Clinical Topics Home

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

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