2019 Compendium of Federal Medicine

AKI Risk With RCC, Other Cancers Requires Oncologist/Nephrologist Teamwork

Options for treatment of renal cell carcinoma are multiplying. Patients are benefiting from rising survival rates but also must be managed to minimize acute kidney injury from cancer treatment, with nephrectomy the greatest risk in... View Article

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Medication-Assisted Therapy Provided to Few Veterans with Opioid Use Disorders

Medication-assisted therapy has been underused at the VA, especially for patients with opioid use disorders, according to recent research. That is likely to change, however, with powerful support for expansion of those programs and more... View Article

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VA Continues to Grapple with Reducing Mortality, Disability in MS Patients

A new study looks at factors to improve survival rates in veterans with multiple sclerosis. VA’s efforts don’t stop there, however. The healthcare system has a multipronged effort to reduce disability and improve quality of... View Article

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FDA Uses Speedy New Process to Approve First Drug for Newly Diagnosed PTCL

Until last fall, no established standard of care existed for newly diagnosed peripheral T-cell lymphoma. But, using a new process, the Food and Drug Administration agreed to expand the indications for brentuximab vedotin only two... View Article

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Incidence of Nonalcoholic Fatty Liver Disease Rises Quickly in U.S. Military

NASLD Is A Leading Risk Factor for Hepatocellular Carcinoma Over the last 17 years, the incidence of nonalcoholic fatty liver disease among active-duty U.S. military servicemembers leapt from 12.6 cases per 100,000 person-years to 152.8.... View Article

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Treating Type 2 Diabetes to Improve Cardiovascular Health

Because of their cardiovascular protective effects, SGLT2 inhibitors have been a game-changer in Type 2 diabetes treatment. That is especially the case, now that the FDA has approved a new indication for canagliflozin to reduce... View Article

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Technology Intervention Improves Continuity of Care for VA Schizophrenia Patients

An estimated 4% of veterans in care at the VA have a diagnosis of schizophrenia, and they are among the greatest users of healthcare resources. That’s why VA is piloting innovative programs to provide continuity... View Article

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While Screening More for Lung Cancer, VA Grapples with Getting Veterans to Follow Up

With veterans at generally higher risk of lung cancer for a variety of reasons, the VA is seeking to catch cases earlier by instituting widespread screening. The healthcare system is facing a difficult challenge, however:... View Article

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Nontuberculous Mycobacteria Infections On the Increase in VA’s COPD Patients

Inhaled Steroids a Factor Veterans with COPD have been hit hard by an increase in nontuberculous mycobacteria infections. Researchers suggest that treatment with inhaled steroids appears to play a role in the rising rates, but... View Article

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DHA Considers Expanding Continuous Glucose Monitoring Coverage to Type 2 Diabetes

Results of a range of studies are conclusive: Continuous glucose monitoring can improve glycemic control and reduce hypoglycemia risks in patients with both Type 1 and Type 2 diabetes. Now, the Defense Health Agency, which... View Article

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