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Screening For Osteoporosis-Related Fracture Risk In Older Women May Reduce Incidence Of Hip Fractures, Research Suggests.Medwire News (12/18, Barnard) reports that research suggests “screening for osteoporosis-related fracture risk in older women is feasible and may reduce the incidence of hip fractures relative to standard care.” The findings were published in The Lancet. Benefits Of Glucocorticoids May Outweigh Adverse Effects Among Individuals With Rheumatic Conditions, Data Suggest.Healio (12/18, Laday, 15K) reports that “patient survey data” indicated that while “patients who received glucocorticoids as treatment for rheumatic conditions reported considerable adverse effects, the majority felt the benefits of therapy offset the harms.” The researchers “also concluded that the adverse effects that posed the greatest life impact were also often difficult for physicians to measure.” The findings were published in the Journal of Clinical Rheumatology. In Study, Seven Out Of Ten Patients With Refractory Dermatomyositis Or Polymyositis Respond To Treatment With Repository Corticotropin Injection.MedPage Today (12/18, Walsh, 87K) reports that in a “proof-of-concept study,” investigators found that “seven out of ten patients with refractory dermatomyositis (DM) or polymyositis (PM) responded to treatment with repository corticotropin injection (RCI), also known as H.P. Acthar Gel.” The researchers also found that there “was a significant steroid-sparing effect, with a decrease in daily prednisone dose from 18.5 mg/day to 2.3 mg/day.” MedPage Today adds, “Half of patients were able to stop prednisone altogether.” The findings were published online in Annals of the Rheumatic Diseases. Patients With Sjogren’s May Have Worse Ocular Surface, Delphi Global Staining Scores Than Patients With Aqueous Deficient Dry Eye, Study Indicates.Healio (12/18, Hemphill, 15K) reports, “Patients with Sjögren’s syndrome were found to have significantly worse ocular surface and Delphi global staining scores than patients with aqueous deficient dry eye,” researchers concluded after reviewing “harts of 123 patients with Sjögren’s syndrome from six optometric offices and 86 patients without Sjögren’s but with aqueous deficient dry eye (ADDE) who were screened in a Sjögren’s clinic.” The findings were presented at the American Academy of Optometry’s annual meeting. |
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Musculoskeletal Ultrasound Being Used More Outside Of Radiology, Research Indicates.The Radiology Business Journal (12/18, Thakar) reports that research indicates “musculoskeletal ultrasound (MSK US) is being used more and more outside of radiology.” The findings were published in the Journal of the American College of Radiology. GOP Prepared To Repeal ACA Individual Mandate This Week, CHIP Funding Remains Uncertain.The Hill (12/18, Sullivan, 1.99M) reports that the Republican tax bill “appears headed for passage in the coming week.” The bill will repeal the Affordable Care Act’s individual mandate, “a major accomplishment for Republicans in chipping away at the health law.” The Hill adds that healthcare groups “warn that the move would destabilize markets and cause premiums to rise,” while Republicans contend that the repeal would do away with a “costly penalty for people who choose not to buy coverage.” The “Week Ahead” article also discusses a government funding bill and Sen. Susan Collins’ (R-ME) efforts for that legislation to include measures to shore up the ACA marketplace. The piece adds that “CHIP funding could be attached to the spending bill next week, but it is also possible the issue would have to wait until the January funding bill, which would further frustrate advocates.” Sen. Collins Confirms She Will Back Tax Bill. The AP (12/18) reports Sen. Susan Collins (R-ME) “said she’ll vote for a tax reform overhaul she claims will help Maine businesses and lower taxes for most Maine households.” Collins had previously said that “her vote depends on Congress ensuring reform doesn’t trigger Medicare cuts and passing two bills she favors to stabilize the health insurance market.” Collins defended the tax bill’s repeal of the Affordable Care Act’s individual mandate Monday, explaining that there is a “big difference between fining people who choose to go without health insurance versus the bills considered last summer and fall that would have taken away insurance coverage from people who have it and want it.” House GOP Challenging Senate To Vote Against Short-Term Funding Bill.Bloomberg News (12/18, Edgerton, Litvan, 3.31M) reports House GOP lawmakers “are challenging the Senate with a take-it-or-leave-it offer to keep the government running for another month while increasing funding for the Pentagon. The Senate is ready to leave it.” The article says both parties “are still haggling over whether the funding legislation should carry a host of other issues including lifting limits on defense and domestic programs, stabilizing” ACA marketplaces, re-authorizing CHIP funding, “providing additional aid for hurricane recovery and giving legal status to some immigrants brought to the U.S. illegally as children.” Sen. Cornyn Says Senate Discussing Short-Term Funding Bill Through Jan. 19. The Hill (12/18, Carney, 1.99M) reports Sen. John Cornyn (R-TX) suggested Monday that Senate Republicans are preparing a short-term bill that would fund the government through Jan. 19. House Republicans, however, are proposing legislation that provides a “full year of defense funding with a continuing resolution (CR) that would fund the rest of the government for only a few weeks.” The House bill would not pass in the Senate where it would need Democratic support. Cornyn added that there were “conversations” about including the bipartisan healthcare deal written by Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA) and disaster relief. The Hill (12/18, Sullivan, 1.99M) reports Alexander “says that his bipartisan ObamaCare insurer fix will be added to a government funding bill this week, potentially setting up a showdown with House conservatives who oppose the measure.” The measure seeks to shore up ACA marketplaces. Alexander stated, “Senator McConnell has pledged to put Alexander-Murray on the spending bill that will also pass next week.” FDA To Increase Regulation Of Homeopathic Remedies.The AP (12/18, Perrone) reports that on Monday, the FDA “issued a new proposal for regulating homeopathic medicines that have long been on the fringe of mainstream medicine.” The agency intends “to target products that pose the biggest safety risks, including those marketed for children or for serious diseases,” although “under the government’s framework, the vast majority of low-risk products would remain on the market.” Commenting on the matter, FDA Commissioner Dr. Scott Gottlieb said, “We respect that some individuals want to use alternative treatments, but the FDA has a responsibility to protect the public from products that may not deliver any benefit and have the potential to cause harm.” On its website, NBC News (12/18, Fox, 6.95M) reports that the FDA said it is proposing “a new, risk-based enforcement approach to drug products labeled as homeopathic.” The FDA added, “To protect consumers who choose to use homeopathic products, this proposed new approach would update the FDA’s existing policy to better address situations where homeopathic treatments are being marketed for serious diseases and/or conditions but where the products have not been shown to offer clinical benefits.” CNBC (12/18, LaVito, 3.1M) reports on its website that Gottlieb said, “In many cases, people may be placing their trust and money in therapies that may bring little to no benefit in combating serious ailments, or worse – that may cause significant and even irreparable harm because the products are poorly manufactured, or contain active ingredients that aren’t adequately tested or disclosed to patients.” Virginia Governor Puts Medicaid Expansion At Center Of Two-Year Budget.The Washington Post (12/18, Schneider, 11.19M) reports that Virginia Gov. Terry McAuliffe (D) proposed Medicaid expansion under the Affordable Care Act as part of his two-year spending plan submitted to lawmakers Monday. The Post explains, “McAuliffe based the budget of $115.9 billion on the premise that the state would accept federal money to expand Medicaid.” Medicaid expansion is expected to provide coverage to 300,000 Virginians, and under the ACA, the federal government pays 90 percent of the additional cost. McAuliffe proposed a “provider assessment” on hospitals to cover the remaining costs. The Richmond (VA) Times-Dispatch (12/18, Martz, 387K) reports that McAuliffe “is counting on the failure of a Republican president and Congress to repeal the Affordable Care Act,” predicting that the changed dynamics could push expansion through this time. Governor-Elect Ralph Northam expressed support for the proposal, saying, “Virginians elected us all to put politics aside and do what is right – expanding Medicaid should be at the top of the list this session.” The Roanoke (VA) Times (12/18, Forman, 187K) reports McAuliffe said, “Since the Affordable Care Act became the law of the land, Virginia has left more than $10.5 billion of our own tax dollars on the table, rather than bring them back to Virginia to benefit those who need it most.” The Times notes that McAuliffe has proposed Medicaid expansion in all of his previous budgets. •
Activity In Midlife Years May Protect Against Self-Reported Joint Symptoms In Women, Study Suggests. |
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Rheumatology Daily Briefing is a digest of the most important news selected from thousands of sources by the editors of BulletinHealthcare. The presence of advertising does not endorse, or imply endorsement of, any products or services by the Cleveland Clinic. This complimentary copy of Rheumatology Daily Briefing was sent to lib...@creb.com.br. View BulletinHealthcare's Privacy Policy. For information on the Cleveland Clinic Center for Continuing Education, please contact Cleveland Clinic at 216-448-0770 or email clevelandc...@ccf.org Cleveland Clinic | 9500 Euclid Avenue TR2-192 | Cleveland, OH 44195 Copyright © 2017 by BulletinHealthcare | 11190 Sunrise Valley Drive, Suite 20 | Reston, VA 20191 |