CDC: Many more older US adults to have Alzheimer's, related dementias by 2060 | American Family Physician has compiled a collection of articles on dementia and related issues including Alzheimer's. | High gluten intake in pregnancy ups diabetes risk in children
September 21, 2018
Family Medicine SmartBrief
Top Story
CDC: Many more older US adults to have Alzheimer's, related dementias by 2060
A CDC report in Alzheimer's & Dementia: The Journal of the Alzheimer's Association predicted that the number of US adults ages 65 and older with Alzheimer's disease and other related dementias will rise from 5 million, or 1.6% of the population, in 2014, to 13.9 million, or 3.3% of the population, in 2060, with the greatest increase expected among Hispanics and dementia remaining more prevalent among women. Researchers associated the estimated increased prevalence of Alzheimer's and other dementias with prolonged life spans and a growing minority population.
CBS News (9/20),  U.S. News & World Report (9/20) 
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Clinical News
High gluten intake in pregnancy ups diabetes risk in children
Researchers reported in The BMJ that every 10-gram increase in a mother's daily intake of gluten during pregnancy was associated with a proportional increase in a child's risk of developing type 1 diabetes. The findings, based on data from nearly 64,000 pregnant women, showed those with the highest gluten consumption were at a twofold higher risk of having a child with type 1 diabetes, compared with those with the lowest intake.
HealthDay News (9/20) 
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Sleep apnea tied to increased mortality risk in babies with CHD
Researchers found that infants with congenital heart disease who had central sleep apnea were at four times greater risk of in-hospital mortality. The study in the Journal of Clinical Sleep Medicine said hospital stays were longer for these infants.
HealthDay News (9/20) 
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Practice Management
Report outlines 3 care models for dual-eligibles
A report from America's Health Insurance Plans outlines three types of care models that it says offer coordinated care and address the unique needs of beneficiaries who are eligible for Medicare and Medicaid. Dual-Eligible Special Needs Plans, Medicare-Medicaid Plans and Programs of All-Inclusive Care for the Elderly can help offer more integrated care models to meet the complex needs of dual-eligibles, the report said.
Health Payer Intelligence (9/18) 
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Health Policy & Legislation
CMS plans new value-based payment models
CMS Administrator Seema Verma said the agency will be unveiling new payment models centered on high-cost areas such as cancer, chronic disease and end-stage renal disease care as part of ongoing efforts to advance value-based care. HHS Secretary Alex Azar said some of the models could be mandatory. The agencies noted health care providers can expect reduced regulatory burdens and more effective quality measures, but they must be willing to increase their share of risk.
Healthcare Finance (9/20) 
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Many UN countries will not meet well-being goals, report says
A report in The Lancet found more than half of the 193 United Nations member states that signed on to the Sustainable Development Goals blueprint will fail to reach targets to reduce premature deaths from cancer, cardiovascular disease, chronic respiratory disease and diabetes by 2030. The goals include 17 target categories in areas such as poverty, hunger, quality education, good health and well-being.
CNN (9/21) 
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FDA chief concerned about teen marijuana use
FDA Commissioner Scott Gottlieb said he is more concerned about increased regular marijuana use among teens than he is about adolescents using e-cigarettes. Regular marijuana use is "going to create a different set of risks," Gottlieb said.
CNBC (9/20) 
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Proposed rule on info blocking submitted to OMB
The Office of Management and Budget this week received the proposed rule on information blocking under the 21st Century Cures Act, which includes updates to requirements of EHR certification, certification of health IT for pediatric providers and optional adoption of the Trusted Exchange Framework and Common Agreement. Health care organizations will receive a $1 million fine from the Office of Inspector General for every instance of information blocking.
FierceHealthcare (9/19) 
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Professional Issues & Trends
Hospital costs could be cut by $2B if patients follow prescriptions
Half of people who have been prescribed a drug do not take it properly, and getting patients to adhere to prescriptions could reduce annual hospital costs by $2 billion by 2025, according to the National Council for Behavioral Health's Medical Director Institute.
FierceHealthcare (9/20) 
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Inside the AAFP
Register for FMX online by Oct. 2
Register for FMX online by Oct. 2
Time is running out to register for the 2018 AAFP Family Medicine Experience, Oct. 9-13 in New Orleans. Online registration closes Oct. 2 and will resume on-site. Register now.
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AAFP CareerLink - Connecting Family Physicians and Employers
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What is freedom of expression? Without the freedom to offend, it ceases to exist.
Salman Rushdie,
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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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