Report shows link between obesity, cancer | Aspirin Tx tied to lower acute COPD exacerbation risk | American Family Physician editors have created a collection of articles related to chronic obstructive pulmonary disease.
A World Cancer Research Fund report showed an association between obesity and an increased risk of 12 cancers, including breast, esophagus, gallbladder, kidney and liver cancers. The report also recommends being physically active; limiting consumption of fast food, high-fat products, red and processed meats, alcohol and sugar; and eating a diet rich in beans, fruit, whole grains and vegetables to reduce cancer risks.
A study presented at the American Thoracic Society's annual conference found aspirin therapy was associated with an 18% lower risk of acute exacerbation of chronic obstructive pulmonary disease. The findings were based on 495 patients with COPD who were on aspirin therapy and 495 patients with the disease who were not on the therapy.
Individuals with depression were prone to greater cognitive decline in older adulthood than those who didn't have depression, researchers reported in the journal Psychological Medicine. The findings, based on a systematic review of 34 studies involving more than 71,000 people, underscore the importance of treating depression, researcher Amber John said.
Patients with type 1 diabetes taking multiple daily insulin injections who used continuous glucose monitoring spent less time with daytime and nocturnal hypoglycemia and had an improved hypoglycemia-related confidence in social situations, compared with those who used self-measurement, according to a study in Diabetes Technology & Therapeutics. Researchers used a cohort of 161 patients and found increased confidence in the ability to avoid serious problems related to hypoglycemia and take preventive action among those in the CGM group, compared with the self-measurement group.
South Asians in the US have higher proportional mortality rates from atherosclerotic cardiovascular disease than other Asian groups and non-Hispanic whites, according to a scientific statement from the American Heart Association that was published in Circulation. Researchers evaluated current literature related to South Asian populations and found that although South Asians did not have any unique risk factors, most of the risk is attributed to a higher prevalence of known risk factors, such as those associated with insulin resistance.
A study published in Molecular Autism found no association between mercury levels in mothers who ate fish and the risk of autism or autistic traits in children. "Our findings further endorse the safety of eating fish during pregnancy," researcher Jean Golding said.
A study in Diabetic Medicine, based on follow-up from the SEARCH for Diabetes in Youth study, found that young adults with type 2 diabetes tend to have worse glycemic control and would benefit from personalized programs and policies to help them transition from pediatric to adult care. Shivani Agarwal, M.D., of the University of Pennsylvania, said most primary care clinicians will care for these patients as they make the transition, but "the adult medical field is not trained in youth-onset type 2 diabetes and likely underestimates how at risk this population really is."
Oregon began expanding access to costly hepatitis C treatments in January to include coverage for patients in the lower stages of fibrosis, according to Dana Hargunani, chief medical officer for the Oregon Health Authority. The state has one of the highest per capita hepatitis C mortality rates in the country.
Sen. Bob Casey, D-Pa., the ranking Democrat on the Senate Aging Committee, is working with the committee chairwoman, Sen. Susan Collins, R-Maine, on bills to help seniors obtain Medicare coverage for methadone treatment if they become addicted to opioids. Physicians and nurses should have the equipment needed to sufficiently treat their patients because they are best suited to assess and manage pain, said emergency department physician Charles Pattavina, who testified before the committee.
The Healthcare Access and Quality index varied significantly across 195 countries, territories and subnational locations, from a high of 97.1 in Iceland to a low of 18.6 in the Central African Republic, according to a study in The Lancet. Researchers analyzed the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 and found that "alongside initiatives to strengthen public health programs, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view -- and subsequent provision -- of quality health care for all populations."
Don't wait to collect data for 2018. Map your action plan today with help from the AAFP. Download the 2018 MIPS Playbook and the FPM article on six things you need to know about the 2018 performance period.
Men are accused for not knowing their own weakness, yet, perhaps, as few know their own strength. It is in men as in soils, where sometimes there is a vein of gold, which the owner knows not of.
Jonathan Swift, writer and cleric
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.
Mailing Address: 11400 Tomahawk Creek Parkway
Leawood, KS 66211-2680