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.
May 25, 2018
Family Medicine SmartBrief
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Report shows link between obesity, cancer
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.
United Press International (5/24) 
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Clinical News
Aspirin Tx tied to lower acute COPD exacerbation risk
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.
MedPage Today (free registration) (5/24) 
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Cognitive decline may be accelerated by depression, review finds
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.
Newsweek (5/24) 
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CGM use tied to improved hypoglycemia in type 1 diabetes, study finds
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.
Endocrinology Advisor (5/24) 
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South Asians in US have higher rates of atherosclerotic CVD mortality
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.
Physician's Briefing/HealthDay News (5/24) 
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No link found between fish during pregnancy and autism
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.
Business Standard (India) (tiered subscription model)/Asian News International (5/22) 
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Practice Management
Transition to adult care is a risky time for youths with type 2 diabetes
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."
Healio (free registration) (5/24) 
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Health Policy & Legislation
Ore. expands coverage for hepatitis C treatment
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.
PBS (5/23) 
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Pa. lawmaker works on bill to aid seniors with opioid addiction
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.
Pittsburgh Post-Gazette (5/23) 
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Professional Issues & Trends
Research finds variation in personal health care access, quality worldwide
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."
Physician's Briefing/HealthDay News (5/24) 
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Inside the AAFP
Are you collecting 2018 MIPS data?
Are you collecting 2018 MIPS data?
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.
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Editor's Note
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In observance of Memorial Day in the US, SmartBrief will not publish Monday. Publication will resume Tuesday.
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AAFP CareerLink - Connecting Family Physicians and Employers
Family Medicine - Surgical OB
RURAL MEDICAL SERVICES, INC. - Newport, Tennessee
Family Practice Physician - Outpatient, $30K Signing Bonus!
BECK & FIELD ASSOCIATES - Minot, North Dakota
Family Medicine Clinician Educators
MEDICAL COLLEGE OF GEORGIA (MCG) AT AUGUSTA UNIVERSITY - Augusta, Georgia
FAMILY MEDICINE OR INTERNAL MEDICINE PHYSICIAN
TEXAS STATE UNIVERSITY - San Marcos, Texas
Family Medicine Physician
KALISPELL REGIONAL HEALTHCARE SYSTEM - 
Primary Care Physicians
STANLEY STREET TREATMENT AND RESOURCES (SSTAR) - Fall River, Massachusetts
Be the Physician of your Dreams!
DESTINATION HEALTH - 
Direct Primary Care/ Family Medicine Physician
GRANTS PASS FAMILY MEDICINE PC - Grants Pass, Oregon
FAMILY MEDICINE PHYSICIAN OPPORTUNITIES IN SOUTHERN CENTRAL CALIFORNIA
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (KAISER PERMANENTE) - Kern County, California
Program Director, Family Practice Residency
ALLEGHENY HEALTH NETWORK - Erie, Pennsylvania
Exciting Family Practice Opportunities!
ALLEGHENY HEALTH NETWORK (AHN) - Various Locations, Pennsylvania
Lead Physician, Full-Time Geriatric opportunity with the Allegheny Health Network
ALLEGHENY HEALTH NETWORK - Pittsburgh, Pennsylvania
Physician, Full Time Geriatrician Opportunity with Allegheny Health Network
ALLEGHENY HEALTH NETWORK - Pittsburgh, Pennsylvania
Internal Medicine and Family Practice Physician
LIVINGSTON HEALTHCARE - Livingston, Montana
  
  
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
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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 http://aafp.org.
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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