Clinical Topics Home

Disrupted Metabolism Affects Lymphoma Development

SAN ANTONIO — New research directly links disrupted metabolism to a common and often fatal type of lymphoma, according to an article in Nature Communications.1 “The link between metabolism and cancer has been proposed or inferred to exist for a… Read More

Why a Racial Difference in Preference for Knee Replacement?

TUCSON, AZ — Racial disparities exist in use of total knee replacement (TKR), and patient preferences play a role in that, according to a new study seeking to identify the determinants of knee osteoarthritis (OA) patients’ preferences regarding TKR by… Read More

Continuous Glucose Monitoring Found Cost-Effective

BALTIMORE — Real-time continuous glucose monitoring (RT-CGM) is cost-effective in diabetes patients, according to a military study. In making that determination, a study team led by Walter Reed National Military Medical Center researchers used evidence from a randomized, controlled trial… Read More

Severely Injured Warriors More Likely to Develop Diabetes

TRAVIS Air Force Base, CA — Severity of combat injuries influences the risk of Iraq and Afghanistan war veterans to develop diabetes and other chronic diseases, according to a new study. The report, published recently in the journal Circulation, notes… Read More

How Does Serious Hypoglycemia Relate to Atherosclerosis?

PHOENIX — Is serious hypoglycemia associated with progression of atherosclerosis in veterans? An investigation published recently in the journal Diabetes Care sought to answer that question and came up with a mixed answer.1 Researchers from the Phoenix VA Health Care… Read More

COPD: Risk Factor for HIV Lung Infections

SEATTLE — Pulmonary infections remain more common in patients with human immunodeficiency virus (HIV), compared with those who are uninfected. Surmising that an increase in chronic lung diseases among aging HIV positive patients could contribute to the risk, a University… Read More

Few Smoking Cessation Meds for COPD Patients

SEATTLE – At the VA, many smokers admitted for chronic obstructive pulmonary disease (COPD) are not given smoking cessation medications at discharge. A study published recently in the Journal of General Internal Medicine noted that the reasons are unclear but… Read More

Veterans’ Asthma, Mental Health Show Link

SAN BERNARDINO, CA — Mental illness is associated with both current and lifetime asthma among U.S. veterans, according to a new study. The study, published recently in the Journal of Asthma, involved 20,581 veterans. A study team led by California… Read More

Hospitals’ Routine Use of PPIs Increases Risk of Inpatient Pneumonia, C. Diff

Hospitals’ Routine Use of PPIs Increases Risk of Inpatient Pneumonia, C. Diff

VA Researchers Recommend Against the Practice in Most Cases By Brenda L. Mooney ANN ARBOR, MI — In a case where the preventive measure might be worse than the avoided outcome, hospitals at the VHA and elsewhere often routinely provide… Read More

Web Program Promising for Women Vets With Pre-Diabetes

LOS ANGELES — Diabetes prevention is especially important at the VHA where 1 in 4 veterans has the disease, according to a small study citing growing evidence for the use of Web-based diabetes prevention program (DPP) interventions. The report appearing… Read More

What Factors Increase Post-Surgical C. Diff Risk at VHA?

New Research Uncovers Some Clues to Aid Prevention By Brenda L. Mooney WASHINGTON — As the VHA works to reduce the overall post-operative rate of Clostridium difficile infection (CDI), important new research has uncovered some clues to the circumstances that… Read More

Making the Diagnosis: PTSD With Psychosis, Schizophrenia or Both?

The psychotic symptoms associated with schizophrenia appear in a significant number of veterans with post-traumatic stress disorder, raising the following question: Do these patients have a subtype of PTSD, comorbid schizophrenia or prodromal schizophrenia?

Evaluation of Allopurinol Use for Acute Gout Attack

SAN ANTONIO — Allopurinol traditionally has not been initiated during an acute gout attack to avoid prolonging the painful arthritis. Instead, the 2012 American College of Rheumatology Guidelines for the Management of Gout suggest that urate-lowering therapy can be started… Read More

Diabetes Overtreatment Continues for Older VA Patients

Diabetes Overtreatment Continues for Older VA Patients

Some Clinicians Worry More About Malpractice Than Hypoglycemia By Brenda L. Mooney ANN ARBOR, MI — Despite a VA campaign to raise awareness of hypoglycemia and recommendations from the national Choosing Wisely campaign to less aggressively treat older patients with… Read More

Veterans with Skin Cancer Lacked Awareness of Personal Risks

SAN ANTONIO — Veterans with skin cancer might not be as aware of the dangers of sun exposure or the necessity for skin protection as they should be. In a study published recently in Military Medicine, researchers from the Audie… Read More

Scarce Sun Protection in Iraq, Afghanistan Put Troops at Risk

NASHVILLE, TN — It wasn’t only the climate that increased the risk of skin cancer for military personnel serving in Iraq and Afghanistan. Lack of sun protection also was a contributing factor, according to a new study. Results published recently… Read More

Cancer Stage, Weight Loss Most Affect Lung Cancer Survival

BRONX, NY — Survival in veterans with lung cancer is more related to their percentage weight loss and stage of cancer than the subtype of lung cancer, according to a new study. Background in the article, which was published in… Read More

Comorbidities Raise Mortality Risk in Lung Cancer Patients

OMAHA, NE — Comorbid conditions such as chronic obstructive pulmonary disease, diabetes, or congestive heart failure raise the mortality risk for lung cancer patients compared to those without the conditions, according to a study funded by the VHA. The report,… Read More

A Personalized Approach Works Best in Prevention of Diabetes Development

A Personalized Approach Works Best in Prevention of Diabetes Development

For years, researchers have promoted the wonders of medical treatment customized to a patient’s specific genetic profile, but the reality in the exam room continues to be more “one size fits all.”

Sexual Dysfunction Common in Vets with PTSD

HOUSTON — In addition to all of their other issues, veterans with post-traumatic stress disorder (PTSD) also are at increased risk of sexual dysfunction. A review study published online in the Journal of Sexual Medicine found that male veterans with… Read More