Hospice Compare website goes live to the public | Women who use oral contraceptives may have reduced RA risk, study finds | Increased risk for rare form of diabetes tied to family history of diabetes
August 18, 2017
Family Medicine SmartBrief
Top Story
Hospice Compare website goes live to the public
The CMS launched its Hospice Compare website this week, including data from almost 4,000 hospice providers and covering seven quality measures on hospice and palliative care that are endorsed by the National Quality Forum. An AAFP policy statement notes that family physicians are in a position to provide leadership in hospice care and serve as medical staff or medical directors.
AAFP News (8/17),  McKnight's Long-Term Care News online (8/17),  Home Health Care News (8/16),  MedPage Today (free registration) (8/17) 
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Clinical News
Women who use oral contraceptives may have reduced RA risk, study finds
A Swedish study in Annals of the Rheumatic Diseases found women who used oral contraceptives were at a 13% lower risk of rheumatoid arthritis, compared with non-users. The findings, based on 4,129 controls and 2,578 women with rheumatoid arthritis who tested positive for anticitrullinated protein antibodies, also showed that use of oral contraceptives for at least seven years was associated with 19% lower odds of developing the disease.
Family Practice News (8/17) 
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Increased risk for rare form of diabetes tied to family history of diabetes
Individuals who had first- or second-degree relatives with either type 1 or type 2 diabetes were at a twofold increased risk of developing latent autoimmune diabetes of adults, a rare form of type 1 diabetes, according to a study in Diabetes and Metabolism. Swedish researchers analyzed data on a previous study involving more than 3,000 people and found that those with LADA were more likely to be carriers of a high-risk genotype known as DR4-DQ8, which was common among those with a family history of type 1 diabetes, but were less likely to carry a low-risk genotype called DRX/X, compared with people with type 2 diabetes.
Diabetes.co.uk (U.K.) (8/14) 
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Research looks at effect of physical activity on metabolic syndrome risk
A study in Metabolism: Clinical and Experimental showed that each 10 metabolic equivalent hours per week increase in physical activity was associated with an 8% reduced risk for incident metabolic syndrome. Chinese researchers analyzed data from 18 studies involving 76,699 adults and found that those who met the public health recommendation of 150 minutes per week of moderate physical activity reduced their risk for developing metabolic syndrome by 10%, compared with inactive participants.
Healio (free registration)/Endocrine Today (8/16) 
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Probiotic plus immunotherapy may help treat pediatric peanut allergy
Eighty-two percent of children with peanut allergy who received the probiotic Lactobacillus rhamnosus with oral peanut immunotherapy once a day for 18 months were tolerant to peanuts one month after treatment ended, compared with only 4% of those who received placebo, Australian researchers reported in The Lancet Child & Adolescent Health. The findings also showed four-year peanut desensitization among 70% of those who received the treatment combo.
Xinhua News Agency (China) (8/17),  The Guardian (London)/Australian Associated Press (8/16) 
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Parents of hospitalized youths may benefit from coping support
A review in Pediatrics found that coping support interventions significantly reduced parents' anxiety and stress, but not depression, during their children's hospitalizations. Researchers said more studies are needed to determine the benefits of such interventions for youths.
Physician's Briefing/HealthDay News (8/17) 
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Practice Management
Study: Telemedicine may lead to more office visits
Researchers from the University of Wisconsin found a 6% increase in office visits among practices that have adopted electronic visit programs because many doctors feel the need to see telemedicine patients in person, causing them to spend an additional 45 minutes on those visits. The study, based on health care encounters between 90 clinicians and more than 140,000 patients over five years, said e-visit programs also reduced the number of new patients seen each month by 15% and did not contribute any "observable improvement in patient health" between users and nonusers.
Healthcare IT News (8/16) 
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Many clinicians can open 3 or more EHR records at once, study finds
A study in the Journal of the American Medical Informatics Association showed that 44.3% of inpatient and outpatient facilities have EHR systems that allow clinicians to open three or more patient records at a time, while 38.3% allow only one record to be open at a time and 17.4% allow two records to be open at once. Researchers suggested that hospitals may reduce the risk of documentation errors by limiting the number of patient records that clinicians can open at once.
Becker's Hospital Review (8/15) 
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Health Policy & Legislation
AAFP seeks preventive health coverage requirements for insurers
The AAFP has asked the CMS to require all health plans to cover all preventive services with an "A" or "B" recommendation from the US Preventive Services Task Force. The letter, sent in response to a resolution passed in 2016 by the AAFP Congress of Delegates, said, "Prevention policies and programs can be cost-effective, reduce health care costs and improve productivity."
AAFP News (8/17) 
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Professional Issues & Trends
US health centers get $105M to improve quality of care
Almost $105 million was awarded by HHS to 1,333 US health centers to use to improve quality of care, efficiency and effectiveness.
Healthcare Informatics online (8/16) 
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Inside the AAFP
Register now for MACRA conference
Register now for MACRA conference
Earn CME and prepare for the Medicare Access and CHIP Reauthorization Act's Quality Payment Program by attending the Making Sense of MACRA Conference. Join AAFP MACRA experts as they guide you through the process of reporting quality measures, pursuing improvement activities, advancing care information in MIPS and more. Register now and save.
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AAFP’s Annual Meeting | Last Chance to Register Online
Online registration closes September 5 for the 2017 AAFP Family Medicine Experience. Don't miss out on the AAFP's largest annual meeting where you can earn up to 26.75 Live CME credits and network with family medicine colleagues. Register for FMX online.
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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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