Study links one-third of cancer deaths in U.S. to cigarettes | FamilyDoctor.org offers patients a host of resources on how to quit smoking. | Untreated clots in cancer patients linked to greater risk of bleeding complications
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December 10, 2014
Family Medicine SmartBrief
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Study links one-third of cancer deaths in U.S. to cigarettes
American Cancer Society data showed about a third of U.S. cancer deaths are linked to cigarette smoking, and researchers said reducing smoking rates should be a top public health priority. The study, published in the Annals of Epidemiology, did not include deaths from secondhand smoke or from use of other tobacco products, such as cigars and smokeless tobacco. HealthDay News (12/9)
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Recent research confirms nonnutritive sweeteners safe, efficacious
Research, including randomized clinical trials, a meta-analysis, position and scientific statements, and other studies, further confirm the safety and efficacious use of nonnutritive sweeteners as part of a healthy eating plan for weight loss and maintenance and glycemic control. Access brief synopses and citations for this research here.
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Untreated clots in cancer patients linked to greater risk of bleeding complications
Patients with cancer who have untreated venous thromboembolism have a higher risk for recurrent VTE than those who received either low molecular weight heparin or vitamin k agonists, according to a study presented at the American Society of Hematology meeting. Recurrent VTE occurred in 6.2% of patients treated with LMWH, in 6.4% of those treated with vitamin K agonists and in 12% of those not receiving treatment. Healio (free registration)/HemOnc Today (12/9)
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Gestational diabetes treatment not tied to improved BMI in children
Children born to mothers treated for mild gestational diabetes did not show significant differences in the frequencies of high body mass index or cardiometabolic markers compared with those whose mothers who were not treated, a study indicated. However, lower fasting blood glucose levels were observed in female offspring of treated mothers, researchers reported in Diabetes Care. PhysiciansBriefing.com/HealthDay News (12/8)
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Study ties preeclampsia to childhood autism, developmental delay
Mothers of children with either developmental delay or autism were more likely to have suffered severe preeclampsia, placental insufficiency or both during pregnancy than mothers who had typically developing offspring, according to a study in JAMA Pediatrics. Medical News Today (12/9)
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How Physicians Can Use Technology To Bring A Mega Group To Life
In an increasingly complex business environment, U.S. Physicians are banding together into mega groups that gain leverage with payers without sacrificing independence. Innovative technology platforms are playing a major role in making it happen. One leading mega-group shares its story in this whitepaper.

Practice Management
Physicians learn how to counsel patients about exercise
Physicians are writing prescriptions for exercise, counseling patients on how much physical activity is needed and sometimes making referrals to a fitness trainer. The Exercise is Medicine program, overseen by the American College of Sports Medicine, trains physicians to counsel patients, and the college also issues certifications for qualified trainers. The Wall Street Journal (tiered subscription model) (12/8)
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CMS video provides information on ICD-10
A video was recently released by the CMS to answer questions about the ICD-10 implementation scheduled for October 2015. Among the topics covered are basic information about the coding system, how ICD-10 differs from ICD-9, ICD-10 code structures and resources for coders. BeckersHospitalReview.com (12/9)
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You want to sell your business, and you want to ensure that you get the best possible price. By taking 7 simple steps, you can dramatically improve your chances of attracting buyers and getting big bucks for your business. Read the article and learn the 7 steps.

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Health Policy & Legislation
HHS recognizes efforts to improve care with $36M in funding
More than $36 million has been awarded by HHS to over 1,000 health care centers in the U.S. The funding, which recognizes efforts to advance patient care, including use of EHRs, will be used to finance further infrastructure, systems and overall patient care improvement. The Hill (12/9)
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Professional Issues & Trends
Languages spoken by U.S. medical residents, patients may not match up
A study in the Journal of the American Medical Association found 80% of applying medical residents cited proficiency in at least one language other than English, including Spanish, Hindi, French, Urdu and Arabic. However, researchers said these languages don't always match up with languages most commonly spoken by patients with limited English, including Spanish, Vietnamese, Korean and Tagalog. HealthDay News (12/9)
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Studies: Schedule restrictions did not boost outcomes
Restrictions placed on intern and resident work schedules did not improve patient mortality, rates of readmission or inpatient safety among Medicare beneficiaries, according to one study. Another report showed no changes in mortality or illness among surgery patients. The findings were published in the Journal of the American Medical Association. HealthDay News (12/9)
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Inside the AAFP
Direct primary care doc sets record straight
Fresh Perspectives
Critics say direct primary care is unaffordable for many patients and the model will worsen the primary care shortage. In the latest Fresh Perspectives blog post, DPC physician Ryan Neuhofel, D.O., M.P.H., takes issue with both of these claims.
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SmartQuote
Respect your efforts, respect yourself. Self-respect leads to self-discipline. When you have both firmly under your belt, that's real power."
-- Clint Eastwood,
American actor and filmmaker
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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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