HCPLive Network

Internal Medicine World Report

Editor's Letter
The True Culprits Behind Exhorbitant Healthcare Expenditures
By Simon Douglas Murray, MD
Internists must resist taking as much as they can carry from the current healthcare system just because they can get away with it.
Cardiology
Benefits of Azithromycin Outweigh Risks in Elderly Hospitalized with Pneumonia
By Jackie Syrop
Among patients aged 65 years or older who are hospitalized with community-acquired pneumonia, azithromycin lowers the risk of 90-day mortality in exchange for slightly increased odds of myocardial infarction compared to other antibiotic regimens.
Preventive Implantable Cardioverter-defibrillators Improve Survival in Heart Failure Patients
By Jackie Syrop
A retrospective cohort study of Medicare beneficiaries hospitalized for heart failure with a left ventricular ejection fraction between 30-35% found improved 3-year survival rates among those who received a prophylactic implantable cardioverter-defibrillators compared to those with no ICD.
Durability Seen in Clinical Cardiology Guideline Recommendations Based on Multiple Randomized Trials
By Jackie Syrop
Cardiology guideline recommendations that are based on multiple randomized studies have the most durability over time, researchers from the University of Pennsylvania have found.
Pulmonology
Preventive Macrolide Antibiotics Recommended for COPD Patients
By Rachel Lutz
The continuous use of macrolide antibiotics for prophylaxis is associated with a significant reduction in chronic obstructive pulmonary disease exacerbations.
Beta-blocker Exposure Adversely Affects Asthma Patients
By Rachel Lutz
Although selective beta-blockers are generally better tolerated in asthma patients, a study published in Chest found the treatments are not without risk.
COPD Linked to Increased Risk of Mild Cognitive Decline
By Rachel Lutz
Patients with chronic obstructive pulmonary disease are twice as likely to develop mild cognitive impairment.
Gastroenterology
Smarter Quality Measures Needed for Colorectal Screenings in Elderly
By Laura Joszt
Under current quality measures, colorectal screenings are being overused in sick elderly patients and underused in healthy ones.
Medicare Approves Hepatitis C Testing for Baby Boomers
By Catherine Kolonko
People from the Baby Boom generation covered under Medicare can now get one-time screening for hepatitis C, according to a memo from the Centers for Medicare & Medicaid Services.
Redefining Kidney Disease May Accelerate Treatment Development
By Laura Joszt
Revising the definition of chronic kidney disease progression that is currently used in clinical trials could speed the development of new therapies.
Pain Management
EMR-based Approach to Opioids Offers Peace of Mind to Prescribers
By Adam Hochron
Although many primary care physicians remain uncertain of how to best help patients in pain manage their opioid prescriptions, new research shows a standardized protocol based on electronic medical records can get patients the assistance they need while providing peace of mind to prescribers.
Tackling the Tricky Trio of Pain, Diabetes, and Sleep Dysfunction
By Jeannette Wick
Although clinicians are increasingly forced to face the 3-headed monster of comorbid diabetes, sleep disturbance, and pain, the healthcare community is only beginning to understand how the conditions overlap.
Biofeedback Helps Relieve Stubborn Pain Symptoms
By Adam Hochron
The expanded use of biofeedback can provide multiple benefits for patients who report issues ranging from headaches to neck pain and muscle tension.
Psychiatry
The Most Effective Medications for Alcohol Use Disorders
By Jacquelyn Gray
Although medications for alcohol use disorders are not widely utilized, a review published in a recent issue of JAMA highlighted several drugs that can effectively reduce alcohol consumption.
Antidepressant Use Causes Minimal Weight Gain
By Jacquelyn Gray
Contrary to popular belief, patients who are prescribed antidepressants experience only minimal weight gain within 12 months of treatment.
Head Injury Tied to Development of Psychiatric Disorders
By Jacquelyn Gray
Patients who experience a head injury have an increased risk of receiving a subsequent diagnosis for a psychiatric disorder.
Neurology
Global Health Burden of Herpes Zoster Will Likely Increase
By Jackie Syrop
Since the risk of herpes zoster rises sharply after age 50, the significant global health burden of shingles pain is expected to increase as the population ages.
New Algorithm Predicts Onset of Epileptic Seizures
By Jacquelyn Gray
New research suggests a mathematical algorithm can predict the onset of seizures in epilepsy patients up to 20 minutes in advance.
Genzyme Reattempts Relapsing-remitting Multiple Sclerosis Indication for Alemtuzumab
By Jeannette Wick
European regulators recently approved alemtuzumab to treat active relapsing-remitting multiple sclerosis, but the US Food and Drug Administration denied the drug for that indication last year.