CDC reports record high STD cases in the US in 2015 | American Family Physician has compiled a collection of journal articles related to the screening, diagnosis, prevention and treatment of STDs. | Few patients recovering from trauma use opioids long term
The US saw record high numbers of sexually transmitted disease cases in 2015, partly due to insufficient funding to state and local programs, limiting people's access to testing and treatment, as well as better treatment for HIV that may lead to lower condom use, according to a CDC report. Data show cases of syphilis, gonorrhea and chlamydia rose by 19%, 13% and 6%, respectively, from a previous all-time high in 2014, and that youths younger than 20 accounted for half of all STDs in 2015.
More than half of patients who were discharged after care for major trauma filled prescriptions for narcotic painkiller, but after three months, just 9% continued to refill the prescriptions, according to a study scheduled for discussion at an American College of Surgeons meeting. The findings suggest that severe traumatic injuries are not a major contributor to the US opioid epidemic, but patients who were older, poorer or hospitalized for over two weeks were more likely to continue opiate painkiller use.
A study in Diabetologia found that patients with type 2 diabetes took longer walks when they were told to walk right after each meal and had greater drops in postmeal blood glucose levels, compared with when they walked for 30 minutes a day at any time. A second study in the journal revealed that those whose physical activity levels reached 60 metabolic equivalent of task hours per week had a more than 50% reduction in diabetes risk, compared with those who had lower levels of physical activity.
A Swedish study published in JAMA Oncology found that over 90% of patients with very low risk prostate cancer opt for active surveillance, wherein patients undergo regular blood tests and biopsies, rather than immediate treatment, and the authors say more US patients should follow suit. In the US, immediate treatment is far more common, subjecting men to side effects including erectile and urinary difficulties.
A study in the Journal of General Internal Medicine found no significant improvement in quality of care or error reduction between physicians at primary care clinics that used an intervention based on Healthy Work Place measures and those who did not. Researchers found an association between outcomes and working conditions among clinics that used the Minimizing Error, Maximizing Outcome model, as well as a decreased rate of errors among physicians using the model who had low burnout scores.
A report in the Annals of Internal Medicine identifies five strategies for preventing diagnostic errors, including allowing for enough time for effective communication with patients. Researchers also called for working closely with labs and radiology to interpret complex tests or diagnoses, identifying who will follow up on abnormal test results, establishing agreement among the care team when a diagnosis involves multiple constituents, and encouraging patients to be involved in the process.
Vermont officials want to limit the number of opioid pain pills that can be prescribed based on the severity and duration of a patient's pain. State Health Commissioner Harry Chen said the goal is to reduce variability in how physicians prescribe the drugs.
President Barack Obama said that the Affordable Care Act needs optimization rather than replacement to deal with rising premiums and other challenges, saying "no major social innovation in America has ever worked smoothly at the start." Obama called for states that have not expanded Medicaid eligibility to do so, as well as an expansion of tax credits for exchange enrollees.
The Physician Quality Reporting System is a Medicare pay-for-reporting system that requires physicians to submit quality data about health care services provided to Medicare beneficiaries to CMS. Reporting PQRS quality measures correctly in 2016 means avoiding a 2 percent penalty on 2018 Medicare Part B payments. Learn more during this Nov. 3 webinar.
The minute you're satisfied with where you are, you aren't there anymore.
Tony Gwynn, baseball player
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