ACP InternistWeekly

Welcome to the August 26 issue of ACP Internist™ Weekly, an update for internists published every Tuesday by the American College of Physicians.

Click here to view longer summaries of the stories listed below, or click on the links at the end of each story.

In the News for the Week of 8-26-08

Highlights

  • HPV vaccine may not be cost-effective in adult women
  • Guidelines updated for infective endocarditis prophylaxis in valvular heart disease

Cardiology news

  • Statin therapy does not increase likelihood of cancer
  • Bleeding complication rates lower with radial PCI vs. femoral PCI

Women's health

  • Preeclampsia may hint at increased risk for later end-stage renal disease

Drug updates

  • First drug approved to treat chorea in Huntington's disease
  • Six patient reactions trigger reissue of pancreatitis warning for exenatide

Test yourself

  • MKSAP quiz: stroke prevention

ACP regulatory and insurer affairs

  • Stricter rules set for Medicaid’s tamper-proof prescriptions
  • CMS proposal for ICD-10 diagnosis codes would impose ‘extraordinary’ cost on internists

From ACP Hospitalist

  • Latest issue of ACP Hospitalist online and in the mail

From ACP Internist

  • On the blog: quality reporting hits some kinks
  • Cartoon caption contest: August's winning entry

From the College

Editorial note: ACP InternistWeekly will not be published on Tuesday, Sept. 2 due to the Labor Day holiday.


Highlights

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HPV vaccine may not be cost-effective in adult women

The cost of vaccinating 12-year-old girls against human papillomavirus compares well to other preventive health measures, but catch-up vaccination for adults is substantially less cost-effective, a study model found. More…

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Guidelines updated for infective endocarditis prophylaxis in valvular heart disease

Two cardiology groups updated guidelines for preventing infective endocarditis in valvular heart disease. More…

Cardiology news

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Statin therapy does not increase likelihood of cancer

Statins are not associated with a higher cancer incidence, according to a meta-analysis of randomized, controlled trials involving more than 97,000 patients. More…

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Bleeding complication rates lower with radial PCI vs. femoral PCI

The seldom-used radial approach to percutaneous coronary intervention results in lower rates of bleeding and vascular complications than the popular femoral approach, though both are equally effective at unclogging arteries, a new study found. More…

Women's health

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Preeclampsia may hint at increased risk for later end-stage renal disease

Preeclampsia may hint at developing end-stage renal disease, a Norwegian study said, although no causal link is known and the overall incidence is low. More…

Drug updates

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First drug approved to treat chorea in Huntington's disease

Tetrabenazine (Xenazine) is the first drug in the U.S. with FDA approval to treat chorea in patients with Huntington’s disease, according to the FDA. More…

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Six patient reactions trigger reissue of pancreatitis warning for exenatide

Physicians should discontinue exenatide (Byetta) in patients whom they suspect have pancreatitis, and the drug shouldn't be restarted in those patients later, an FDA update said. More…

Test yourself

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MKSAP quiz: stroke prevention

A 76-year-old man is evaluated for new-onset atrial fibrillation. He reports fatigue and decreased exercise tolerance for approximately six weeks, but otherwise feels well with no chest pain or palpitations. What is the most effective way to prevent stroke in this patient? More…

ACP regulatory and insurer affairs

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Stricter rules set for Medicaid’s tamper-proof prescriptions

All written or printed Medicaid prescriptions must contain at least one feature from each of three different categories of tamper-resistance. More…

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CMS proposal for ICD-10 diagnosis codes would impose ‘extraordinary’ cost on internists

Switching to ICD-10 diagnosis codes by 2011 could result in disruptions and costs not worth the benefits, ACP cautioned the Centers for Medicare and Medicaid Services. More…

From ACP Hospitalist

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Latest issue of ACP Hospitalist online and in the mail

The latest issue of ACP Hospitalist is online and in the mail. This month's cover story addresses cardiac defibrillation, finding ways to deliver a shock in two minutes or less. Also, find five MKSAP questions on sepsis. More…

From ACP Internist

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On the blog: quality reporting hits some kinks

Quality reporting has hit some kinks, as internists decide whether Medicare bonus payments are worth the effort. Also, how will news about the dangers of mixing juice and drugs change the way internists prescribe medication? More…

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Cartoon caption contest: August's winning entry

ACP InternistWeekly has compiled the results from its latest cartoon contest, where readers are invited to match wits against their peers to provide the most original and amusing caption. More…

From the College

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College announces winners of free ACP memberships

ACP announced winners of its drawing for one of 10 free ACP memberships for the 2009-2010 membership year. More…


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Copyright 2008 by American College of Physicians.

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