CDC reports on increase in US suicide rate | Vitamin D deficiency a risk for youths with diabetes, study finds | Study examines CBT in youths with depression rejecting antidepressants
April 22, 2016
Family Medicine SmartBrief
Top Story
CDC reports on increase in US suicide rate
The rate of suicide in the US rose 24% from 1999 to 2014, resulting in 42,773 deaths in 2014, according to a report from the CDC. Researchers found major increases in suicide rates for white women and Native Americans.
Los Angeles Times (tiered subscription model) (4/21) 
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Care management succeeds when physicians captain the team.
Care management improves outcomes for patients with chronic conditions, but clinical and claims data alone are not enough to identify patients who can benefit. Physicians' knowledge and leadership are the keys to better health and lower rates of hospitalization. Read the article from HFMA, Healthcare Financial Management Association.
Clinical News
Vitamin D deficiency a risk for youths with diabetes, study finds
A study in Diabetes Research and Clinical Practice showed that children and adolescents with type 1 diabetes had a high prevalence of vitamin D deficiency, especially among those who were a healthy weight and Caucasian. The findings were based on 197 youths with diabetes, 23% of whom were overweight and 13% of whom were obese. (U.K.) (4/21) 
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Study examines CBT in youths with depression rejecting antidepressants
A study in Pediatrics found that youths with depression who declined or stopped antidepressant use and participated in a cognitive behavioral therapy program recovered after 22.6 weeks on average, compared with 30 weeks in the control group not in the program. The findings, based on a 2006 to 2012 randomized control trial involving 212 teens with major depression, ages 12 to 18, also showed that 70% of those who had CBT recovered after six months, compared with 43% of those who didn't. News (4/20) 
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Research links PPI use to carriage of antibiotic-resistant bacteria
A Dutch study involving 570 patients found that the use of proton pump inhibitors was associated with a fourfold increased risk of carrying extended-spectrum beta-lactamase-producing enterobacteriaceae, a bacterial strain resistant to penicillin and cephalosporin antibiotics. The findings were presented at the 2016 European Conference of Clinical Microbiology and Infectious Diseases.
Family Practice News (4/21) 
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ED intervention might lower opioid misuse risk
Researchers who evaluated motivational interviewing in the emergency department found that patients targeted with the intervention exhibited a 50% drop in nonmedical opioid use, compared with a 39.5% decrease in nonmedical opioid use for those only given standard care. The 204-patient study in Drug and Alcohol Dependence included patients who reported opioid misuse in the past three months, and it also showed a larger decline in risky behavior among the intervention group.
United Press International (4/20) 
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52% of Americans will suffer effects of unhealthful air, report says
About 20 million people live in areas with unhealthy levels of ozone and short-term and year-round particle pollution, and about 166 million Americans are at risk of lung cancer, asthma, cardiovascular damage, developmental and reproductive damage, or other health problems caused by air pollution, according to an American Lung Association report.
United Press International (4/20) 
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Practice Management
Expert: CIOs, CMIOs can reduce data burden for physicians in EHRs
Health care CIOs, CMIOs and EHR teams should design EHRs to allow the entire care team to better capture data without overburdening physicians, says Rush University Medical Center CMIO Brian Patty. He says when EHR designers are creating note templates, they should consider that the data necessary for meaningful use reporting, performance contract payments and other applications could be entered by other care team members, reducing the documentation burden on physicians.
Healthcare Informatics online (4/15) 
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Health Policy & Legislation
Lawmakers introduce bill to shorten MU reporting period
The Flexibility in Electronic Health Record Reporting Act, a new bill that seeks to reduce the meaningful use reporting period from one year to 90 days, was introduced Wednesday by Sens. Michael Bennet, D-Colo., and Rob Portman, R-Ohio. The legislation aims to help health care professionals adopt new health IT so they can focus on delivering patient care, the senators said.
Health Data Management (4/20) 
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Professional Issues & Trends
Alliance offers updated US physical activity plan
(Darrian Traynor/Getty Images)
A group of health organizations, including the CDC, HHS, American Heart Association and the American Cancer Society, this week issued a new National Physical Activity Plan for getting people to be more physically active. National Physical Activity Plan Alliance Chairman Russell Pate, a professor at the University of South Carolina, said the group wants to spread the message that any movement, even walking around the house, can be beneficial and people just need to get moving more often.
The New York Times (free-article access for SmartBrief readers) (4/20) 
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Inside the AAFP
Ah, nuts: Is Kellogg's putting consumers at risk by adding allergen to food?
Fresh Perspectives
At a time when food allergies are on the rise, Beth Oller, M.D., asks in the latest Fresh Perspectives blog post why a leading food manufacturer would add peanut flour to its products.
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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
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