Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for July 2009. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Lupus Patients Exhibit Lower Response to Flu Vaccine
FRIDAY, July 31 (HealthDay News) -- Patients with systemic lupus erythematosus (SLE) may be more susceptible to influenza infection after vaccination because of impaired cell-mediated and antibody responses, according to a study in the August issue of Arthritis & Rheumatism.
Blood Biochemical May Predict Severe Osteoarthritis
FRIDAY, July 31 (HealthDay News) -- The serum level of soluble vascular cell adhesion molecule 1 (VCAM-1), a biochemical thought to be associated with cartilage damage and inflammation in osteoarthritis, offers clinicians the first biochemical predictor of the development of severe osteoarthritis, according to a study in the August issue of Arthritis & Rheumatism.
Electronic Disease Surveillance Systems Vary Widely
FRIDAY, July 31 (HealthDay News) -- Electronic disease surveillance systems vary widely from state to state and the lack of homogeneity will raise the cost of data sharing, according to a study published in the July 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
U.S. Health Data Network a Powerful Tool for Quality
FRIDAY, July 31 (HealthDay News) -- The U.S. health care system is on the verge of a new era in which distributed health data networks will assure local control of sensitive individual patient data, while providing medical researchers and policy makers access to powerful aggregate data on millions of patients, according to a pair of articles in the September 1 issue of the Annals of Internal Medicine.
Higher Rheumatoid Arthritis Burden Seen in Poorer Nations
THURSDAY, July 30 (HealthDay News) -- The burden of rheumatoid arthritis appears to be greater in less affluent countries compared to wealthier countries, according to research published online July 30 in the Annals of the Rheumatic Diseases.
Risk Factors May Predict Fast Knee Cartilage Loss
TUESDAY, July 28 (HealthDay News) -- In patients with no or minimal structural osteoarthritis, baseline factors including overweight and obesity are strong predictors of significant fast tibiofemoral cartilage loss, according to a study published online July 27 in Radiology.
Review Shows Benefits of Massage in Low Back Pain
FRIDAY, July 24 (HealthDay News) -- Massage may offer long-lasting benefits in individuals with subacute or chronic nonspecific low back pain, according to research published in the July 15 issue of Spine.
Methods to Determine Health Care Priorities Questioned
FRIDAY, July 23 (HealthDay News) -- Evaluating health care priorities based on the attitudes of patients (direct method) or the attitudes of the general public (indirect method) can produce different results, complicating decisions on the allocation of health care resources, according to two papers published July 22 in BMJ.
Camera Phones Can Help Doctors Make Rare Diagnoses
FRIDAY, July 24 (HealthDay News) -- A pregnant patient with an uncommon nipple condition captured images of the transient changes to her nipples and gave them to her doctor, enabling an accurate diagnosis, according to an article published online July 22 in BMJ.
Some Improvements Seen in Hip Fracture Pain Practices
THURSDAY, July 23 (HealthDay News) -- In older adults with hip fractures, pain assessment and management practices in emergency departments have improved since new standards were issued by the Joint Commission on Accreditation of Healthcare Organizations, but the level of care still does not consistently meet best practice guidelines, according to a study published in the July Journal of Emergency Nursing.
Treatment Can Reduce Bone Turnover in Prostate Cancer
THURSDAY, July 23 (HealthDay News) -- Treatment of bone metastases in prostate cancer patients with denosumab, which blocks bone resorption, reduces bone turnover compared with bisphosphonates, according to a study in the August issue of the Journal of Urology.
Hormonal Contraceptives Can Be Safe for Many With Lupus
WEDNESDAY, July 22 (HealthDay News) -- The use of hormonal contraception appears to be appropriate in many women with lupus, according to research published in the August issue of Obstetrics & Gynecology.
Obesity Rates Highest Among African-American Population
FRIDAY, July 17 (HealthDay News) -- The prevalence of obesity is far higher among African-Americans than Caucasians in America, and Hispanics also have significantly higher obesity rates, according to a study published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Godelive Denys-Struyf Method Useful for Low Back Pain
TUESDAY, July 14 (HealthDay News) -- The muscular and articular Godelive Denys-Struyf method of physical therapy, named after its developer, a Belgian kinesiotherapist, is more effective for the treatment of nonspecific lower back pain than conventional physical therapy, according to a study published in the July 1 issue of Spine.
Variety of B. burgdorferi Genotypes Seen in Joint Fluid
MONDAY, July 13 (HealthDay News) -- Most Borrelia burgdorferi genotypes were found in the joint fluid of a group of patients with Lyme arthritis, though some strains were seen most often in patients with antibiotic-refractory arthritis, according to research published in the July issue of Arthritis & Rheumatism.
Anti-TNF Monoclonal Antibody Therapy Linked to Tuberculosis
MONDAY, July 13 (HealthDay News) Anti-tumor necrosis factor (anti-TNF) monoclonal antibody therapy is associated with a higher risk of tuberculosis than soluble TNF receptor therapy, according to research published in the July issue of Arthritis & Rheumatism.
Obesity Rates for American Adults Still Going Up
THURSDAY, July 9 (HealthDay News) -- At least 25 percent of the adult population in 32 states is now obese, and national prevalence of obesity has risen from 25.6 percent in 2007 to 26.1 percent in 2008, according to a July 8 report by the U.S. Centers for Disease Control and Prevention (CDC).
More Complications After Joint Replacement With Diabetes
THURSDAY, July 9 (HealthDay News) -- Patients with uncontrolled diabetes are at higher risk of complications and mortality after knee or hip total joint arthroplasty than patients with controlled diabetes, according to research published in the July 1 Journal of Bone & Joint Surgery.
One-Fifth of Patients Aged 60 to 69 Have Spinal Stenosis
THURSDAY, July 9 (HealthDay News) -- The prevalence of lumbar spinal stenosis (LSS) increases with age, and almost one-fifth of patients aged 60 to 69 years have absolute stenosis, putting them at greater risk for lower back pain, according to a study published in the July issue of The Spine Journal.
Gene-Therapy Death Shows Monitoring Importance
THURSDAY, July 9 (HealthDay News) -- A widely publicized death of a young woman who was taking part in a phase 1-2 gene-therapy study of rheumatoid arthritis underscores the risk of opportunistic infections in such patients and the importance of having a well-designed monitoring plan when such patients become ill, according to a brief report in the July 9 New England Journal of Medicine.
Parental Autoimmune Disease Linked to Autism in Children
MONDAY, July 6 (HealthDay News) -- A family history of some autoimmune diseases may be associated with an increased risk of autism spectrum disorders and infantile autism in children, according to a study published online July 6 in Pediatrics.
Hip Screening Methods for Later Arthritis Weighed
MONDAY, July 6 (HealthDay News) -- Screening of all newborns for hip dysplasia with a physical exam, along with ultrasound for high-risk infants, appears to be the best of three options for improving the chance of having a non-arthritic hip later in life, according to research published in the July 1 issue of the Journal of Bone & Joint Surgery.
Bone Loss Process Not Clear in Hypercalciuria, Kidney Stones
THURSDAY, July 2 (HealthDay News) -- Bone loss in patients with hypercalciuria and nephrolithiasis results from a poorly understood breakdown of the body's mineral metabolism involving the kidneys, the intestines and the bones themselves, according to a literature review reported in the July issue of Urology.
Spine Surgeons Faulted in Elderly Screenings
THURSDAY, July 2 (HealthDay News) -- In elderly patients, many spine surgeons may be unwilling to perform routine osteoporosis or osteomalacia workups despite the high incidence of these conditions in this population, according to a study published in the July issue of The Spine Journal.
Needle Treatment May Help Calcific Shoulder Tendonitis
WEDNESDAY, July 1 (HealthDay News) -- Percutaneous ultrasound-guided treatment of rotator cuff calcific tendonitis may provide rapid improvement of shoulder function and relief of pain, according to research published in the July issue of Radiology.
Priorities Set for Comparative Effectiveness Research
WEDNESDAY, July 1 (HealthDay News) -- The extent to which large-scale public investment in comparative effectiveness research can achieve its goals of better decision making and improved uptake of new knowledge depends on engaging the medical profession and patients, according to recommendations by the Institute of Medicine published online June 30 in the Annals of Internal Medicine.
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