The elasticity of malignant soft-tissue masses differs significantly from that of benign masses, making shear-wave elastography an accurate diagnostic tool along with ultrasound imaging, researchers reported online in Radiology. Researchers compared ultrasound with and without MRI with shear-wave elastography and found the latter improved ultrasound's diagnostic accuracy in masses initially diagnosed as benign or probably benign.
Patients given carotid ultrasound pictures showing their subclinical atherosclerosis, followed by a phone call from a nurse to confirm their understanding, had lower cardiovascular risk scores at one year compared with patients who did not get the information, according to a study in The Lancet. Patients in the intervention arm of the study had greater increases in the use of lipid-lowering medication and greater decreases in LDL cholesterol.
The use of telehealth across the US rose from 6.6% in 2013 to 21.6% in 2016, but telehealth access was least likely among low-income, rural and Medicaid patients, according to a study in Health Affairs. Researchers suggested that the low adoption of telehealth among underserved populations may be due to their inadequate access to remote care providers.
Practices can take several steps to improve their conversations and interactions with patients around bills, such as prompting them to pay by offering them a choice of payment methods, rather than simply asking them if they want to pay their bill now. Practices should also have a designated person that is well-trained on billing to handle all staff and patient questions.
A study presented at the American Heart Association Scientific Sessions showed that patients with type 1 diabetes and coronary artery calcium scores of 0 were at a reduced risk for cardiovascular disease events, while those with scores over 100 had an increased risk of CVD and major adverse cardiovascular events. Findings were based on 1,205 patients from the Diabetes Control and Complications Trial and the Epidemiology of Diabetes Interventions and Complications study.
Researchers evaluated data from 38 children with type 2 diabetes, mean age of 13 at diagnosis, and found that 61% had nonalcoholic steatohepatitis, 26% had nonalcoholic fatty liver disease but not NASH and 13% had borderline NASH, with 26% of NASH patients showing signs of advanced fibrosis. The findings in Pediatric Diabetes revealed that children with an NAFLD activity score of at least 4 had higher triglyceride levels and higher mean A1C levels, compared with those whose NAFLD activity scores were 4 or less.
The FDA has released the De Novo Classification Proposed Rule to clarify and streamline its de novo pathway by outlining processes and criteria for reviewing novel low- to moderate-risk devices. The rule, which is open to public comment, is expected to encourage greater use of the pathway.
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