CRC rates, mortality increase among young white patients | Study finds FluMist was ineffective in 2015-16 flu season | Adverse cardiometabolic traits tied to local corticosteroid use
August 10, 2017
Family Medicine SmartBrief
Top Story
CRC rates, mortality increase among young white patients
Colorectal cancer deaths among white patients under age 55 have increased, but they have decreased among blacks in the same age group, according to a research letter in the Journal of the American Medical Association. The CRC incidence rate among younger white patients also has increased, but has remained stable among blacks.
CBS News (8/8),  Kaiser Health News (8/8),  Healio (free registration)/HemOnc Today (8/8) 
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Clinical News
Study finds FluMist was ineffective in 2015-16 flu season
Researchers found that the live attenuated influenza vaccine FluMist was only 5% effective in children ages 2 to 17 during the 2015-16 flu season, compared with 60% for the inactivated flu vaccine. The findings follow a recommendation from the Advisory Committee of Immunization Practices not to use the live attenuated vaccine for the 2016-17 season.
Physician's Briefing/HealthDay News (8/9),  MedPage Today (free registration) (8/9) 
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Adverse cardiometabolic traits tied to local corticosteroid use
A study in The Journal of Clinical Endocrinology & Metabolism found adults who used local corticosteroids, particularly systemic and inhaled types, had greater risks for adverse cardiometabolic traits, including higher BMI and metabolic syndrome. The findings, based on data for 140,879 participants in the Lifelines Cohort Study, showed the association was more pronounced among women.
Healio (free registration)/Endocrine Today (8/7) 
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Gestational diabetes plus PCOS raises postpartum diabetes risk
A study in Diabetic Medicine found polycystic ovary syndrome was linked to a higher risk of postpartum incident diabetes for women with gestational diabetes, but not for those who did not have gestational diabetes. Researchers said the results suggest women with gestational diabetes and PCSO are candidates for postpartum monitoring and risk reduction.
Healio (free registration)/Endocrine Today (8/9) 
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Practice Management
FPM article provides guidance on MIPS quality measures
An article in Family Practice Management provides details on the CMS' new Quality Payment Program that can help guide family physicians. The article focuses on how physicians can boost their success in the Merit-based Incentive Payment System by understanding the program's nuances. For instance, the strategic selection of quality measures is critical if participants want to maximize their scores and payments.
AAFP News (8/9) 
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Physicians can apply for QPP hardship exception online
Physicians can apply online for CMS' Quality Payment Program hardship exception for the 2017 transition year. Clinicians eligible for the Merit-based Incentive Payment System can apply for an exception on the grounds of insufficient internet connectivity, extreme and uncontrollable circumstances, or lack of control over the availability of certified electronic health record technology.
AAFP News (8/9) 
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Plans call for ramping up Human Diagnosis Project
Human Dx said it will partner with seven US medical institutions to scale up usage of its artificial intelligence platform, the Human Diagnosis Project, which lets primary care physicians use an online portal to get advice from specialists on complex patient cases. The goal is to recruit 100,000 specialists over five years to reduce the US specialty care gap.
Wired magazine (8/2017) 
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Health Policy & Legislation
Senators plan bill to strengthen physician training program
Two US senators plan to introduce a bill to reauthorize and strengthen the Teaching Health Centers Graduate Medical Education Program. Sen. Susan Collins, R-Maine, said the bill is aimed at increasing the number of primary care physicians in the US.
U.S. News & World Report/The Associated Press (8/8) 
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Senate passes bill that would protect privacy of opioid abuse patients
Jessie's Law, a bill that would allow a patient's history of opioid abuse to be clearly displayed in EHRs and other medical records "only at a patient's request," is now awaiting approval from the House Committee on Energy and Commerce after the Senate passed it last week. Sponsored by Sen. Joe Manchin, D-W. Va., the bill highlights the importance of protecting patient privacy and would direct the HHS to educate health care providers and state agencies about necessary best practices.
Health IT Security (8/8) 
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Professional Issues & Trends
Hospitals might not give patients quality info on nursing homes
A study in the journal Health Affairs found few Medicare patients who required transfers to a nursing home were given information by their hospital about the quality of care at available facilities. Researchers noted hospitals said they did not provide the information owing to patients' choice concerns and legal restrictions.
Reuters (8/7) 
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Inside the AAFP
Health care is a right that must extend to everyone
Health care is a right that must extend to everyone
Gary LeRoy, M.D., writes in the latest Leader Voices Blog post that health care must be seen as a basic human right that is necessary for the preservation of dignity, social worth, health and even life.
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Ready for your Boards? The AAFP can help.
Ready for your Boards? The AAFP can help.
The AAFP offers AAFP Board Review resources in formats to fit your learning style and your schedule, including self-study packages, live courses and FP Comprehensive Board-topic questions. Choose the best Board Review for family physicians. Choose the AAFP.
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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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