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Serum vitamin D levels, atopy not significantly linked
SCOTTSDALE, ARIZ. – Serum vitamin D level was not significantly associated with atopic dermatitis or disease severity in a single-center study of more than 600 children and adolescents. However, “we... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - August 2, 2016 Category: Endocrinology Source Type: news

Testosterone might counteract chemotherapy heart damage
SEATTLE – Adjunct testosterone improved short-term cardiac function in head, neck, and cervical cancer patients undergoing standard treatment in a small
Source: Clinical Endocrinology News - August 2, 2016 Category: Endocrinology Source Type: news

VIDEO: Telecardiology improves chronic care management, reduces cost
MINNEAPOLIS – The use of telecardiology can vastly improve outcomes, reduce hospitalizations, and lower health care costs, explained Michael Shen, MD, a cardiologist and chief medical officer at... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - August 2, 2016 Category: Endocrinology Source Type: news

Oocyte donation may up risk of preterm birth
HELSINKI – The risk of preterm birth and low birth weight is higher following oocyte donation for in vitro fertilization, compared with autologous IVF, according to a review of more than 100,000... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - August 2, 2016 Category: Endocrinology Source Type: news

Two incretin-based drugs linked to increased bile duct disease but not pancreatitis
At least two incretin-based drugs – glucagon-like peptide 1 agonists and dipeptidyl peptidase 4 inhibitors – do not appear to increase the risk of acute pancreatitis in individuals with diabetes but... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - August 1, 2016 Category: Endocrinology Source Type: news

Links found between NAFLD, type 2 diabetes, and NASH in children
Nearly one in three children with nonalcoholic fatty liver disease have abnormal glucose metabolism, and this co-morbidity is also associated with a greater risk of nonalcoholic steatohepatitis,... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - August 1, 2016 Category: Endocrinology Source Type: news

Zoledronic acid protects against bone density loss caused by antiretrovirals
Administering 5 mg of zoledronic acid at the start of antiretroviral therapy to HIV-infected patients who have never previously undergone ART can significantly decrease the risk of bone density loss.... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 30, 2016 Category: Endocrinology Source Type: news

GLP-1 receptor agonist lixisenatide approved for type 2 diabetes
The Food and Drug Administration has approved the once-daily injectable lixisenatide, a glucagonlike peptide-1 (GLP-1) receptor agonist, as an adjunct to diet and exercise for improved glycemic... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 29, 2016 Category: Endocrinology Source Type: news

Law & Medicine: Discovery rule and statute of limitations
Question: In July 2002, a patient in California underwent surgery for a herniated T8-9 disk, but the surgeon instead removed the T6-7 and T7-8 disks. On Sept. 11, 2002, the surgeon discussed... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 29, 2016 Category: Endocrinology Source Type: news

Triptorelin doesn’t prevent ovarian failure in young women treated for lymphoma
Protective treatment with the GnRH agonist triptorelin failed to prevent chemotherapy-induced premature ovarian failure in young women with lymphoma, according to a report published in the Journal of... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 28, 2016 Category: Endocrinology Source Type: news

Different approaches can combat negative online reviews
Like most physicians, Dr. Susan Hardwick-Smith was used to receiving the occasional negative online review about her practice. But a biting post from several years ago was so wrenching that it nearly... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 27, 2016 Category: Endocrinology Source Type: news

Gestational diabetes ups risk for infantile hemangiomas
MINNEAPOLIS – Gestational diabetes and prenatal progesterone use were among the maternal factors associated with increased risk of infantile hemangioma, a benign vascular neoplasm whose incidence has... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 26, 2016 Category: Endocrinology Source Type: news

Study shows faster increase in obesity prevalence among cancer survivors
From 1997 to 2014, cancer survivors had a significantly faster increase in obesity prevalence compared with adults without a history of cancer, investigators found. Furthermore, the elevated annual... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 25, 2016 Category: Endocrinology Source Type: news

The drive to cut readmissions after bariatric surgery continues with DROP project
SAN DIEGO – John Morton, MD, started his bariatric surgery career about the same time that demand for gastric bypass and other bariatric procedures began to skyrocket. But a troubling trend... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 25, 2016 Category: Endocrinology Source Type: news

Psoriatic arthritis patients face more endocrine comorbidities
MIAMI – Diabetes mellitus, hypothyroidism, Cushing’s disease, and osteoporosis occur more frequently in people with psoriatic arthritis than in controls, a large cohort study reveals. Prevalence of... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 23, 2016 Category: Endocrinology Source Type: news

Weight loss may improve fertility in anovulatory obese women
HELSINKI – A 6-month lifestyle intervention was associated with an increased natural conception rate in infertile anovulatory obese women, compared with infertile ovulatory obese women, although the... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 23, 2016 Category: Endocrinology Source Type: news

Diabetes prevalence in U.S. adolescents is under 1%
The prevalence of diabetes among adolescents in the United States is estimated to be 0.8%, with more than a quarter of that group being undiagnosed, according to a research letter published in... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 23, 2016 Category: Endocrinology Source Type: news

Weight loss boosts TNFi’s psoriatic arthritis efficacy
DENVER – Weight loss enhances responsiveness of patients with psoriatic arthritis to tumor necrosis factor inhibitors and should be part of routine care when using these drugs in this setting, Lianne... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 23, 2016 Category: Endocrinology Source Type: news

CMS seeks input on future of Open Payments program
The Centers for Medicare & Medicaid Services is seeking physician input on the Open Payments program. The agency signaled its intent to gather information in its
Source: Clinical Endocrinology News - July 21, 2016 Category: Endocrinology Source Type: news

Feds sue to block mega-mergers by health insurers
The U.S. Department of Justice (DOJ) is suing to block two mega-mergers between four of the largest health insurers in the nation, claiming the alignments will harm competition and reduce patient... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 21, 2016 Category: Endocrinology Source Type: news

Lessons learned from merging EHR systems
WASHINGTON – As practices merge, how hard is it to merge EHRs? Even in what might seem to be the best circumstances, it can be a huge challenge, according to
Source: Clinical Endocrinology News - July 21, 2016 Category: Endocrinology Source Type: news

Jury still out on value of r-HGH with IVF
HELSINKI, FINLAND – Recombinant human growth hormone, or r-HGH, offered no advantage over placebo with respect to improving the live birth rate among poor-responding women undergoing in vitro... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 21, 2016 Category: Endocrinology Source Type: news

Study examines long-term trends in type 2 diabetes medication use
NEW ORLEANS – Treatment options for patients with type 2 diabetes mellitus have increased markedly post metformin therapy, results from a long-term study suggests. However, the proportion of patients... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 20, 2016 Category: Endocrinology Source Type: news

Supreme Court offers mixed take on false claim liability
A U.S. Supreme Court ruling that expands liability under the federal False Claims Act (FCA) could have both positive and negative implications for physicians accused of submitting false claims to the... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 19, 2016 Category: Endocrinology Source Type: news

Resolving patients’ complaints
For most physicians, the resolution of patients’ complaints ranks second only to firing an employee on the Least Favorite Tasks List. With so many potential problems, and so many ways patients can... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 18, 2016 Category: Endocrinology Source Type: news

Study shows no benefit with brief immobilization after IUI
HELSINKI, FINLAND – A brief period of immobilization after intrauterine insemination did not improve pregnancy rates and was actually associated with a slight reduction in the pregnancy rate in a... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 18, 2016 Category: Endocrinology Source Type: news

Cost of end-of-life care peaks at age 73 years
The cost of end-of-life care for Americans on traditional Medicare is higher for those in their early 70s than for beneficiaries in their 80s or 90s, according to the Kaiser Family Foundation. In... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 18, 2016 Category: Endocrinology Source Type: news

Case report: Insulin pump therapy feasible in legally blind patients
NEW ORLEANS – Insulin pump therapy may be feasible and beneficial for select low-vision diabetes patients, results from a case report demonstrated. “A significant complication of poorly controlled... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 17, 2016 Category: Endocrinology Source Type: news

Infections, antibiotics more common in type 2 diabetes
People with type 2 diabetes are up to 55% more likely to experience hospital-treated infections and up to 30% more likely to receive an antibiotic prescription in the community setting, compared with... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 16, 2016 Category: Endocrinology Source Type: news

Digital snake oil?
In what might have been a lecture from the early 19th century, CEO of the American Medical Association James Madara gave a fire and brimstone
Source: Clinical Endocrinology News - July 15, 2016 Category: Endocrinology Source Type: news

Decision Support in Medicine: Hypothyroidism in pregnancy and postpartum
1. Are you sure the pregnant or post-partum patient has hypothyroidism? Symptoms of hypothyroidism may include fatigue, difficulty concentrating, cold intolerance, hoarseness, dry skin,... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 14, 2016 Category: Endocrinology Source Type: news

Study identifies important predictors for PC/PGL
BALTIMORE – Tumor size and the presence of mutations of the succinate dehydrogenase complex subunit B (SDHB) gene may be reliable indicators of prognosis after surgery for pheochromocytoma and... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

CMS: Projected overall growth rate in health spending holding firm
Health spending is projected to grow on average 5.8% from 2015-2025, the same projected rate of grown as announced last year covering 2014-2024, according the CMS Office of the Actuary. However,... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

CMS to Congress: We might delay MACRA start
Implementation of some MACRA provisions could be delayed, CMS Acting Administrator Andy Slavitt told committee members at a July 13
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

Metabolic health declining among the obese, despite improvements in BP and lipids
Despite achieving significant improvements in blood pressure and cholesterol levels, obese Americans continue to grow fatter, with worsening blood glucose and an increasing incidence of... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

HHS issues guidance on ransomware attacks
The U.S. Department of Health & Human Services’ Office of Civil Rights has issued new guidance to help physicians and their practices combat a ransomware attack. Ransomware – a type of... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

Medicaid expansion linked to lower uninsured rates
The overall uninsured rate for nonelderly adults took a significant drop from 18.8% in 2013 to 14.4% in 2014, with rates by age lower and declines generally larger among states that expanded Medicaid... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

Newer insulin glargine formula curbs nocturnal hypoglycemia
NEW ORLEANS – Insulin glargine 300 U/mL provided comparable glycemic control to that seen with insulin glargine 100 U/mL and consistently reduced the risk of nocturnal hypoglycemia in patients with... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

‘Clarion call’ to screen for, treat aldosteronism
The Endocrine Society’s updated Clinical Practice Guideline for managing primary aldosteronism is “a clarion call” for physicians to recognize the impact of this substantial public health problem and... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

Triple therapy helped type 1 patients improve glycemia
NEW ORLEANS – The addition of dapagliflozin to insulin and liraglutide in patients with type 1 diabetes resulted in a significant improvement in glycemia, results from a single-center randomized... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 13, 2016 Category: Endocrinology Source Type: news

Statement warns of drugs causing or exacerbating heart failure
Many commonly used prescription drugs, many OTC agents, and also several complimentary or alternative medications, can either trigger heart failure or exacerbate the disease in patients with existing... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 11, 2016 Category: Endocrinology Source Type: news

Endobariatrics: Coming to a clinic near you
SAN DIEGO – Device companies are working hard to bring obesity management to the endoscopy suite. The field is called endobariatrics, and its goal is to fill the gap between surgery and... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 11, 2016 Category: Endocrinology Source Type: news

Canagliflozin benefits cohort of type 1 diabetes patients
NEW ORLEANS – Compared with placebo, canagliflozin improved glycemic control and reduced glycemic variability over 18 weeks in adults with type 1 diabetes that had been inadequately controlled with... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 11, 2016 Category: Endocrinology Source Type: news

Most women conceive within 5 years of starting fertility treatment
HELSINKI, FINLAND – The overall birth rate within 5 years of initiating fertility treatment with homologous gametes was 71% among nearly 20,000 women in a Danish assisted reproductive technology... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 11, 2016 Category: Endocrinology Source Type: news

High rates of early complications seen in youth with diabetes
NEW ORLEANS – There is a high burden of early complications among young adults with type 1 or type 2 diabetes, results from an ongoing study demonstrated. “We are witnessing a recent increase in... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 11, 2016 Category: Endocrinology Source Type: news

Fee schedule includes expansion of Diabetes Prevention Program
An expansion of the Diabetes Prevention Program (DPP), announced July 7 in the... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 8, 2016 Category: Endocrinology Source Type: news

What difference would an empagliflozin CVD indication make?
When a Food and Drug Administration advisory committee met on June 28 to consider a new indication for the type 2 diabetes drug empagliflozin – reduction of cardiovascular mortality in patients with... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 7, 2016 Category: Endocrinology Source Type: news

Medical errors and the law
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 7, 2016 Category: Endocrinology Source Type: news

Apologizing for medical errors
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 7, 2016 Category: Endocrinology Source Type: news

New fragility fracture recommendations emphasize coordination of care
LONDON – The European League Against Rheumatism and the European Federation of National Associations of Orthopaedics and Traumatology have joined forces to develop recommendations for the prevention... (Source: Clinical Endocrinology News)
Source: Clinical Endocrinology News - July 6, 2016 Category: Endocrinology Source Type: news