Clinical Topics

Inferior VA End-of-Life Care Reported for Some Noncancer Conditions

Inferior VA End-of-Life Care Reported for Some Noncancer Conditions

Although most patients in the United States die of another condition, cancer is the focus of most end-of-life care studies.

Despite Legislative Complaints, Media Frenzy, TB Outbreak Never Occurred at VA Facilities

Despite Legislative Complaints, Media Frenzy, TB Outbreak Never Occurred at VA Facilities

In February, five U.S. representatives from California blasted the VA in a letter to Secretary Robert McDonald, alleging the Palo Alto Medical Center failed to follow public health protocol regarding potential tuberculosis (TB) exposure.

Army Research Produces Zika Vaccine Candidate in Record Time

Army Research Produces Zika Vaccine Candidate in Record Time

Drawing on deep experience with flaviviruses that started with its namesake’s research on yellow fever in the 1800s, the Walter Reed Army Institute of Research (WRAIR) and collaborators brought two Zika vaccine candidates through early testing in just four months this spring.

Telehealth Found Equally Effective in Lowering Blood Sugar

DENVER—Endocrinology telehealth consultations improved short-term glycemic control as effectively as traditional face-to-face visits in a veteran population with diabetes, according to a new study. The article published in the Journal of Diabetes Science and Technology noted that rates of diabetes… Read More

CVD Rates Higher in Black Patients With Diabetes, CKD

SEATTLE—Blacks have high rates of cardiovascular disease and mortality, as well as diabetes and chronic kidney disease, and risk factors for cardiovascular mortality in the general population are common among blacks. A report published recently in the Clinical Journal of… Read More

How Treatment Intensification Affects Veterans’ HbA1c

NASHVILLE—How do common type 2 diabetes treatment intensification regimens  at the VA affect glycated hemoglobin (HbA1c) and body mass index (BMI)? A study published recently in the journal BMC Endocrine Disorders sought to answer that question.1 A study team led… Read More

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.

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).

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

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

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