CDC data show fewer teens using tobacco products | Study suggests possible CVD prevention role for SGLT2s | Study examines autism symptoms in youths, adults with Tourette's syndrome
June 23, 2017
Family Medicine SmartBrief
Top Story
CDC data show fewer teens using tobacco products
Data published in the CDC's Morbidity and Mortality Weekly Report showed the number of middle- and high-school students that reported using a tobacco product in the previous 30 days decreased from 4.7 million in 2015 to 3.9 million in 2016. Researchers said the decrease was linked to declines in the use of electronic cigarettes.
AAFP News (6/22) 
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Clinical News
Study suggests possible CVD prevention role for SGLT2s
Type 2 diabetes patients with cardiovascular disease who were given sodium glucose cotransporter-2 inhibitors had a 53% lower risk of all-cause mortality at eight months, compared with patients on another glucose-lowering drug, according to a new analysis of data from the CVD REAL study presented at a meeting of the American Diabetes Association. Among patients without CVD, being on an SGLT2 inhibitor was linked to a 46% lower risk of all-cause mortality, researchers said.
Medscape (free registration) (6/20) 
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Study examines autism symptoms in youths, adults with Tourette's syndrome
Researchers found that 22.8% of children and 8.7% of adults with Tourette's syndrome met the criteria for autism, compared with autism rates of 0.3% to 2.9% in the general population. The findings in the Journal of the American Academy of Child and Adolescent Psychiatry suggest that some increase in autism diagnoses among those with Tourette's "may be due to autism-like symptoms, especially repetitive behaviors that are more strongly related to obsessive-compulsive disorder," said researcher Sabrina Darrow.
HealthDay News (6/22),  Xinhua News Agency (China) (6/22) 
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Research suggests best treatments for diabetes patients with osteoporosis
Patients with type 2 diabetes and osteoporosis should be treated with dipeptidyl peptidase-4 inhibitors, glucagonlike peptide-1 receptor agonists, metformin and sulfonylureas because these medications protect the bones, according to a study in The Journal of Clinical Endocrinology and Metabolism. Greek researchers reviewed past studies and guidelines, as well as key journals and abstracts related to diabetes, endocrinology and osteoporosis, and noted that "avoiding strict targets for blood glucose levels is important for jointly managing T2D and osteoporosis for the fear of hypoglycemia, falls and fractures." (U.K.) (6/22) 
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Study: Graded-exercise program may benefit CFS patients
A study in The Lancet suggested a self-help exercise program guided by a physiotherapist who provided phone or online video support may help patients with chronic fatigue syndrome manage symptoms and slowly increase physical activity. Researcher Lucy Clark said the 12-week graded exercise program, designed to provide careful progress so people are not pushed too hard and suffer a setback, was safe and helped reduce fatigue for some people.
HealthDay News (6/22) 
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Childhood cancer survivors more likely to develop cognitive problems
A study in the Journal of the National Cancer Institute found that childhood cancer survivors who underwent chemotherapy had similar long-term memory and concentration test scores but lower results on short-term memory and thinking flexibility tests in young adulthood, compared with healthy controls. The findings also showed that elevated p-Tau protein levels in the brain fluid of cancer survivors predicted later cognitive problems.
HealthDay News (6/20) 
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Practice Management
Study: 70% of FQHC demo sites reach top PCMH status
Data from the Federally Qualified Health Center Advanced Primary Care Practice Demonstration project showed 70% of FQHC demonstration sites reached level 3 patient-centered medical home status at three years, compared with 11% of comparison sites. The study in the New England Journal of Medicine showed more than half of FQHC sites reached that level in the final three months of the study.
Medscape (free registration) (6/22) 
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Health Policy & Legislation
House subcommittee reviews cybersecurity role of HHS
The House Subcommittee on Oversight and Investigations told HHS to focus its cybersecurity efforts on patient safety and protected health information security. "Overall, the health care and public health sector has improved its ability to manage cybersecurity events, including HHS' management of the WannaCry malware that resulted in minimal effect on US health organizations," said Health Subcommittee Chairman Michael Burgess, R-Texas, who added that protecting patient privacy and securing important data need "continuous evaluation and adjustment."
Health IT Security (6/21) 
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Professional Issues & Trends
Study: Black surgery patients have higher readmission risk
A study published in Health Affairs found black surgery patients in fee-for-service Medicare were 33% more likely to have a 30-day hospital readmission than white patients. The study found black patients in Medicare Advantage plans had a 64% greater risk of readmission than white patients.
Health Affairs Blog (6/21) 
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Inside the AAFP
One week left to save big on the AAFP Family Medicine Experience
Register by June 30 to save big on FMX -- the AAFP's largest annual meeting -- where you'll earn CME, make powerful connections and find patient care solutions. Save $200 off the on-site price when you register by the early bird deadline. Learn more and register.
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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