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Cardiology

Rank as socioeconomic proxy affects stroke outcomes in MHS patients

Do socioeconomic disparities exist in the U.S. military healthcare system with ischemic stroke admissions? A new study says they do.

Current Issue

Psychologist works to make mental health units safe for suicidal veterans

Most people looking at a hospital room will see an environment specifically designed to keep human beings alive through even the most traumatic circumstances.

Current Issue

Even mild TBI increases veterans’ dementia risk

The risk of dementia is increased even in veterans who suffer mild traumatic brain injury (TBI) without loss of consciousness.

Current Issue

Deep brain simulation extends Parkinson’s survival

Deep brain stimulation (DBS) not only improves motor function in patients with Parkinson’s disease, as demonstrated in earlier studies, it also appears to extend life, according to new VA research.

Current Issue

Gene variant plus TBI worsens symptoms

A gene variant used to predict Alzheimer’s disease also appears to signal worse psychiatric symptoms in patients who have suffered a traumatic brain injury (TBI), a new study reported.

Current Issue

Thyroid status affects death risk in veterans with CKD

Patients with nondialysis-dependent chronic kidney disease (NDD-CKD) have a disproportionately higher prevalence of hypothyroidism compared with their non-CKD counterparts.

Current Issue

Suicide risk under-appreciated among advanced lung cancer patients

Much of the focus on suicide at the VA is on recently discharged servicemembers who suffer from conditions such as depression or post-traumatic stress disorder (PTSD).

2018 Compendium of Federal Medicine

New Agents Extend Options for Increased Survival in Metastatic Prostate Cancer

Accounting for nearly a third of all cancer diagnoses, prostate cancer is the most frequently diagnosed cancer in the VHA, where past research has suggested that the malignancy is caught earlier than in other healthcare systems.

2018 Compendium of Federal Medicine

Personalized Medicine Brightens Outlook for Most Common Kidney Cancer

In the past five years, 10 new system therapies have been approved for renal cell carcinoma (RCC), the most common type of kidney cancer.

2018 Compendium of Federal Medicine

Targeted Therapies Transform RCC Treatment Over Last Decade

In the last decade, the development of multiple molecular-targeted therapies has dramatically altered the treatment landscape for advanced renal cell carcinoma (RCC).

2018 Compendium of Federal Medicine

VA Mental Health Experts Urge Intensive Pre-Enlistment Schizophrenia Screening

The most common age for diagnosis of schizophrenia is late teens to early 30s.

2018 Compendium of Federal Medicine

Preventing, Treating Diabetic Foot Ulcers Are Complex Challenges at VA

Some of the risks of diabetic foot ulcers (DFUs) are well-known, including infection and, in the most severe cases, amputation.

2018 Compendium of Federal Medicine

Liver Cancer Continues to Rise, Even as VA Declares Victory Over HCV Infection

In March, then-VA Secretary David Shulkin, MD, announced at the annual Wharton Health Care Business Conference that the VA will have eliminated hepatitis C infections among all patients willing and able to be treated by next spring.

2018 Compendium of Federal Medicine

MS in Gulf War Veterans: Zeroing-In on Types, Disability Levels

While veterans serving in the military during the Gulf War era (GWE) appear to have higher risk for multiple sclerosis and a range of neurological illnesses, little has been documented previously on prevalent types of MS or other clinical features.

2018 Compendium of Federal Medicine

Undertreatment of Metastatic Pancreatic Cancer Treatment, Despite Guidelines

While many other cancers have seen dramatic improvement in outcomes in the past 20 years, pancreatic cancer remains one of the deadliest malignancies, regardless of stage at diagnosis, with an overall five-year survival rate of only 8%, according to the American Cancer Society.

2018 Compendium of Federal Medicine

Evidence of CV Benefit Influences Diabetes Treatment Recommendations

In a significant change, the American Diabetes Association’s 2018 guidelines advocate use of a glucose-lowering agent with proven cardiovascular benefit or mortality reduction in patients with Type 2 diabetes mellitus (T2DM) and co-morbid cardiovascular disease.

2018 Compendium of Federal Medicine

Diabetes Prevalence Higher Among Veterans Than General Population

Overall prevalence of diabetes was 20% for the general U.S. population but nearly 25% for veterans, according to a recent study using data from the National Health and Nutrition Examination Survey (NHANES).

2018 Compendium of Federal Medicine

Continuous Glucose Monitoring Highly Effective But Underused in Diabetes

Recent clinical studies have documented why continuous glucose monitors (CGM) can offer significant benefits to patients diagnosed with diabetes.

Current Issue

Hepatitis C Declines Among Active Military; Highest Rates for Baby Boomers

New cases of acute and chronic hepatitis C (HCV) have dropped sharply among U.S. servicemembers since 2008, bucking the nationwide trend.

Current Issue

Colonoscopy Linked to Lower CRC Mortality in Veterans

Colonoscopy is heavily promoted in the VA healthcare system, and a new study sought to document its effect on colorectal cancer (CRC) mortality rates.

Current Issue

Adjuvant Chemotherapy Improves Survival in Rectal Cancer

The standard of care for locoregionally advanced rectal cancer (LARC) in the United States usually involves adjuvant chemotherapy (AC) following chemoradiation (CRT) and total mesorectal excision (TME).

Current Issue

Weight, Not Diet, Associated With Higher Veteran Mortality From CRC

While suspected, the relationship between dietary and lifestyle risk factors and long-term mortality from colorectal cancer remains poorly understood, according to a new study.

Current Issue

Report: More Than 80% of VAMCs Provide High-Quality Mental Healthcare

A new report gave the VA high marks for the quality of mental health care provided to veterans of the conflicts in Iraq and Afghanistan, according to the National Academies of Sciences, Engineering and Medicine.

Current Issue

HCV Complications Rise in Women Veterans While Beginning Decline in Men

VA researchers expect complications from chronic hepatitis C virus (HCV) in women veterans to continue to rise for a decade or longer after rates begin to decline in men.

2018 Compendium of Federal Medicine

VA Leads the Way in Medication-Assisted Treatment for Opioid Addiction

According to a report from the national Centers for Disease Control and Prevention, more than 42,000 Americans died from an opioid overdose in 2016—five times higher than only seven years prior—and current CDC data shows little evidence that those numbers are any lower for 2017.

2018 Compendium of Federal Medicine

Among Veterans, Women as Likely as Men to Have Substance Abuse

Childhood adversity increases risk for alcohol and drug disorders for veterans, and, unlike in the civilian population, veteran women are as likely as men to have those types of problems.

2018 Compendium of Federal Medicine

CTCL 6-10 Times More Common in Veterans; Agent Orange a Factor New Therapies Raise Optimism about Treatment

Chances are, if you haven’t trained or practiced at the VA, you haven’t seen cutaneous T-cell lymphoma (CTCL), a form of non-Hodgkin lymphoma.

2018 Compendium of Federal Medicine

New Therapy Options Recently Approved for Hodgkin’s Lymphoma

While the availability of novel therapies is making the future brighter for non-Hodgkin’s lymphoma (NHL) patients, new treatments also are coming on line for Hodgkin’s lymphoma, which is a hematological cancer distinct from NHL.

Current Issue

Maintenance Rituximab Increases Survival in Follicular Lymphoma

Because several studies have suggested it fails to increase overall survival (OS) despite prolonging progression-free survival (PFS), use of maintenance rituximab (MR) following chemoimmunotherapy in follicular lymphoma (FL) remains controversial.

ASCO Reporter

VA Care Not Timely in Early Lung Cancer; But Did It Matter?

Multiple organizations have recommended timely treatment for patients with lung cancer.

ASCO Reporter

Cabozantinib May Help Overcome Checkpoint Inhibitor Resistance in GU Cancers

The treatment armamentarium for renal cell carcinoma and other genitourinary cancers continues to expand.

ASCO Reporter

VA Study Indicates That Location Matters in Colon Cancer Survival

More than 95,000 Americans develop colon cancer, making it the third most common cancer in the U.S., excluding skin cancers.

ASCO Reporter

VA Develops, Validates Thromboembolism Risk Tool in Multiple Myeloma

While guidelines for multiple myeloma advise pharmacologic prophylaxis to prevent development of venous thromboembolism (VTE) in high-risk patients, current risk assessment tools differ in the factors considered indicative of high risk and in the patients determined to need preventive anticoagulation.

ASCO Reporter

Vaccine Shows Early Promise in Metastatic Melanoma

Researchers reported positive results today for phase IIb testing of a vaccine for high-risk melanoma patients.

ASCO Reporter

Therapy Combinations Were Safe, Active in Genitourinary Cancer Trials

Federal researchers reported updated results of trials of cabozantinib plus nivolumab with and without ipilimumab in patients with refractory metastatic urothelial carcinoma on Saturday at the 2018 American Society of Clinical Oncology Annual Meeting.

ASCO Reporter

Cabozantinib Improves Survival in Liver Cancer Regardless of Age

HOUSTON — For veterans with hepatocellular carcinoma (HCC), research presented today at the 2018 American Society of Clinical Oncology Annual Meeting in Chicago offers encouraging the news. The study determined that a new tyrosine kinase... View Article

ASCO Reporter

Pulmonary Events Affect 30% of Hodgkin Lymphoma Patients Post-Chemo

Bleomycin, the first line standard of care for Hodgkin lymphoma causes pulmonary events in some patients, but physicians have been uncertain how many patients are affected and how long they remain at risk.

ASCO Reporter

VA Team Develops Reliable Measure of Cancer Drug Efficacy

Assessing tumor growth and regression to determine a treatment’s efficacy over time can be challenging on an individual basis.

ASCO Reporter

Common Vitamin Deficiency Increases Mortality Risk 80% in Cancer Patients

Vitamin D deficiency doesn’t just increase the risk of osteoporosis and other bone disorders, it dramatically increases the risk of death in older cancer patients with solid tumors, according to researchers at the Central Texas Veterans Healthcare System in Temple, and the University of Texas MD Anderson Cancer Center in Houston.

ASCO Reporter

Risk Predictor Guides Breast Cancer Treatment at MHS Facility

Physicians and patients want to do everything possible to minimize the risk of breast cancer recurrence without incurring unnecessary toxicity from chemotherapy.

ASCO Reporter

Test Accurately Predicts Overall Survival in Prostate Cancer

For the physicians treating men with non-metastatic castration resistant prostate cancer, knowing the risk of progression or death provides valuable information to guide the timing and selection of treatment.

Current Issue

Despite Overall Longevity Trends, Mortality Increases for Schizophrenia Patients

Since the 1970s, mortality rates have declined, extending average lifespan by almost a decade.

Current Issue

Nightmare Disorder Increases Mental Health Risks in Servicemembers

Lack of sleep has long been a feature of military service.

Current Issue

No Link Found Between H. Pylori Infection, Unexplained Anemia

Despite limited evidence to support the practice, testing for Helicobacter pylori (Hp) infection is recommended for work-up of unexplained iron deficiency anemia (IDA).

Current Issue

VA Takes the Lead to Prevent Spread of Multi Drug-Resistant Organisms

The VA is leveraging its position as the country’s largest integrated healthcare system to slow the development and spread of multidrug-resistant organisms (MDRO).

Battlefield Medicine

Military Services Develop Remote Monitoring to Improve Battlefield Medicine

What if battlefield medics could monitor multiple injured servicemembers in the field thought a new electronic monitoring tool?

Current Issue

VA-Led Study: Absenteeism Drops With Mandatory HCP Influenza Vaccines

New research is raising questions about whether the VA is doing enough to promote influenza vaccination of healthcare personnel.

April 2018

In-Hospital Cardiac Arrest Has Higher Survival Rates at VA Hospitals

Veterans who suffer cardiac arrest during a VA hospital stay are more likely to survive the experience than patients who have such events cardiac arrests in other U.S. hospitals. And, a year later, they are also more likely to still be alive.

April 2018

VHA’s Type 1 Diabetes Telehealth Care Saves Time, Money

About 5% of the United States population has been diagnosed with type 1 diabetes, and the great majority are diagnosed before age 25. Since a diabetes diagnosis prevents enlistment in the military, relatively few veterans have the condition compared to type 2 diabetes, which affects about a fourth of VHA patients.

April 2018

Telenephrology Brings Better Care to VA CKD Patients in Remote Areas

For patients with chronic kidney disease (CKD), living more than 30 miles from their nephrologist is associated with many unfavorable outcomes.

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