A study comparing the care delivered to patients coming to hospital emergency departments (EDs) for acute asthma attacks in recent years with data gathered more than 15 years earlier finds inconsistencies in how well hospitals are meeting nationally established treatment guidelines. A team led by Massachusetts General Hospital (MGH) investigators found that, while the achievement of most guidelines defining appropriate pharmacologic treatments for particular patients improved over the study period, hospitals did less well in meeting several other guidelines.
Culture
Washington, DC (October 16, 2014) — In patients with an autoimmune disease that often involves the kidneys, monitoring the blood for autoantibodies may help doctors predict the chance of relapse. The findings are from a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). Such measures may help protect patients' kidney health.
1. Conventional medical centers may be unable to prevent spread of Ebola
HOUSTON – (Oct. 16, 2014) – While most Texans used healthcare.gov earlier this year to get information or to enroll in a health insurance plan under the Affordable Care Act (ACA), larger percentages of Texans found talking to the call center or a navigator was the most helpful. Those are just some of the lessons learned in a report released today by the Episcopal Health Foundation and Rice University's Baker Institute for Public Policy.
Sudden unexpected death in epilepsy (SUDEP) is concerning and many—even those with seizure disorders—may not be aware of this condition. New research published in Epilepsia, a journal published by Wiley on behalf of the International League Against Epilepsy (ILAE), reports that 76% of caregivers are more likely to have heard of SUDEP compared with 65% of patients with epilepsy.
Beijing, 16 October 2014: The use of electronic health care services (versus more traditional methods) to reduce the high incidence of heart disease in China will be debated by leading cardiologists from around the world in Beijing, from 16 to 19 October 2014.
Contrary to current dietary recommendations, slow and steady weight loss does not reduce the amount or rate of weight regain compared with losing weight quickly, new research published in The Lancet Diabetes & Endocrinology has found.
Changing laws to make it more difficult to sue physicians for medical malpractice may not reduce the amount of "defensive medicine" practiced by physicians, according to a new RAND Corporation study.
Studying the behavior of emergency physicians in three states that raised the standard for malpractice in the emergency room to gross negligence, researchers found that strong new legal protections did not translate into less-expensive care.
The findings are published in the Oct. 16 edition of the New England Journal of Medicine.
PHILADELPHIA – Patients with more severe psoriasis are also more likely to have uncontrolled hypertension, according to new research by a team at the Perelman School of Medicine at the University of Pennsylvania. Through a cross-sectional study using information collected from a medical records database, the results provide further evidence of a strong link between psoriasis and hypertension. Full results are now available in JAMA Dermatology.
Bottom Line: Patients with moderate and severe psoriasis have the greatest likelihood of uncontrolled hypertension compared to patients without psoriasis.
Author: Junko Takeshita, M.D., Ph.D., of the University of Pennsylvania Perelman School of Medicine, Philadelphia, and colleagues.
New York, NY, October 16, 2014 – Evidence-based guidelines play an increasing role in setting standards for medical practice and quality but are seldom systematically evaluated in the practice setting. Investigators evaluated the rate of physician adherence to the American Urological Association's (AUA) guidelines on the management of benign prostatic hyperplasia/lower urinary tract symptoms (BPH/LUTS) to establish a benchmark for future research. Their findings are published in The Journal of Urology®.
An investigation into how patient outcomes are assessed in clinical trials has revealed a worrying lack of consistency, raising concerns about funding being wasted on the acquisition of poor quality data.
Information collected through clinical trials plays a crucial role in improving the standard of patient care. Patient Reported Outcomes (PROs) inform our understanding of how certain treatments and interventions work by evaluating their effectiveness, and any potential side effects, from the patient perspective.
October 15, 2014 – A recently concluded demonstration project made meaningful progress toward introducing a "patient-centered medical home" approach at "safety net" practices serving vulnerable and underserved populations. Lessons learned in the course of developing and implementing the Safety Net Medical Home Initiative (SNMHI) are featured in a special November supplement to Medical Care.
Coordinating product placement with advertising in the same television program can reduce audience loss over commercial breaks by 10%, according to a new study in the Articles in Advance section of Marketing Science, a journal of the Institute for Operations Research and the Management Sciences (INFORMS).
DARIEN, IL – A study of hospitalized cardiac patients is the first to show that effective treatment with positive airway pressure therapy reduces 30-day hospital readmission rates and emergency department visits in patients with both heart disease and sleep apnea. The results underscore the importance of the "Stop the Snore" campaign of the National Healthy Sleep Awareness Project, a collaboration between the Centers for Disease Control and Prevention, American Academy of Sleep Medicine, Sleep Research Society and other partners.