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October 2012 - FRMC

10/22/2012
Tori Socha
The Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) has released its recommendations for the use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in...
The Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP) has released its recommendations for the use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in...
The Centers for Disease Control...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
In late 2010, the US Department of Health and Human Services unveiled Healthy People 2020, a program outlining 10-year goals and objectives for health promotion and disease prevention. Maintaining vaccination coverage among children in...
In late 2010, the US Department of Health and Human Services unveiled Healthy People 2020, a program outlining 10-year goals and objectives for health promotion and disease prevention. Maintaining vaccination coverage among children in...
In late 2010, the US Department...
10/22/2012
First Report Managed Care
10/22/2012
Kevin L. Carter
Since varicella first became nationally notifiable in 1972, surveillance practices for varicella have changed and evolved. The history of varicella surveillance was discussed in the Center for Disease Control and Prevention’s (CDC) Morbidity...
Since varicella first became nationally notifiable in 1972, surveillance practices for varicella have changed and evolved. The history of varicella surveillance was discussed in the Center for Disease Control and Prevention’s (CDC) Morbidity...
Since varicella first became...
10/22/2012
First Report Managed Care
10/22/2012
Kevin L. Carter
The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices has released its recommendations and overview for the 2012/2013 influenza season. The report appeared in the Morbidity and Mortality Weekly Report...
The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices has released its recommendations and overview for the 2012/2013 influenza season. The report appeared in the Morbidity and Mortality Weekly Report...
The Centers for Disease Control...
10/22/2012
First Report Managed Care
10/22/2012
Eileen Koutnik-Fotopoulos
Atlanta—Patients with urinary incontinence (UI) due to neurogenic detrusor overactivity, who were inadequately managed with anticholinergics, experienced sustained reductions in UI episodes and improvements in quality of life with repeated...
Atlanta—Patients with urinary incontinence (UI) due to neurogenic detrusor overactivity, who were inadequately managed with anticholinergics, experienced sustained reductions in UI episodes and improvements in quality of life with repeated...
Atlanta—Patients with urinary...
10/22/2012
First Report Managed Care
10/22/2012
Eileen Koutnik-Fotopoulos
Atlanta—Both tadalafil and tamsulosin significantly improved lower urinary tract symptoms/benign prostatic hypertrophy (LUTS/BPH). However, only tadalafil significantly improved secondary LUTS/BPH measures of quality of life, Patient and...
Atlanta—Both tadalafil and tamsulosin significantly improved lower urinary tract symptoms/benign prostatic hypertrophy (LUTS/BPH). However, only tadalafil significantly improved secondary LUTS/BPH measures of quality of life, Patient and...
Atlanta—Both tadalafil and...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
San Diego—Outcomes in patients with Barrett’s esophagus who, after having fundoplication (a surgical antireflux procedure), underwent radio frequency ablation (RFA) were similar to those in patients who did not undergo the surgical procedure,...
San Diego—Outcomes in patients with Barrett’s esophagus who, after having fundoplication (a surgical antireflux procedure), underwent radio frequency ablation (RFA) were similar to those in patients who did not undergo the surgical procedure,...
San Diego—Outcomes in patients...
10/22/2012
First Report Managed Care
Conference Insider
10/22/2012
Tim Casey
Patients who underwent laparoscopic colectomy and had an opioid-related adverse event spent more time in the hospital and had a higher total cost.
Patients who underwent laparoscopic colectomy and had an opioid-related adverse event spent more time in the hospital and had a higher total cost.
Patients who underwent...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
San Diego—Patients with cirrhosis who took rifaximin had a reduced risk of hepatic encephalopathy (HE) and a reduced rate of hospitalization compared with patients in a placebo group, according to a 24-month, open-label maintenance trial. The...
San Diego—Patients with cirrhosis who took rifaximin had a reduced risk of hepatic encephalopathy (HE) and a reduced rate of hospitalization compared with patients in a placebo group, according to a 24-month, open-label maintenance trial. The...
San Diego—Patients with...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—A randomized phase 3, multicenter, double-blind, placebo-controlled study of patients with opioid-induced bowel dysfunction (OBD) who took lubiprostone had a statistically significant higher spontaneous bowel movement (SBM) response...
Phoenix—A randomized phase 3, multicenter, double-blind, placebo-controlled study of patients with opioid-induced bowel dysfunction (OBD) who took lubiprostone had a statistically significant higher spontaneous bowel movement (SBM) response...
Phoenix—A randomized phase 3,...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—After 12 weeks of treatment, adult patients with chronic lower back pain who received 20 mcg per hour of buprenorphine using the buprenorphine transdermal system (BTS) experienced less sleep disturbance and better sleep quality...
Phoenix—After 12 weeks of treatment, adult patients with chronic lower back pain who received 20 mcg per hour of buprenorphine using the buprenorphine transdermal system (BTS) experienced less sleep disturbance and better sleep quality...
Phoenix—After 12 weeks of...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—When Mark Wallace, MD, began his medical career in 1995, the FDA had approved only a single drug for neuropathic pain. Now his choices are much broader, although the approval of several medications in recent years has made it...
Phoenix—When Mark Wallace, MD, began his medical career in 1995, the FDA had approved only a single drug for neuropathic pain. Now his choices are much broader, although the approval of several medications in recent years has made it...
Phoenix—When Mark Wallace, MD,...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—During the first year after being diagnosed with neuropathic pain, patients who had already suffered from a spinal cord injury had a mean healthcare cost that was $35,939 higher than patients who had a spinal cord injury but no...
Phoenix—During the first year after being diagnosed with neuropathic pain, patients who had already suffered from a spinal cord injury had a mean healthcare cost that was $35,939 higher than patients who had a spinal cord injury but no...
Phoenix—During the first year...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—A post hoc analysis of 2 studies found that patients with postherpetic neuralgia tolerated receiving the combination therapy of lidocaine patch 5% and calcium channel a2-d ligands, with most treatment-related adverse events attributed...
Phoenix—A post hoc analysis of 2 studies found that patients with postherpetic neuralgia tolerated receiving the combination therapy of lidocaine patch 5% and calcium channel a2-d ligands, with most treatment-related adverse events attributed...
Phoenix—A post hoc analysis of 2...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
Phoenix—For decades, clinicians prescribed an opioid or nonsteroidal anti-inflammatory drug (NSAID) to treat patients with chronic pain. Currently, they are much more likely to utilize a polypharmacy approach, using multiple drugs to achieve...
Phoenix—For decades, clinicians prescribed an opioid or nonsteroidal anti-inflammatory drug (NSAID) to treat patients with chronic pain. Currently, they are much more likely to utilize a polypharmacy approach, using multiple drugs to achieve...
Phoenix—For decades, clinicians...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
There are 60 million Americans covered by Medicaid and, when the Medicaid provision of the Patient Protection and Affordable Care Act (ACA) is implemented in 2014, millions more will be eligible to enroll. The Supreme Court of the United...
There are 60 million Americans covered by Medicaid and, when the Medicaid provision of the Patient Protection and Affordable Care Act (ACA) is implemented in 2014, millions more will be eligible to enroll. The Supreme Court of the United...
There are 60 million Americans...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
The U.S. Preventive Services Task Force (USPSTF) issues recommendations on the effectiveness of specific clinical preventive services for patients without related signs or symptoms. These recommendations, which do not consider costs...
The U.S. Preventive Services Task Force (USPSTF) issues recommendations on the effectiveness of specific clinical preventive services for patients without related signs or symptoms. These recommendations, which do not consider costs...
The U.S. Preventive Services...
10/22/2012
First Report Managed Care
10/22/2012
Eileen Koutnik-Fotopoulos
Beta-blockers atenolol and metoprolol tartrate had no statistically significant effect on the risk of cardiovascular (CV) events in patients with hypertension, according to an analysis from the Cardiovascular Research Network (CVRN)...
Beta-blockers atenolol and metoprolol tartrate had no statistically significant effect on the risk of cardiovascular (CV) events in patients with hypertension, according to an analysis from the Cardiovascular Research Network (CVRN)...
Beta-blockers atenolol and...
10/22/2012
First Report Managed Care
10/22/2012
Jill Sederstorm
A new systematic review found that public reporting is associated with improvements in healthcare performance measures and may prompt healthcare providers to engage in activities to improve quality. The report was recently released by the...
A new systematic review found that public reporting is associated with improvements in healthcare performance measures and may prompt healthcare providers to engage in activities to improve quality. The report was recently released by the...
A new systematic review found...
10/22/2012
First Report Managed Care
10/22/2012
Jill Sederstorm
A ventricular assist device specifically designed for children produced significantly higher survival rates for children with severe heart failure who were waiting for cardiac transplants compared with extracorporeal membrane oxygenation...
A ventricular assist device specifically designed for children produced significantly higher survival rates for children with severe heart failure who were waiting for cardiac transplants compared with extracorporeal membrane oxygenation...
A ventricular assist device...
10/22/2012
First Report Managed Care
10/22/2012
Jill Sederstorm
Combination therapy with anastrozole and fulvestrant was found to be superior to treatment with anastrozole alone in a recent randomized study of postmenopausal women with hormone-receptor(HR)-positive metastatic breast cancer. The findings...
Combination therapy with anastrozole and fulvestrant was found to be superior to treatment with anastrozole alone in a recent randomized study of postmenopausal women with hormone-receptor(HR)-positive metastatic breast cancer. The findings...
Combination therapy with...
10/22/2012
First Report Managed Care
10/22/2012
Mary Beth Nierengarten
Results of a retrospective study [JAMA. 2012;308(5):493-501] show that older people  with a diagnosis of cataract who undergo cataract surgery have lower odds of fracturing their hip within 1 year compared with people with cataracts who do...
Results of a retrospective study [JAMA. 2012;308(5):493-501] show that older people  with a diagnosis of cataract who undergo cataract surgery have lower odds of fracturing their hip within 1 year compared with people with cataracts who do...
Results of a retrospective study...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
Diagnosis of patients with acute chest pain, whose initial evaluation is inconclusive, is often challenging and inefficient.
Diagnosis of patients with acute chest pain, whose initial evaluation is inconclusive, is often challenging and inefficient.
Diagnosis of patients with acute...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
One of the most prevalent health problems in the United States is hypertension, and the incidence of the condition is increasing. The increase in the number of Americans with hypertension is attributed, in part, to the increase of blood...
One of the most prevalent health problems in the United States is hypertension, and the incidence of the condition is increasing. The increase in the number of Americans with hypertension is attributed, in part, to the increase of blood...
One of the most prevalent health...
10/22/2012
First Report Managed Care
10/22/2012
Jill Sederstorm
Oral immunotherapy for children with an egg allergy can desensitize a high proportion of children who undergo treatment, according to the results of a new randomized control trial. These latest findings were recently published in the New...
Oral immunotherapy for children with an egg allergy can desensitize a high proportion of children who undergo treatment, according to the results of a new randomized control trial. These latest findings were recently published in the New...
Oral immunotherapy for children...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
It is estimated that urinary tract infections (UTIs) are the cause of 7,000,000 visits to physicians’ offices each year, along with an additional 1,000,000 emergency department visits. Community-acquired UTIs result in 100,000 hospital...
It is estimated that urinary tract infections (UTIs) are the cause of 7,000,000 visits to physicians’ offices each year, along with an additional 1,000,000 emergency department visits. Community-acquired UTIs result in 100,000 hospital...
It is estimated that urinary...
10/22/2012
First Report Managed Care
10/22/2012
Mary Beth Nierengarten
Results of a randomized trial [N Engl J Med. 2012;367(3):203-213] showed no significant reduction in all-cause or prostate-cancer mortality in men with clinically localized prostate cancer treated by radical prostatectomy compared with...
Results of a randomized trial [N Engl J Med. 2012;367(3):203-213] showed no significant reduction in all-cause or prostate-cancer mortality in men with clinically localized prostate cancer treated by radical prostatectomy compared with...
Results of a randomized trial [N...
10/22/2012
First Report Managed Care
10/22/2012
Tori Socha
Early this summer, the U.S. Preventive Services Task Force (USPSTF) issued an update of the 2003 recommendation statement on screening for cervical cancer. The update was published in Annals of Internal Medicine [2012;156(12):880-891]. The...
Early this summer, the U.S. Preventive Services Task Force (USPSTF) issued an update of the 2003 recommendation statement on screening for cervical cancer. The update was published in Annals of Internal Medicine [2012;156(12):880-891]. The...
Early this summer, the U.S....
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
In a fee-for-service payment system, physicians are compensated for each test and procedure, creating an environment in which they are incentivized for the volume of care they provide. This situation has led to frustration for both patients...
In a fee-for-service payment system, physicians are compensated for each test and procedure, creating an environment in which they are incentivized for the volume of care they provide. This situation has led to frustration for both patients...
In a fee-for-service payment...
10/22/2012
First Report Managed Care
10/22/2012
Tim Casey
As health insurance costs increase faster than wages or inflation, people enrolled in employer-sponsored health plans have mixed views on their coverage.
As health insurance costs increase faster than wages or inflation, people enrolled in employer-sponsored health plans have mixed views on their coverage.
As health insurance costs...
10/22/2012
First Report Managed Care