Clinical Topics

Walter Reed Researchers Seek to Improve Accuracy in CVD Risk Scoring

Walter Reed Researchers Seek to Improve Accuracy in CVD Risk Scoring

Primary care physicians and cardiologists increasingly rely on risk factor-based scores to determine who should start preventive therapy for atherosclerotic cardiovascular disease.

Relationship Between AFib, Diabetes Critical to Veteran Care

Relationship Between AFib, Diabetes Critical to Veteran Care

WASHINGTON—The VA treats about a million veterans for diabetes, nearly one-fourth of its patient population.

VA Study Questions Pathogenesis of GERD

VA Study Questions Pathogenesis of GERD

DALLAS—A small, single-center study led by researchers from the Dallas VAMC suggests that gastroesophageal reflux disease (GERD) might be caused by an immune reaction, rather than direct chemical injury from stomach acids. Results were published online recently as a “Preliminary… Read More

Veteran Study Links Long Term PPI Use to Kidney Disease, Failure

By Brenda L. Mooney SAINT LOUIS—Common drugs prescribed to millions of Americans to treat heartburn, acid reflux and ulcers appear to be harmful over the long term to the kidneys and probably should be avoided, according to a new veterans… Read More

Hormone Deficiencies Common in Concussion Patients

SEATTLE—Hormonal changes related to explosive blast-related concussions often cause military veterans to suffer sleep disturbance, fatigue, depression and poor quality of life, according to a new study. The research evaluating hormone levels in 41 male veterans who had been deployed… Read More

High False-Negative Rate in Cognitive Screening

SAN DIEGO—Existing screening tools for mild cognitive impairment (MCI) miss too many confirming diagnoses, according to a new study. An article published in the Journal of Alzheimer’s Disease reports a false-negative error rate of 7%. Researchers at University of California… Read More

When Should Physicians Recommend HIV Pre-Exposure Prophylaxis to Patients?

When Should Physicians Recommend HIV Pre-Exposure Prophylaxis to Patients?

ANN ARBOR, MI — Oral pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) gained Food and Drug Administration approval in 2012, and many commentators hailed the therapy as a “once-in-a-generation” advance.

Turning the Tide on Rising VA Hepatocellular Carcinoma Rates

Turning the Tide on Rising VA Hepatocellular Carcinoma Rates

HOUSTON — After a decade of dramatically rising rates of hepatocellular carcinoma (HCC) among veterans, aggressive treatment of hepatitis C infections (HCV) appears poised to turn the tide.

Colorectal Cancer at VA Similar to General Population

DURHAM, NC ‑- How does colorectal cancer incidence and survival at the VA compare with the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) data?

VA Patients Receive Appropriate Scans for CRC

INDIANAPOLIS — The current standard for post-treatment surveillance of colorectal cancer (CRC) survivors following curative treatment at the VA is an annual computed tomography scan for three years.

Screening Doesn’t Explain All Colorectal Cancer Drop

LEBANON, NH — Colorectal-cancer incidence among U.S. adults 50 or older has dropped by almost 40% since 1975 and by more than 45% since its peak in the mid-1980s.

Antipsychotics Increase Death Risk in Veterans With Parkinson’s Disease

Antipsychotics Increase Death Risk in Veterans With Parkinson’s Disease

PHILADELPHIA — Parkinson’s disease patients prescribed antipsychotics are significantly more likely to die in the short-term, according to a new veterans study.

VA Studies rTMS As Alternative Treatment for Depressed Veterans

VA Studies rTMS As Alternative Treatment for Depressed Veterans

How Effective Will Therapy Be for Complex Mental Health Profiles? By Annette M. Boyle PALO ALTO, CA — At one point during the 20th century, the idea of using “shock treatment” on patients who failed to respond to medications or… Read More

Bleeding Risk Greater for Veterans on Warfarin Than Previously Expected

Bleeding Risk Greater for Veterans on Warfarin Than Previously Expected

Worried that a fall might lead to traumatic intracranial bleeding, many physicians are wary of prescribing warfarin to older adults with atrial fibrillation (AFib).

Legislators Focus on Concerns About Suicide ‘Epidemic’ Among Women Veterans

Legislators Focus on Concerns About Suicide ‘Epidemic’ Among Women Veterans

Suicide Rate Six Times Higher Than Civilian Peers By Annette M. Boyle DENVER — Suicide among women veterans is six times higher than among their civilian peers, according to a recently published study, and Congress wants to know why. The… Read More