Daily Medical News

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Changes to doctor payment for in-office drugs Aug 02, 2018

Show notes

Changes to how doctors are paid for drugs that are administered in-office could be on the way depending on the outcomes of two recent regulatory proposals from the Centers for Medicare and Medicaid Services. Also today, who are high-need, high-cost patients?, RA seroconversion is not associated with sustained drug-free remission, and a new myeloma frailty index based on biological cage.

Finally, New migraine drugs Aug 01, 2018

Show notes

Successful phase 3 data for new headache medications (rimegepant, ubrogepant, lasmiditan) are finally raining in after a lengthy drought. Also today, interferon status and family history predict autoimmune connective tissue disease, steroid injection before rotator cuff repair predicts revision, and the CMS resumes risk adjustment payments for 2017.

Valsartan cancer risk is low Jul 31, 2018

Show notes

The FDA says that cancer risk associated with NDMA contained in impure valsartan is definitely real, but it is very low. Also today, drinking during pregnancy could impact cognition, sexual function counseling should start early, and those with HIV a develop more frailty.

Free skin cancer screening highlights need Jul 30, 2018

Show notes

Almost half of the individuals diagnosed with melanoma in a free skin cancer screening program would otherwise not have gone to a doctor to have their skin examined. Also today, a new CMS proposal for hospital outpatient setting, heart failure is linked to HIV, and trial design is an issue in a promising Alzheimer's study.

Antibody cleared amyloid plaques, slowed cognitive decline Jul 27, 2018

Show notes

An experimental agent slowed cognitive decline and cleared Alzheimer's plaques. Can meteorology predict migraines? Why closing a patent foramen ovale is the right approach to prevent recurring ischemic stroke. And claims that cannabis relieves noncancer pain go up in smoke.

Blood pressure meds cut cognitive impairment risk Jul 26, 2018

Show notes

Hypertension medications slashed mild cognitive impairment risk by 19% in the SPRINT MIND study. Updated HIV guidelines recommend immediate treatment, three-drug therapy. Early antidepressant therapy after a heart attack delivers benefits years later. And HIV infection could double a patient's risk of stroke.

Is fish oil's heart benefit a fish tale? Jul 25, 2018

Show notes

Are omega-3 fatty acids' heart benefits just another fish tale? Why sustaining weight loss requires more than a bariatric procedure. How pregnancies and a longer span of reproductive years shape dementia risk. And physicians sound off on possible dramatic changes to how Medicare pays them.

Is fibromyalgia one disorder -- or two? Jul 24, 2018

Show notes

Fibromyalgia should be seen as one disorder, not two. How dementia prevalence differs among sexual minorities. Why you should talk with parents about the risks of food additives. And breast cancer patients don't get the financial counseling they want from their clinicians.

Brain damage, slight benefit seen in epinephrine cardiac arrest Jul 23, 2018

Show notes

Epinephrine provided a slight 30-day survival benefit, but those patients experienced more severe brain damage. Also today, nerve growth factor inhibitor shows phase-3 efficacy in osteoarthritis, National Academies issues a 5-step plan to address infections linked to opioid use disorder, and there may be beneficial class effects of SGLT2 inhibitors, including dapagliflozin.

Bundle pay plan didn't save money Jul 20, 2018

Show notes

Medicare's bundled pay plan didn't deliver any cost savings per episode or care outcomes for the top five medical conditions under the program. Also today, deaths in the US from liver disease surged from 1999 to 2016, bivalent HPV vaccine brings no significant increase in any of 38 different potential adverse outcomes, and almost one-quarter of preoperative patients were already using opioids.

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