Progression to metabolically unhealthy obesity raises CV risks | Few US teens receive recommended HPV vaccinations early | CDC: Opioid Rx rates tied to higher incidence of abdominal birth defect
January 18, 2019
AANP SmartBrief
News for nurse practitioners
Health Care News
Progression to metabolically unhealthy obesity raises CV risks
A study in the journal Metabolism found the transition from metabolically healthy obesity to metabolically unhealthy obesity raises cardiovascular risk in adults when compared with people who are metabolically healthy and at normal weight. Researchers said primary prevention strategies and vigilance are needed for people with metabolically healthy obesity to prevent the progression to metabolic syndrome and a higher cardiovascular disease risk.
Healio (free registration)/Endocrine Today (1/16) 
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Few US teens receive recommended HPV vaccinations early
Nearly 43.4% of adolescents ages 13 to 17 were given complete human papillomavirus vaccination, but only 15.8% and about 34.8% had received all recommended HPV vaccine doses by ages 13 and 15, respectively, according to a study in the Journal of Infectious Diseases. Researchers also found higher odds of up-to-date HPV vaccination at ages 13 and 15 among those who had one health provider, compared with those with two or more providers.
Becker's Hospital Review (1/17) 
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CDC: Opioid Rx rates tied to higher incidence of abdominal birth defect
Counties with high and medium opioid prescribing rates had 1.6 times and 1.4 times higher prevalence of babies with gastroschisis, respectively, compared with counties with low opioid prescribing rates, CDC researchers reported in the agency's Morbidity and Mortality Weekly Report. The findings, based on data from 2006 to 2015 across 20 states, also showed a 30% increase in infant gastroschisis rates from 2006 to 2012, and while babies born to mothers younger than 20 remained most likely to develop gastroschisis, the greatest gain in prevalence was found among those born to older mothers.
CNN (1/17),  HealthDay News (1/17) 
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Diabetes risk test shows promise for screening babies
A new genetic risk score known as T1DGRS2 appears twice as efficient in predicting risk of developing type 1 diabetes compared with current methods, according to a study in Diabetes Care, and it could be used to predict risk in babies. Researchers analyzed gene interactions and genetic variation in more than 6,500 patients with type 1 diabetes and found that the new test was more accurate and was able to help distinguish between type 1 and type 2 diabetes.
United Press International (1/17) 
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Help patients save up to 80% on their prescriptions
More patients are underinsured or have insurance plans with sky-high deductibles for drug coverage. How can you improve quality when patients can't afford their prescriptions? RetailMeNot Rx Saver can help your patients save up to 80% on their prescriptions. Request your free pharmacy savings kit today!
Pharmaceutical News
Almirall introduces drug for moderate to severe acne vulgaris
Almirall's Seysara, or sarecycline, is available for the treatment of patients ages 9 and older who have inflammatory lesions of non-nodular moderate to severe acne vulgaris.
eMPR (1/17) 
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Study examines safety, efficacy of ertugliflozin in diabetes
German researchers conducted a 104-week double-blind study involving 621 adults with type 2 diabetes inadequately controlled on metformin and found that those who received ertugliflozin experienced reduced fasting plasma glucose, systolic blood pressure and body weight, compared with those on placebo and glimepiride. The findings in Diabetes, Obesity and Metabolism also showed a lower incidence of symptomatic hypoglycemia among those in the ertugliflozin group than the placebo/glimepiride group.
Physician's Briefing/HealthDay News (1/17) 
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Emerging Trends, Products and Technologies
Inappropriate antibiotics in ED prevalent in pediatric bronchiolitis
Researchers found that 69.9% of children younger than 2 who were given antibiotics in emergency departments for bronchiolitis didn't have any documented concomitant bacterial infection, with penicillins and macrolides being the most commonly prescribed antibiotics. The findings in the Journal of the Pediatric Infectious Diseases Society should prompt the implementation of quality improvement interventions, especially in nonpediatric and nonteaching hospitals, researchers wrote.
Physician's Briefing/HealthDay News (1/17) 
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Wearable device studied for detection of pediatric anxiety, depression
Researchers used a common wearable movement sensor to measure physiological responses of 63 children ages 3 to 7 to a 90-second mood induction task with the goal of detecting internalizing disorders, including depression and anxiety. The study, published in PLOS ONE, found that performing a machine learning algorithm-based analysis of just 20 seconds of movement data had an 81% accuracy rate in identifying children with internalizing disorders.
Mashable (1/17),  New Atlas (1/17) 
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Health Policy and Legislative News
CMS unveils proposed standards for 2020 ACA health plans
The CMS unveiled its proposed notice of benefit and payment standards for Affordable Care Act plans for the 2020 coverage year and it includes proposals to lower ACA user fees, allow insurers to adopt midyear prescription formulary changes and increase the annual cost-sharing limit to $8,200 for self-only coverage and $16,400 for family coverage. The agency also asked for comments on how it might address the practice of silver-loading -- concentration of premium increases in silver plans -- and indicated support for a legislative fix enabling cost-sharing reduction payments to resume.
Modern Healthcare (tiered subscription model) (1/17) 
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MedPAC calls for consolidation of Medicare's value-based programs
The Medicare Payment Advisory Commission voted unanimously to recommend the consolidation of hospital quality initiatives into a single program linking Medicare payments to the quality of care, arguing the move would prevent confusion and overlapping requirements. The commission outlined recommendations for a program called the Hospital Value Incentive Program and said it should start in 2020 and increase the payment rate for acute care hospitals by 2% over this year.
Modern Healthcare (tiered subscription model) (1/17) 
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Preconference symposia at HIMSS19
Don't miss the preconference symposia on Feb. 11 in Orlando, Fla., at the 2019 Healthcare Information and Management Systems Society conference (#HIMSS19). Gain insights from industry leaders, share knowledge with peers and take home critical information that will help you to deliver impactful and positive health care services.
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I liked being half-educated; you were so much more surprised at everything when you were ignorant.
Gerald Durrell,
naturalist and television presenter
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