September 2013 Briefing - PulmonologyLast Updated: October 01, 2013.
Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for September 2013. 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.
Lower National Health Spending Due to Slow Economy
MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.
Only One-Third of Voters Think Congress Should Delay ACA
MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.
Medicare, Medicaid Will Still Run If Government Shuts Down
MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.
Mobile Devices Can Facilitate Universal Vital Sign Monitoring
MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.
DOL Clarifies Employer Health Insurance Notification Duty
MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.
Practical Tips Offered for Medical Employee Satisfaction
FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.
Health Worker Roles Impacted When 'Undervalued' by Patients
FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.
HEALTH REFORM: ACA Impact on Medicare Recipients Unclear
FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.
Bioinformatics Approach IDs Approved Drugs for Repurposing
FRIDAY, Sept. 27 (HealthDay News) -- Bioinformatics-based drug approaches have identified U.S. Food and Drug Administration-approved drugs and a novel class of molecules that can be repurposed to treat patients with small cell lung cancer (SCLC), according to research published online Sept. 26 in Cancer Discovery.
Social Media May Make Quitting Smoking Easier
FRIDAY, Sept. 27 (HealthDay News) -- People who participate in health issue-specific social networking sites find it easier to quit smoking, according to research published online Sept. 16 in the Journal of Communication.
CDC: Flu Shot Coverage of Health Care Personnel Increasing
THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
HEALTH REFORM: Medicaid Expansion Will Up Coverage
THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.
More Options, Lower Premiums With Insurance Exchanges
WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.
HEALTH REFORM: Exchanges Offer Options for the Uninsured
WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.
ACP Provides Overview of Health Insurance Marketplaces
WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.
HEALTH REFORM: Health Care Reform a Mixed Bag for Workers
TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.
FDA Gives Final Guidance on Mobile Medical App Oversight
TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.
Marriage Shown to Provide Cancer Survival Benefit
TUESDAY, Sept. 24 (HealthDay News) -- Unmarried patients are at significantly higher risk of presentation with metastatic cancer, undertreatment, and cancer-related death, according to a study published online Sept. 23 in the Journal of Clinical Oncology.
ACP Releases Guideline for Obstructive Sleep Apnea
TUESDAY, Sept. 24 (HealthDay News) -- The American College of Physicians (ACP) has developed a clinical practice guideline for the management of obstructive sleep apnea (OSA) in adults; the guideline has been published online Sept. 24 in the Annals of Internal Medicine.
FDA Issues Final Rule for Device Identification System
MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.
HEALTH REFORM: Young People Likely to Be Key to Success
MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.
HEALTH REFORM: Health Care Exchanges Going Into Effect
MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.
Majority of U.S. Consumers Want Full Access to EMR
MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.
CDC: Evocative Campaign Motivates Smokers to Quit
THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
New Medicaid Enrollees Under ACA May Be Healthier
THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.
Millions Are Harmed by Unsafe Medical Care Each Year
THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.
Pros and Cons of Shortening Medical School Discussed
THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.
Enhanced Care Program Set Up at Six Mayo Clinic Hospitals
WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.
EHR Systems Meeting Meaningful Use Criteria Beneficial
WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
Varenicline Safe and Effective in Those With Depression
WEDNESDAY, Sept. 18 (HealthDay News) -- Varenicline can increase smoking cessation rates in smokers with stable depression, without worsening depression or anxiety, according to a study published in the Sept. 17 issue of the Annals of Internal Medicine.
Payment for Routine Office Visits Varies Substantially
WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.
More Than 1.6 Million Americans Expected to Get Cancer in 2013
TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.
More Than 150 Measles Cases in U.S. Through August 2013
MONDAY, Sept. 16 (HealthDay News) -- From Jan. 1 to Aug. 24, 2013, there were 159 cases of measles in 16 states in the United States, mainly resulting from eight outbreaks, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Residual Sleep Apnea Common After Adenotonsillectomy
FRIDAY, Sept. 13 (HealthDay News) -- For children younger than 3 years with obstructive sleep apnea (OSA), residual OSA is relatively common after adenotonsillectomy (T&A), according to a study published online Sept. 12 in JAMA Otolaryngology-Head & Neck Surgery.
Mindfulness Training Beneficial for Clinicians, Patients
THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.
Radiographic Findings Mirror Clinical Severity in H7N9 Flu
TUESDAY, Sept. 10 (HealthDay News) -- In patients with novel avian-origin influenza A H7N9 virus infection, radiological findings mirror the severity of the clinical presentation, according to a study published in the September issue of Radiology.
About Half of Health Care Providers Are 'Digital Omnivores'
TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.
Treatment in Critical Care Often Perceived As Futile
TUESDAY, Sept. 10 (HealthDay News) -- Intensive care unit (ICU) treatment is frequently perceived as futile by critical care specialists, and entails considerable costs, according to a study published online Sept. 9 in JAMA Internal Medicine.
'Meaningful Use' Achievement Not Uniform Across Hospitals
MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.
Program Helps Patients Quit Smoking Before Surgery
MONDAY, Sept. 9 (HealthDay News) -- A smoking cessation intervention offered in a preadmission clinic is associated with decreased rates of smoking on the day of surgery and 30 days postoperatively, according to research published in the September issue of Anesthesia & Analgesia.
E-Cigarettes Modestly Effective for Helping Smokers Quit
MONDAY, Sept. 9 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are modestly effective for helping smokers quit; and, a three-month television antismoking campaign is effective for increasing quit attempts, according to two studies published online Sept. 9 in The Lancet.
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Most Physicians Report Being Satisfied With Career Choice
MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.
More Asthma Hospitalizations in Middle-Aged Women Than Men
FRIDAY, Sept. 6 (HealthDay News) -- In the fifth to sixth decades of life, women have a significantly higher hospitalization rates for asthma compared to men, according to research published in the September issue of the Annals of Allergy, Asthma & Immunology.
Gestational Diabetes Tied to Increased Sleep Apnea Risk
FRIDAY, Sept. 6 (HealthDay News) -- There is a strong association between gestational diabetes mellitus (GDM) and obstructive sleep apnea (OSA), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.
Arsenic Exposure Tied to Decreased Lung Function
FRIDAY, Sept. 6 (HealthDay News) -- Arsenic exposure in drinking water is associated with impaired lung function, according to a study published online July 12 in the American Journal of Respiratory and Critical Care Medicine.
Low-Dose CT Lung Screening More Sensitive Than Radiography
WEDNESDAY, Sept. 4 (HealthDay News) -- Low-dose computed tomography (CT) lung screening is more sensitive than radiography, and predictors of cancer on low-dose CT have been identified, according to two studies published in the Sept. 5 issue of the New England Journal of Medicine.
Major Health Care-Linked Infections Cost $9.8 Billion
WEDNESDAY, Sept. 4 (HealthDay News) -- The total annual cost associated with the five major health care-associated infections (HAIs) is $9.8 billion, according to a meta-analysis published online Sept. 2 in JAMA Internal Medicine.
Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy
TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.
Male-Female Physician Earnings Gap Has Persisted for 20 Years
TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.
Workaholics Have Poorer Physical and Mental Health
MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.
Employer-Based Health Insurance Premiums Rose Modestly in 2013
MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.
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