Low-dose aspirin linked with increased survival of gastrointestinal cancer | Study links high blood pressure to increased risk of type 2 diabetes | Study: Computer-aided detection uncovers no more cancer than traditional mammography
October 1, 2015
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Low-dose aspirin linked with increased survival of gastrointestinal cancer
Aspirin (Tim Boyle/Getty Images)
Researchers in the Netherlands analyzed data on about 13,700 patients with gastrointestinal tract cancers and found that daily low-dose aspirin following diagnosis was associated with a five-year overall survival rate of 75%, compared with just more than 40% without aspirin. Forty-eight percent of patients in the study had cancer of the colon, while 42.8% had cancer of the rectum and 10.2% of the esophagus. The findings were reported at the annual European Cancer Congress. A randomized, controlled trial is now assessing the approach. Medscape (free registration) (9/27), HealthDay News (9/28)
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Study links high blood pressure to increased risk of type 2 diabetes
People with high blood pressure had a 60% increased risk of developing type 2 diabetes, but the association was weaker with increased age and body mass index, according to a study in the Journal of the American College of Cardiology. Researchers evaluated health records of 4 million people who had no diabetes and cardiovascular disease at baseline and also analyzed 30 previous studies on the risk factors of diabetes. Diabetes.co.uk (U.K.) (9/29)
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Study: Computer-aided detection uncovers no more cancer than traditional mammography
A study published in JAMA Internal Medicine found that computer-aided detection, a common and costly tool meant to help clinicians spot lesions in mammography, did not affect cancer detection. "What I would say to women is that when going for a mammogram, they should certainly want to go to high-quality health centers. But whether a center is using [computer-aided detection] or not is not a relevant factor in assessing quality," said researcher Constance Lehman. She noted that computer-aided detection may still help radiologists reduce evaluation time and improve workflow. HealthDay News (9/28)
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Meta-analysis examines postoperative mortality with inflammatory bowel diseases
A meta-analysis of studies involving 143,028 patients found that overall mortality rates among patients with inflammatory bowel disease were about five to eight times higher after emergency intestinal resection, compared with elective surgery. Researchers found a 5.3% and 3.6% mortality rate for ulcerative colitis and Crohn's disease, respectively, after emergency intestinal resection, compared with 0.6% to 0.7% following elective resection. The findings were reported in the journal Gastroenterology. Family Practice News (10/1)
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Nursing is changing. Are you ready?
Drexel University, a leader in Nursing Education for over 130 years, is proud to offer dedicated nurses the opportunity to further their education, specialize their clinical skills, and advance their careers. Drexel graduates learn an advanced skillset from the same dedicated faculty as on-campus. Nurses can choose from over 30 elite specializations available online. Learn More.
Trends & TechnologiesAdvertisement
How the US is preparing for projected nurse shortages
The health care industry is facing significant projected shortages of registered nurses and advanced practice registered nurses that are expected to deepen through 2030. ANA economist Peter McMenamin said nursing graduation rates have fallen with decreases in Title VIII funding. Peter Buerhaus of the Center for Interdisciplinary Health Workforce Studies said projections of shortages are causing worries about an already squeezed nursing workforce. Barriers to educating more nurses include lower salaries in academia than clinical practice, McMenamin said. Healthline (9/28)
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Taking a pause after a patient dies helps hospital workers cope
Nurse Jonathan Bartels, who has emergency and palliative care experience, said pausing or taking a moment for reflection after a patient dies helps health care professionals relate and accept loss. The idea of a pause is now part of the University of Virginia's nursing school curriculum. Kaiser Health News (9/28)
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Health care industry transitions to ICD-10
The health care industry is adopting the ICD-10 coding system today. Procedure codes are expanding from 14,000 to 70,000 for providers and from 4,000 to 72,000 for hospitals. Experts said hiccups are inevitable, and increases in claim denials are expected. Medscape (free registration) (10/1), Healthcare Finance News (9/28), The Wall Street Journal (tiered subscription model) (9/27), RevCycle Intelligence (9/29)
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Meet the new members of your Magnet team at booth 1030!
Do you have a vendor all lined up for your upcoming electronic submission? Stop by and request a demo of our proven electronic Magnet submission tool. Our tool is branded for your hospital, meets ANCC guidelines and has proven success. We'll see you at booth 1030!
Legislative Policy & Regulatory News
HHS asked by Senate committee leaders to postpone stage 3 MU
A letter was sent by Sens. John Thune, R-S.D., and Lamar Alexander, R-Tenn., to HHS Secretary Sylvia Mathews Burwell asking that the agency postpone the implementation of stage 3 meaningful use and instead phase in the final stage as the other stages of the program are successfully implemented. The senators noted that only 40% of eligible hospitals and 12% of eligible physicians have complied with the complex requirements of stage 2 MU. "Pausing the Stage 3 rules will also enable the department to ensure its final rules align with the new payment models created by the Medicare Access and CHIP Reauthorization Act, which created the Merit-Based Incentive Payment System," the senators wrote, joining 116 House members who have also called for delayed implementation of stage 3 MU. Health Data Management (9/30)
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HHS awards $685M in grants to improve care coordination
Universities, state health departments, health care systems and professional groups will share $685 million from HHS to increase collaborative care and better manage patients with chronic conditions. The grants will be used for education, training, and investment in health IT, quality improvement and coordination of care programs and are part of a larger initiative to transform the health care system to one that rewards outcomes. The Wall Street Journal (tiered subscription model) (9/29), Modern Healthcare (tiered subscription model) (9/29)
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WHO guidance recommends antiretroviral drugs for all with HIV
The World Health Organization says all people with HIV should receive antiretroviral drugs once a diagnosis is confirmed. The new guidelines would expand treatment to an additional 9 million people worldwide. The New York Times (free-article access for SmartBrief readers) (9/30), Reuters (9/30)
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Make sure you have the new Essentials of Nursing Practice Package as a resource
Get the newest, most advanced thinking on how to deal with the challenges of the profession in an ethical, socially responsible manner, guided by standards of practice. Order your copy today!
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