Multisite Chronic Pain Increases Dementia Risk, Hippocampal Injury: UK Biobank Analysis
The risk of neurocognitive abnormality increased with each additional pain site among patients with multisite chronic pain and appeared to be mediated by loss of hippocampal volume.
FDA Requires Opioid Manufacturers to Provide Mail-back Envelopes to Accompany Prescriptions
Opioid manufacturers will supply outpatient pharmacies and other dispensers with pre-paid mail-back envelopes for disposal of unused medication.
Use of Medical Cannabis May Reduce Reliance on Opioids to Manage Chronic Pain: Survey Findings
Use of medical cannabis for chronic pain management is leading to decreased use of opioid analgesics and other common interventions, suggest new survey findings.
Online E-health Program Reduces Daily Opioid Use, Improves Pain Scores vs Usual Care
Patients on long-term opioid therapy for chronic pain who used the e-health program for 4 months reported cutting back on opioids as well as improved pain scores.
Friday's 5 Quotes for Primary Care 3-31-2023
Screening for diabetes by weight will increase diagnoses; weight regain after loss doesn't cancel health benefits; strategy tested to improve RSV detection; and 2 more studies of note.
Mediterranean, Low-fat Diets May Reduce Death, CV Events in Patients at Increased Risk
The Mediterranean and low-fat dietary patterns were the only 2 out of 7 "structured, named" programs shown to reduce risk of mortality, CV events in persons at risk.
Rx for US Health Care Inequity: Increased Access to Primary Care
An ongoing relationship with a primary care clinician is foundational to personal and community health and adults of color are less likely than White adults to have that.
Reversing Prediabetes Without Lifestyle Change May Not Reduce Mortality Risk: Study
Among persons with prediabetes who reverted to normoglycemia, only those who remained physically active saw a reduced risk of all-cause death, study authors report.
Health Equity Has it's Roots in the Exam Room, says AAFP President Iroku-Malize
Family physicians are positioned to identify at the patient level specific factors that contribute to and sustain disparities in health and US health care, says AAFP president.
Weight Regain May Not Fully Diminish Benefits of Weight Loss on Cardiometabolic Health
A new study examines the legacy effects of weight loss on cardiometabolic disease risk factors, finding benefits persist up to 5 years, despite weight regain.
Screening for Diabetes by Age vs by Weight Could Reduce US Health Disparities, Suggests a New Study
The disproportionate prevalence of undiagnosed diabetes among racial/ethnic minorities in the US begs for a new screening paradigm; this may be the one.
AAFP President: We Need to Go Forward, Not Backward, on Racial Disparities in Health Care
Disparities in US health and health care delivery along some dimensions are moving backward, not forward, says AAFP president Iroku-Malize in this interview.
Best & Worst States for Physicians: 2023 Snapshot
Get a quick look at the 5 states ranking highest and lowest on metrics including wages, competition, state medical board punishment, cost of malpractice insurance, and size of malpractice payout.
Daily Dose: Statin-Eligible Minority Patients Sorely Undertreated
A daily dose of clinical news you may have missed.
FDA Proposed Rule Change Expands Use of Salt Substitutes to Lower NaCl Intake, Reduce Chronic Disease
The rule change would provide flexibility in standards that govern specific ingredients used in food production, permitting replacement of regular sodium with less toxic substitutes.
Friday's 5 Quotes for Primary Care: 3-24-2023
Statin-eligible patients in minority groups significantly undertreated; metabolically healthy obesity on the rise; menstruation irregularities suggest later CVD risk; and 2 more studies of note.
Dupilumab Achieves Outcomes in Phase 3 COPD Clinical Trial "Never Before Seen with a Biologic"
Dupilumab in patients with uncontrolled COPD reduced annual exacerbations by 30%, a statistically significant and clinically meaningful outcome and a first for a biologic.
3 Things Primary Care Should Remember About Sports Medicine
A sports medicine specialist talks about collaborating with primary care and says there are 3 things that help make the partnership work so well.
Rate of Statin Use for Primary ASCVD Prevention Substantially Lower in Black, Hispanic Persons
Analysis of NHANES data between 2013-2020 found statin use low across racial/ethnic groups and significantly lower among Black and Hispanic participants.
AHA/ACC Release Scientific Statement on Benefits of Exercise Training in Persons with HFpEF
Studies on supervised exercise training in patients with chronic, stable HFpEF suggest substantial improvements in exercise capacity and QoL that may surpass those seen with medication.
Menstrual Cycle Irregularities May Increase Risk for Cardiometabolic Events in Later Life
Women whose menstrual cycle varied in frequency had a significant 24% greater risk of a composite cardiovascular event during a 26-year follow-up, a new study reports.
21st Century Sports Medicine: Not Your Grandfather's Concussion Protocol
Kevin Carneiro, DO, sports medicine specialist and medical director of the UNC Center for the Study of Retired Athletes, looks at the evolution of the specialty and its objectives.
Women with Severe Mental Illness Benefit from Continuing Antidepressant Use During Pregnancy
A new study found the probability of initiating psycholeptics and having a postpartum psychiatric emergency was lower in early and late discontinuer groups vs the continuer group.
Meningococcal ABCWY Vaccine Candidate Meets All Endpoints in Pivotal Phase 3 Trial
The 5-in-1 vaccine candidate, if approved, would provide the broadest meningococcal serogroup coverage and simplify the vaccination schedule.
Friday's 5 Quotes for Primary Care 3-17-2023
Each of the quotes is taken from a study reviewed on Patient Care during the week and was chosen for the research team’s passion about the implications of their findings.
Investigational Nonhormonal Treatment for Vasomotor Symptoms of Menopause Found Safe, Effective
Fezolinetant, a nonhormonal selective neurokinin-3 receptor antagonist, significantly reduced frequency and severity of menopause-related VMS in a pivotal phase 3 trial.
A UNC Sports Medicine Specialist Explains what Sports Medicine Really Is
Kevin Carneiro, DO, a sports medicine specialist and medical director of the UNC Center for the Study of Retired Athletes, details the broad scope of the specialty and his practice.
Shorter Primary Care Visits Linked to Inappropriate Prescribing Patterns, Study Finds
Shorter office visit length increased risk for inappropriate antibiotic prescribing, coprescribing of opioids and benzodiazepines, and potentially harmful prescriptions for seniors.
ACC 2023: 10 Clinical Highlights for Primary Care
Ketogenic diet comes with cautions, new benefits of bempedoic acid, how to increase GDMT for type 2 diabetes, and CV consequences of cannabis lead findings from ACC 2023.
Perceived Racism Linked to Significantly Increased Risk for Heart Disease in Black Women
Black women who reported perceived interpersonal racism in employment, housing, and interactions with police had a nearly 30% higher risk of CHD than those reporting none.
