September 2020 Briefing
Here are what the editors at HealthDay consider to be the most important developments in Family Practice for September 2020. 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.
High-Risk Patients Not Aware of Needed Colonoscopy Intervals
WEDNESDAY, Sept. 30, 2020 -- Many patients with biopsy-confirmed advanced colorectal polyps are unaware of their need for repeat colonoscopy as well as the proper surveillance interval, according to a study recently published in the Journal of Gastroenterology and Digestive Systems.
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COVID-19 Tests for Return to Work May Delay Health Workers
WEDNESDAY, Sept. 30, 2020 -- Health care workers (HCWs) diagnosed with COVID-19 can have a prolonged recovery of viral RNA, which can delay return to work (RTW), according to research published online Aug. 26 in Infection Control & Hospital Epidemiology.
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COVID-19-Related Hospital Death Up With Psychiatric Diagnosis
WEDNESDAY, Sept. 30, 2020 -- Patients with any prior psychiatric diagnosis have an increased risk for COVID-19-related hospital death, according to a research letter published online Sept. 30 in JAMA Network Open.
Recent Increase Seen in COVID-19 Incidence Among 18- to 22-Year-Olds
WEDNESDAY, Sept. 30, 2020 -- During Aug. 2 to Sept. 5, 2020, there was a 55.1 percent increase in the weekly incidence of COVID-19 nationally among young adults aged 18 to 22 years, according to research published in the Sept. 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Cancer Mortality Higher for U.S. Counties With Persistent Poverty
WEDNESDAY, Sept. 30, 2020 -- U.S. counties with persistent poverty (≥20 percent of residents in poverty since 1980) have higher rates of cancer mortality, according to a study published online Sept. 30 in Cancer Epidemiology, Biomarkers & Prevention.
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Review IDs Dietary Factors Linked to Lower CRC Incidence
WEDNESDAY, Sept. 30, 2020 -- Decreased colorectal cancer (CRC) incidence is seen in association with use of aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), magnesium, folate, and high consumption of fruits and vegetables, fiber, and dairy products, according to an umbrella review published online Sept. 28 in Gut.
No Race Difference Found in COVID-19 Mortality Rates at Same Medical Center
WEDNESDAY, Sept. 30, 2020 -- For admitted COVID-19 patients presenting to the same urban medical center, risk-adjusted outcomes were no worse for non-Hispanic Black and Hispanic patients versus non-Hispanic White patients, according to a study published online Sept. 25 in JAMA Network Open.
Current Trends in COVID-19 Reported for U.S. Youth
WEDNESDAY, Sept. 30, 2020 -- The incidence of COVID-19 was higher in adolescents than among children during May to September 2020, according to research published in the Sept. 28 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Disparities in CVD Burden Increasing Between Richest, Poorer
WEDNESDAY, Sept. 30, 2020 -- There are substantial and increasing disparities in the prevalence of cardiovascular disease (CVD) among the highest-resource group and the remainder of the U.S. population, according to a study published online Sept. 25 in JAMA Network Open.
Hospital Admissions Not Related to COVID-19 Fell in Early 2020
WEDNESDAY, Sept. 30, 2020 -- Non-COVID-19 hospital admissions decreased considerably with the onset of COVID-19, with declines generally similar across patient demographic subgroups from February to April 2020, according to a report published online Sept. 24 in Health Affairs.
Early Introduction of Gluten Linked to Decline in Celiac Disease
WEDNESDAY, Sept. 30, 2020 -- Introduction of gluten from age 4 months is associated with a reduced prevalence of celiac disease (CD), according to a study published online Sept. 28 in JAMA Pediatrics.
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CDC Recommends No Travel for Thanksgiving
TUESDAY, Sept. 29, 2020 -- Families who usually travel to see each other on Thanksgiving should stay home and hold virtual celebrations instead, the U.S. Centers for Disease Control and Prevention says in guidance on holiday safety during the COVID-19 pandemic.
Global Death Toll From COVID-19 Passes 1 Million
TUESDAY, Sept. 29, 2020 -- The global COVID-19 pandemic reached a grim new milestone on Tuesday: 1 million dead.
U.S. Government to Ship Millions of Rapid COVID-19 Tests This Week
TUESDAY, Sept. 29, 2020 -- The U.S. government will start distributing millions of rapid COVID-19 tests to states this week with the goal of reopening schools.
Frequency of Alcohol Consumption Up During Pandemic
TUESDAY, Sept. 29, 2020 -- There has been an increase in the frequency of alcohol consumption from before to during the COVID-19 pandemic, according to a research letter published online Sept. 29 in JAMA Network Open.
Higher Odds of Migraines Seen Among Sexual Minorities
TUESDAY, Sept. 29, 2020 -- Migraine is more common among sexual-minority groups than individuals identifying as exclusively heterosexual, according to a research letter published online Sept. 28 in JAMA Neurology.
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Women With AMI-Cardiogenic Shock Treated Less Aggressively
TUESDAY, Sept. 29, 2020 -- Among young adults with acute myocardial infarction-cardiogenic shock (AMI-CS), women are treated less aggressively and have higher in-hospital mortality than men, according to a study published online Sept. 29 in Circulation: Heart Failure.
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Generalized Epilepsy Tied to Higher Sleep Apnea Risk
TUESDAY, Sept. 29, 2020 -- Patients with generalized epilepsy have a higher risk for obstructive sleep apnea (OSA), according to a study published in the October issue of Epilepsy & Behavior.
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Proton Pump Inhibitor Use Linked to Increased T2DM Risk
TUESDAY, Sept. 29, 2020 -- Regular use of proton pump inhibitors (PPIs) is associated with an increased risk for type 2 diabetes, according to a study published online Sept. 28 in Gut.
Gabapentin Does Not Lower Pain Scores in Chronic Pelvic Pain
TUESDAY, Sept. 29, 2020 -- For women with chronic pelvic pain, gabapentin treatment does not result in significantly lower pain scores and is associated with more side effects than placebo, according to a study published online Sept. 26 in The Lancet.
Lockdown Tied to Worsening of Musculoskeletal Conditions
TUESDAY, Sept. 29, 2020 -- Early stages of the U.K. COVID-19 lockdown had negative consequences for people with musculoskeletal conditions, according to a letter to the editor published online Sept. 22 in Rheumatology: Advances in Practice.
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New FDA Applications for Opioids Often Based on Short Trials
TUESDAY, Sept. 29, 2020 -- New drug applications (NDAs) for prescription opioids for pain have been based on pivotal trials of short or intermediate duration, often in narrowly defined pain populations, according to a study published online Sept. 29 in the Annals of Internal Medicine.
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Suicidal Behaviors, Deaths Lower for Childhood Cancer Survivors
MONDAY, Sept. 28, 2020 -- Survivors of childhood cancer have a lower prevalence of suicidal behaviors and mortality, but the prevalence of suicidal ideation is similar to that of the general population, according to a study published online Sept. 23 in Cancer.
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Private Health Plans Pay Hospitals 247 Percent of Medicare
MONDAY, Sept. 28, 2020 -- During 2018, prices paid to hospitals by privately insured patients averaged 247 percent of what Medicare would have paid, according to a study from the RAND Corporation.
Brain-Eating Amoeba Found in Tap Water of Lake Jackson, Texas
MONDAY, Sept. 28, 2020 -- The presence of a brain-eating amoeba in its drinking water has led the city of Lake Jackson, Texas, to issue a "do not use water order" and request an emergency declaration from the state.
14 Novel Loci Identified for Abdominal Aortic Aneurysm
MONDAY, Sept. 28, 2020 -- In a genome-wide association study (GWAS), published online Sept. 28 in Circulation, researchers identified 14 novel loci for abdominal aortic aneurysm (AAA).
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<10 Percent of U.S. Population Has Antibodies to SARS-CoV-2
MONDAY, Sept. 28, 2020 -- Fewer than 10 percent of the U.S. adult population formed antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave of the pandemic, according to a study published online Sept. 25 in The Lancet.
Only Two-Thirds of Parents Planning to Get Flu Shots for Their Children
MONDAY, Sept. 28, 2020 -- One-third of parents say they will forgo the flu vaccination for their children this year, despite public health recommendations, according to the C.S. Mott Children's Hospital National Poll on Children's Health.
Clinical Severity Lower With Vitamin D Sufficiency in COVID-19
MONDAY, Sept. 28, 2020 -- Vitamin D sufficiency is associated with reduced clinical severity, inpatient mortality, and serum levels of C-reactive protein (CRP) among patients infected with COVID-19, according to a study published online Sept. 25 in PLOS ONE.
Early Intervention Has Lasting Benefit for Deaf Children
MONDAY, Sept. 28, 2020 -- Children who are deaf or hard of hearing (D/HH) who are enrolled in early intervention (EI) by 6 months of age are more likely to be ready for kindergarten than those who enter EI later, according to a study published online Sept. 28 in Pediatrics.
Exposure to Maternal Gestational Diabetes Tied to Higher CVD Risk
MONDAY, Sept. 28, 2020 -- Intrauterine exposure to maternal gestational diabetes is associated with an increased cardiovascular disease risk and risk factors in offspring up to age 35 years, according to a study published online Sept. 28 in CMAJ, the journal of the Canadian Medical Association.
Hydroxychloroquine Tied to Heart Problems Prior to Pandemic
MONDAY, Sept. 28, 2020 -- Real-world, pre-COVID-19 adverse events data show hydroxychloroquine (HCQ) and chloroquine (CQ) are associated with cardiovascular adverse events (CVAEs), according to a study published online Sept. 22 in the British Journal of Clinical Pharmacology.
Infants of COVID-19-Infected Mothers Doing Well in Short Term
MONDAY, Sept. 28, 2020 -- Infants born to mothers testing positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not have a higher frequency of adverse outcomes than those born to mothers testing negative, according to a brief report published online Sept. 18 in Clinical Infectious Diseases.
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Metabolic Surgery May Cut Risk for Cardiovascular Events, Death
MONDAY, Sept. 28, 2020 -- Metabolic surgery for patients with morbid obesity and pharmacologically treated hypertension is associated with a lower risk for major adverse cardiovascular events (MACE) and all-cause mortality versus individuals with hypertension from the general population, according to a study published online Sept. 15 in PLOS Medicine.
Wood Ear Mushrooms Linked to Salmonella Outbreak
FRIDAY, Sept. 25, 2020 -- Recalled wood ear mushrooms imported by Wismettac Asian Foods Inc., of Santa Fe Springs, California, and sold to restaurants may be linked to a multistate Salmonella outbreak, the U.S. Food and Drug Administration said Thursday.
FDA: Mercury Risk Means Certain People Should Not Get Amalgam Dental Fillings
FRIDAY, Sept. 25, 2020 -- Certain people are at higher risk for health problems from mercury-containing amalgam dental fillings and should avoid them if possible, a new U.S. Food and Drug Administration recommendation says.
Fertility Rates Lower in Women With Inflammatory Bowel Disease
FRIDAY, Sept. 25, 2020 -- Fertility is lower in women with inflammatory bowel disease (IBD), according to a study published online Sept. 19 in the Journal of Crohn's and Colitis.
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Physician's Briefing Weekly Coronavirus Roundup
Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Sept. 21 to 25, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.
U.S. Non-English Speakers Less Likely to Have SARS-CoV-2 Test
FRIDAY, Sept. 25, 2020 -- Non-English speakers are less likely to have completed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and have a higher proportion of positive tests compared with English speakers, according to a research letter published online Sept. 24 in JAMA Network Open.
One-Fifth of Those With SARS-CoV-2 Infection Asymptomatic
FRIDAY, Sept. 25, 2020 -- About one-fifth of individuals with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are asymptomatic and their viral load is comparable to that of patients with mild symptoms, according to a study published online Sept. 22 in Thorax.
ACIP Provides Recommendations on Meningococcal Vaccination
FRIDAY, Sept. 25, 2020 -- Routine vaccination with a quadrivalent meningococcal conjugate vaccine (MenACWY) is recommended for adolescents aged 11 to 12 years with a booster at age 16 years, according to a report published in the Sept. 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Median Age of COVID-19 Cases Declined in May to August in U.S.
FRIDAY, Sept. 25, 2020 -- From May to August 2020, there was a decrease in the median age of COVID-19 cases in the United States, according to research published in the Sept. 23 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Poorer Exercise Capacity Persists With Ventricular Septal Defects
FRIDAY, Sept. 25, 2020 -- As they get older, patients with surgically closed or unrepaired congenital ventricular septal defects (VSDs) have poorer exercise capacity than their healthy peers, according to a study published online Sept. 23 in the Journal of the American Heart Association.
Performance of Commercial SARS-CoV-2 Ab Tests Varies
FRIDAY, Sept. 25, 2020 -- There is considerable variation in the performance of commercial kits for detecting antibodies against SARS-CoV-2, according to a study published online Sept. 24 in PLOS Pathogens.
Children's Routine Care Plummets During Pandemic
THURSDAY, Sept. 24, 2020 -- There has been a steep drop in routine medical care for low-income children in the United States during the pandemic, which could cause long-term problems, the U.S. Centers for Medicare & Medicaid Services says.
Public Awareness Low for Invasive Fungal Diseases
THURSDAY, Sept. 24, 2020 -- More than two-thirds of individuals have never heard of any of six invasive fungal diseases, according to research published in the Sept. 25 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Chinese Company Says Its COVID-19 Vaccine Should Be Available in U.S. in Early 2021
THURSDAY, Sept. 24, 2020 -- A Chinese pharmaceutical company claims its COVID-19 vaccine should available by early next year for distribution in the United States and other countries.
United First U.S. Airline to Offer COVID-19 Testing for Passengers
THURSDAY, Sept. 24, 2020 -- The first COVID-19 testing program for airline passengers in the United States will be introduced Oct. 15 by United Airlines.
Survey: Rheumatic Diseases Pose Routine Challenges
THURSDAY, Sept. 24, 2020 -- Many patients with rheumatic diseases face significant challenges in their daily lives, including affordability issues, lifestyle and activity limitations, and negative effects on mental and emotional health, according to the results of a survey released by the American College of Rheumatology (ACR).
Cognition-Enhancing Supplements May Contain Unapproved Drugs
THURSDAY, Sept. 24, 2020 -- Supplements marketed to improve memory and cognitive function frequently contain unapproved drugs, often at supratherapeutic dosages, according to a study published online Sept. 23 in Neurology: Clinical Practice.
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Guidelines Updated for Managing Dyslipidemia to Cut CVD Risk
THURSDAY, Sept. 24, 2020 -- In a synopsis of the 2020 updated clinical practice guideline from the U.S. Department of Veterans Affairs and the U.S. Department of Defense, published online Sept. 22 in the Annals of Internal Medicine, recommendations are presented for the management of dyslipidemia to reduce cardiovascular disease (CVD) risk.
FDA Requiring Labeling Changes to Benzodiazepine Prescribing Information
THURSDAY, Sept. 24, 2020 -- In response to reports of misuse and abuse of benzodiazepines, the U.S. Food and Drug Administration is now requiring class-wide labeling changes to the prescribing information, the agency announced yesterday.
Heavy Sugar-Sweetened Drink Intake Decreasing Overall in U.S.
THURSDAY, Sept. 24, 2020 -- Overall, heavy sugar-sweetened beverage (SSB) intake is declining among adults and children, according to a study published online Sept. 24 in the Journal of the Academy of Nutrition and Dietetics.
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Teens' Mental Illness Treatment May Not Follow Guidelines
THURSDAY, Sept. 24, 2020 -- There is great variation in the treatment of mental illness in adolescents, according to a study published online Sept. 21 in the Proceedings of the National Academy of Sciences.
Major Adverse CV Event Risk Reduced With SGLT2 Inhibitors
THURSDAY, Sept. 24, 2020 -- For individuals with type 2 diabetes, sodium glucose cotransporter 2 (SGLT2) inhibitors are associated with a reduced risk for cardiovascular events during short-term follow-up, according to a study published online Sept. 23 in The BMJ.
Measures of Central Adiposity Linked to All-Cause Mortality
THURSDAY, Sept. 24, 2020 -- Several indices of central adiposity, including waist circumference and body adiposity index, are associated with an increased risk for all-cause mortality, according to a review published online Sept. 23 in The BMJ.
Acute Kidney Injury Ups Risk for Death in COVID-19 Patients
THURSDAY, Sept. 24, 2020 -- Acute kidney injury (AKI) in hospitalized patients with COVID-19 is associated with a significantly higher risk for in-hospital death, according to a study published online Sept. 19 in the American Journal of Kidney Diseases.
As Flu Season Approaches, Clinicians Brace for Potential 'Twindemic'
WEDNESDAY, Sept. 23, 2020 -- Flu shots may be more important than ever this year, as COVID-19 presents new challenges for clinicians and communities this flu season. HD Live! spoke with Nadia Eltaki, M.D., director of clinical operations at Sibley Memorial Hospital in Washington, D.C., to discuss how clinicians can potentially lessen the potential for an overlapping superinfection, or "twindemic."
Genetically Predicted BMI Increases Rheumatoid Arthritis Risk
WEDNESDAY, Sept. 23, 2020 -- Genetically predicted body mass index (BMI) significantly increases the risk for rheumatoid arthritis (RA), according to a study published online Sept. 22 in Arthritis & Rheumatology.
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U.S. COVID-19 Death Toll Hits 200,000 as Cases Climb in 22 States
WEDNESDAY, Sept. 23, 2020 -- The U.S. COVID-19 death toll reached the tragic milestone of 200,000 on Tuesday, with at least 22 states now reporting a rise in new cases. Just last Monday, only nine states were reporting increases in new COVID-19 cases, CNN reported. For the most part, the case spikes are showing up in the country's heartland and the Midwest.
J&J COVID-19 Vaccine Begins Final Stage of Clinical Trials
WEDNESDAY, Sept. 23, 2020 -- The final stage of clinical trials for Johnson & Johnson's COVID-19 vaccine have started, the company announced Tuesday.
Metformin May Slow Cognitive Decline in Seniors With T2DM
WEDNESDAY, Sept. 23, 2020 -- For older adults with type 2 diabetes, cognitive decline is slower and dementia risk reduced for those receiving metformin, according to a study published online Sept. 23 in Diabetes Care.
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Fewer Women Aware of Heart Disease as Leading Cause of Death
WEDNESDAY, Sept. 23, 2020 -- From 2009 to 2019, there was a decrease in awareness among U.S. women that heart disease is the leading cause of death (LCOD) among women, according to a special report from the American Heart Association, published online Sept. 21 in Circulation.
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CDC: Women More Likely to Experience Anxiety, Depression
WEDNESDAY, Sept. 23, 2020 -- Women are more likely to experience anxiety and depression, and women and older children are more likely to receive mental health treatment, according to new statistics from four data briefs published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
SARS-CoV-2 Mortality Mainly Linked to Older Age, Comorbidity
WEDNESDAY, Sept. 23, 2020 -- For U.S. veterans with COVID-19, mortality is mainly associated with older age, male sex, and comorbidity, according to a study published online Sept. 23 in JAMA Network Open.
>2.2 Million Women Live in Maternity Care Desert Status Areas
WEDNESDAY, Sept. 23, 2020 -- More than 2.2 million women live in areas with severely limited to no access to maternity care (maternity care desert status), according to a report published Sept. 23 by the March of Dimes.
Oral Steroids May Raise Risks for Diabetes, HTN, VTE in Children
WEDNESDAY, Sept. 23, 2020 -- Children with current glucocorticoid exposure have increased risks for diabetes mellitus, hypertension, and venous thromboembolism (VTE), according to a study published online Sept. 9 in the American Journal of Epidemiology.
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Negative Pressure Does Not Cut C-Section Infection Risk in Obese
WEDNESDAY, Sept. 23, 2020 -- Compared with standard wound care, prophylactic negative pressure wound therapy does not lower the risk for surgical-site infection in obese women following cesarean delivery, according to a study published in the Sept. 22/29 issue of the Journal of the American Medical Association.
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Risk for Autism Increased With Preterm, Postterm Birth
WEDNESDAY, Sept. 23, 2020 -- Preterm and postterm birth are associated with an increased risk for autism spectrum disorder (ASD), according to a study published online Sept. 22 in PLOS Medicine.
Most People With SARS-CoV-2 Do Not Remain Asymptomatic
WEDNESDAY, Sept. 23, 2020 -- Most people infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not remain asymptomatic, and the secondary attack rate is lower among contacts of people with asymptomatic infection, according to a review published online Sept. 22 in PLOS Medicine.
USPSTF Finds Evidence Lacking for Vitamin D Screening
TUESDAY, Sept. 22, 2020 -- The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is inadequate to recommend screening for vitamin D deficiency in asymptomatic adults. This finding forms the basis of a draft recommendation statement published online Sept. 22 by the USPSTF.
Rates of COVID-19 Infection Higher in Blacks, Hispanics
TUESDAY, Sept. 22, 2020 -- Black and Hispanic individuals are experiencing an excess burden of severe acute respiratory syndrome coronavirus 2 infection, according to a study published online Sept. 22 in PLOS Medicine.
Perrigo Asthma Inhalers Recalled Due to Clog Risk
TUESDAY, Sept. 22, 2020 -- Perrigo inhalers have been recalled because they could clog and not provide patients with any or enough medication, the U.S. Food and Drug Administration says.
Adverse Pregnancy Outcomes Tied to Later Atherosclerotic CVD
TUESDAY, Sept. 22, 2020 -- Adverse pregnancy outcomes (APOs), particularly hypertensive disorders of pregnancy and low birth weight, may be risk factors for atherosclerotic cardiovascular disease (ASCVD) in older women, according to a study published online Sept. 16 in JAMA Cardiology.
Rates of Recurrent MI Declined Among U.S. Women and Men
TUESDAY, Sept. 22, 2020 -- From 2008 to 2017, there were decreases in the rates of recurrent myocardial infarction (MI), recurrent coronary heart disease (CHD) events, heart failure hospitalization, and all-cause mortality in both men and women, according to a study published online Sept. 21 in Circulation.
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Glucocorticoids Linked to Hospitalized Infection Risk in RA
TUESDAY, Sept. 22, 2020 -- For patients with rheumatoid arthritis (RA) receiving disease-modifying antirheumatic drug (DMARD) therapy, continued use of glucocorticoids is associated with an increased risk for hospitalized infections, according to a study published online Sept. 22 in the Annals of Internal Medicine.
Pregnancy May Delay Onset of Multiple Sclerosis Symptoms
TUESDAY, Sept. 22, 2020 -- Pregnancy is associated with a delay in the onset of multiple sclerosis by more than three years, according to a study published online Sept. 14 in JAMA Neurology.
Air Pollution May Raise Stroke Risk With Atrial Fibrillation
TUESDAY, Sept. 22, 2020 -- Exposure to air pollution may increase the risk for ischemic stroke in patients with atrial fibrillation (AF), according to a study published online Sept. 15 in JAMA Network Open.
Loneliness a Risk Factor for Type 2 Diabetes Mellitus
TUESDAY, Sept. 22, 2020 -- Loneliness is a risk factor for type 2 diabetes, according to a study published online Sept. 15 in Diabetologia.
PrEP Prescribing Low in the U.S., Even Among HIV Care Providers
TUESDAY, Sept. 22, 2020 -- Even among HIV-focused practitioners, preexposure prophylaxis (PrEP) prescribing is not routine, according to a study published online Sept. 3 in PLOS ONE.
Many School Employees at Increased Risk for Severe COVID-19
MONDAY, Sept. 21, 2020 -- Nearly half of all school employees meet the U.S. Centers for Disease Control and Prevention definition for increased or potentially increased risk for severe COVID-19, according to a study published online Sept. 17 in Health Affairs.
Stress, Depressive Symptoms Up With Increasing COVID-19 Deaths
MONDAY, Sept. 21, 2020 -- Acute stress and depressive symptoms have increased as COVID-19 deaths increased across the United States, with COVID-19-related media exposure and secondary stressors associated with these symptoms, according to a study published online Sept. 18 in Science Advances.
COVID-19 Death Toll Nears 200,000 in the United States
MONDAY, Sept. 21, 2020 -- As the U.S. COVID-19 case count neared 200,000 on Monday, public health experts debated whether the spread of the virus will continue to slow or a new surge will come, as cold weather returns to much of the country.
AstraZeneca Releases COVID-19 Vaccine Trial Plans
MONDAY, Sept. 21, 2020 -- AstraZeneca is the latest drug company to release details about human tests of its COVID-19 vaccine in response to public demand for such information. Americans have increasing doubts about a COVID-19 vaccine, and experts are worried that an unproven or unsafe vaccine may be released prematurely due to pressure from President Donald Trump, The New York Times reported.
CDC Removes New COVID-19 Guidelines Just Days After Posting Them
MONDAY, Sept. 21, 2020 -- New U.S. Centers for Disease Control and Prevention website guidelines suggesting that the new coronavirus can be transmitted by tiny droplets over a distance greater than six feet and that indoor ventilation is crucial to prevent its spread were removed from the agency's website late Monday morning.
Individuals With Autism at Risk for Other Health Conditions
MONDAY, Sept. 21, 2020 -- Individuals with autism have increased health risks even when considering lifestyle factors, according to a study published online Sept. 9 in Autism.
Inverted U-Shaped Link Seen for Sleep Duration, Cognitive Decline
MONDAY, Sept. 21, 2020 -- There is an inverted U-shaped association between sleep duration and global cognitive decline, according to a study published online Sept. 21 in JAMA Network Open.
Impact of Psoriasis Explored for Hospital Outcomes of Acute MI
MONDAY, Sept. 21, 2020 -- Myocardial infarction (MI) events may occur earlier in life in patients with psoriasis, which in turn may affect hospital outcomes, according to a study published online Sept. 11 in the Journal of the American Heart Association.
Black Women Receive Less Timely Breast Cancer Treatment
MONDAY, Sept. 21, 2020 -- Black women experience longer waits for treatment initiation after a breast cancer diagnosis and prolonged duration of treatment versus White women, according to a study published online Sept. 21 in Cancer.
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Peanut-, Tree Nut-Induced Anaphylaxis Up on Halloween, Easter
MONDAY, Sept. 21, 2020 -- Among Canadian children, the risk for anaphylaxis induced by unknown nuts and peanuts is increased during Halloween and Easter, according to a study published online Sept. 21 in CMAJ, the journal of the Canadian Medical Association.
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Hostility Predicts Mortality in Acute Coronary Syndrome
MONDAY, Sept. 21, 2020 -- For patients with acute coronary syndrome (ACS), hostility predicts all-cause mortality but not recurrence, according to a study published online Sept. 14 in the European Journal of Cardiovascular Nursing.
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Injuries Associated With Glass Tables Common in U.S.
MONDAY, Sept. 21, 2020 -- Injuries associated with glass tables are common, and more than half are attributed to faulty tables, according to a study recently published in the American Journal of Surgery.
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Timing of Gender-Affirming Care Linked to Mental Health
MONDAY, Sept. 21, 2020 -- For gender-incongruent (GI) youth presenting for gender-affirming medical care (GAMC), late pubertal stage and older age are associated with worse mental health, according to a study published online Sept. 21 in Pediatrics.
Botox for TMJ Disorder Does Not Affect Jaw Bone Density
FRIDAY, Sept. 18, 2020 -- Jaw bone density and volume are similar between women who had botulinum toxin (BTX) injections to treat temporomandibular muscle and joint disorders (TMJDs) and those who did not, according to a small study published online Sept. 3 in the Journal of Oral Rehabilitation.
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Warning Issued on Potentially Deadly Mosquito-Borne Virus in Michigan
FRIDAY, Sept. 18, 2020 -- Some Michigan residents are being told to stay indoors after dark and protect themselves from mosquito bites as the state tries to contain the spread of the rare but potentially deadly mosquito-borne disease Eastern equine encephalitis (EEE).
Physician's Briefing Weekly Coronavirus Roundup
Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Sept. 14 to 18, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.
Drug May Reduce Need for Ventilators in COVID-19 Patients
FRIDAY, Sept. 18, 2020 -- An inflammation-fighting medicine was associated with reduced use of ventilators among COVID-19 patients, according to a study that included mainly Hispanics and Blacks.
CDC: Adult Obesity Increasing, Tied to Worse COVID-19 Outcomes
FRIDAY, Sept. 18, 2020 -- Adult obesity is increasing, with considerable racial and ethnic disparities, according to new data from the U.S. Centers for Disease Control and Prevention.
Details Emerge on Unexplained Illness in AstraZeneca COVID-19 Vaccine Trial
FRIDAY, Sept. 18, 2020 -- New details surfaced on Thursday on an unexplained neurological condition that struck a volunteer who was participating in AstraZeneca's COVID-19 vaccine trial.
Depression Common Among Psoriasis Patients
FRIDAY, Sept. 18, 2020 -- Depression is common among patients with psoriasis, according to a study published online Sept. 14 in Dermatology.
Coffee, Tea, Soda Tied to Higher Risk for Gastroesophageal Reflux
FRIDAY, Sept. 18, 2020 -- Coffee, tea, and soda are associated with an increased risk for gastroesophageal reflux (GER) symptoms among middle-aged women, according to a study published in the September issue of Clinical Gastroenterology and Hepatology.
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Fetal Mortality Rate Higher for Black Versus White Mothers
FRIDAY, Sept. 18, 2020 -- There is considerable racial/ethnic variation in fetal death rates, according to research published in the Sept. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
More Than Half of Pregnant Women With COVID-19 Asymptomatic
FRIDAY, Sept. 18, 2020 -- More than half of hospitalized pregnant women with COVID-19 are asymptomatic at admission, while pregnant women hospitalized for COVID-19-related illness have a higher prevalence of prepregnancy obesity and gestational diabetes, according to two studies published in the Sept. 16 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Lower Proportion of Inpatients With COVID-19 Wear Glasses
FRIDAY, Sept. 18, 2020 -- The proportion of inpatients with COVID-19 who wear eyeglasses for extended daily periods is lower than in the general population, according to a study published online Sept. 16 in JAMA Ophthalmology.
Older Adults Experiencing More Loneliness During Pandemic
FRIDAY, Sept. 18, 2020 -- Older adults are feeling more isolated during the COVID-19 pandemic, according to a report published online Sept. 14 based on the results of the University of Michigan National Poll on Healthy Aging.
Lifestyle Changes May Aid Cognitive Abilities
FRIDAY, Sept. 18, 2020 -- Improvements in lifestyle risk factors for dementia can lead to short-term improvements in cognition among community-dwelling adults experiencing cognitive decline, according to a study published online Sept. 9 in the Journal of the American Geriatrics Society.
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Black Newborn Mortality Lower With Care From Black Doctors
FRIDAY, Sept. 18, 2020 -- When newborns and the physicians treating them are of the same race, the newborn survival rate is significantly improved, according to a study published online Sept. 1 in Proceedings of the National Academy of Sciences.
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Elderly Social Isolation, Loneliness in COVID-19 May Lead to Cognitive Decline
THURSDAY, Sept. 17, 2020 -- Social isolation and loneliness can increase the risk for cognitive decline in seniors, according to Carla Perissinotto, M.D., geriatrician and associate chief for geriatrics clinical programs at the University of California in San Francisco, who recently spoke with HD Live! about the current challenges facing seniors in assisted living or nursing homes during the COVID-19 pandemic.
Flu Activity Low in Southern Hemisphere in June to August 2020
THURSDAY, Sept. 17, 2020 -- There was very low influenza activity during June to August 2020 in the Southern Hemisphere, according to research published in the Sept. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
COVID-19 Vaccine Distribution Would Begin Within 24 Hours After Approval
THURSDAY, Sept. 17, 2020 -- Distribution of a COVID-19 vaccine in the United States would begin within 24 hours of its approval or emergency use authorization, and the plan is that no American will have to "pay a single dime" out of their own pocket for the vaccine, federal officials said Thursday.
Moderna May Know by November Whether COVID-19 Vaccine Is Effective
THURSDAY, Sept. 17, 2020 -- Moderna says it should know by sometime in November whether its COVID-19 vaccine is effective, its CEO said Thursday.
Cancer Incidence Up for Adolescents and Young Adults
THURSDAY, Sept. 17, 2020 -- Among adolescents and young adults (AYAs), cancer incidence increased during 2007 to 2016, according to a report published online Sept. 17 in CA: A Cancer Journal for Clinicians.
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Survey: About Seven in 10 Adults Interested in COVID-19 Vaccine
THURSDAY, Sept. 17, 2020 -- Nearly seven in 10 U.S. adults are "definitely" or "probably" willing to get a COVID-19 vaccine, according to research published online Aug. 20 in Vaccine.
Substance Use Disorder Linked to Increased Risk for COVID-19
THURSDAY, Sept. 17, 2020 -- Substance use disorder (SUD) is associated with a higher risk for COVID-19 than that seen in the general population, as well as worse outcomes, according to a study published online Sept. 14 in Molecular Psychiatry.
EPA, DHA Supplementation Linked to Reduced Risk for MI, CHD
THURSDAY, Sept. 17, 2020 -- Supplementation with eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) is associated with a reduced risk for myocardial infarction (MI) and coronary heart disease (CHD) events, according to a meta-analysis published online Sept. 17 in the Mayo Clinic Proceedings.
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Novel Risk, Protective Factors for Type 2 Diabetes Identified
THURSDAY, Sept. 17, 2020 -- Insomnia may be a risk factor for type 2 diabetes, according to a study published online Sept. 8 in Diabetologia.
Study Suggests Smoking Causes Fatal Subarachnoid Hemorrhage
THURSDAY, Sept. 17, 2020 -- Smoking seems to have a causal role in subarachnoid hemorrhage (SAH), according to a study published online Sept. 17 in Stroke.
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Transient Orthostatic Hypotension Common in Parkinson Disease
THURSDAY, Sept. 17, 2020 -- Transient orthostatic hypotension (tOH) is common in Parkinson disease (PD), according to a study published online Sept. 16 in Neurology.
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ADHD Prevalence Higher Among Blacks Than U.S. Population
WEDNESDAY, Sept. 16, 2020 -- Black individuals may be at higher risk for attention-deficit/hyperactivity disorder (ADHD) than the general U.S. population, according to a review published online Sept. 9 in JAMA Psychiatry.
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Characteristics ID'd for Under 21s With SARS-CoV-2-Linked Deaths
WEDNESDAY, Sept. 16, 2020 -- Of those aged younger than 21 years with deaths associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most are aged 10 to 20 years, and 75 percent of deaths occur in those with an underlying medical condition, according to research published in the Sept. 15 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
New Drug Shows Promise in Preventing Severe COVID-19
WEDNESDAY, Sept. 16, 2020 -- A single infusion of an experimental drug dramatically lowers levels of coronavirus in the bodies of newly infected patients and cuts their chances of hospitalization, the drug's maker reported Wednesday.
Vaccine Campaign Would Take Six to Nine Months to Curb COVID-19
WEDNESDAY, Sept. 16, 2020 -- When a safe and effective vaccine against COVID-19 becomes available, it is likely to take six to nine months for enough Americans to get vaccinated to have a significant impact on the pandemic, U.S. Centers for Disease Control and Prevention Director Robert Redfield, M.D., said Wednesday.
Pacemaker Need Higher in Patients With Type 2 Diabetes
WEDNESDAY, Sept. 16, 2020 -- The need for pacemakers is higher among patients with type 2 diabetes than the general population, according to a study published online Sept. 4 in Diabetes Care.
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Obstructive Sleep Apnea Tied to Worse Bone Health
WEDNESDAY, Sept. 16, 2020 -- History of obstructive sleep apnea (OSA) is independently associated with a higher risk for confirmed vertebral fracture, according to a study published online Sept. 9 in the Journal of Bone and Mineral Research.
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Low-to-Moderate Drinking May Protect Cognition During Aging
WEDNESDAY, Sept. 16, 2020 -- Low-to-moderate alcohol consumption may be associated with better global cognition scores among middle-aged and older adults, according to a study recently published in JAMA Network Open.
Financial Toxicity Common in Patients With Multiple Sclerosis
WEDNESDAY, Sept. 16, 2020 -- For patients with multiple sclerosis (MS), financial toxicity is common and is associated with lifestyle-altering behaviors or care nonadherence, according to a study published online Aug. 18 in the Multiple Sclerosis Journal.
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Many Doctors Misinformed About Nicotine's Risks
WEDNESDAY, Sept. 16, 2020 -- Most doctors hold misperceptions about the risks of nicotine, according to research published online Sept. 1 in the Journal of General Internal Medicine.
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Better Cardiovascular Health Linked to Lower Incident HTN
WEDNESDAY, Sept. 16, 2020 -- For adults without hypertension, better cardiovascular health as measured by Life's Simple 7 (LS7) is associated with a lower risk for incident hypertension, according to a study published online Sept. 16 in the Journal of the American Heart Association.
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Office Dismissal Policy for Families Refusing Vaccines Common
TUESDAY, Sept. 15, 2020 -- Half of practices report having an office dismissal policy for families refusing vaccines, according to a research letter published in the Sept. 15 issue of the Journal of the American Medical Association.
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Poll: Most Americans Do Not Trust Trump's COVID-19 Vaccine Comments
TUESDAY, Sept. 15, 2020 -- In a sign that Americans are becoming more wary about the safety of a COVID-19 vaccine, a new poll shows a majority of adults do not trust what President Donald Trump has said on vaccine development.
Early Age at Menarche Tied to Worse Cardiovascular Health
TUESDAY, Sept. 15, 2020 -- Early menarche in women is associated with worse cardiovascular health, according to a study published online Sept. 7 in Menopause.
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About 20 Percent of Women Avoid Pregnancy Due to Migraine
TUESDAY, Sept. 15, 2020 -- Migraine has a considerable impact on women's pregnancy plans, with about 20 percent avoiding pregnancy due to migraine, according to a study published online Sept. 15 in the Mayo Clinic Proceedings.
Handgrip Strength May Help Predict Risk for Type 2 Diabetes
TUESDAY, Sept. 15, 2020 -- Handgrip strength (HGS) is independently associated with the risk for type 2 diabetes, according to a study published online Sept. 3 in the Annals of Medicine.
Curcuma longa Extract Improves Knee Pain in Osteoarthritis
TUESDAY, Sept. 15, 2020 -- For patients with knee osteoarthritis, Curcuma longa extract (CL) is more effective than placebo for knee pain but does not improve knee effusion-synovitis, according to a study published online Sept. 15 in the Annals of Internal Medicine.
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Lipid-Rich Necrotic Core Linked to Psoriasis Severity
TUESDAY, Sept. 15, 2020 -- For patients with psoriasis, lipid-rich necrotic core (LRNC) is associated with psoriasis severity and cardiovascular risk factors and is reduced for those patients receiving biologic therapy, according to a study published online Sept. 15 in Circulation: Cardiovascular Imaging.
Clinical Score Predicts Poor Pain Control After Spine Surgery
TUESDAY, Sept. 15, 2020 -- A score based on seven variables can accurately predict the probability of poorly controlled pain after elective spine surgery, according to a study published online Sept. 15 in the Journal of Neurosurgery: Spine.
Canada Reports No New COVID-19 Deaths for First Time in Six Months
MONDAY, Sept. 14, 2020 -- For the first time in six months, Canada on Friday reported no new COVID-19 deaths.
AstraZeneca COVID-19 Vaccine Trial Restarts
MONDAY, Sept. 14, 2020 -- Oxford University has announced that final-stage testing of a COVID-19 vaccine it is developing with drug maker AstraZeneca will restart following a pause last week after a serious side effect showed up in a volunteer.
Effectiveness of Inhaled COVID-19 Vaccines to Be Studied
MONDAY, Sept. 14, 2020 -- A study to assess the effectiveness of two experimental COVID-19 vaccines when they are inhaled, rather than injected, has been announced by researchers.
24.4 Percent of U.K. Health Care Workers Positive for SARS-CoV-2
MONDAY, Sept. 14, 2020 -- The overall prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies is 24.4 percent in a cohort of asymptomatic health care workers, according to a study published online Sept. 11 in Thorax.
Vaccine Confidence Recently Increased in Some of Europe
MONDAY, Sept. 14, 2020 -- Vaccine confidence has increased in parts of Europe in recent years, according to a study published online Sept. 10 in The Lancet.
HPV Vaccination Rates Increasing Among 15-Year-Olds
MONDAY, Sept. 14, 2020 -- From 2011 to 2017, there was an increase in the proportion of U.S. 15-year-olds with at least one-dose or two-dose human papillomavirus (HPV) vaccination, according to a study published online Sept. 14 in Pediatrics.
Study Examines Diet and Risk for Rheumatoid Arthritis in Women
MONDAY, Sept. 14, 2020 -- Adherence to a Mediterranean diet (MedD) is associated with the risk for rheumatoid arthritis (RA) among ever-smoking women, but not among women in general, according to a study published online Sept. 10 in Arthritis & Rheumatology.
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Depression Worsens Over Time in Caregivers of Partners With Dementia
MONDAY, Sept. 14, 2020 -- Depressive symptoms worsen over time for older caregivers of partners or spouses who are newly diagnosed with dementia, according to a study published online Aug. 29 in the Journal of Applied Gerontology.
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Workplace Sexual Harassment Tied to Suicide Risk
MONDAY, Sept. 14, 2020 -- Sexual harassment at work is associated with an increased risk for suicidal behavior, according to a study published online Sept. 2 in The BMJ.
Smokeless Tobacco Poses Global Health Burden
FRIDAY, Sept. 11, 2020 -- Smokeless tobacco (ST) is used across the globe and poses a major public health threat, according to a review published online Aug. 12 in BMC Medicine.
Florida Teen Dies From Brain-Eating Amoeba
FRIDAY, Sept. 11, 2020 -- The parents of a 13-year-old boy in Florida who died from brain-eating amoeba want to warn others about the risk of the waterborne infection.
Physician's Briefing Weekly Coronavirus Roundup
Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Sept. 7 to 11, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.
COVID-19 Suspected for Surge in Medical Visits at End of 2019
FRIDAY, Sept. 11, 2020 -- There was an excess of patients with cough and respiratory complaints identified at a large U.S. health system from December 2019 to February 2020, according to a study published online Sept. 10 in the Journal of Medical Internet Research.
Weight Stigma May Predict Binge Eating During the Pandemic
FRIDAY, Sept. 11, 2020 -- Young adults who previously experienced weight stigma may have increased vulnerability to distress and maladaptive eating during the COVID-19 pandemic, according to a study published online Sept. 10 in the Annals of Behavioral Medicine.
Future Cardiovascular Event Risk Up With High BP in Young Adults
FRIDAY, Sept. 11, 2020 -- Young adults with elevated blood pressure have increased risk of subsequent cardiovascular events, according to a meta-analysis published online Sept. 9 in The BMJ.
Increases in Suicide Rates in Young Adults From 2000 to 2018
FRIDAY, Sept. 11, 2020 -- From 2000 to 2018, there were increases in suicide rates among persons aged 10 to 24 years, according to the Sept. 11 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.
Enhanced Recovery Approach Aids Cesarean Birth Outcomes
FRIDAY, Sept. 11, 2020 -- An enhanced recovery after surgery (ERAS) program for cesarean delivery is associated with improved outcomes, according to a study published online Sept. 10 in Obstetrics & Gynecology.
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Rates of Ambulatory Heart Failure Steady From 2001 to 2016
FRIDAY, Sept. 11, 2020 -- Rates of ambulatory heart failure remained steady in the United States between 2001 and 2016, according to a study published online Sept. 2 in JAMA Cardiology.
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Predictors of Transition to Adult Rheumatology Care Explored
FRIDAY, Sept. 11, 2020 -- For pediatric patients transferring to an adult rheumatology clinic, continued insurance coverage and referral from a pediatric rheumatologist predict shorter time to completed adult visit, according to a study published online Sept. 9 in Arthritis Care & Research.
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Psychological Response to COVID-19 Affects Pregnancy Stress
FRIDAY, Sept. 11, 2020 -- Among pregnant women, the psychological response to the COVID-19 pandemic positively affects pregnancy stress, and security sense negatively affects pregnancy stress, according to a study published online Sept. 9 in the Journal of Clinical Nursing.
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Pneumothorax Reported as Complication of COVID-19
FRIDAY, Sept. 11, 2020 -- Pneumothorax is being reported as a complication of COVID-19, and has higher incidence among men and lower survival among older patients, according to a study published online Sept. 9 in the European Respiratory Journal.
Middle, High School Students Mainly Use Flavored E-Cigarettes
THURSDAY, Sept. 10, 2020 -- In 2020, most high school and middle school students reporting current electronic cigarette use used flavored cigarettes, while total e-cigarette sales increased 122.2 percent from September 2014 to May 2020, according to two studies published in the Sept. 9 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Widespread Avoidance of Medical Care Found Due to COVID-19 Concerns
THURSDAY, Sept. 10, 2020 -- There was widespread reporting of avoidance of medical care due to COVID-19-related concerns in June 2020, according to research published in the Sept. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Controlled BP Down Among U.S. Adults With HTN After 2013–2014
THURSDAY, Sept. 10, 2020 -- The prevalence of controlled blood pressure (BP) among U.S. adults with hypertension increased from 1999-2000 to 2007-2008 then decreased after 2013 to 2014, according to a study published online Sept. 9 in the Journal of the American Medical Association.
NAMS Updates Guidance for Genitourinary Syndrome of Menopause
THURSDAY, Sept. 10, 2020 -- In a position statement from the North American Menopause Society (NAMS), published in the September issue of Menopause, updated recommendations are presented for the treatment of genitourinary syndrome of menopause (GSM).
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Poverty-Stricken Adults More Likely to be Calcium-, Vitamin D-Deficient
THURSDAY, Sept. 10, 2020 -- Adequate calcium and vitamin D intake in older Americans is greatly influenced by ethnicity, sex, household income, and food security, according to a study recently published in PLOS ONE.
Considerable Adverse Outcomes Reported for Young Adults With COVID-19
THURSDAY, Sept. 10, 2020 -- Young adults hospitalized with COVID-19 have substantial rates of adverse outcomes, according to a research letter published online Sept. 9 in JAMA Internal Medicine.
Moderate, Heavy Drinking Linked to Increased BP, HTN in T2DM
THURSDAY, Sept. 10, 2020 -- For individuals with type 2 diabetes, moderate and heavy drinking are associated with an increased risk for elevated blood pressure, stage 1 hypertension, and stage 2 hypertension, according to a study published online Sept. 9 in the Journal of the American Heart Association.
Shift Seen to Newer Agents to Treat Psoriasis
THURSDAY, Sept. 10, 2020 -- Phototherapy use for psoriasis decreased from 2005 to 2018, while use of biologics increased, according to a research letter published online Sept. 4 in Dermatologic Therapy.
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Inflammatory Bowel Disease Tied to Subsequent Rhinosinusitis
THURSDAY, Sept. 10, 2020 -- Personal history of inflammatory bowel disease (IBD) is associated with an increased risk for subsequent chronic rhinosinusitis (CRS), according to a study published online Sept. 4 in Clinical Otolaryngology.
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Nosocomial COVID-19 Rare During Height of Pandemic
THURSDAY, Sept. 10, 2020 -- During the height of the pandemic, the incidence of nosocomial COVID-19 was rare, according to a study published online Sept. 9 in JAMA Network Open.
E-Cigarette Use Increased Significantly From 2017 to 2018
THURSDAY, Sept. 10, 2020 -- There was a marked increase in electronic cigarette use from 2017 to 2018 in the United States, according to a study published online Sept. 8 in JAMA Internal Medicine.
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Time Span of Football Play Not Linked to Concussion Recovery
THURSDAY, Sept. 10, 2020 -- Longer exposure to playing football during childhood and adolescence appears to be unrelated to clinical recovery following college football concussion, according to a study published online Sept. 9 in Neurology.
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Pandemic Threatens Gains in Reducing Preventable Childhood Deaths
WEDNESDAY, Sept. 9, 2020 -- The COVID-19 pandemic threatens decades of progress in reducing preventable deaths in children worldwide, a new United Nations/World Bank paper warns.
More Than Half a Million U.S. Children Already Infected With COVID-19
WEDNESDAY, Sept. 9, 2020 -- More than 500,000 U.S. children had been diagnosed with COVID-19 as of early September, with a sizable uptick seen in recent weeks, a new report reveals.
New COVID-19 Test Provides Results in 15 Minutes
WEDNESDAY, Sept. 9, 2020 -- A new portable COVID-19 test that can provide results within 15 minutes and process up to 30 samples an hour could be available by the end of the year, according to medical diagnostics company Qiagen.
Clinical Trial of AstraZeneca COVID-19 Vaccine Paused After Illness
WEDNESDAY, Sept. 9, 2020 -- A "potentially unexplained" illness in a participant has led AstraZeneca to halt a late-stage clinical trial of its COVID-19 vaccine.
Weight Gain Pattern Early in Life May Affect Later Lung Function
WEDNESDAY, Sept. 9, 2020 -- Children with lower birth size and slower body mass index (BMI) gain in early childhood have lower lung function at 7 years, according to a study published online Aug. 27 in the European Respiratory Journal.
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Increase Seen in Hydroxychloroquine Rx by Nonroutine Specialists
WEDNESDAY, Sept. 9, 2020 -- In March 2020, compared with March 2019, there was an 80-fold increase in new prescriptions for hydroxychloroquine by specialists who did not typically prescribe these medications, according to research published in the Sept. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Child Hospital, ICU Admission Rates Similar for COVID-19, Flu
WEDNESDAY, Sept. 9, 2020 -- Among children with COVID-19 or seasonal influenza, there are no differences in hospitalization rates, intensive care unit (ICU) admission rates, or mechanical ventilator use, but children with COVID-19 have more clinical symptoms, according to a study published online Sept. 8 in JAMA Network Open.
Median of 36 Days Found From COVID-19 Symptom Onset to Viral Clearance
WEDNESDAY, Sept. 9, 2020 -- The median time from COVID-19 symptom onset to viral clearance is 36 days, according to a study published online Sept. 2 in BMJ Open.
Drug Companies Say Ethical, Scientific Standards Will Be Followed in Making COVID-19 Vaccines
WEDNESDAY, Sept. 9, 2020 -- The highest ethical and scientific standards will be followed in testing and manufacturing vaccines against the new coronavirus, the top executives of nine U.S. and European drug companies promise.
Financial Strain Tied to Higher Risk for Suicide Attempts
WEDNESDAY, Sept. 9, 2020 -- Financial strain is associated with an increased risk for suicide attempts and should be considered when assessing mental health, according to a study recently published in the American Journal of Epidemiology.
Early Therapy for Rheumatoid Arthritis May Slow Heart Disease
WEDNESDAY, Sept. 9, 2020 -- Disease-modifying antirheumatic drug (DMARD) therapy for rheumatoid arthritis (RA) treatment also cuts cardiovascular disease (CVD) risk, according to a study published online Aug. 28 in the Annals of the Rheumatic Diseases.
Insurer, Insured Costs for HIV PrEP Rising in the United States
WEDNESDAY, Sept. 9, 2020 -- From 2014 to 2018, there were increases noted in third-party and out-of-pocket (OOP) payments per 30 tenofovir disoproxil fumarate with emtricitabine (TDF-FTC) tablets for HIV preexposure prophylaxis (PrEP), according to a study published online Sept. 8 in the Annals of Internal Medicine.
USPSTF: Evidence Lacking for Screening Elders for Hearing Loss
WEDNESDAY, Sept. 9, 2020 -- The U.S. Preventive Services Task Force (USPSTF) concludes that current evidence is inadequate for assessing the balance of benefits and harms of hearing loss screening for older adults. This finding forms the basis of a draft recommendation statement published online Sept. 8 by the USPSTF.
Guidelines Updated for Hereditary Hemorrhagic Telangiectasia
TUESDAY, Sept. 8, 2020 -- In a second edition of international guidelines, published online Sept. 8 in the Annals of Internal Medicine, updated recommendations are presented for the diagnosis and management of hereditary hemorrhagic telangiectasia (HHT).
States Should Prepare for COVID-19 Vaccine by Nov. 1
TUESDAY, Sept. 8, 2020 -- Even though it is not likely to happen, states should be prepared to distribute a COVID-19 vaccine by Nov. 1, the U.S. Surgeon General said Sunday.
As Tough COVID-19 Summer Ends, Experts Warn of Tougher Fall, Winter
TUESDAY, Sept. 8, 2020 -- In a sobering illustration of the toll the COVID-19 pandemic took this summer, tallies now show the number of Americans who have died of the infection jumped from just under 100,000 to more than 186,000 between Memorial Day and Labor Day, while cases more than quadrupled to over 6.2 million.
Permanent Hair Dye Not Linked to Cancer Risk, Mortality
TUESDAY, Sept. 8, 2020 -- Use of permanent hair dye is not associated with the risk for most cancers or cancer mortality, according to a study published online Sept. 2 in The BMJ.
ATV Accidents in Children Most Often Result in Head, Neck Injuries
TUESDAY, Sept. 8, 2020 -- Head and neck injuries as a result of all-terrain vehicle (ATV) accidents remain common among children, according to a study published Aug. 10 in Clinical Pediatrics.
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Medical Marijuana Tied to Fewer Admissions in Sickle Cell Disease
TUESDAY, Sept. 8, 2020 -- Use of medical marijuana is associated with fewer hospitalizations among patients with sickle cell disease (SCD), according to a study published online Aug. 13 in Blood Advances.
Maternal Obesity May Alter Fetal Brain Development
TUESDAY, Sept. 8, 2020 -- Obesity in pregnant women may impact the development of their offspring's brains, according to a study published online Aug. 10 in the Journal of Child Psychology and Psychiatry.
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Seizures During Menstrual Cycle Tied to Drug-Resistant Epilepsy
TUESDAY, Sept. 8, 2020 -- In women with genetic generalized epilepsy (GGE), having more frequent seizures during the menstrual cycle is associated with drug-resistant epilepsy, according to a study published online Aug. 5 in Neurology.
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High Coronary Artery Calcium + Diabetes Even Riskier for Women
TUESDAY, Sept. 8, 2020 -- For patients with diabetes, coronary artery calcium (CAC) predicts cardiovascular disease (CVD) and total mortality more strongly in women than men, according to a study published online Aug. 17 in Diabetes Care.
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Almost 1 in 100 May Die From Firearms, Overdose, or Motor Vehicle Accident
TUESDAY, Sept. 8, 2020 -- The lifetime risk for death from firearms and drug overdoses varies by race and geography, according to a study recently published in The American Journal of Medicine.
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Prolonged Viral Shedding Seen in Children Positive for SARS-CoV-2
TUESDAY, Sept. 8, 2020 -- Pediatric patients have a prolonged period of viral shedding after infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a study published online Sept. 3 in The Journal of Pediatrics.
Four Studies Indicate Benefits of Steroids for COVID-19
TUESDAY, Sept. 8, 2020 -- Steroids can improve survival in patients with COVID-19, according to three randomized trials and a meta-analysis published online Sept. 2 in the Journal of the American Medical Association.
AKI Common in Hospitalized Patients With COVID-19
TUESDAY, Sept. 8, 2020 -- Acute kidney injury (AKI) is common in hospitalized patients with COVID-19 and is associated with increased in-hospital mortality, according to a study published online Sept. 3 in the Journal of the American Society of Nephrology.
2009 to 2019 Saw Increase in Exposure to Phenibut in U.S.
FRIDAY, Sept. 4, 2020 -- From 2009 to 2019, there was an increase in exposure to phenibut, with 1,320 exposures reported, according to research published in the Sept. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Physician's Briefing Weekly Coronavirus Roundup
Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Aug. 31 to Sept. 4, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.
Chief of U.S. Vaccine Initiative Says October Timeline 'Extremely Unlikely'
FRIDAY, Sept. 4, 2020 -- The chief adviser for the White House vaccine program said Thursday it was "extremely unlikely, but not impossible" that a COVID-19 vaccine could be available by the end of October.
Likely Deficient Vitamin D Status Linked to COVID-19 Risk
FRIDAY, Sept. 4, 2020 -- Likely deficient vitamin D status is associated with an increased risk for COVID-19, according to a study published online Sept. 3 in JAMA Network Open.
COVID-19 During Pregnancy May Pose Risks for Mother, Baby
FRIDAY, Sept. 4, 2020 -- Pregnant women with COVID-19 are less likely to report symptoms but are more likely to require intensive care unit admission compared with nonpregnant women of reproductive age, according to a systematic review and meta-analysis published online Sept. 1 in The BMJ.
CDC: 13.2 Percent of U.S. Adults Used Antidepressants in 2015 to 2018
FRIDAY, Sept. 4, 2020 -- During 2015 to 2018, 13.2 percent of U.S. adults used antidepressant medications in the previous 30 days, according to a September data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Some Lupus Erythematosus Cases Tied to Drug Exposure
FRIDAY, Sept. 4, 2020 -- Some cases of subacute cutaneous lupus erythematosus (CLE) and systemic lupus erythematosus (SLE) are drug-induced, according to a study published online Sept. 2 in JAMA Dermatology.
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Anticholinergic Meds May Raise Risk for Cognitive Decline
FRIDAY, Sept. 4, 2020 -- Anticholinergic medications (aCH) are associated with an increased risk for incident mild cognitive impairment (MCI) and cognitive decline in older adults, according to a study published online Sept. 2 in Neurology.
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Child Cancer Survivors' Hearing Loss Linked to Cognitive Deficits
FRIDAY, Sept. 4, 2020 -- Severe hearing impairment (HI) in childhood cancer survivors is associated with neurocognitive deficits, according to a study recently published in JAMA Oncology.
Severe Hypoglycemia May Up Fall Risk in Older Adults With T2DM
FRIDAY, Sept. 4, 2020 -- Severe hypoglycemia is associated with a substantially higher risk for falls among community-dwelling adults with type 2 diabetes, according to a study published in the September issue of Diabetes Care.
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Cardiovascular Health Tied to Lower Risk for Eye Diseases
THURSDAY, Sept. 3, 2020 -- Ideal cardiovascular health is associated with lower odds for ocular diseases, according to a study published Aug. 19 in The American Journal of Medicine.
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Fauci Warns Colleges Not to Send Students With COVID-19 Home
THURSDAY, Sept. 3, 2020 -- Colleges across America struggle to control COVID-19 outbreaks on campus, even as Anthony Fauci, M.D., director of the National Institute of Allergy and Infectious Diseases, warned on Wednesday that sending students home after an outbreak is "the worst thing you could do."
In-Person Visits to Resume at U.S. Prisons in October
THURSDAY, Sept. 3, 2020 -- In-person visits for inmates are scheduled to resume on Oct. 3, the U.S. Bureau of Prisons said Wednesday.
John Wagner No Longer Heading FDA Office of External Affairs
THURSDAY, Sept. 3, 2020 -- For the second time in days, a Trump appointee to the U.S. Food and Drug Administration has been let go.
CDC Refutes Social Media Rumors That COVID-19 Death Data Are Inaccurate
THURSDAY, Sept. 3, 2020 -- Rumors suggesting that COVID-19 deaths in the United States are much lower than reported are due to people misinterpreting standard death certificate language, a U.S. Centers for Disease Control and Prevention official says.
Few U.S. Children Meet Guidelines for Exercise, Screen Time
MONDAY, Aug. 31, 2020 -- Few U.S. children meet all three guidelines for physical activity, screen time, and sleep, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.
Closed-Loop System Beneficial for Children With T1DM
THURSDAY, Sept. 3, 2020 -- For children with type 1 diabetes, a closed-loop system results in the glucose level being in the target range for more time than with use of a sensor-augmented insulin pump, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.
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Imaging Manifestations of E-Cig, Vaping Lung Injury Described
THURSDAY, Sept. 3, 2020 -- Imaging manifestations of electronic cigarette or vaping product use-associated lung injury include an acute lung injury pattern exhibiting as multifocal ground-glass opacity and/or consolidation, according to a study published online Aug. 27 in Radiology: Cardiothoracic Imaging.
Higher Prevalence of Asthma Not Seen Among COVID-19 Patients
THURSDAY, Sept. 3, 2020 -- The prevalence of asthma among patients hospitalized with COVID-19 seems to be similar to population prevalence and significantly lower than asthma prevalence among patients hospitalized with influenza, according to a letter to the editor published online Aug. 31 in the Annals of the American Thoracic Society.
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Poll: Americans Now More Likely to Get COVID-19 Vaccine
THURSDAY, Sept. 3, 2020 -- Just over 54 percent of Americans now say they would get a COVID-19 vaccine in the first 12 months after it is introduced, a significant increase from 42 percent in July, a new WebMD poll finds.
Gestational Weight Gain Tied to Childhood Allergic Conditions
THURSDAY, Sept. 3, 2020 -- Excessive gestational weight gain (GWG) may be a risk factor for childhood allergic diseases, according to a study published online Sept. 2 in JAMA Network Open.
Early Body Mass Index Tied to Cardiometabolic Risk at Age 11 to 12
THURSDAY, Sept. 3, 2020 -- Toddlers who are overweight or obese have higher cardiometabolic risk scores at 11 to 12 years of age, according to a study published in the Aug. 1 issue of Pediatrics.
Deaths From Atrial Fibrillation Declined From 1972 to 2015
WEDNESDAY, Sept. 2, 2020 -- There has been a decline in deaths related to atrial fibrillation (AF) over the last 45 years, according to a study published online Aug. 11 in The BMJ.
CDC Alerts Nation to Prepare for COVID-19 Vaccine by Early November
WEDNESDAY, Sept. 2, 2020 -- The U.S. Centers for Disease Control and Prevention is telling the nation to prepare for distribution of a COVID-19 vaccine this fall.
U.S. Will Not Join International COVID-19 Vaccine Effort
WEDNESDAY, Sept. 2, 2020 -- The United States will not join an international effort to create and distribute a COVID-19 vaccine, the Trump administration said Tuesday.
High-Intensity Lifestyle Treatment Beneficial for Obesity in Underserved
WEDNESDAY, Sept. 2, 2020 -- For an underserved primary care population, a high-intensity lifestyle-based treatment program for obesity results in significant weight loss at 24 months, according to a study published in the Sept. 3 issue of the New England Journal of Medicine.
Higher Vitamin D Levels Linked to Lower Risk for Type 2 Diabetes
WEDNESDAY, Sept. 2, 2020 -- Higher serum 25-hydroxyvitamin D (25OHD) concentrations are associated with a lower risk for incident type 2 diabetes (T2D), according to a study published online Aug. 26 in Diabetes Care.
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Symptoms of Depression More Prevalent During COVID-19
WEDNESDAY, Sept. 2, 2020 -- The prevalence of depression symptoms in the United States was higher early in the pandemic than before COVID-19, according to a study published online Sept. 2 in JAMA Network Open.
Pandemic Changed Asthma Care Delivery for Children
WEDNESDAY, Sept. 2, 2020 -- The COVID-19 pandemic in Philadelphia has brought changes in pediatric asthma care delivery patterns, according to a study published online Aug. 19 in the Journal of Allergy and Clinical Immunology: In Practice.
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Dementia May Contribute to More Deaths Than Previously Thought
WEDNESDAY, Sept. 2, 2020 -- The U.S. mortality burden associated with dementia may be underestimated by vital statistics, according to a study published online Aug. 24 in JAMA Neurology.
VA/DoD Issue Guideline for Diagnosis, Management of HTN
WEDNESDAY, Sept. 2, 2020 -- In a synopsis of the 2020 U.S. Department of Veterans Affairs/U.S. Department of Defense clinical practice guideline, published online Sept. 1 in the Annals of Internal Medicine, recommendations are presented for the diagnosis and management of hypertension.
Emergency Visits for E-Scooter Injuries Up From 2014 to 2019
WEDNESDAY, Sept. 2, 2020 -- The incidence of emergency department visits for electric scooter (e-scooter) injuries increased from 2014 to 2019, according to a research letter published online Aug. 31 in JAMA Network Open.
Flexible School Meals Program Extended by USDA
TUESDAY, Sept. 1, 2020 -- The flexible free school meals program that provided food to children during the summer will be extended at least through the fall, the U.S. Department of Agriculture (USDA) said Monday.
Nonpsychotic Mental Disorder in Teens Linked to Later MI Risk
TUESDAY, Sept. 1, 2020 -- Having a nonpsychotic mental disorder in adolescence is associated with increased risk of subsequent myocardial infarction, with stress resilience partially attenuating the association, according to a study presented at the European Society of Cardiology Congress 2020: The Digital Experience, held virtually from Aug. 29 to Sept. 1.
More Than 20 Percent of Children With COVID-19 Are Asymptomatic
TUESDAY, Sept. 1, 2020 -- A considerable proportion of children with confirmed COVID-19 remain asymptomatic, according to a study published online Aug. 28 in JAMA Pediatrics.
California Chicken Plant Closes After 8 Employees Die From COVID-19
TUESDAY, Sept. 1, 2020 -- A Foster Farms chicken processing plant in Livingston, California, where eight workers died of COVID-19 and 392 tested positive, will be closed for a week of cleaning.
SARS-CoV-2 Antibodies for 6 Percent of Frontline Health Care Personnel
TUESDAY, Sept. 1, 2020 -- Six percent of health care personnel (HCP) caring for patients with COVID-19 have positive test results for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies, according to research published in the Aug. 31 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Neuropsychiatric Disorders Up in Offspring of Mothers With PCOS
TUESDAY, Sept. 1, 2020 -- Exposure to maternal polycystic ovary syndrome (PCOS) is associated with increased risk of a range of neurodevelopmental and psychiatric disorders in offspring, according to a study published online Aug. 31 in Human Reproduction.
ADA Updates Guideline for Pharmacotherapy of T2DM
TUESDAY, Sept. 1, 2020 -- In a 2020 American Diabetes Association clinical guideline, published online Sept. 1 in the Annals of Internal Medicine, recommendations are presented for the pharmacologic treatment of adults with type 2 diabetes.
Model Better Predicts Lung Cancer Risk for African Americans
TUESDAY, Sept. 1, 2020 -- The Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial Model 2012 (PLCOm2012) risk prediction model is more sensitive for identifying African American ever-smokers for lung cancer screening than the U.S. Preventive Services Task Force (USPSTF) criteria, according to a study published online Aug. 18 in the Journal of Thoracic Oncology.
Maternal H1N1 Flu Vaccination Not Linked to Autism in Offspring
TUESDAY, Sept. 1, 2020 -- Maternal influenza A(H1N1)pdm09 vaccination during pregnancy is not associated with risk for autism spectrum disorder (ASD) in offspring, according to a study published online Sept. 1 in the Annals of Internal Medicine.
Consensus Statements Issued for Adult Cochlear Implantation
TUESDAY, Sept. 1, 2020 -- Consensus statements have been developed for cochlear implantation among adults with sensorineural hearing loss (SNHL); the systematic review and accompanying consensus statements were published online Aug. 27 in JAMA Otolaryngology-Head & Neck Surgery.
Digital Cognitive Therapy Aids College Women With Eating Disorders
TUESDAY, Sept. 1, 2020 -- A coached, digital cognitive behavioral therapy (CBT) intervention is effective for reducing eating disorder psychopathology, compensatory behaviors, depression, and clinical impairment among college women, according to a study published online Aug. 31 in JAMA Network Open.
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Posted: October 2020