment of melanoma.

11-Apr-2016 4:05 PM EDT
Could a Brain “Growth Chart” Spot Attention Problems Early? New Study Suggests So
Michigan Medicine - University of Michigan

New research suggests that it might be possible to create a growth chart of brain networks that could identify early signs of attention difficulties and, potentially, attention deficit hyperactivity disorder.

8-Apr-2016 4:05 PM EDT
Multifaceted Quality Improvement Intervention Does Not Reduce Risk of Death in ICUs
JAMA - Journal of the American Medical Association

Implementation of a multifaceted quality improvement intervention with daily checklists, goal setting, and clinician prompting did not reduce in-hospital mortality compared with routine care among critically ill patients treated in intensive care units (ICUs) in Brazil, according to a study appearing in the April 12 issue of JAMA.

8-Apr-2016 4:05 PM EDT
Physicians’ Knowledge About FDA Approval Standards for ‘Breakthrough Therapy’
JAMA - Journal of the American Medical Association

In a study appearing in the April 12 issue of JAMA, Aaron S. Kesselheim, M.D., J.D., M.P.H., of Brigham and Women's Hospital, Boston, and colleagues surveyed internists and specialists to examine their knowledge about Food and Drug Administration (FDA) approval standards and perceptions of the “breakthrough therapy” designation.

8-Apr-2016 4:05 PM EDT
Decrease in Air Pollution Associated With Decrease in Respiratory Symptoms Among Children
JAMA - Journal of the American Medical Association

Decreases in ambient air pollution levels over the past 20 years in Southern California were associated with significant reductions in bronchitic symptoms in children with and without asthma, according to a study appearing in the April 12 issue of JAMA.

Released: 7-Apr-2016 3:05 PM EDT
Most Patients Likely to See Reductions in Pain and Disability after Bariatric Surgery; Study Identifies Who Benefits Most
University of Pittsburgh Medical Center (UPMC)

In the three years following bariatric surgery, the majority of patients experienced an improvement in pain and walking ability, as well as a lessening of the degree to which back or leg pain interfered with work, according a University of Pittsburgh Graduate School of Public Health-led analysis of a multi-site clinical study published today (April 5) in the Journal of the American Medical Association.

5-Apr-2016 1:00 PM EDT
“Liquid Biopsy” Blood Test Accurately Detects Key Genetic Mutations in Most Common Form of Lung Cancer, Study Finds
Dana-Farber Cancer Institute

A simple blood test can rapidly and accurately detect mutations in two key genes in non-small cell lung tumors, researchers at Dana-Farber Cancer Institute and other institutions report in a new study – demonstrating the test’s potential as a clinical tool for identifying patients who can benefit from drugs targeting those mutations.

1-Apr-2016 1:05 PM EDT
Sugar Shock: Insulin Costs Tripled in 10 Years, Study Finds
Michigan Medicine - University of Michigan

People with diabetes who rely on insulin have seen the cost of that drug triple in just a decade, a new study finds -- even as doctors have prescribed higher doses to drive down their blood sugar levels. Meanwhile, the cost of other diabetes drugs has stayed about the same or even gone down.

29-Mar-2016 4:05 PM EDT
Short Overnight Fasting Linked to Increased Risk of Breast Cancer Recurrence
UC San Diego Health

In patients with breast cancer, a short overnight fast of less than 13 hours was associated with a statistically significant, 36 percent higher risk of breast cancer recurrence and a non-significant, 21 percent higher probability of death from the disease compared to patients who fasted 13 or more hours per night, report University of California, San Diego School of Medicine researchers.

30-Mar-2016 11:00 AM EDT
Urine Test Improves Prediction of High-Grade Prostate Cancer
Columbia University Irving Medical Center

A study in JAMA Oncology online showed that an experimental urine test that detects genetic changes associated with prostate cancer identified 92 percent of men with elevated PSA levels who had more aggressive disease.

Released: 25-Mar-2016 8:05 AM EDT
Study Uncovers Genetic Differences for Kidney Cancer That May Contribute to Survival Disparity in African-Americans
University of North Carolina Health Care System

A University of North Carolina Lineberger Comprehensive Cancer Center-led study has identified genetic differences in tumors of African-Americans with the most common type of kidney cancer compared with whites.

Released: 23-Mar-2016 10:00 AM EDT
UAMS Researcher Advances Family Involvement With Critically Ill Child
University of Arkansas for Medical Sciences

Family presence when a child is undergoing tracheal intubation in a pediatric intensive care unit (PICU) can safely be implemented as part of a family-centered care model, reported a research team led by a University of Arkansas for Medical Sciences (UAMS) professor in the March 7 issue of JAMA Pediatrics.

18-Mar-2016 2:30 PM EDT
More Elderly Using Dangerous Drug Combinations
University of Illinois Chicago

One in six older adults now regularly use potentially deadly combinations of prescription and over-the-counter medications and dietary supplements -- a two-fold increase over a five-year period.

18-Mar-2016 9:00 AM EDT
Antipsychotic Drugs Linked to Increased Mortality Among Parkinson’s Disease Patients
Perelman School of Medicine at the University of Pennsylvania

At least half of Parkinson’s disease patients experience psychosis at some point during the course of their illness, and physicians commonly prescribe antipsychotic drugs, such as quetiapine, to treat the condition. However, a new study by researchers at the Perelman School of Medicine at the University of Pennsylvania, the University of Michigan Medical School, and the Philadelphia and Ann Arbor Veterans Affairs (VA) Medical Centers and suggests that these drugs may do significantly more harm in a subset of patients.

Released: 18-Mar-2016 2:05 PM EDT
Penn Researchers Show Rising Opioid Prescriptions Following Low-Risk Surgeries
Perelman School of Medicine at the University of Pennsylvania

Physicians are prescribing more opioid painkillers than ever before to patients undergoing common surgeries, according to new research from the department of Anesthesiology and Critical Care at the Perelman School of Medicine at the University of Pennsylvania. Their work is published online this week in JAMA simultaneously with a major new guideline from the Centers for Disease Control and Prevention (CDC) that calls on physicians to avoid over-prescription of opioids for surgical patients and other patients with painful conditions.



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