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Low Back Pain Guidelines Expanded to Include Interventional Procedures
The American Pain Society presented draft revised guidelines on the management of chronic low back pain to include interventional procedures, underlining the lack of evidence for many of these commonly used approaches.
Medscape Medical News, May 2008
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Height Loss Measurement Improves Sensitivity of Osteoporosis Diagnosis
Poor association between bone mineral density and vertebral fractures leads to misclassification of many osteoporotic patients.
Medscape Medical News, May 2008
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CME/CE
Guidelines Issued for Screening Men for Osteoporosis
The American College of Physicians recommend that clinicians assess risk factors for osteoporosis in older men and obtain a bone mineral density test for men at increased risk for osteoporosis.
Medscape Medical News, May 2008
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CME
More Evidence of Increased Fractures With Thiazolidinediones
In a new case-control study, long-term use of either rosiglitazone or pioglitazone in patients with type 2 diabetes mellitus was associated with a 2-fold to 3-fold increased risk for fractures.
Medscape Medical News, May 2008
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What Your Patients Are Reading: Alendronate Linked to Atrial Fibrillation Risk in Women
Any use of alendronate is associated with increased risk for atrial fibrillation in women; kids in day care have a 30% lower risk for acute lymphoblastic leukemia; thiazolidinediones, but not other oral antidiabetic agents, are associated with increased fracture risk; exercise lowers but does not eliminate CHD risk among overweight/obese women; and the prevalence of diabetes before pregnancy is high and puts mothers and children at risk for complications.
Medscape Medical News, May 2008
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CME
Osteoporosis Drug Promotes Atrial Fibrillation in Population-Based Study
In a case-control study, women who have taken alendronate, the bisphosphonate widely prescribed for preservation of bone density, have an increased risk for the development of atrial fibrillation.
Medscape Medical News, April 2008
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Misdiagnoses Caused in Part by Overconfidence
The rate of diagnostic error is as high as 15%; physician overconfidence and a lack of feedback after diagnosis are the most important contributors to the problem.
WebMD Health News, April 2008
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Recalls & Warnings Enoxaparin Now Affected by Heparin Contaminant
Some countries have recalled affected batches, although no increase in adverse reactions has been seen.
Medscape Medical News, April 2008
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Factors Linked With Early-Onset Osteoporosis May Raise Cancer Risk
Risk factors associated with the early onset of osteoporosis may be related to an increased risk of certain cancers, while factors associated with a later onset of osteoporosis may be related to a decreased risk of other cancers, researchers report in the April 15th issue of the International Journal of Cancer.
Reuters Health Information, April 2008
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CME
Removable Splints May Be as Good as Casts for Minor Wrist Fractures in Children
A review of trial data suggests that removable splints offer a more tolerable but equally effective alternative to casts in the treatment of minor fractures of the wrist in children.
Reuters Health Information, April 2008
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CME/CE
Review Addresses Strategies for Patient Adherence to Medications
An updated review provides various methods of encouraging patients to adhere to their medications, but the reviewers say that there are significant limitations and that more research is needed.
Medscape Medical News, April 2008
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Exercise Tolerance Declines in Children With Hypoplastic Left Heart Syndrome
Older children with surgically repaired hypoplastic left heart syndrome have poorer exercise tolerance than their younger counterparts, researchers report in the April issue of the Journal of Pediatrics.
Reuters Health Information, April 2008
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Activity Declines in COPD Patients as Cardiac Dysfunction and Inflammation Increase
The results of a study published in the April 1st issue of the American Journal of Respiratory and Critical Care Medicine suggest that higher levels of systemic inflammation and left heart dysfunction are associated with reduced physical activity in patients with chronic obstructive pulmonary disease (COPD).
Reuters Health Information, April 2008
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Bone Biopsy Improves Medical Therapy of Diabetic Foot Osteomyelitis
In diabetic patients undergoing medical management of foot osteomyelitis, bone culture-based antibiotic therapy improves the chances of successful treatment, according to findings published in the April issue of Diabetes Care.
Reuters Health Information, April 2008
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Breathing Training Improves Limb Blood Flow With Heart Failure
Inspiratory muscle training (IMT) can improve blood flow to both resting and exercising limbs in patients with chronic heart failure, according to a report in the Journal of the American College of Cardiology for April 29.
Reuters Health Information, April 2008
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Synthetic Oligosaccharide Useful for Clot Prevention After Hip Surgery
Treatment with SR123781A, a new once-daily synthetic oligosaccharide, is effective in preventing venous thromboembolism (VTE) after total hip replacement, according to a report in the Journal of the American College of Cardiology for April 15.
Reuters Health Information, April 2008
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Vitamin D Supplementation Improves Hip Bone Mineral Density in Elderly Women
Adding vitamin D to calcium supplementation improves hip bone mineral density (BMD) in elderly ambulatory women in sunny climates, according to a report in the March issue of The Journal of Clinical Endocrinology & Metabolism.
Reuters Health Information, April 2008
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Ventilation-Feedback Training Increases Exercise Capacity in COPD
Respiratory retraining using a computerized ventilation-feedback (VF) system augments the effects of exercise training in patients with chronic obstructive pulmonary disease (COPD), according to a report in the April 15th issue of the American Journal of Respiratory and Critical Care Medicine.
Reuters Health Information, April 2008
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CME
Loop Diuretics May Increase Loss of Bone Mass in Older Men
A cohort study showing an increased rate of hip bone loss suggests that the potential for bone loss should be considered when loop diuretics are prescribed to older patients in clinical practice.
Medscape Medical News, April 2008
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Hyperglycemia Associated With Reduced Fracture Risk
Hyperglycemia is associated with a reduced risk of multiple and osteoporotic fractures, according to a report in the March issue of The Journal of Clinical Endocrinology & Metabolism.
Reuters Health Information, April 2008
