36% of proton pump inhibitor prescriptions for older adults may be unneeded

FINDINGSOne in eight older adults was prescribed proton pump inhibitor drugs, which are used to treat gastric ulcers or to prevent gastrointestinal bleeding in those taking blood thinners. About 36 percent of those prescriptions were potentially unnecessary, a study found, primarily because people took them far longer than the often-recommended eight weeks.BACKGROUNDOlder Americans frequently receive  low-value care, which is care that has no net benefit to the individual and has the potential to harm them. Low-value care contributes significantly to higher health costs. Most people are unaware of the potential toxicity of proton pump inhibitor drugs — which include Prilosec, Prevacid and Nex ium among other brand names — and older adults are especially vulnerable to complications from them, such as gastrointestinal infections. METHODScientists identified 69,000 individuals age 65 and older who were receiving primary care at a large health system in 2018. Of those, 8,700 were prescribed the inhibitors. The scientists reviewed a random sample of charts for 399 patients prescribed the drugs to determine which ones did or did not have conditions calling for their use. For example, a patient with heartburn would typically stop taking or begin to wean off the inhibitors after eight weeks, whereas those taking blood thinners would need to take the drugs indefinitely.The findings may not apply to health systems other than the one involved in the study...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news

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Conclusions The frequency of prescribing errors was 34% in a tertiary care hospital. Being a patient with prophylactic LMWH use on a medical ward is a determinant for LMWH prescribing error. Interventions that will lead to better electronic recording of body weight and more awareness among medical doctors may reduce the total number of prescribing errors.
Source: Journal of Patient Safety - Category: Health Management Tags: Original Studies Source Type: research
Lucid is focused on patients with gastroesophageal reflux disease, also known as chronic heartburn or acid reflux, who are at risk of developing esophageal cancer.
Source: bizjournals.com Health Care News Headlines - Category: Health Management Authors: Source Type: news
Lucid is focused on patients with gastroesophageal reflux disease, also known as chronic heartburn or acid reflux, who are at risk of developing esophageal cancer.
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
Conclusiones : Confirma datos internacionales sobre la relación significativa entre Diabetes Mellitus tipo 1 y enfermedad periodontal.Resumo Diabetes Mellitus é uma doença crônica com repercussões bucais; não há dados no Uruguai. Objetivo: Determinar se o estado de saúde bucal de crianças com Diabetes Mellitus tipo 1 é significativamente diferente de crianças sem diabetes. Método: Caso-controle, estudo observacional e analítico. 86 crianç as foram avaliadas em dois grupos: DM1) diabeticos tipo 1, de 8 a 12 años, frequent...
Source: Odontoestomatologia - Category: Dentistry Source Type: research
Resumen Paciente de 78 a ños consulta por sangrado sin resolución, a nivel del reborde alveolar maxilar izquierdo. Con antecedentes de metástasis óseas tratadas con ácido zoledrónico endovenoso discontinuado por alta médica y tratamiento quirúrgico previo de osteonecrosis maxilar en sitio afectado. Se observó disru pción de continuidad con inflamación a nivel del reborde óseo, con salida de contenido hemático, purulento y necrótico. Radiográficamente se observó radiolucidez difusa y osteolítica del á...
Source: Odontoestomatologia - Category: Dentistry Source Type: research
Described by another expert as a ‘fantastic life-saving idea’, the simple procedure could save lives by stopping catastrophic blood loss from shark bitesGet our free news app;get our morning email briefingAn emergency department doctor says he has developed a simple new way to help save the lives of shark attack victims in the crucial moments after a bite.The technique is described in a paper published today in the journal of Emergency Medicine Australasia and works by closing off the femoral artery to prevent a person from rapidly bleeding out.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Medical research Australia news Surfing Emergency services Source Type: news
When Joe Silverman developed Crohn’s disease at age 21, the symptoms started out mild. While the sight of blood in his stools initially freaked him out, what really bothered him was the frequent abdominal pain and bloating that occurred as his condition progressed to moderate and then severe. Dietary changes didn’t make a difference, so he began taking prescription oral anti-inflammatory drugs that are often used to treat certain bowel diseases, which alleviated but didn’t eliminate his discomfort. He started using prescription steroid suppositories to cope with flare-ups of the inflammatory bowel disease...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
Conclusion: The results of this meta-analysis suggest that a transbronchial forceps biopsy when performed in mechanically ventilated patients with respiratory failure of unclear etiology had a moderate complication rate. These biopsies resulted in varied diagnoses with a high rate of management change. Randomized controlled trials are necessary to identify the ideal patients to perform a transbronchial forceps biopsy on in the intensive care unit.
Source: Journal of Bronchology and Interventional Pulmonology - Category: Respiratory Medicine Tags: Original Investigations Source Type: research
We report a series of patients admitted to our institution for further evaluation of obscure overt GIB with an eventual diagnosis of factitious GIB and review of the epidemiology and development of FD, a diagnostic approach to factitious GIB, and current management strategies.PMID:34551859 | DOI:10.1016/j.amjms.2020.11.004
Source: The American Journal of the Medical Sciences - Category: General Medicine Authors: Source Type: research
Br J Nutr. 2021 Sep 23:1-28. doi: 10.1017/S0007114521003809. Online ahead of print.ABSTRACTIn patients with liver cancer or space-occupying cysts, they suffer from malnutrition due to compression of gastric and digestive structures, liver and cancer-mediated dysmetabolism, and impaired nutrient absorption. As proportion of these patients require removal of lesions through hepatic resection, it is important to evaluate the effects of malnutrition on post-hepatectomy outcomes. In our study approach, 2011-2017 National Inpatient Sample was used to isolate in-hospital hepatectomy cases, which were stratified using malnutrition...
Source: The British Journal of Nutrition - Category: Nutrition Authors: Source Type: research
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