Study: Older adults would consider stopping cancer screenings | Survey: People with advanced illness open to stopping statins | Palliative care puts focus on living better
June 16, 2017
Hospice and Palliative Medicine SmartBrief
News for physicians caring for the seriously ill
Top Story
Study: Older adults would consider stopping cancer screenings
Older adults indicated they would consider stopping cancer screenings, especially those who had a high level of trust in their clinician, according to interviews with a group of people ages 65 years or older, 47.5% of whom had an estimated life expectancy of less than 10 years. The report, in JAMA Internal Medicine, found many people supported using age and health status to inform screening decisions, but a majority did not support a Choosing Wisely statement recommending against screening for cancer in people with limited life expectancy.
Healio (free registration) (6/13) 
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Demonstrate Your Commitment to Quality!
Accreditation Commission for Health Care (ACHC) is pleased to announce its new Distinction in Palliative Care. Designed to complement ACHC Home Health, Hospice, or Private Duty Accreditation, this Distinction features a comprehensive, on-site evaluation of palliative care services. Learn more!
Palliative & Hospice Care Update
Survey: People with advanced illness open to stopping statins
A survey of 297 patients with advanced, life-limiting medical conditions found 3.4% said stopping statin treatment meant their physician was giving up on them, researchers reported in the Journal of Palliative Medicine. The survey found 62.6% said stopping statins could lead to benefits such as lower medication costs, and 24.6% said it could result in better quality of life.
Medscape (free registration) (6/13) 
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Other News
Patient & Family Perspective
Minn. cities launch advance care planning initiative
The Honoring Choices Minnesota Advance Care Planning program for Faribault and Owatonna began with The Convenings, a public event that included conversations about living and dying well. The initiative promotes advance directives for end-of-life care.
SouthernMinn (Northfield, Minn.)/Owatonna (Minn.) People's Press (6/14) 
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Medical Research
Study: Bright-light therapy may reduce fibromyalgia symptoms
A study presented at a sleep conference found using morning bright-light treatment as an adjunctive treatment for fibromyalgia may help reduce pain sensitivity and improve function. Researchers found improvement gained from morning bright-light therapy was similar to that from cognitive-behavioral therapy and about half of what is gained from intense exercise therapy.
Medscape (free registration) (6/13) 
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Study ties aspirin use to increased serious bleeding risk among elderly
A 10-year study in the Lancet found daily intake of aspirin for preventing recurrent cardiovascular events was associated with an increased risk of serious and fatal bleeding complications among patients over the age of 75, with the risk significantly increasing with age. Researchers, whose findings were based on 3,166 British patients, suggest routine use of proton pump inhibitors to reduce the bleeding risk.
Reuters (6/13),  MedPage Today (free registration) (6/13) 
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Preclinical brain amyloid elevation could signal future cognitive decline
Researchers who examined PET, cerebrospinal fluid and cognitive testing data from 445 cognitively healthy adults with an average age of 74 found that 32.2% of those with elevated brain amyloid levels at baseline had symptoms associated with early-stage Alzheimer's disease at four years and 88.2% had developed symptoms at 10 years. Although no effective preclinical interventions are available, the findings in the Journal of the American Medical Association could be applied to educate and help families plan for future illness, researchers said.
Health Imaging online (6/14),  AuntMinnie (free registration) (6/13) 
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Health Policy & Practice
Report: Wash. leads US in long-term services and supports
Washington state ranks highest and Minnesota is No. 2 for long-term services and supports, according to a report from AARP, Commonwealth Fund and the SCAN Foundation. Indiana ranks last in the report, which looked at factors such as affordability, quality of care and family caregiver support.
Senior Housing News (6/14) 
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CMS tracks US hospital care spending growth
CMS: Report tracks US hospital care spending growth
(Christopher Furlong/Getty Images)
A report from the CMS Office of the Actuary showed total hospital services spending grew nearly threefold from 1991 to 2014, with annual growth rates ranging from 3.8% in the District of Columbia to 7.9% in Idaho. Per capita health care spending in Medicaid expansion and non-expansion states climbed by 4.4% and 4.5%, respectively, which the report attributed to increased coverage in expansion states and higher spending growth per insured person in non-expansion states, the report said.
Healthcare Finance News (6/15) 
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Trends & Technology
Calif. hospital uses technology to help reduce patient falls
El Camino Hospital in Silicon Valley used machine learning and prescriptive analytics technology to help reduce its patient fall rate by 39%. The technology can help predict when a patient is at increased risk of a fall by analyzing data from multiple sources, including electronic medical records, bed alarms and call lights.
HealthLeaders Media (6/13) 
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AAHPM among Best Palliative Care Blogs of 2017
The AAHPM blog and AAHPM's public facing site, Palliative Doctors, were named two of the Best Palliative Care Blogs of 2017 by Healthline! The top blogs were identified by their efforts to actively educate, inspire, and empower their readers with updates and high-quality information. View our blog and the other winners at
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Review articles from the recent issue of JPSM
The June issue of the Journal of Pain and Symptom Management (JPSM) is now available. Read the highlights at
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There are two men inside the artist -- the poet and the craftsman. One is born a poet; one becomes a craftsman.
Emile Zola,
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Job Mart
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Palliative Care position in Syracuse, NY
BANNER HEALTH - Greater Phoenix and Tucson, AZ
PALLIATIVE CARE – Banner MD Anderson Cancer Center
Hospice Physician Opportunity- Charlotte, NC
Palliative Care Physician
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