CDC says flu vaccine efficacy rate overall is 45% | USPSTF: Cognitive screening for older adults lacks evidence | Few youths with asthma adhere to inhaled corticosteroid therapy
February 27, 2020
Family Medicine SmartBrief
Top Story
A report in the CDC's Morbidity and Mortality Weekly Report said the influenza vaccine has an overall efficacy rate of 45% against 2019 to 2020 seasonal influenza A and B viruses, with a 55% efficacy rate in children and adolescents ages 6 months to 17 years. The report said antiviral medications are important adjuncts to influenza vaccination.
Full Story: AAFP News (2/26) 
LinkedIn Twitter Facebook Email
Clinical News
The US Preventive Services Task Force this week released a final recommendation statement that says there is insufficient evidence to assess the harms and benefits of screening older adults for cognitive impairment. Even after reviewing updated evidence, the statement is virtually the same as the USPSTF's 2014 recommendation, which the AAFP supported.
Full Story: AAFP News (2/26) 
LinkedIn Twitter Facebook Email
Only 28% of teens and young adults with asthma adhere to inhaled corticosteroid use, with elevated ICS adherence observed among those younger than 18, researchers reported in the Journal of Asthma. The findings, based on a systematic review and meta-analysis of 29 studies involving 187,401 youths with asthma ages 15 to 30, also showed that personality, treatment views and illness perceptions predicted ICS adherence.
Full Story: Pulmonology Advisor (2/25) 
LinkedIn Twitter Facebook Email
Researchers found that only 12% of teens and young adults with HIV who took antiretroviral therapy reached viral suppression after 4.8 months, making them significantly less likely to achieve undetectable viral load levels than adults despite having similar rates of linkage to care. The findings in the Journal of Acquired Immune Deficiency Syndrome, based on data involving 1,411 youths with HIV ages 12 to 24, also showed increased odds of viral suppression among those with immediate care referrals after diagnosis.
Full Story: Healio (free registration)/Infectious Diseases in Children (2/24) 
LinkedIn Twitter Facebook Email
Consuming more than 12 ounces of sugar-sweetened soda or fruit juice daily was associated with a 53% higher risk of having high triglyceride levels and a 98% higher likelihood of having low high-density lipoprotein cholesterol, compared with drinking lesser amounts, according to a study in the Journal of the American Heart Association. Low-calorie sweetened beverages and 100% fruit juice were not linked to negative cholesterol changes.
Full Story: HealthDay News (2/26) 
LinkedIn Twitter Facebook Email
A study published in The Lancet Diabetes & Endocrinology showed that metformin improves the clinical status of patients using glucocorticoid, a steroid used to treat chronic inflammatory diseases, by reducing its unwanted side effects such as loss of bone and muscle mass and higher blood glucose levels. Based on data from 53 patients without diabetes but with CID, the findings also showed that those treated with metformin had a 30% reduction in the rate of infections and lower hospital admissions, compared to those treated with placebo.
Full Story: The Islander (Kangaroo Island, Australia)/Australian Associated Press (2/26) 
LinkedIn Twitter Facebook Email
Practice Management
A study in the Annals of Family Medicine found a 24.2% decrease in primary care visits by insured adults over nine years, and researchers said possible reasons include financial barriers, a lower real or perceived need, and alternative sources of care. "We continue to see the devastating effects of delaying or declining prescribed medications and needed treatments because patients can't afford them," said AAFP President Gary LeRoy, M.D., citing the report in a letter responding to President Donald Trump's State of the Union address.
Full Story: AAFP News (2/26) 
LinkedIn Twitter Facebook Email
Health Policy & Legislation
VP to lead coronavirus response
Trump and Pence (Tasos Katopodis/Getty Images)
President Donald Trump appointed Vice President Mike Pence to lead the government's coronavirus response and said health experts are ready to move quickly if the virus spreads in the US, but he said the risk to the American public remains "very low." CDC officials have confirmed the country's first COVID-19 case that does not involve travel to a region where the virus is spreading or known exposure to a person with the illness.
Full Story: Reuters (2/27),  National Public Radio (2/26),  CNN (2/27) 
LinkedIn Twitter Facebook Email
The Trump administration turned down New York's request to extend its Medicaid Delivery System Reform Incentive Payment waiver through March 2024 after the state requested the extension and an additional $8 billion in funding, according to Gov. Andrew Cuomo. The waiver, which is set to end next month, was designed to enable the state to cut preventable hospitalizations by 25% between 2015 and 2020.
Full Story: Modern Healthcare (tiered subscription model) (2/25) 
LinkedIn Twitter Facebook Email
Professional Issues & Trends
CMS Administrator Seema Verma says she envisions an electronic system for reporting progress on the Merit-based Incentive Payment System using electronic health records to reduce administrative burdens for health care professionals. The plan includes using Fast Healthcare Interoperability Resource standards and application programming interfaces.
Full Story: FierceHealthcare (2/25) 
LinkedIn Twitter Facebook Email
Inside the AAFP
Choose your course -- AND earn credit
Head to St. Louis, Mo., this July for the opportunity to pick from one of two live CME courses offered -- Emergency and Urgent Care or Care of Cardiovascular Conditions. Earn up to 26 AAFP Prescribed credits while enhancing your skills. Register for a course today.
Home Page | AAFP News | AAFP CareerLink
AAFP CME Center | Connect to the AAFP | AAFP Member Advantage
Editor's Note
You might have noticed we have updated our newsletter template. Please let us know what you think by taking this two-minute survey.
LinkedIn Twitter Facebook Email
Updates to Privacy Policy
We want to make sure you are aware of changes to the SmartBrief Privacy Policy, effective Jan. 1, 2020. You can find our updated Privacy Policy here. Some key updates include:
  • New privacy features for Californians' consumer privacy rights under the California Consumer Privacy Act of 2018.
  • Additional information regarding our use of advertising networks and advertising tags.
Thank you for being a valued SmartBrief subscriber.
LinkedIn Twitter Facebook Email
Press ReleasesSponsored Content
  Otitopic Advances Asprihale┬« Into Pivotal PK/PD Study
Post a Press Release
AAFP CareerLink - Connecting Family Physicians and Employers
  Family Medicine Opportunity Southern New Hampshire
  Primary Care Physicians Phoenix Metro Locations
  Family Medicine Program Director
BALLAD HEALTH - Big Stone Gap, Virginia, United States
  Primary Care Physicians
HARFORD HEALTHCARE - Hartford, Massachusetts, United States
  Explore Our Career Opportunities!
UNC HEALTH CARE - North Carolina, United States
  San Diego, CA, opportunity for Family Medicine physician
NORTH COAST FAMILY MEDICAL GROUP - Encinitas, California, United States
  Family Medicine Physicians
MAYO CLINIC - Multiple Locations
  Comprehensive Patient Care Model ~ No RVU/Production Contracts
SCENIC RIVERS HEALTH SERVICES - Cook, Minnesota, United States
View More Listings | Post a Job
An empty canvas is a living wonder -- far lovelier than certain pictures.
Wassily Kandinsky,
painter, art theorist, pioneer of abstract art
LinkedIn Twitter Facebook Email
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
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

Mailing Address: 11400 Tomahawk Creek Parkway
Leawood, KS 66211-2680
SmartBrief publishes more than 200 free industry newsletters - Browse our portfolio
Sign Up  |    Update Profile  |    Advertise with SmartBrief
Unsubscribe  |    Privacy policy
SmartBrief, Inc.®, 555 11th ST NW, Suite 600, Washington, DC 20004