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.
Gain the Most In Demand Skills in Health Care GW's School of Medicine Health Sciences connects you with leading authorities in policy and health care in Washington, D.C. With programs in clinical research, health care quality and regulatory affairs, you gain the most in demand skills. Learn More
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
To different minds, the same world is a hell, and a heaven.
Ralph Waldo Emerson, writer
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