Clinical Topics Home

Gait Stride History Makes Leg Prosthetics More Accurate

CHICAGO — Major lower limb amputation accounted for up to 76% of amputations sustained by U.S. military personnel from 2001 to 2011. Although prosthetic lower limbs have been available, they traditionally have not restored full function. Now, according to a… Read More

Carotid Endarterectomy: Too Much or Not Enough at VA?

Carotid Endarterectomy: Too Much or Not Enough at VA?

By Annette M. Boyle SAN FRANCISCO — For selected patients with carotid stenosis, national guidelines recommend revascularization for primary or secondary prevention of stroke. Increasingly, though, it appears that veterans who could benefit the most from these procedures do not… Read More

Colon Cancer Screening Remains Low for Blacks Despite Access

LOS ANGELES — African-Americans’ participation in colorectal cancer screening is low, and the use of colonoscopy infrequent despite similar access to care in a specific Veterans Affairs healthcare system, according to a new study. The report, which appeared in GIE:… Read More

Life Expectancy for Patients Receiving Sigmoidoscopy

SAN FRANCISCO — How long does it take for the benefit of screening flexible sigmoidoscopy to accrue for colorectal cancer? A new study suggests it is most appropriate for older adults with a life expectancy greater than about 10 years.… Read More

Lottery Improves Colon Cancer Screening Rate

ANN ARBOR, MI — Rather than gambling on their health, veterans at the Philadelphia VA Healthcare System entered a lottery by agreeing to undergo colon cancer screening. Told they had a 1-in-10 chance of winning $50, patients were more likely… Read More

Cognitive, Pain Issues Lower Function in OA Patients

PITTSBURGH — Some measures of decreased cognitive abilities and worse pain scores were associated with reduced physical function in older adults with painful knee osteoarthritis, according to a new study. The study, led by researchers from the Geriatric Research Education… Read More

Thromboembolic Events Increase in Hospitalized IBD Patients

SHREVEPORT, LA — Over the past decade, an increasing incidence of thromboembolic events has been observed in hospitalized patients with inflammatory bowel disease (IBD), including Crohn’s disease, according to a new study. The study, published in the journal Vascular, was… Read More

Obesity May Indicate Less Severe Crohn’s Disease

DALLAS — Obesity, as defined by body mass index (BMI), appears to be somewhat of an advantage in inflammatory bowel disease (IBD), including Crohn’s disease, according to a new study involving veterans. The study, published ahead of print recently in… Read More

Most Army Special Forces Musculoskeletal Injuries Preventable

PITTSBURGH – A significant proportion of injuries among Special Operations Forces (SOF) in the Army can be classified as preventable and may be mitigated with human performance programs, according to a study. The study, published recently in Military Medicine, noted… Read More

Native Americans, Alaskans More Likely to Have Higher HbA1c Levels

OAKLAND, CA – American Indians and Alaska Natives (AI/AN) are more than twice as likely to have diabetes as non-Hispanic Caucasians, and the prevalence of diabetes in the AI/AN populations has increased by more than 68% since 1994. A study… Read More

‘Precision Medicine’ Approach Helps Predict Who Will Develop Diabetes

ANN ARBOR, MI – A new “precision medicine” approach to diabetes prevention uses existing information such as blood sugar levels and waist-to-hip ratios, rather than a genetic test, to determine who has the highest risk of developing the disease. The… Read More

Black Women Working the Night Shift More Likely to Develop Diabetes

BEDFORD, MA – African-American women who work night shifts are significantly more likely to develop diabetes, and their risk increases the longer they work that schedule. That’s according to a new study published in Diabetolgia, which notes that the increased… Read More

Remote Evaluation Possible for MS Patients

WASHINGTON – Traveling to VA testing centers can be difficult for multiple sclerosis (MS) patients. What if, instead, the testing could be done remotely? That’s what a study led by researchers from the Washington DC VAMC sought to find out.… Read More

No Higher Breast Cancer Rates Among Transgender Veterans

JOHNSON CITY, TN – Consistent with past European studies, new research from the Mountain Home VAMC suggests that transgender (TG) veterans have no higher rates of breast cancer than others. The study, published recently in the journal Breast Cancer Research… Read More

More Breast Cancer Patients Opt for Mastectomy Than Previously

NASHVILLE – Many more breast cancer patients now opt for mastectomy, including removal of both breasts, instead of choosing breast conservation surgery (BCS), even with early-stage disease confined to one breast, according to a new study. The rates of increase… Read More

Direct Visual Observation Therapy Relieves Phantom-Limb Pain

BETHESDA, MD – With as many as one-third of unilateral=limb amputees suffering regularly from phantom limb pain, military medicine has been in search of an inexpensive and effective treatment. A study published recently in the Annals of Clinical and Translational… Read More

Insomnia Doubles Risk of Chronic Diseases in Servicemembers

BETHESDA, MD – Chronic insomnia doubles the risk of developing hypertension and type 2 diabetes in servicemembers compared to military personnel who have not been diagnosed with that sleep problem. That’s according to a report in Medical Surveillance Monthly Report… Read More

Mindfulness Training Helps Vets with Diabetes

PITTSBURGH – Veterans who participated in mindfulness training lowered their diabetes-related distress and glucose levels while improving their self-management of the disease, according to a new study. The training included focused breathing and awareness training, according to the research presented… Read More

Pituitary Dysfunction Related to Blast TBI

CHICAGO – Pituitary dysfunction after blast injury may be an important, under-recognized, and potentially treatable source of symptoms in servicemembers who survive traumatic brain injury (TBI) from blast exposure, according to a new study. The research was presented recently at… Read More

Rapid Vaccination Can Prevent Deaths, Costs in Flu Pandemic

STANFORD, CA – Rapid vaccination is key to averting deaths and saving tens of millions of dollars in treatment costs from a severe influenza pandemic occurring with a strain as lethal as human influenza A (H7N9), according to a dynamic… Read More