Researchers compare diabetes prevalence between men, women | Study ties varicoceles to higher risks of heart, metabolic diseases | Heart disease risk tied to high-sugar diet, researchers say
December 5, 2017
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Researchers compare diabetes prevalence between men, women
The overall crude diabetes prevalence across ethnic groups was 6.9% among men and 3.7% in women, with the difference persisting after standardizing for age, body mass index, lifestyle factors and socioeconomic status, according to a study in Diabetic Medicine. Researchers analyzed data from the UK Biobank involving 489,079 adults ages 40 to 69 and found that in a subgroup analysis of South Asian participants, Bangladeshi men had the highest prevalence of diabetes, followed by Pakistani and Indian men, compared with women.
Healio (free registration)/Endocrine Today (12/4) 
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Study ties varicoceles to higher risks of heart, metabolic diseases
A study in Andrology found men with varicoceles, or enlarged veins in the scrotum, particularly those with symptoms, were more likely to have heart disease than those without the condition. The findings, based on medical insurance records for 4,400 men with enlarged scrotal veins and thousands of men without the condition, also showed an association between the condition and an increased risk of metabolic disease, such as hyperlipidemia and diabetes.
HealthDay News (12/1) 
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Heart disease risk tied to high-sugar diet, researchers say
Researchers analyzed data from old and new studies and found that diets containing more than 25% of calories from added sugars were associated with a threefold increased risk for cardiovascular mortality, compared with diets containing less than 10% of calories from added sugars. The findings, published in Open Heart, showed that added sugars may lead to the development of chronic heart disease and other CV complications via insulin resistance.
Diabetes (UK) (12/4) 
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Study: Cardioprotective effects of exercise are immediate, enduring
One or a handful of exercise sessions train the heart and coronary arteries to endure brief periods of ischemia, minimizing infarct size and ventricular arrhythmia, researchers reported in JAMA Cardiology. The findings suggest that having able patients undergo a few sessions of exercise before a planned cardiac intervention might reduce in-hospital mortality and morbidity.
MedPage Today (free registration) (11/30) 
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Neonatal vitamin D deficiency tied to increased ASD risk in childhood
Chinese researchers found that infants in the lowest quartile of vitamin D levels at birth were 260% more likely to develop autism spectrum disorders by age 3, while those in the second and third quartiles had a 150% and 90% increased ASD risk, respectively, compared with those in the highest quartile. The findings in the Journal of Bone and Mineral Research were based on data involving 27,940 Chinese newborns.
Business Standard (India) (tiered subscription model)/Asian News International (11/30) 
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Pharmaceutical News
Teamwork with specialty pharmacy improves affordability, access to HCV drugs
A study in the Journal of the American Pharmacists Association found that when specialty pharmacies, providers and patients collaborated on hepatitis C care, denial rates for direct-acting antivirals dropped, clinical outcomes improved and patients were more easily able to obtain financial assistance. "It is critical for specialty pharmacies to be able to collaborate with DAA prescribers and have systems in place to promote access and affordability to DAA therapy for patients," wrote Julia Zhu, lead author of the study.
Healio (free registration)/HCVnext (11/28) 
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Heart, stroke risk protection claims of Amgen's Repatha OK'd by FDA
The FDA granted approval to Amgen to change the prescribing label of its cholesterol drug Repatha to add that the drug can reduce the risk of heart attack and stroke. The drug reduced heart attack risk by 27% and stroke risk by 21% in a study of more than 27,500 patients released in March.
Reuters (12/1) 
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Emerging Trends, Products and Technologies
More NPs specializing in nursing home-based care
A University of Pennsylvania study of Medicare billing data showed the number of nurse practitioners, physicians and physician assistants with a specific focus on nursing home-based care increased by more than one-third from 2012 to 2015. Researchers said 21% of all advanced practitioners and physicians doing any work in nursing homes specialize in nursing home care.
Healthcare Finance News (12/1) 
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Congenital syphilis increase tied to lack of prenatal care
Rates of congenital syphilis are increasing in the US, with 15.7 cases per 100,000 live births. Dr. Joseph Bocchini Jr. of Louisiana State University told the 2017 Infectious Diseases in Children Symposium that most women who give birth to infants with congenital syphilis either did not have prenatal care or had late prenatal case, or had the disease diagnosed too late in pregnancy to complete therapy, representing a failure in the health care system to identify and treat infected pregnant women.
Healio (free registration)/Infectious Diseases in Children (11/29) 
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Health Policy and Legislative News
CMS considering new payment models for expensive drugs
CMS considering new payment models for expensive drugs
Verma (Nicholas Kamm/AFP/Getty Images)
CMS Administrator Seema Verma said the government is considering new payment models to reduce costs for Medicare and Medicaid coverage of novel gene-based treatments and other breakthrough medical therapies with very high price tags. "We are trying to do whatever we can to increase competition and give the (health insurance) plans more tools so that they can be better negotiators on our behalf," Verma noted, adding that methods under consideration include paying different prices for a single drug based on its effectiveness in treating a particular illness, and extending the payment of an extremely high-cost drug over a longer period of time instead of paying immediately after it is given to a patient.
Reuters (11/30) 
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AANP News
New CE article in JNP on listeriosis
The ANCC-accredited CE article in the November-December issue of JNP is "Listeriosis: A Resurfacing Menace." A review of the literature, pathophysiology, epidemiology, clinical presentation, prevention, diagnosis and treatment options is presented, as well as the role of the primary care provider in prevention, patient education, and clinical management.
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AANP 2018 Health Policy Conference -- Keynote Speakers & Draft Agenda
If you haven't done so yet, we encourage you to register for the 2018 Health Policy Conference. There are still seats available, but we are on pace to sell out once again! Please join your fellow NPs to hear government and industry experts as they discuss the priorities of Congress and the Trump Administration and their potential impact on NPs and patients. The conference culminates on Tuesday, February 6, with attendees meeting with members of Congress and their staff on Capitol Hill. AANP will make the appointments for you and provide you with all the tools you need for a successful meeting. The 2018 Health Policy Conference Draft Agenda is available on the AANP conference website. Register now! The Hyatt Regency Washington on Capitol Hill is the site for the AANP 2018 Health Policy Conference, including all housing. The special conference rate of $229.00 plus applicable taxes (currently 14.5%, subject to change) is based on single/double occupancy. Make your reservation now.
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You will succeed if you persevere, and you will find a joy in overcoming obstacles, a delight in climbing rugged paths, which you would perhaps never know if you did not sometime slip backward.
Helen Keller,
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