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Male Breast Cancer at the VA Much Rarer Than the Female Disease, but More Deadly

Male Breast Cancer at the VA Much Rarer Than the Female Disease, but More Deadly

Annette M. Boyle WASHINGTON – Men are diagnosed with less than 0.1% of all breast cancers, but for those unfortunate few, the disease extracts a high toll — and a 65% increase in mortality risk compared to women. The interpretation… Read More

Increasing Cancer Treatment Delays Have Plagued VAMCs for Nearly a Decade

Increasing Cancer Treatment Delays Have Plagued VAMCs for Nearly a Decade

Some Long Wait Times Attributable to Treatment Modalities Annette M. Boyle CHICAGO – The news media frenzy of the last six months might suggest otherwise, but concerns about delays in treatment for veterans are nothing new at the VA, especially… Read More

New White House Initiatives Seek to Reduce Military Suicide Rates, Improve Care

By Sandra Basu WASHINGTON – A revision in the VA drug formulary and an expansion of suicide prevention training were among 19 new executive actions announced recently by President Barack Obama to improve mental healthcare for troops and veterans. “So… Read More

Telecare Program Effectively Manages Pain, Reduces Opioid Use in VA Patients

Telecare Program Effectively Manages Pain, Reduces Opioid Use in VA Patients

By Brenda L. Mooney INDIANAPOLIS  –  A yearlong VA telecare program to manage chronic pain due to arthritis or other musculoskeletal disorders not only doubled the likelihood of improvement for veterans in the intervention program but also demonstrated that patients… Read More

Research Finds Unexpectedly High Rates of Pain, Opioid Use in Recently Deployed Soldiers

Research Finds Unexpectedly High Rates of Pain, Opioid Use in Recently Deployed Soldiers

By Annette M. Boyle SILVER SPRING, MD – Skyrocketing prescription opioid use in the civilian population has attracted widespread medical and media attention. While the DoD and VA implemented a pain management task force in 2010, relatively little research has… Read More

DoD’s Slow Transfer of Service Records Contributes to VA Claims Backlog

DoD’s Slow Transfer of Service Records Contributes to VA Claims Backlog

By Sandra Basu WASHINGTON – While VA is under heavy pressure from lawmakers to reduce the claims backlog and process claims faster, the agency is not the only one to blame for these delays, according to the DoD Office of… Read More

VA Studies Raise Key Issues about Trends in Type 2 Diabetes Treatment

VA Studies Raise Key Issues about Trends in Type 2 Diabetes Treatment

Early Insulin, Singular Focus on HbA1c Not Always Best By Brenda L. Mooney NASHVILLE — New VA research soon might change the way clinicians treat veterans with type 2 diabetes. Despite the increased push for early initiation of insulin in… Read More

Azithromycin Saves Lives of Older Pneumonia Patients Despite Cardiac Risks

Azithromycin Saves Lives of Older Pneumonia Patients Despite Cardiac Risks

By Brenda L. Mooney DALLAS – The suspected link between azithromycin and an increased incidence of cardiovascular events was borne out in a recent VA study of veterans hospitalized with pneumonia, but that was only part of the story: The… Read More

Institute of Medicine: DOD, VA Fail at Tracking Outcomes of PTSD Treatments

Institute of Medicine: DOD, VA Fail at Tracking Outcomes of PTSD Treatments

By Annette M. Boyle WASHINGTON – One of the signature injuries of the wars in Iraq and Afghanistan, post-traumatic stress disorder (PTSD), affected 13.5% of soldiers and caused 502,000 veterans to seek treatment in 2012. Despite the ubiquity of the… Read More

VA Treats Schizophrenia More Consistently Than Other Healthcare Systems

VA Treats Schizophrenia More Consistently Than Other Healthcare Systems

By Annette M. Boyle TEMPLE, TX – While taking antipsychotic medication often benefits patients, evidence increasingly challenges the assumption that more is better, even as the rate of prescriptions for multiple antipsychotics continues to rise in the VA and other… Read More

Nearly 65% of VA Execs Got Bonuses Despite Long Waits for Veteran Care

Nearly 65% of VA Execs Got Bonuses Despite Long Waits for Veteran Care

By Sandra Basu WASHINGTON – How could nearly 65% of VA senior executives have received performance awards in fiscal year 2013, while the healthcare system was engaging in widespread misconduct related to waiting lists for treatment?                       That is what… Read More

Clinicians Can Play Critical Role in Getting VA Care Back on Track

Clinicians Can Play Critical Role in Getting VA Care Back on Track

By Sandra Basu WASHINGTON – As a general internist at the Boston VA, Ashish Jha, MD, MPH, believes that the voices of VA physicians are of critical importance in shaping veterans’ care in the future. “Now that we are getting a much… Read More

Caregivers for New Veterans Provide Critical Service with Little Support

Caregivers for New Veterans Provide Critical Service with Little Support

By Brenda L. Mooney SANTA MONICA, CA – More than 5.5 million spouses, other relatives and friends care for injured and disabled veterans in the United States, and about 20% of those are aiding current and former servicemembers who served… Read More

DoD Seeks to Revise Alcohol Policies To Help Address Sexual Assaults

DoD Seeks to Revise Alcohol Policies To Help Address Sexual Assaults

By Sandra Basu WASHINGTON – In a stepped-up effort to address sexual assaults after a 50% increase in reports over one year, Secretary of Defense Chuck Hagel ordered the military departments to review and revise their alcohol policies to protect potential victims.… Read More

Advisory Group: Exposures, Not Stress Caused Gulf War Illness

Advisory Group: Exposures, Not Stress Caused Gulf War Illness

By Sandra Basu WASHINGTON – Exposures to pesticides and pyridostigmine bromide are causally associated with Gulf War illness, according to a new report which also said evidence continues to demonstrate that Gulf War illness is not the result of psychological… Read More

New Mothers May Need Counseling, Training to Pass Postpartum Military Fitness Test

New Mothers May Need Counseling, Training to Pass Postpartum Military Fitness Test

By Annette M. Boyle FAIRFIELD, CA —Many women return to their units after pregnancy with one overriding concern: “Can I pass the fitness test?” The vast majority of those women do end up passing the six-month postpartum test, but their… Read More

Gene Sequencing Helps Target Therapies for Metastatic Breast Cancer

Gene Sequencing Helps Target Therapies for Metastatic Breast Cancer

By Annette M. Boyle DURHAM, NC — Women initially diagnosed with metastatic breast cancer have only a 23% overall five-year survival rate — and will spend most of their lives battling their cancer with a series of chemotherapies that might… Read More

Military Sexual Trauma Survivors Call for More Services for Victims

By Sandra Basu WASHINGTON — Military sexual trauma (MST) survivors told a Senate subcommittee that improvements still are needed to ensure rape victims get all the help they need in the DoD and VA healthcare systems. “Good counselors are the… Read More

Prescriptions for ‘Low T’ Therapy Vary Substantially Across VHA

Prescriptions for ‘Low T’ Therapy Vary Substantially Across VHA

Study Questions Whether Guidelines Are Being Followed By Annette M. Boyle EAST ORANGE, NJ — Across the VHA, more than 85,000 men receive testosterone supplementation therapy. The likelihood that any particular patient would be prescribed the steroid hormone, however, varies… Read More

IoM: DoD’s Programs to Prevent Mental Health Disorders Lack Evidence

IoM: DoD’s Programs to Prevent Mental Health Disorders Lack Evidence

By Sandra Basu WASHINGTON — Between 2000 and 2011, almost 1 million servicemembers or veterans were diagnosed with at least one psychological disorder, either during or after deployment, with nearly half having multiple disorders, according to the Institute of Medicine… Read More