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More trips to the ED but fewer are uninsured Print E-mail
Written by Jeffrey Herschler   
Tuesday, 20 June 2017 13:43

Entitled Effect of the Affordable Care Act Medicaid Expansion on Emergency Department Visits: Evidence From State-Level Emergency Department Databases and posted yesterday to the Annals of Emergency Medicine website, the authors examine the effect of Medicaid expansion on the ED. The authors found that states that expanded Medicaid experienced increased ED utilization. This is contrary to the outcomes expected by many proponents of the expansion effort. Many pundits predicted ED utilization would be reduced as covered individuals would seek care through PCPs, specialists and/or urgent care clinics rather than visit the ED. 
Last Updated on Friday, 14 July 2017 15:32
Proton pump inhibitors implicated in chronic kidney disease Print E-mail
Written by Sydney Lupkin & Pauline Bartolone | KHN   
Monday, 22 May 2017 00:00

Recent research has linked the proton pump inhibitors, or PPIs, to serious side effects, including chronic kidney disease, and recently filed lawsuits allege, among other things, that the manufacturers should have known of their potential harms. The risk of chronic kidney disease is as much as 50 percent higher in people who've taken the drug compared with those who've not - although no causative link has been proven and manufacturers insist they are safe.

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Last Updated on Tuesday, 23 May 2017 17:02
Nearly 1 in 3 Recent FDA Drug Approvals Followed By Major Safety Actions Print E-mail
Written by Sydney Lupkin | KHN   
Tuesday, 16 May 2017 15:53

The Food and Drug Administration is under pressure from the Trump administration to approve drugs faster, but researchers at the Yale School of Medicine found that nearly a third of those approved from 2001 through 2010 had major safety issues years after they were widely available to patients.
Seventy-one of the 222 drugs approved in the first decade of the millennium were withdrawn, required a "black box" warning on side effects or warranted a safety announcement about new risks to the public, Yale professor Dr. Joseph Ross and his colleagues reported in JAMA on Tuesday <5.9.17>. The study included safety actions through Feb. 28.

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Last Updated on Monday, 05 June 2017 13:28
What Is the Best Way to Deliver Bad News? Print E-mail
Written by FHI's Week in Review   
Monday, 08 May 2017 17:28

Andrea Eisenberg, MD, in a 5.2.17 KevinMD post, reflects on the dilemma faced by many doctors on an all too frequent basis:

Is there a right way to give bad news? When I get a patient's pathology report of breast cancer on a Friday afternoon, should I wait until Monday to call her to let her have one more weekend cancer "free?" What if I do call and I'm transferred to voicemail? Do I leave a message to call me back? The office may be closed when she returns the call. Then she is left to ruminate over the weekend.
When I get the pathology results from a surgery, and it shows cancer, do I wait until their post op visit to tell them in person or call right away? If I tell my staff to make her appointment sooner, won't she guess it is because I have bad news?

Read more in the current issue of Week in Review

Last Updated on Monday, 08 May 2017 18:00
Readmission penalties don't correlate to heart attack outcomes Print E-mail
Written by FHI's Week in Review   
Monday, 01 May 2017 18:14

According to an April 26 post by

A program that penalizes hospitals for high early readmission rates of heart attack patients may be unfairly penalizing hospitals that serve a large proportion of African-Americans and those with more severe illness, a study by UT Southwestern Medical Center researchers suggests.

The study, which appears in JAMA Cardiology, looked at one-year outcomes for heart attack patients at 377 hospitals. It found no difference in one-year mortality rates and long-term readmission rates between hospitals that were judged to have an excessive readmission ratio (ERR) and those that did not.

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 16 May 2017 15:52
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