Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for October 2018. 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.
WEDNESDAY, Oct. 31, 2018 -- There is a lack of convincing evidence for an association between statin use and non-cardiovascular disease (CVD) outcomes, according to a review published in the Oct. 16 issue of the Annals of Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
TUESDAY, Oct. 30, 2018 -- The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the "Reimagining Residency" initiative, aimed at improving residency training.
TUESDAY, Oct. 30, 2018 -- The use of angiotensin-converting enzyme inhibitors (ACEIs) is associated with an increased risk for lung cancer compared with angiotensin receptor blockers, according to a study published online Oct. 24 in the BMJ.
TUESDAY, Oct. 30, 2018 -- A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine.
MONDAY, Oct. 29, 2018 -- Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.
MONDAY, Oct. 29, 2018 -- Durvalumab results in significantly longer overall survival than placebo among patients with stage III, unresectable non-small cell lung cancer who did not have disease progression after concurrent chemoradiotherapy, according to a study published Sept. 25 in the New England Journal of Medicine.
FRIDAY, Oct. 26, 2018 -- In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.
FRIDAY, Oct. 26, 2018 -- Air pollution accounts for millions of emergency room visits for asthma each year, according to a study published Oct. 24 in Environmental Health Perspectives.
THURSDAY, Oct. 25, 2018 -- For patients with acute respiratory failure or shock and hypoactive or hyperactive delirium in the intensive care unit, neither haloperidol nor ziprasidone alters the duration of delirium compared with placebo, according to a study published online Oct. 22 in the New England Journal of Medicine.
THURSDAY, Oct. 25, 2018 -- For acutely ill patients, an oxygen saturation of no more than 96 percent should be maintained, according to a clinical practice guideline published online Oct. 24 in the BMJ.
THURSDAY, Oct. 25, 2018 -- The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.
THURSDAY, Oct. 25, 2018 -- Surgical invasiveness might play a role in the odds of becoming a long-term opioid user after early-stage lung cancer surgery, according to a research letter published online Sept. 24 in JAMA Oncology.
THURSDAY, Oct. 25, 2018 -- Despite guideline recommendations to the contrary, nearly half of children seen in the emergency department for bronchiolitis receive radiography, according to a research letter published online Oct. 16 in the Journal of the American Medical Association.
Abstract/Full Text (subscription or payment may be required)
WEDNESDAY, Oct. 24, 2018 -- Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.
WEDNESDAY, Oct. 23, 2018 -- Receipt of the high-dose influenza vaccine in 2016 to 2017 was associated with lower rates of hospitalization among dialysis patients, according to a study published online Oct. 23 in the Clinical Journal of the American Society of Nephrology.
TUESDAY, Oct. 23, 2018 -- A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.
TUESDAY, Oct. 23, 2018 -- Thermal ablation (TA) is a safe, effective treatment for stage 1 non-small cell lung cancer (NSCLC), according to a study recently published in Radiology.
MONDAY, Oct. 22, 2018 -- A diagnostic strategy based on pretest clinical probability assessment, high-sensitivity D-dimer testing, bilateral lower-limb compression ultrasonography (CUS), and computed tomography pulmonary angiography (CTPA) can safely rule out pulmonary embolism (PE) in pregnant women, according to a study published online Oct. 23 in the Annals of Internal Medicine.
MONDAY, Oct. 22, 2018 -- For individuals with obstructive sleep apnea, those with short respiratory event duration have an increased risk for mortality, according to a study published online Oct. 19 in the American Journal of Respiratory and Critical Care Medicine.
Abstract/Full Text (subscription or payment may be required)
MONDAY, Oct. 22, 2018 -- Adolescents and young adults are increasingly using electronic cigarette (e-cigarette) products such as pod-based systems but have misperceptions and lack of knowledge about these products, according to a study published online Oct. 19 in JAMA Network Open.
FRIDAY, Oct. 19, 2018 -- Early-onset asthma and wheezing may contribute to an increased risk of developing obesity later in childhood, according to a study published in the Sept. 1 issue of the European Respiratory Journal.
Abstract/Full Text (subscription or payment may be required)
FRIDAY, Oct. 19, 2018 -- A streamlined bioinformatics tool can match bloodstream pathogens to a candidate source, according to a study published online Oct. 15 in Nature Medicine.
Abstract/Full Text (subscription or payment may be required)
FRIDAY, Oct. 19, 2018 -- Triple therapy with VX-659 or VX-445 combined with tezacaftor-ivacaftor shows promise for the treatment of adult patients with cystic fibrosis who have mutations in the cystic fibrosis transmembrane conductance regulator (CFTR), according to two studies published online Oct. 18 in the New England Journal of Medicine. The studies were published to coincide with a presentation at the annual North American Cystic Fibrosis Conference, held from Oct. 18 to 20 in Denver.
THURSDAY, Oct. 18, 2018 -- The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.
THURSDAY, Oct. 18, 2018 -- Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.
THURSDAY, Oct. 18, 2018 -- Integration of plasma next-generation sequencing (NGS) into the routine management of metastatic non-small cell lung cancer (NSCLC) results in an increase in the detection of therapeutically targetable mutations, according to a study published online Oct. 11 in JAMA Oncology.
WEDNESDAY, Oct. 17, 2018 -- For patients with chronic obstructive pulmonary disease (COPD) and comorbid posttraumatic stress disorder (PTSD), long-term benzodiazepine use is not associated with mortality, but there is an association for short-term benzodiazepine use, according to a study published online Oct. 12 in the Annals of the American Thoracic Society.
Abstract/Full Text (subscription or payment may be required)
WEDNESDAY, Oct. 17, 2018 -- Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research.
Abstract/Full Text (subscription or payment may be required)
MONDAY, Oct. 15, 2018 -- Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.
MONDAY, Oct. 15, 2018 -- Among patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) who have not previously received an ALK inhibitor, progression-free survival is significantly longer in those who receive treatment with brigatinib versus crizotinib, according to a study published online Sept. 25 in the New England Journal of Medicine.
MONDAY, Oct. 15, 2018 -- Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open.
THURSDAY, Oct. 11, 2018 -- For live-born infants with hypoplastic left heart syndrome (HLHS) and d-transposition of the great arteries (TGA), Hispanic ethnicity is associated with poor outcome, according to a study published online Oct. 10 in the Journal of the American Heart Association.
WEDNESDAY, Oct. 10, 2018 -- A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.
WEDNESDAY, Oct. 10, 2018 -- An educational and hand hygiene program involving hand sanitizer can reduce the risk for respiratory infections (RI) for children attending day care centers (DCCs), according to a study published online Oct. 8 in Pediatrics.
WEDNESDAY, Oct. 10, 2018 -- Albuminuria is associated with incident lung function decline and chronic obstructive pulmonary disease (COPD), according to a study published online Sept. 28 in the American Journal of Respiratory and Critical Care Medicine.
Abstract/Full Text (subscription or payment may be required)
TUESDAY, Oct. 9, 2018 -- In critically ill patients, mechanical ventilation with positive end-expiratory pressure (PEEP) results in reduced diaphragm fiber length that may make it more difficult to wean patients from mechanical ventilation, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.
TUESDAY, Oct. 9, 2018 -- An integrated plasma proteomics classifier, which integrates the relative abundance of two plasma proteins with a clinical risk prediction model, can distinguish benign from malignant lung nodules in those at low-to-intermediate risk for cancer, according to a study published in the September issue of CHEST.
TUESDAY, Oct. 9 2018 -- Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.
FRIDAY, Oct. 5, 2018 -- Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.
FRIDAY, Oct. 5, 2018 -- Digital cognitive behavioral therapy (dCBT) is effective in improving functional health, psychological well-being, and sleep-related quality of life in people reporting insomnia, according to a study published online Sept. 25 in JAMA Psychiatry.
Abstract/Full Text (subscription or payment may be required)
FRIDAY, Oct. 5, 2018 -- Announcement and implementation of the Hospital Readmissions Reduction Program (HRRP) was not associated with increases in in-hospital or post-discharge mortality after acute myocardial infarction (AMI), heart failure, or pneumonia, according to a study published online Sept. 28 in JAMA Network Open.
FRIDAY, Oct. 5, 2018 -- Of older adults who undergo intubation in the emergency department, 33 percent die during the index hospitalization, according to a study published recently in the Journal of the American Geriatrics Society.
Abstract/Full Text (subscription or payment may be required)
FRIDAY, Oct. 5, 2018 -- Sexual harassment and sexual assault among midlife women are associated with poorer physical and mental health, according to a study published online Oct. 3 in JAMA Internal Medicine.
THURSDAY, Oct. 4, 2018 -- The frequency of acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) in a single year predicts the long-term rate of AECOPDs, according to a study recently published in the American Journal of Respiratory and Critical Care Medicine.
THURSDAY, Oct. 4, 2018 -- Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
THURSDAY, Oct. 4, 2018 -- A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.
Abstract/Full Text (subscription or payment may be required)
THURSDAY, Oct. 4, 2018 -- Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.
THURSDAY, Oct. 4, 2018 -- Profiles of childhood respiratory risk factors predict middle-age lung function levels and chronic obstructive pulmonary disease (COPD) risk, according to a study published in the September issue of the Annals of the American Thoracic Society.
THURSDAY, Oct. 4, 2018 -- Hispanics have lower incidence and mortality than non-Hispanic whites for all cancers combined, although there is considerable variability in cancer risk within the U.S. Hispanic population, according to a report published online Oct. 4 in CA: A Cancer Journal for Clinicians.
THURSDAY, Oct. 4, 2018 -- Thousands of pages of documents were seized from the electronic cigarette (e-cigarette) maker JUUL by the U.S. Food and Drug Administration during a surprise inspection last week as part of the agency's investigation into the company's marketing practices.
THURSDAY, Oct. 4, 2018 -- The likelihood of residual vein obstruction (RVO) is reduced with immediate compression after diagnosis of deep vein thrombosis, according to a study published online Sept. 24 in Blood.
Abstract/Full Text (subscription or payment may be required)
WEDNESDAY, Oct. 3, 2018 -- Red tide may be the reason why some beachgoers on Florida's Atlantic coast have suffered breathing problems, according to Palm Beach County officials.
WEDNESDAY, Oct. 3, 2018 -- From 2016 to 2017, sales of electronic cigarettes (e-cigarettes) by JUUL Laboratories increased 641 percent, with their sales comprising 29 percent of total e-cigarette sales by December 2017, according to a research letter published in the Oct. 2 issue of the Journal of the American Medical Association.
Abstract/Full Text (subscription or payment may be required)
WEDNESDAY, Oct. 3, 2018 -- Among Medicare patients with six major diseases, readmission rates are higher for those receiving care in proprietary hospitals compared with government or nonprofit hospitals, according to a study published online Sept. 18 in PLOS ONE.
WEDNESDAY, Oct. 3, 2018 -- In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).
TUESDAY, Oct. 2, 2018 -- Preventable cardiovascular events place a considerable health and economic burden on the United States, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report.
TUESDAY, Oct. 2, 2018 -- Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.
Abstract/Full Text (subscription or payment may be required)
TUESDAY, Oct. 2, 2018 -- In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.
TUESDAY, Oct. 2, 2018 -- The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.
MONDAY, Oct. 1, 2018 -- Arikayce (amikacin liposome inhalation suspension) has been approved by the U.S. Food and Drug Administration to treat lung disease caused by Mycobacterium avium complex (MAC) bacteria among patients who do not respond to conventional therapies, the FDA said in a news release.
MONDAY, Oct. 1, 2018 -- Laparoscopic antireflux surgery is safe and well-tolerated in patients with idiopathic pulmonary fibrosis (IPF) and abnormal acid gastroesophageal reflux (GER), according to a phase 2 study published in the Sept. 1 issue of The Lancet Respiratory Medicine.
MONDAY, Oct. 1, 2018 -- Patients with chronic obstructive pulmonary disease (COPD) who have comorbidities are more likely to experience readmission or mortality and less likely to receive beneficial treatments, according to a study published in the September issue of the Annals of the American Thoracic Society.
Abstract/Full Text (subscription or payment may be required)
MONDAY, Oct. 1, 2018 -- The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.
MONDAY, Oct. 1, 2018 -- From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.
Posted: November 2018