While VA’s proposed budget represents a 10% increase from last year, it includes decreases in key areas like hiring and infrastructure. While some of those cuts are offset by other funding, others are the result of hard decisions made to accommodate federal spending caps, department leaders said.
News
Higher Risk of Dementia Found in Veterans With Housing Instability
Veterans who experience housing instability have an elevated risk of developing Alzheimer’s disease or a related dementia compared to those with stable housing, according to a recent study.
Current Issue
VA Examines Strategies to Increase Mammography Uptake
Screening mammography plays a crucial role in identifying and treating breast cancer at its early stages, yet many women who could benefit from regular mammogram screenings don’t receive them.
VA Resource Crunch Less Than Feared With PACT Act-Related Enrollment Surge
The VA is experiencing less of a resource crunch this year due to the PACT Act-related surge than previously expected, according to VA Secretary Denis McDonough. He gave the credit to early planning and increased hiring.
Oncology
Immune Checkpoint Inhibitors Improve Overall Survival for VA NSCLC Patients
DURHAM, NC -- Non-small-cell lung cancer (NSCLC) patients showed significant benefit from the use of immune checkpoint inhibitors (ICIs) in a study...
High Intensity of End-of-Life Care for Minority Patients With Lung Cancer
While disparities in lung cancer mortality among racial and ethnic minorities are well documented, not as much is understood about how racial and ethnic minority patients with lung cancer are treated at the end of life.
Risk Model Helps Predict Second Lung Cancer in Survivors of Initial Malignancy
Lung cancer survivors have a high risk of developing second primary lung cancer (SPLC); the risk is three to four times higher than the risk of someone in the general population developing initial primary lung cancer (IPLC).
Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA
It is good to have an end to journey toward; but it is the journey that matters, in the end
My wife, Pam, and I have just completed a 413 nautical-mile sail from Key Biscayne, Florida, to Hilton Head, South Carolina, on our Lagoon 42 – Shavasana. It is our most extended passage so far and the furthest out in the Atlantic Ocean we have ventured. We are headed back north towards the Chesapeake Bay and had a weather window that allowed us to sail into the Gulf Stream and ride that fabled ocean river north. The two to three knots of push make for some incredible boat speed over the ground, and we were often logging 8 to 10 knots with stern winds and following seas. From a sailor’s perspective, that is fast. I imagine the powerboat enthusiasts shaking their heads and smiling at such pitiful velocities.
Risk of Aggressive Endometrial Cancer Diagnosis Varies by Race, Ethnicity
The risk of an aggressive endometrial cancer diagnosis varies by race, ethnicity and country of origin, and non-Hispanic Black patients had the highest risk, according to a recent study.
VHA Has Very Low Use of Antiobesity Drugs Despite High Percentages of Overweight Veterans
Antiobesity medications have tended to be underused in the VHA despite a high prevalence of obesity in the veteran population, according to a new study, which added that real-world outcomes reports on use of drugs in veterans also have been limited.
Better Detection Might Explain Higher Thyroid Cancer Rates in Military Cohort
Even though a previous study found higher papillary thyroid cancer incidence in the U.S. military than the general population—with larger differences among Black than white individuals—it did not provide an explanation for why that might be the case.
Thyroid Dysfunction Affects Myocardial Disease in Older Patients
What is the relationship between thyroid dysfunction and measures of myocardial disease in older patients?
SGLT-2i, Testosterone Combo Can Increase Risk of Erythocytosis
Red blood cell production is stimulated with the combination of sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and testosterone replacement therapy TRT), based on clinical trial findings.
A Fight Over In-Vitro Fertilization at VA, as Some Lawmakers Seek to End It
Conservative lawmakers are seeking to limit VA’s ability to provide family planning care on two very different fronts.
Olfactory Function Loss in GW Veterans Linked to Cognitive Deficits
A disorder related to military service in the 1991 Gulf War (GW), Gulf War illness (GWI)/Chronic Multisymptom Illness (CMI) includes symptoms such as fatigue, pain and cognitive dysfunction.
Differentiating Reversible Dementia from AD, PD and TBI
Structural imaging markers hold promise for developing accurate, noninvasive, and accessible solutions to differentiate Parkinson’s disease (PD) and Alzheimer’s dementia (AD) reversable conditions and those caused by traumatic brain injury (TBI).
Herpes Zoster Infection Doesn’t Increase Parkinson’s Risk
Some researchers have postulated for years that systemic infections are associated with development of Parkinson’s disease (PD). Recent studies on the relationship between herpes zoster (HZ) and PD have been conflicting, however.
VA Has Low Rates of Preoperative Life-Sustaining Treatment Documentation
Surgery is a significant healthcare event that necessitates timely planning for goals of care (GOC), involving discussions about one’s current values, aspirations and treatment preferences.
Bramhall Works to Resolve Common Hearing Loss in Military Veterans
It’s such a common ailment among veterans that it’s almost a given: If you served any time in the military, you’re walking out with some type of hearing problem. That usually presents as hearing loss or tinnitus—a persistent ringing sound in the ears.
Many Patients with Limited Life Expectancy Choose to Undergo Lung Cancer Screening
Lung cancer screening has the potential to save lives by catching lung cancer at an early stage with definitive treatment. But it also carries potential harms—including overdiagnosis, distress from false-positive results and complications of further testing. For some people, those downsides can outweigh any benefits.
Women Veterans Receiving Surgery at the VHA Have Half the Risk of Mortality
Only 11% of U.S. military veterans are women, according to recent statistics, and they make up even a smaller percentage of patients using VA healthcare—about 10%.
Navy Investigates Sailor Suicides; Exacerbated by Shipyard Maintenance Periods
The Navy has been under public scrutiny in recent years after experiencing a rash of suicides aboard multiple ships, many of them undergoing maintenance at shipyards.
New Therapies Have Improved Survival for Prostate Cancer Patients
Improved treatment has meant better overall survival for many men diagnosed with prostate cancer, according to a new research letter. For older patients, however, the benefits of the new therapies weren’t as effective, the authors pointed out.
HCC Tumor Recurrence After Radiologic Responses
How often does local recurrence occur in hepatocellular carcinoma (HCC) patients who undergo selective transarterial radioembolisation (TARE) or transarterial chemoembolisation (TACE) and achieve a complete response (CR) radiologically?
Biomarkers Help Predict Which Cirrhosis Patients Develop HCC
It can be difficult to determine which patients with cirrhosis will go on to develop hepatocellular carcinoma (HCC).
Intravenous Ketamine Treatment Improves Depression in Veterans
Veterans who received intravenous ketamine treatments had improved symptoms of depression within the first 6 weeks, and these improvements were sustained over at least 6 months with decreasing infusion frequency, according to a recent study.
VA Study Implicates High Levels of IL-6 in Long QT Syndrome
Long QT syndrome (LQTS) is a cardiac disorder that predisposes patients to malignant arrhythmias, particularly Torsades de Pointes ventricular tachycardia, which can degenerate to cardiac arrest.
Misclassification Affects Estimates of Opioid-Use Disorder Medications
Is misclassification of people who inject drugs (PWID) and are hospitalized because of infections affecting the analysis of outcomes from medications for opioid-use disorder (MOUD?
VA Seeks ‘Maintenance Budget’ After Record Growth in Enrollment, Hiring
While VA’s proposed budget represents a 10% increase from last year, it includes decreases in key areas like hiring and infrastructure. While some of those cuts are offset by other funding, others are the result of hard decisions made to accommodate federal spending caps, department leaders said.
Higher Risk of Dementia Found in Veterans With Housing Instability
Veterans who experience housing instability have an elevated risk of developing Alzheimer’s disease or a related dementia compared to those with stable housing, according to a recent study.
GOP Lawmakers Challenge Data That COVID-19 Vaccine Protected Troops
Recent data from DoD seems to confirm what researchers and physicians have been saying for years—that individuals who receive the COVID-19 vaccine are less likely to experience long-term health effects than those who do not.
Opposing Trends for Accidental Death Rates in Returning Soldiers
A longitudinal cohort study, published in the Annals of Epidemiology, determined if risk for accidental death overall, or the most common types of accidental deaths, varied over time in relation to when a soldier returned from a combat deployment.
Bright Light Therapy Remains Underused Within VA Healthcare System
Since the 1980s, when seasonal affective disorder was first identified, one of the first-line treatments has been Bright Light Therapy.
Emerging Chemical Threats Affect Eyes Differently, Require Special Care
As chemical agent exposure remains a threat to military servicemembers, it’s important to consider that each chemical agent affects the eye differently and requires appropriate treatment, according to a recent review article.
Veterans Treated in VAMCs for Some Common Conditions Had Better Outcomes
Outcomes were better for some common conditions among veterans treated in VA hospitals compared to community care, but the tradeoff often was higher resource use.
All WWII Veterans Now Eligible for No-Cost VA Care, Including Long-term Care
All World War II veterans now are eligible for no-cost VA healthcare, medical services and nursing home care, the VA announced shortly before Veterans Day.
VA Will Fund Medical Residencies in Underserved Areas Across the United States
In an effort to improve healthcare access for veterans in rural, trial and underserved areas across the United States, the VA is creating a new pilot program for graduate medical education.
DHA Restructures, Creating Nine Health Networks to Improve Care
In the first phase of a broader realignment, the Defense Health Agency has created nine Defense Health Networks (DHN) to take the place of what had been 20 direct-reporting medical markets, each a grouping of military hospitals and clinics with varying leadership rank structures.
It is good to have an end to journey toward; but it is the journey that matters, in the end
My wife, Pam, and I have just completed a 413 nautical-mile sail from Key Biscayne, Florida, to Hilton Head, South Carolina, on our Lagoon 42 – Shavasana. It is our most extended passage so far and the furthest out in the Atlantic Ocean we have ventured. We are headed back north towards the Chesapeake Bay and had a weather window that allowed us to sail into the Gulf Stream and ride that fabled ocean river north. The two to three knots of push make for some incredible boat speed over the ground, and we were often logging 8 to 10 knots with stern winds and following seas. From a sailor’s perspective, that is fast. I imagine the powerboat enthusiasts shaking their heads and smiling at such pitiful velocities.
Risk of Aggressive Endometrial Cancer Diagnosis Varies by Race, Ethnicity
The risk of an aggressive endometrial cancer diagnosis varies by race, ethnicity and country of origin, and non-Hispanic Black patients had the highest risk, according to a recent study.
VHA Has Very Low Use of Antiobesity Drugs Despite High Percentages of Overweight Veterans
Antiobesity medications have tended to be underused in the VHA despite a high prevalence of obesity in the veteran population, according to a new study, which added that real-world outcomes reports on use of drugs in veterans also have been limited.
Better Detection Might Explain Higher Thyroid Cancer Rates in Military Cohort
Even though a previous study found higher papillary thyroid cancer incidence in the U.S. military than the general population—with larger differences among Black than white individuals—it did not provide an explanation for why that might be the case.
Thyroid Dysfunction Affects Myocardial Disease in Older Patients
What is the relationship between thyroid dysfunction and measures of myocardial disease in older patients?
SGLT-2i, Testosterone Combo Can Increase Risk of Erythocytosis
Red blood cell production is stimulated with the combination of sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and testosterone replacement therapy TRT), based on clinical trial findings.
A Fight Over In-Vitro Fertilization at VA, as Some Lawmakers Seek to End It
Conservative lawmakers are seeking to limit VA’s ability to provide family planning care on two very different fronts.
Olfactory Function Loss in GW Veterans Linked to Cognitive Deficits
A disorder related to military service in the 1991 Gulf War (GW), Gulf War illness (GWI)/Chronic Multisymptom Illness (CMI) includes symptoms such as fatigue, pain and cognitive dysfunction.
Differentiating Reversible Dementia from AD, PD and TBI
Structural imaging markers hold promise for developing accurate, noninvasive, and accessible solutions to differentiate Parkinson’s disease (PD) and Alzheimer’s dementia (AD) reversable conditions and those caused by traumatic brain injury (TBI).
Herpes Zoster Infection Doesn’t Increase Parkinson’s Risk
Some researchers have postulated for years that systemic infections are associated with development of Parkinson’s disease (PD). Recent studies on the relationship between herpes zoster (HZ) and PD have been conflicting, however.
VA Has Low Rates of Preoperative Life-Sustaining Treatment Documentation
Surgery is a significant healthcare event that necessitates timely planning for goals of care (GOC), involving discussions about one’s current values, aspirations and treatment preferences.
Bramhall Works to Resolve Common Hearing Loss in Military Veterans
It’s such a common ailment among veterans that it’s almost a given: If you served any time in the military, you’re walking out with some type of hearing problem. That usually presents as hearing loss or tinnitus—a persistent ringing sound in the ears.
Many Patients with Limited Life Expectancy Choose to Undergo Lung Cancer Screening
Lung cancer screening has the potential to save lives by catching lung cancer at an early stage with definitive treatment. But it also carries potential harms—including overdiagnosis, distress from false-positive results and complications of further testing. For some people, those downsides can outweigh any benefits.
Women Veterans Receiving Surgery at the VHA Have Half the Risk of Mortality
Only 11% of U.S. military veterans are women, according to recent statistics, and they make up even a smaller percentage of patients using VA healthcare—about 10%.
Navy Investigates Sailor Suicides; Exacerbated by Shipyard Maintenance Periods
The Navy has been under public scrutiny in recent years after experiencing a rash of suicides aboard multiple ships, many of them undergoing maintenance at shipyards.
New Therapies Have Improved Survival for Prostate Cancer Patients
Improved treatment has meant better overall survival for many men diagnosed with prostate cancer, according to a new research letter. For older patients, however, the benefits of the new therapies weren’t as effective, the authors pointed out.
HCC Tumor Recurrence After Radiologic Responses
How often does local recurrence occur in hepatocellular carcinoma (HCC) patients who undergo selective transarterial radioembolisation (TARE) or transarterial chemoembolisation (TACE) and achieve a complete response (CR) radiologically?
Biomarkers Help Predict Which Cirrhosis Patients Develop HCC
It can be difficult to determine which patients with cirrhosis will go on to develop hepatocellular carcinoma (HCC).
Intravenous Ketamine Treatment Improves Depression in Veterans
Veterans who received intravenous ketamine treatments had improved symptoms of depression within the first 6 weeks, and these improvements were sustained over at least 6 months with decreasing infusion frequency, according to a recent study.
VA Study Implicates High Levels of IL-6 in Long QT Syndrome
Long QT syndrome (LQTS) is a cardiac disorder that predisposes patients to malignant arrhythmias, particularly Torsades de Pointes ventricular tachycardia, which can degenerate to cardiac arrest.
Misclassification Affects Estimates of Opioid-Use Disorder Medications
Is misclassification of people who inject drugs (PWID) and are hospitalized because of infections affecting the analysis of outcomes from medications for opioid-use disorder (MOUD?
Study: Racism Contributes to Low OUD Prescribing in MHS
Rates of prescribing for medication for opioid-use disorder (MOUD) are low in the MHS and show evidence of institutional racism, according to a new study.
Long-Acting Benzodiazepines Best for Alcohol Withdrawal in Veterans
An extensive study of VA patients concluded that the best way to manage alcohol withdrawal in hospitalized settings is the use of long-acting benzodiazepines with symptom-triggered therapy, as recommended in American Society of Addiction Medicine (ASAM) guidelines.
Higher Cardiorespiratory Fitness Linked to Improved CABG Survival in Veterans
Having higher cardiorespiratory fitness scores or being in better physical condition are linked to improved long-term survival in U.S. veterans after coronary artery bypass graft surgery, according to a recent study.
Study: Vietnam War-Era Veterans Not at Increased Risk of Suicide Mortality
Veterans who served in the Vietnam War era, either in theater or not deployed, are not at increased risk of suicide mortality compared with the U.S. population, although the number of suicides among these veterans is noteworthy and merits the attention of mental health professionals and policymakers, according to a recent study.
Does ‘Underserved’ Designation Demoralize Staff at VA Facilities?
For the past several years, VA has been identifying the most underserved facilities in its system and requiring them to create action plans to improve care to their veterans.
Thiazide Diuretics Associated With Reduced Risk of Kidney Stones
Using thiazide diuretics is associated with statistically significant lower odds of developing kidney stones, which supports the use of the products for kidney stone prevention, according to a recent study.
VA Telemedicine Rates Remain High After COVID-19 Pandemic, Especially for Mental Healthcare Visits
Following the COVID-19 pandemic, telemedicine rates for veterans enrolled in VA healthcare services remained high, accounting for more than half of mental healthcare visits, while telephone-based care has decreased to pre-pandemic levels, according to a recent study.
Psychoactive Drug Ibogaine Effectively Treats TBI Complications
The signature injury of U.S. veterans from recent military conflicts, traumatic brain injury (TBI) is a leading cause of injury-related disability.
Internal VA Investigation Verified Sexual Harassment Complaints Within ORMDI
An internal VA investigation has verified many, though not all, of the sexual harassment allegations made public by members of the House VA Committee in January.
Rare Congressional Subpoena for VA in Sexual Harassment Investigation
The House VA Committee has voted to subpoena VA Secretary Denis McDonough to release documents pursuant to an ongoing sexual harassment investigation involving several supervisors in VA’s Office of Resolution Management, Diversity, and Inclusion.
Shields Helped Implement Program to Bring Infusion Closer to VHA Patients
The idea for VA’s Close To Me Infusion Service has its roots in many places, One of them a veteran that Jenna Shields, PharmD, BCOP, saw weekly at the Pittsburgh VAMC.
Sleep Disruption Common in VHA Subacute Rehabilitation Facilities
Sleep disruptions are common at VHA subacute rehabilitation facilities, according to a new study recommending the examination of environmental factors.
Surgery, Rehab Helps Restore Some Function After SCI
How effective is surgery in restoring upper extremity function in patients with cervical spinal cord injury (SCI)?
Study Seeks to Gauge Rehab Benefit With Advanced Prosthetics
Rehabilitation and its possible effects are rarely part of the research that goes into the design or evaluation of prosthetic componentry, according to a prospective new study.
Enlarged Prostate Drug Has Potential as Parkinson’s Disease Therapy
A class of medication used to treat benign prostatic hypertrophy, or non-cancerous enlargement of the prostate gland, shows potential as a treatment to delay the progression of Parkinson’s disease, according to a recent study.
More Research Needed on High Melanoma Rates in AI/AN People
Non-Hispanic American Indian/ Alaskan Native (AI/AN) people have the second-highest rate of melanoma in the United States after non-Hispanic white people.
Cause of Kidney Injury After Procedures Not Always Contrast Media
The administration of iodinated contrast media is not responsible for all changes in creatinine levels in patients undergoing the procedures.
Black Veterans Get CKD Younger, Have Lower Death Rates
The younger age of chronic kidney disease (CKD) in Black patients can help explain some of the differences and disparities compared to white patients with CKD, according to a new study.
Much More Dual Testing for CKD Needed Within VHA
A new study that included VA researchers made the case for much more dual testing for chronic kidney disease (CKD) in high-risk patients to improve disease management and patient outcomes.
Processing of ICE Medical Claims by VA Sparks Controversy in Congress
Republican legislators butted heads with VA officials last month over the question of whether department resources were being spent on immigrants who have been placed in the custody of Immigration and Customs Enforcement (ICE).