CDC: Boost in HIV testing linked to drop in mother-to-child transmissions | Increased CAD risk tied to genetic hyperglycemia, study finds | Glucocorticoid injections offer limited help for back pain
March 22, 2017
Family Medicine SmartBrief
Top Story
CDC: Boost in HIV testing linked to drop in mother-to-child transmissions
CDC researchers found that infants born with HIV in the US declined from 216 in 2002 to 69 in 2013, due in part to increasing HIV testing rates among women. The findings in JAMA Pediatrics also showed that 38% of perinatal HIV cases were from Florida, Georgia, Louisiana, Maryland and Texas. (3/20),  HealthDay News (3/20) 
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Clinical News
Increased CAD risk tied to genetic hyperglycemia, study finds
Researchers found that a 1 mmol/L increase in fasting glucose was associated with a 43% increased risk of developing coronary artery disease among patients with a genetic predisposition for hyperglycemia, independent of type 2 diabetes and other CAD risk factors. The findings in Diabetes Care revealed no association between the risk for type 2 diabetes and the 12 fasting glucose-raising genetic variants.
Healio (free registration)/Endocrine Today (3/21) 
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Glucocorticoid injections offer limited help for back pain
More patients with discopathy-related lower back pain reported relief from one intradiscal glucocorticoid injection at one month, compared with those who did not get an injection, but at one year there was no difference between the groups in pain intensity or other health outcomes, researchers said. The study in the Annals of Internal Medicine found both groups had similar rates of adverse events.
Medscape (free registration) (3/21) 
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Diet, exercise program yields weight loss for patients with NAFLD
An intervention that included diet, exercise and health education helped patients with and without fatty liver disease lose weight and reduce levels of alanine aminotransferase, researchers reported at the Emerging Trends in Non-Alcoholic Fatty Liver Disease conference. The study, which assessed the University of Michigan Metabolic Fitness Program, found 22.5% of patients overall and 27.3% of the NAFLD group lost 5% of their baseline weight.
Healio (free registration) (3/20) 
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Experts: Exercise is good for pregnant women, fetuses
Experts and researchers agree that pregnant women and fetuses benefit from regular exercise, which can help prevent excessive weight gain during pregnancy and complications during pregnancy and childbirth. Experts, writing in a viewpoint published in the Journal of the American Medical Association, said that moderation is the goal and cautioned against certain more vigorous exercises that may not be safe for pregnant women.
National Public Radio (3/21) 
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Practice Management
Family physicians have opportunity to educate parents about antibiotics
Primary care physicians have opportunities to educate parents who have misconceptions about using antibiotics for respiratory infections, researchers wrote in the Annals of Family Medicine. Survey data showed 78% of parents did not recall having a discussion with their physician about potential antibiotic harms.
Healio (free registration) (3/21) 
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Spending is lower for practices that handle many high-need patients
Spending is lower for practices that handle many high-need patients.
(Carsten Koall/Getty Images)
A study in the journal Health Affairs found that primary care practices with a greater proportion of high-need patients tend to spend less and have lower utilization of services. The authors said practices that are accustomed to working with high-need patients "might have structural advantages or have developed specialized approaches to serve this population."
Physician's Briefing/HealthDay News (3/16) 
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Health Policy & Legislation
ACA study shows variations in access, affordability, quality
A study in Milbank Quarterly assessing the Affordable Care Act found variations in emergency department access, health care affordability and health care quality, based on income and race. The study analyzed data from the "Patients' Perspectives on Health Care in the United States" survey.
MedPage Today (free registration) (3/17) 
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MAP calls for HHS to remove 51 quality measures
The National Quality Forum's Measure Applications Partnership recommended HHS consider removing 51 ineffective measures used by seven federal health care public reporting and quality programs. The public-private partnership group also made recommendations for improving measure sets in nine federal programs.
Healthcare Informatics online (3/16) 
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Professional Issues & Trends
Report finds ambiguous guidelines for cancer survivor care
There were ambiguous recommendations in 83% of North American and European guidelines targeted at caring for survivors of nine common cancers, researchers found. The study in JAMA Internal Medicine showed 90% of guidelines called for physical examinations and medical history, 83% recommended imaging, 63% called for endoscopic procedures and 56% included tests for disease biomarkers.
Reuters (3/20) 
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Inside the AAFP
Family Medicine Advocacy Summit | Early bird deadline approaching
AAFP Advocacy Summit
Speak up for family medicine, your patients and your practice in Washington, D.C., May 22-23. Attend the Family Medicine Advocacy Summit (formerly known as the Family Medicine Congressional Conference) to better understand federal advocacy; learn about current priorities for family medicine; and gain practical, hands-on experience in the legislative process -- all in two days. Register by April 7 and save.
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It's a good time to get help ordering vaccine for next flu season
As influenza season winds down, it's not too early to begin planning for the next one. Many flu vaccine makers are able to help by providing planning tools and discounts for physicians who place their orders early. See Family Practice Management's Getting Paid blog for additional details.
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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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