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Chronic Kidney Disease Checklist Improves Primary Care Management
A recent study found that implementation of a chronic kidney disease (CKD) checklist, a tool that succinctly and clearly outlines CKD management guidelines, in a primary care clinic improved adherence to a number of significant management guidelines. Patients whose providers utilized a CKD checklist had higher rates of adherence to annual albuminuria testing, parathyroid hormone testing, phosphate testing, achieving a hemoglobin A1c target<7, documentation of avoidance of nonsteroidal anti-inflammatory drugs, use of an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker and vaccination for annual influenza and five-year pneumococcus.
Gene Variants Linked to Overactive Bladder and Prolapse in Women
A systematic review and meta-analysis of genetic association studies reveals a number of genetic variations associated with overactive bladder and pelvic organ prolapse in women. The U.K. researchers found significant associations between a variation in the gene coding for beta 3 adrenoreceptor (ADRB3) and overactive bladder, and a variation in the gene coding for collagen type 3 alpha 1 (COL1A1) and prolapse.
Study: Increased Mortality as Urologic Surgery Goes Outpatient
Recently, a shift from inpatient to outpatient surgery in the United States for commonly performed urologic procedures has coincided with increasing deaths, according to a study published in BJU International. Researchers analyzed the discharge records of patients undergoing urologic surgery in the United States between 1998 and 2010. The team found that an estimated 7.72 million urologic surgeries requiring hospitalization were performed during that time.
Lawmakers OK Bill To Speed Up Medi-Cal Provider Approvals
California lawmakers recently passed a bill (AB 2051) that would shorten wait times for primary care clinics seeking approval to treat Medi-Cal beneficiaries, the Sacramento Business Journal reports. Medi-Cal is California's Medicaid program. The measure will now head to Gov. Jerry Brown.
CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
The democratization of medicine is as close as the phone in your pocket, says Eric Topol, M.D. Healthcare leaders had better be ready for empowered consumers, cost-cutting mobile apps, and genetic sequencing, which promises to be a differentiator.
Small Practices Score Big Gain in Reduced Admissions
Smaller primary care physician practices — those with fewer than 10 physicians — had fewer preventable hospital admissions among their Medicare beneficiaries than larger practices, researchers have found. In a national survey of more than 1,000 primary care practices with 19 or fewer physicians, practices with one to two physicians had an adjusted preventable admission rate of 4.31 per 100 Medicare patients per year, compared with 6.47 for practices with 10 to 19 physicians, Lawrence Casalino, Maryland, of Weill Cornell Medical College in New York City, and colleagues found.
HHS Issues 2 New Contraceptive Coverage Rules Under ACA
On Aug. 22, HHS announced two rules designed to clarify contraceptive coverage requirements under the Affordable Care Act, in light of recent court decisions on the issue, MSNBC reports. The changes are meant to address gaps in coverage created by the Supreme Court's Hobby Lobby ruling, which said that closely held corporations cannot be required to provide contraceptive coverage to their employees if the corporations' owners have religious objections to contraception, as well as the court's decision to grant an injunction to Wheaton College, an evangelical university that objected to filling out a form that would authorize a third party to provide the coverage for its employees and students.
An Addicted Doctor's Argument for Drug Testing
Contra Costa Times
Opponents of random drug testing of doctors, as a ballot proposition on the November ballot in California would require, say it's an unnecessary intrusion on doctors' privacy. Maybe testing is necessary for pilots and truckers, they say, but not for doctors because we are not in professions that affect public safety. As a doctor uniquely qualified to know, I say that is dead wrong.
New Study Confirms the Value of Small Practices
A new study published in Health Affairs suggests small physician practices provide better care than their larger counterparts. The researchers defined a small practice as one with fewer than seven physicians. Under this criterion, almost two-thirds of all U.S. physician practices are small. The researchers sought to learn whether the frequent assumption that large practices, with their often more abundant resources, provide better care is true.
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