January 2014 Briefing - Hematology & Oncology

January 2014 Briefing - Hematology & Oncology

Here are what the editors at HealthDay consider to be the most important developments in Hematology & Oncology for January 2014. 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.

Deal Could Trade Tort Reform for Additional Health Reform

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/53.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/53.full )

Antioxidants Increase Lung Cancer Growth in Mice

FRIDAY, Jan. 31, 2014 (HealthDay News) -- In mice prone to developing lung cancer, supplementation with antioxidants increases tumor growth, according to a study published in the Jan. 29 issue of Science Translational Medicine.

Abstract (http://stm.sciencemag.org/content/6/221/221ra15.abstract )Full Text (subscription or payment may be required) (http://stm.sciencemag.org/content/6/221/221ra15.full )

Melanoma Risk Up in IBD Independent of Biologic Therapy

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Inflammatory bowel disease (IBD) is associated with an increased risk of melanoma, independent of the use of biologic therapy, according to research published in the February issue of Clinical Gastroenterology and Hepatology.

Abstract (http://www.cghjournal.org/article/S1542-3565(13)00602-2/abstract )Full Text (http://www.cghjournal.org/article/S1542-3565(13)00602-2/fulltext )Editorial (http://www.cghjournal.org/article/S1542-3565(13)01671-6/fulltext )

Similar Risks for Atypical Ductal, Lobular Hyperplasia

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH) exhibit similar behavior in terms of later breast cancer end points, according to a study published online Jan. 30 in Cancer Prevention Research.

Abstract (http://cancerpreventionresearch.aacrjournals.org/content/early/2014/01/28/1940-6207.CAPR-13-0222.abstract )Full Text (http://cancerpreventionresearch.aacrjournals.org/content/early/2014/01/28/1940-6207.CAPR-13-0222.full.pdf+html )

Nonmelanotic Invasive Skin Cancer Tied to Agent Orange

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Agent Orange (2,3,7,8-tetrachlorodibenzodioxin) exposure is associated with increased incidence of nonmelanotic invasive skin cancer, according to research published in the February issue of Plastic and Reconstructive Surgery.

Full Text (http://journals.lww.com/plasreconsurg/Fulltext/2014/02000/Association_between_Agent_Orange_Exposure_and.40.aspx )

Improving Infection Control Could Mean No More White Coats

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.

Abstract (http://www.jstor.org/stable/info/10.1086/675066 )Full Text (http://www.jstor.org/stable/full/10.1086/675066 )

Androgen Deprivation Therapy Can Take Emotional Toll

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Changes in mental and emotional well-being occur in prostate cancer patients on androgen deprivation therapy (ADT), according to research published in an upcoming issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)05837-0/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)05837-0/fulltext )

Report Reveals Payment Methods for Physicians

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ab3a17c69-7ccb-4795-8fba-e8cec6356875&plckScript=blogScript&plckElementId=blogDest )

Docs Prefer Tablets Over Smartphones for Reading Articles

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.

More Information (http://www.kantarmedia-healthcare.com/doctors-are-more-likely-to-use-tablets-over-smartphones-to-read-medical-publications )

Practices Must Engage Vendors for ICD-10 Updates Now

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Practice owners need to communicate with system vendors to coordinate International Classification of Diseases, 10th Revision (ICD-10) updates, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/practice-owners-must-talk-their-vendors-now-about-icd-10-updates )

Businesses Urge Change to ACA's Insurance Mandate

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.

Full Article (http://consumer.healthday.com/diabetes-information-10/insulin-news-414/businesses-urge-change-to-obamacare-s-insurance-mandate-684325.html )

Telephone Delivery OK for BRCA1/2 Genetic Counseling

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- The psychosocial outcomes of telephone genetic counseling are noninferior to standard in-person genetic counseling for BRCA1/2 gene testing, according to research published online Jan. 21 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.3226.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.3226.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.53.8975 )

Insurance Eligibility Headaches Expected With ACA

TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-brace-aca-insurance-eligibility-headaches-january )

Framework Established to Promote Safety of Care

TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314628?query=featured_home )

Yoga Provides Health Benefits for Breast Cancer Survivors

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For breast cancer survivors, a 12-week yoga intervention improves fatigue and vitality and is associated with reduced levels of proinflammatory cytokines, according to a study published online Jan. 27 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.full.pdf+html )

Role of Vitamin D in Disease Prevention Is Uncertain

TUESDAY, Jan. 28, 2014 (HealthDay News) -- Supplementation with vitamin D to prevent disease does not appear to improve health outcomes, according to research published online Jan. 24 in The Lancet: Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70212-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70008-7/fulltext )

Therapeutic Music Video Beneficial for HSCT Recipients

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For adolescents/young adults (AYAs), a therapeutic music video (TMV) intervention delivered during the acute phase of hematopoietic stem cell transplant (HSCT) is associated with positive resilience outcomes, according to a study published online Jan. 27 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28355/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28355/full )

Exercise After Cancer Improves Survival in Men

MONDAY, Jan. 27, 2014 (HealthDay News) -- Men who are physically active after a cancer diagnosis have significantly improved survival, according to a study published in the January issue of the Journal of Physical Activity & Health.

Abstract (http://journals.humankinetics.com/jpah-current-issue/jpah-volume-11-issue-1-january/physical-activity-and-survival-after-cancer-diagnosis-in-men )Full Text (subscription or payment may be required) (http://journals.humankinetics.com/jpah-current-issue/jpah-volume-11-issue-1-january/physical-activity-and-survival-after-cancer-diagnosis-in-men )

Top Ten Physician Challenges of 2014 Discussed

MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/top-10-challenges-facing-physicians-2014 )

Children Resilient When Dealing With Cancer Experience

MONDAY, Jan. 27, 2014 (HealthDay News) -- When compared with peers without a history of cancer, children with cancer do not appear to have increased posttraumatic stress disorder (PTSD) or posttraumatic stress symptoms (PTSS), according to research published online Jan. 21 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.49.8212.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.49.8212.full.pdf+html )

'War on Cancer' Has Made Progress

FRIDAY, Jan. 24, 2014 (HealthDay News) -- More people are being diagnosed with and dying from cancer, but this is largely the result of declines in mortality from other causes, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.50.8952.abstract?sid=83ce4bfd-532a-4620-b2da-2b7d12c15529 )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.50.8952.full.pdf+html )

Breast Density Readings by CT, Mammogram Consistent

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Readings of computed tomography (CT) breast density are consistent with mammography readings and have greater interobserver agreement, according to a study published in the January issue of Radiology.

Abstract (http://pubs.rsna.org/doi/abs/10.1148/radiol.13130733 )Full Text (subscription or payment may be required) (http://pubs.rsna.org/doi/full/10.1148/radiol.13130733 )

Writing a Blog Can Up a Doc's Visibility

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/why-writing-blog-may-benefit-physician-s-career )

Sickle Cell Trait Affects Dosing of Anemia Medications in Dialysis

FRIDAY, Jan. 24, 2014 (HealthDay News) -- African-American patients undergoing hemodialysis who carry hemoglobinopathy traits such as sickle cell trait require higher doses of erythropoiesis-stimulating agents (ESAs) than patients without these traits, according to a study published online Jan. 23 in the Journal of the American Society of Nephrology.

Abstract (http://jasn.asnjournals.org/content/early/2014/01/22/ASN.2013060575.abstract )Full Text (subscription or payment may be required) (http://jasn.asnjournals.org/content/early/2014/01/22/ASN.2013060575.full )

Editorial Discusses Ultrasound in Point-of-Care Diagnostics

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Ultrasound devices represent an important point-of-care diagnostic modality, which is increasingly being used in numerous specialties, according to an editorial published in the December issue of Global Heart.

Full Text (subscription or payment may be required) (http://www.globalheart-journal.com/article/S2211-8160(13)00171-3/fulltext )

Medical Staff Performance Goals Should Be Clear, Attainable

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/managing-staff-performance-reviews-and-raises )

Early Vulvar CA Tx Has Little Impact on Sexuality, Body Image

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Women undergoing treatment for early-stage vulvar cancer generally experience little to no long-term disruption to sexuality or body image, according to a study published online Jan. 17 in the Journal of Advanced Nursing.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/full )

Added Prostate CA Criteria May Help ID Surveillance Candidates

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Additional predictors, such as prostate-specific antigen (PSA) density and extent of cancer on biopsy, help guide selection of prostate cancer patients for active surveillance programs, according to research published in the February issue of The Journal of Urology.

Abstract (http://jurology.com/article/S0022-5347(13)05475-X/abstract )Full Text (http://www.jurology.com/article/S0022-5347(13)05475-X/fulltext )

Few Dermatology Patients Engage in Skin CA Surveillance

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Few dermatology patients engage in skin cancer screening behaviors, and most have poor knowledge about melanoma, with lower understanding among minority patients, according to a study published in the February issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)01144-4/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)01144-4/fulltext )

Legitimacy of Publishing Pharma-Funded Research Queried

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g171 )

ALA: Much More Must Be Done to Lower Smoking Rates

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- State inaction and tobacco industry tactics are slowing tobacco control efforts in the United States, a new report from the American Lung Association (ALA) finds.

Full Article (http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/much-more-must-be-done-to-lower-smoking-rates-experts-say-684117.html )

MicroRNA Panels May Help ID Pancreatic CA From Whole Blood

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Two diagnostic panels based on microRNA expression from whole blood can distinguish, to some degree, patients with pancreatic cancer from healthy controls, according to a study published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1817797#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817797 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817771 )

Some Medical Schools Offering Accelerated Training

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.

More Information (http://www.kaiserhealthnews.org/stories/2014/january/14/medical-schools-shaving-off-a-year-of-training.aspx )

More Federal Funding of Health Centers Mitigates Access Issues

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Since 2000, increased federal funding for community health centers has helped low-income adults get access to primary care and dental care, according to a study published online Dec. 18 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/full )

ACA Impact on Primary Practice May Depend on Location

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The impact of Medicaid expansion under the Affordable Care Act (ACA) on physicians' primary care practices will vary geographically, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-will-insurance-exchanges-medicaid-expansion-mean-your-primary-care-pract )

Researchers Examine FDA Decision Making Processes

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Abstract - Downing (http://jama.jamanetwork.com/article.aspx?articleid=1817794#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817794 )Abstract - Rome (http://jama.jamanetwork.com/article.aspx?articleid=1817796#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817796 )Abstract - Sacks (http://jama.jamanetwork.com/article.aspx?articleid=1817795#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817795 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817770 )

AAFP: Insufficient Evidence for Low-Dose CT Lung CA Screening

MONDAY, Jan. 20, 2014 (HealthDay News) -- In contrast to a recommendation from the U.S. Preventive Services Task Force (USPSTF), the American Academy of Family Physicians (AAFP) has concluded that there is currently insufficient evidence to recommend screening for lung cancer with low-dose computed tomography (CT) among high-risk individuals.

More Information (http://www.aafp.org/news-now/health-of-the-public/20140113aafplungcarec.html )

Survey IDs Factors Influencing Physician Job Satisfaction

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/delivering-quality-patient-care-key-physician-satisfaction-study-finds )

Data Support Sedentary Time, Mortality Link for Older Women

TUESDAY, Jan. 21, 2014 (HealthDay News) -- For older women, increased sedentary time is associated with increased mortality risk after multivariate adjustment, according to a study published in the February issue of the American Journal of Preventive Medicine.

Abstract (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/abstract )Full Text (subscription or payment may be required) (http://www.ajpmonline.org/article/S0749-3797(13)00594-1/fulltext )

Multiple Medications Increase Odds of Hospital Admission

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of unplanned admission is increased with polypharmacy, but the association is modified by the number of long-term conditions, according to a study published online Jan. 16 in the British Journal of Clinical Pharmacology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/pdf )

Medication Synchronization Program Ups Adherence

TUESDAY, Jan. 21, 2014 (HealthDay News) -- A community pharmacy-based medication synchronization program can improve medication adherence, according to a study conducted by the National Community Pharmacists Association (NCPA).

More Information (http://www.ncpanet.org/pdf/survey/2014/ncpa-study-results.pdf )

Doctor Urges Colleagues to Disclose Conflicts of Interest

MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g167 )

One-Fifth of Hospitalizations in Advanced GI Cancer Avoidable

FRIDAY, Jan. 17, 2014 (HealthDay News) -- For patients with advanced gastrointestinal (GI) cancer, about 20 percent of hospitalizations are potentially avoidable, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.52.4330.abstract )Full Text (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.52.4330.full.pdf+html )

State Insurance Marketplaces Boost Outreach Efforts

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/state-health-marketplaces-boost-outreach-683935.html )

Reliable Emotion Words ID'd to Assess Patient Experience

THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.

Full Text (http://www.sciencedirect.com/science/article/pii/S2213076413000389 )

Survey Results Identify Drivers of Doctor Engagement

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.

More Information (http://www.cejkasearch.com/news/press-releases/rules-of-engagement-new-survey-reveals-drivers-of-physician-engagement-and-a-disconnect-with-administration/ )

NCPA: Access to Controlled Substances Often Delayed

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Most pharmacists report experiencing multiple delays or issues with their controlled substance orders, according to the results of the National Community Pharmacists Association (NCPA) Controlled Substances Access Survey.

More Information (http://www.ncpanet.org/pdf/survey/2014/controlled-substances-access-survey.pdf )

FDA Warns Against Rx With High Levels of Acetaminophen

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is recommending that physicians stop prescribing and dispensing prescription combination drug products containing more than 325 mg of acetaminophen per tablet, according to a safety alert issued by the agency.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm381650.htm )

Exposure to Some Phthalates Fell in the Last Decade

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to some phthalates has fallen over the last decade and may be associated with bans on their use, according to a study published online Jan. 15 in Environmental Health Perspectives.

Abstract (http://ehp.niehs.nih.gov/1306681/ )Full Text (http://ehp.niehs.nih.gov/wp-content/uploads/122/1/ehp.1306681.pdf )

Intensive Monitoring Ups Surgical Treatment of CRC Recurrence

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- For patients who have undergone curative surgery for primary colorectal cancer, intensive monitoring is associated with increased surgical treatment of recurrence compared with minimum follow-up, but does not reduce the number of deaths, according to a study published in the Jan. 15 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1814213#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1814213 )

Wednesday Is Deadline for Feb. 1 Coverage Under ACA

TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/deadline-for-feb-1-health-coverage-is-approaching-683814.html )

More Than Two Million People Have Signed Up for ACA Coverage

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/more-than-2-million-enroll-in-marketplace-health-plans-683818.html )

Intensity-Modulated Radiation Ups Head/Neck Cancer Survival

MONDAY, Jan. 13, 2014 (HealthDay News) -- Patients with head and neck cancers treated with intensity-modulated radiation therapy (IMRT) experience significant improvements in cause-specific survival (CSS) compared with patients treated with non-IMRT techniques, according to a study published online Jan. 13 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28372/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28372/full )

CMS: New Rule Proposed for Contract Year 2015

MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2014-Fact-sheets-items/2014-01-06.html )

Early BPA Exposure May Up Subsequent Prostate Cancer Risk

MONDAY, Jan. 13, 2014 (HealthDay News) -- Exposure to bisphenol A (BPA) may increase the risk for prostate cancer later in life, according to an experimental study published online Jan. 1 in Endocrinology.

Abstract (http://press.endocrine.org/doi/abs/10.1210/en.2013-1955 )Full Text (subscription or payment may be required) (http://press.endocrine.org/doi/pdf/10.1210/en.2013-1955 )

CDC: Lung Cancer Incidence in U.S. Down From 2005 to 2009

MONDAY, Jan. 13, 2014 (HealthDay News) -- From 2005 to 2009, the incidence of lung cancer decreased among men and women in the United States, according to a study published in the Jan. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/Mmwr/preview/mmwrhtml/mm6301a1.htm?s_cid=mm6301a1_ww )

FDA Approves Mekinist Plus Tafinlar for Late-Stage Melanoma

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has approved Mekinist for use with another drug, Tafinlar, to treat advanced melanoma that is metastatic or unresectable.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm381159.htm )

Survey: Fees, Reimbursement Top Physician Worries

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/flat-declining-salaries-inflate-physician-worries-over-payments-red-tape )

Profile of Sentinel Nodes May Predict Melanoma Progression

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The gene expression profile of sentinel lymph nodes and how it affects immune response may be a marker for prognosis in melanoma, according to research published in the Jan. 1 issue of Cancer Research.

Abstract (http://cancerres.aacrjournals.org/content/74/1/130.abstract )Full Text (http://cancerres.aacrjournals.org/content/74/1/130.full )

EHR Use Linked to Doc-Reported Enhanced Patient Care

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/full )

CMS: Low Growth for National Health Expenditures in 2012

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2014-Press-releases-items/2014-01-06.html )

Female Conveners Up Number of Women at Scientific Symposia

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.

Abstract (http://mbio.asm.org/content/5/1/e00846-13 )Full Text (http://mbio.asm.org/content/5/1/e00846-13.full )

ACP Introduces Free 'High Value Care' Case Studies

FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.

More Information (http://hvc.acponline.org )

Guideline Adherence Cuts Cancer Risk in Postmenopausal Women

THURSDAY, Jan. 9, 2014 (HealthDay News) -- All-cause and cancer-specific mortality is lower in postmenopausal women who follow the American Cancer Society (ACS) Nutrition and Physical Activity Cancer Prevention Guidelines, according to research published in the January issue of Cancer Prevention Research.

Abstract (http://cancerpreventionresearch.aacrjournals.org/content/7/1/42.abstract )Full Text (subscription or payment may be required) (http://cancerpreventionresearch.aacrjournals.org/content/7/1/42.full )

Cognitive Behavioral Therapy Best for Cancer Patients With Insomnia

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Cognitive behavioral therapy for insomnia (CBT-I) is the preferred choice over mindfulness-based stress reduction (MBSR) for nonpharmacologic management of insomnia in patients with cancer, according to a study published online Jan. 6 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/06/JCO.2012.47.7265.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/06/JCO.2012.47.7265.full.pdf+html )

Anti-CD20 Antibody + Chemo Benefits CLL With Comorbidity

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- For patients with previously untreated chronic lymphocytic leukemia (CLL) and coexisting conditions, combining an anti-CD20 antibody (rituximab or obinutuzumab) with chemotherapy is associated with improved outcomes, according to a study published online Jan. 8 in the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1313984?query=featured_home )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1313984?query=featured_home#t=article )

Internists Uncomfortable Caring for Childhood Cancer Survivors

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Many general internists are unfamiliar with care guidelines for childhood cancer survivors (CCSs) and, on average, are somewhat uncomfortable caring for these patients, according to a study published in the Jan. 7 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1811026 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1811030 )

Administrative Demands Hurt Patient-Doctor Relationship

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Administrative demands on doctors, particularly primary care physicians, threaten the patient-doctor relationship, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/can-doctor-patient-relationship-survive?contextCategoryId=146 )

Smoking Rates Still Low for Most Health Care Professionals

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812944 )

Review Suggests Psychological Benefits of Meditation

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Moderate evidence suggests that meditation is associated with improvements in anxiety, depression, and pain, according to a review and meta-analysis published online Jan. 6 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1809754#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1809754 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1809753 )

U.S. Cancer Death Rates Decreasing Steadily

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Cancer death rates have been decreasing steadily for the past two decades, with the magnitude of the decrease varying with age, race, and sex, according to a report published online Jan. 7 in CA: A Cancer Journal for Clinicians.

Abstract (http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/full )

AMA Urges Med Students to Be Agents of Health Care Change

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a247728ba-e82a-4527-97c6-010eeb7584af&plckScript=blogScript&plckElementId=blogDest#.Usuqmf35E_s )

Non-White Physicians Provide Disproportionate Minority Care

MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1792913 )

Unrestricted Hospital Visiting Hours Up Patient Satisfaction

MONDAY, Jan. 6, 2014 (HealthDay News) -- Open visitation improves the patient and family experience and does not cause interference for hospital staff, according to research published in the Journal for Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/full )

AMA Details Top Five Federal Issues for 2014

MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ada87eb10-f35f-4894-b57d-b69658bc9ab6&plckScript=blogScript&plckElementId=blogDest )

Over 100 New Accountable Care Organizations Formed

FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/12/20131223a.html )

Surgery First Found to Improve Oral Cancer Outcomes

FRIDAY, Jan. 3, 2014 (HealthDay News) -- For patients with oral cavity squamous cell carcinoma (OCSCC), outcomes are improved with surgery first, according to a study published online Dec. 26 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1791577#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1791577 )

IBCG Proposes New Definition in Bladder Cancer

FRIDAY, Jan. 3, 2014 (HealthDay News) -- The International Bladder Cancer Group (IBCG) has proposed a new definition of progression in nonmuscle invasive bladder cancer that is clinically useful for determining prognosis and comparing treatment options, according to research published in the January issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)05149-5/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)05149-5/fulltext )

Review Quantifies Benefits, Harms of Mammography

FRIDAY, Jan. 3, 2014 (HealthDay News) -- The benefits and harms of screening mammography have been quantified in a special communication published online Dec. 30 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleID=1792915#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleID=1792915 )

Most Women Experience Breast Cancer Postoperative Pain

FRIDAY, Jan. 3, 2014 (HealthDay News) -- Most women with unilateral non-metastasized breast cancer treated with breast conserving surgery or mastectomy with axillary surgery experience postoperative pain at 12 months, according to a research letter published in the Jan. 1 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1810368 )

Impact of Transitions in Doctors' Careers Discussed

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.

Full Text (subscription or payment may be required) (http://www.bmj.com/content/347/bmj.f7086 )

CDC: Updated Guidance for HBV Vaccination for Health Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6210a1.htm?s_cid=rr6210a1_w )

Worsening of Shortage of Residency Slots Feared

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.

Full Blog Post (http://www.kevinmd.com/blog/2013/12/fearful-time-medical-students.html )Save GME Website (http://savegme.org/ )

Patient Experience of Service Quality Predicts CRC Survival

THURSDAY, Jan. 2, 2014 (HealthDay News) -- For patients with colorectal cancer, satisfaction with quality of care is associated with survival, according to a study published in the November/December issue of the Journal for Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00217.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00217.x/full )

Docs Have Until Jan. 31 to Change Medicare Status

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a0390d077-20bd-4215-9a2c-78e71583edbd&plckScript=blogScript&plckElementId=blogDest#.UsJswv35E_s )