3240 Search Results for

Psoriatic Arthritis

New Guidelines Recommend TNFi Biologics as Initial Psoriatic Arthritis Treatment

BIRMINGHAM, AL For the first time, new guidelines have recommended the use of tumor necrosis factor inhibitor biologics as initial therapy for psoriatic arthritis. While current Group for Research and Assessment of Psoriasis and Psoriatic... View Article

August 16, 2019
Esketamine

Political Issues Related to VA’s Limited Approval of Esketamine for Depression

WASHINGTON—A VA panel this summer opted not to add the new depression medication esketamine, Spravato, to the department’s formulary in the usual way. This came despite strong support from President Donald Trump and an effort... View Article

August 16, 2019
Agent Orange

VA: Blue Water Veterans Must Wait Until 2020 for Claims to Be Processed

Vietnam Vets on Ships Won Fight for Presumptive Agent Orange Status WASHINGTON—Blue Water Navy veterans who want to file disability claims related to Agent Orange exposure will have to wait until next year to have... View Article

August 16, 2019
Whistleblower

Whistleblowers Report Ongoing Harassment for Revealing VA Malfeasance

WASHINGTON—In 2014, Katherine Mitchell, MD, was one of a handful of employees at the Phoenix VAMC who blew the whistle on hospital leadership for keeping a separate, secret list of veterans seeking healthcare—a numerical sleight-of-hand... View Article

August 16, 2019
Above and Beyond the Call of Duty

Army Doctor’s Unique Training Helps Improve Battlefield Medicine

SAN ANTONIO— Col. Andrew Cap, the division chief of Acute Combat Casualty Research at the Army Institute of Surgical Research, admits that he’s the last person you want to ask for advice on how to... View Article

August 16, 2019

VA Study Shows Benefit of PCSK9 Inhibitors After Maximizing Other Therapies

HOUSTON—Veterans who have experienced acute coronary syndrome within the past year face a substantial risk of a repeat event. Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors significantly reduce that risk, but determining who would benefit... View Article

August 15, 2019
Respiratory

Tests Show No Lung Changes for Recent Veterans

SAN ANTONIO—Significant airborne hazards were reported during military conflicts in southwest Asia, including geologic dusts, burn pit emissions, chemical exposures, and increased rates of smoking. Yet, despite significant concerns about the respiratory health of deployed... View Article

August 12, 2019
Neurology

Following Guidelines Reduced Morality in Veterans at High Risk of Recurrent Stroke

Only 15.3% of Eligible Patients Received All Interventions INDIANAPOLIS—Meticulously following clinical guidelines in VA patients who suffered transient ischemic attack or nonsevere ischemic stroke reduced by nearly one-third their risk of death within a year,... View Article

August 12, 2019
Community Care

Ensuring Community Providers Meet Veteran Suicide Prevention Standards

WASHINGTON—As leaders from across multiple federal agencies begin work on a roadmap to combat veteran suicide, they are searching for ways to turn existing efforts in towns, cities, counties and neighborhoods across the country into... View Article

August 12, 2019
Depression

Debate Continues on Esketamine Efficacy and Safety for Depression Treatment

VA Panel Puts Limits on Use of Drug PHILADELPHIA—Is esketamine a revolutionary treatment for depression or just another moderately effective adjunctive medication with some potentially serious risks? The VA’s Medical Advisory Panel leaned toward the... View Article

August 12, 2019

“13. The delivery of good medical care is to do as much nothing as possible.” “Laws of the House of God,” —Samuel Shem

I have been a part of U.S. Medicine and this column for several years now. I am occasionally asked where my ideas come from for the editorials I produce. Many ideas, of course, are pulled... View Article

August 12, 2019
Pain Management

Virtual Reality Tested for Phantom Limb Pain in Veteran Amputees

SAN DIEGO—Virtual reality appears to be a feasible way to treat phantom limb pain at the VA, according to a small new study. The report in Pain Medicine sought To describe the development of a... View Article

July 22, 2019
Pain Management

VA Researcher Helps Develop Promising New Pain Drug

NEW ORLEANS—A new drug with less risk for addiction and overdose compared to currently available opioid medications is showing promise, according to a recently published research article. The drug, developed at Southeast Louisiana Veterans Health... View Article

July 22, 2019
Oncology

Racial Disparities Found in BRCA Testing, Counseling

DURHAM, NC—Despite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades, a study argued. The review published in the Journal of Racial and Ethnic Health Disparities said its purpose... View Article

July 22, 2019
Oncology

VA Guideline Addresses Dental Management of Head/Neck Cancer Patients

SAN FRANCISCO—Few protocols have been published for the dental management of patients with head and neck cancer to prevent complications from head and neck radiation therapy, according to a new study.  The report in the... View Article

July 22, 2019
Oncology

Patients Treated with Thiopurines Have Higher Skin Cancer Mortality

PHILADELPHIA—Treatment with thiopurines is associated with an increased risk of squamous cell carcinoma of the skin in patients with inflammatory bowel diseases. An article in Clinical Gastroenterology and Hepatology discussed results of a study that... View Article

July 22, 2019
HIV

Low to No Alcohol Use Optimizes Health Outcomes in HIV Patients

SEATTLE—For years, physicians have encouraged patients diagnosed with human immunodeficiency virus to minimize or avoid drinking alcohol. But how much does it really matter? “Controlled alcohol use over time, especially nonuse or very low-level use,... View Article

July 22, 2019
HIV

Army Researchers Identify a CV Bonus from Early ART Initiation in HIV

SAN ANTONIO, TX—ART has never looked better, at least if you’re an individual recently diagnosed with human immunodeficiency virus.  Researchers at the Brooke Army Medical Center in San Antonio recently determined that antiretroviral therapy reverses... View Article

July 22, 2019
Medicare

VA Manages Drug Costs Better than Medicare Part D

ST. LOUIS – Medicare Part D could save more than $14 billion annually if it paid the same prices for top medications as the VA, according to a new study. A research letter published earlier... View Article

July 22, 2019
Opioids

Rural Veterans Prescribed More Long-Term Opioids

IOWA CITY, IA—Rural veterans received significantly more opioid prescriptions from the VA than those in urban areas, and that could be behind some of the drug problems in less-populated areas, according to a new study.... View Article

July 22, 2019