Clinical Topics Home

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

New Veteran Study Further Complicates Testosterone Replacement Issue

New Veteran Study Further Complicates Testosterone Replacement Issue

VA Researchers Find Normalizing ‘T’ Levels Lowers Heart Risks By Brenda L. Mooney KANSAS CITY, MO — The question over how testosterone replacement therapy (TRT) affects cardiovascular health became even more contentious with a new U.S. veterans study finding that… Read More

Poor Sleep Quality Linked to Reduced Veteran Resilience

Poor Sleep Quality Linked to Reduced Veteran Resilience

Reduced resilience among veterans and returning military personnel might be linked to poor sleep quality, according to a recent study.

Prostate Cancer Treatment Has Long-Term Effects

NEW YORK — The long-term impact on functional outcomes after prostate cancer treatment is substantial, with the vast majority of older patients reporting erectile dysfunction/sexual inactivity and other adverse symptoms 12 years later, according to a Swedish study. The study,… Read More

Radiation for Prostate Cancer Well Tolerated At VA

  BROOKLYN, NY — Prostate cancer patients treated at a VAMC appeared to tolerate dose-escalated radiation well, according to a recent study. Results of the research, which analyzed the long-term results of veterans treated with dose-escalated radiation therapy for prostate… Read More

Intestinal Bacterial Difference Could Affect Diabetes Risk

SAN DIEGO — Fewer beneficial and more harmful intestinal bacteria appear to exist in African-American men at elevated risk for developing type 2 diabetes, according to a veterans’ study. The research was presented at the ENDO 2015 meeting in San… Read More

Why TZDs Used to Treat Diabetes Also Increase Hunger

AUGUSTA, GA — Thiazolidinediones (TZDs) appear to activate sensors in brain cells diabetes patients, increasing hunger and causing users to gain more body fat, according to a new study. The animal study, published recently in the Journal of Neuroscience, sought… Read More

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