Unless some improvements are made to the proposed surprise medical billing law, the ACR will not support the plan because it would affect "access to care that neither patients, providers or the government will be happy with," ACR CEO Dr. William Thorwarth said in a statement. "This would force medical providers to accept a median in-network payment that would likely be driven progressively lower by insurers to the point that many providers might not be able to continue to provide such services in their communities," the ACR said in the statement.
Diabetes patients frequently engaged in the underground exchange of medications and supplies with family, friends, coworkers, strangers and online acquaintances, which includes donating, purchasing and borrowing medications and supplies, according to a study published in the Journal of Diabetes Science and Technology. Researchers found that diabetes-specific financial stress and unmet needs were among the reasons behind the patients' participation in these activities.
A study published in Diabetes Care found that type 1 diabetes patients with end-stage renal disease who underwent simultaneous pancreas-kidney transplant had a 33% and 15% lower all-cause mortality risk over 10 years than those who received a kidney from a deceased or living donor, respectively. Dutch researchers also found a 44% reduction in all-cause mortality risk across 10 years among patients who underwent simultaneous pancreas-kidney transplant in areas where the procedure was more common, compared with those who underwent the procedure in areas where it was less common.
A study published in the American Journal of Nursing found that constant daily stress and exhaustion may contribute to "diabetes burnout" among people with diabetes, which can last from several hours to several years. Based on interviews with 18 adults with type 1 diabetes, average age of 38, findings showed that a feeling of detachment, failure to achieve target blood glucose levels and the constant burden of self-care also add to diabetes burnout, and Felicia Hill-Briggs, the American Diabetes Association's immediate past president for health care and education, suggested easing up on guilt trips and being proactive about how to handle burnout before it happens.
Women who had gestational diabetes had 2.08 times increased likelihood of experiencing high levels of depression symptoms during pregnancy and were 1.59 times more likely to have high levels of depression symptoms after giving birth, compared with women who did not have gestational diabetes, according to a study in Diabetic Medicine. UK researchers conducted a meta-analysis of 62 studies and found high levels of depressive symptoms in 13% of women with gestational diabetes.
South Korean researchers studied a cohort of nearly 8.5 million women ages 40 to 79 and found that full-field digital mammography yielded greater sensitivity and area under the curve but lower specificity in detecting breast cancer cases, compared with computed radiography or analog film-screen mammography. The findings, published in Radiology, showed that regardless of breast density, age or screening round, FFDM was superior in terms of screening accuracy than the other modalities.
A review of Veterans Health Administration data found that nearly a quarter of urgent outpatient imaging orders and 17% of typical requests were delayed, but 91% of veterans received follow-up treatment in a timely manner. Staff and equipment shortages, as well as lax monitoring of requests for imaging and greater demand, were cited as some of the factors leading to delays, according to the review, which was conducted by the Department of Veterans Affairs' Office of the Inspector General.
The US Preventive Services Task Force has finalized its 2019 guidance on screening for asymptomatic abdominal aortic aneurysm, reaffirming its 2014 recommendations on using ultrasound, especially among male smokers and nonsmokers ages 65 to 75, according to a statement published in the Journal of the American Medical Association. The report, based on an analysis of 50 studies, found that AAA screening in men ages 65 or older led to reductions in AAA-related death and ruptures, as well as emergency surgical procedures, in the 15 years after the first screening.
A study published in JAMA Network Open and presented at the European Society of Coloproctology conference found that extramural venous invasion, local peritoneal infiltration and tumor deposits on computed tomography images predict recurrence of sigmoid colon cancer. The findings of the study, which included data from 414 patients, may help clinicians "identify high-risk patients who could be selected for preoperative chemotherapy or more radical surgery in the form of complete mesocolic excision," said study author Nigel D'Souza.
The American Society for Radiation Oncology has released updated guidelines to standardize the treatment of skin cancer in the country. For both basal and cutaneous squamous cell carcinomas, the guidelines recommend radiation for patients who cannot or will not have surgical resection and those with anatomically sensitive areas; as a post-operative treatment for those at a high cancer recurrence risk; and as a follow-up treatment after the surgical removal of lymph nodes.
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