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October 2013 Briefing - Hematology & Oncology

Friday, November 1, 2013 (Last Updated: 11/04/2013)

Here are what the editors at HealthDay consider to be the most important developments in Hematology & Oncology for October 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

FDA Announces Moves to Avert Drug Shortages

THURSDAY, Oct. 31 (HealthDay News) -- Drug makers would have to promptly notify the federal government of potential drug shortages under a new rule proposed Thursday by the U.S. Food and Drug Administration. The companies would be required to alert the FDA at least six months before a possible interruption in supply, or no later than five days after the interruption has occurred.

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Top 100 EHR Systems Sorted by Company Revenue

THURSDAY, Oct. 31 (HealthDay News) -- The top 100 electronic health record (EHR) systems have been sorted, mainly by company revenue, in an article published Oct. 25 in Medical Economics.

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Suicide Risk Higher in Young After Cancer Diagnosis

THURSDAY, Oct. 31 (HealthDay News) -- Adolescents and young adults are more likely to attempt or complete suicide after a cancer diagnosis, particularly in the first year after diagnosis, according to a study published online Oct. 29 in the Annals of Oncology.

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Sebelius: 'Hold Me Accountable' for Website 'Debacle'

WEDNESDAY, Oct. 30 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius on Wednesday claimed responsibility for the failed rollout of HealthCare.gov and committed to fixing the website's many software and system problems.

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Cardiac Risk From Breast Radiation Lower Than in Past

WEDNESDAY, Oct. 30 (HealthDay News) -- Risk of cardiac events is increased by exposure from breast radiotherapy, though contemporary techniques, including lower radiation doses and prone positioning, have helped lower these risks, according to research published online Oct. 28 in JAMA Internal Medicine.

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Twin Study Shows Smoking Causes Premature Facial Aging

WEDNESDAY, Oct. 30 (HealthDay News) -- Visual evidence in identical twins shows that smoking hastens facial aging, particularly in the middle and lower thirds of the face, according to research published in the November issue of Plastic and Reconstructive Surgery.

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Record High in Medical School Applicants, Enrollment

WEDNESDAY, Oct. 30 (HealthDay News) -- In 2013, a record number of students applied to and enrolled in medical schools, according to a report published by the Association of American Medical Colleges (AAMC).

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2013 Health Care Quality Report Shows Some Improvements

WEDNESDAY, Oct. 30 (HealthDay News) -- Five key quality issues are showing some positive trends, according to the 2013 State of Health Care Quality Report published by the National Committee for Quality Assurance (NCQA).

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Expedited Review Speeds Approval of New Drugs by FDA

WEDNESDAY, Oct. 30 (HealthDay News) -- In 2008, new drugs that received expedited review by the U.S. Food and Drug Administration were approved more rapidly, but many questions about safety remain unresolved, according to research published online Oct. 28 in JAMA Internal Medicine.

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Health Agency Chief Apologizes for Federal Website Woes

TUESDAY, Oct. 29 (HealthDay News) -- The head of the federal agency responsible for HealthCare.gov issued a public apology Tuesday for problems that have plagued the health insurance website since its Oct. 1 launch. "I want to apologize to you that the website has not worked as well as it should," Marilyn Tavenner, administrator of the U.S. Centers for Medicare and Medicaid Services, told members of the House of Representatives' Ways and Means Committee at a hearing on the Affordable Care Act.

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Consultant Offers Tips for Training Staff to Use EHR System

TUESDAY, Oct. 29 (HealthDay News) -- Six tips can help educate staff to use new electronic health record (EHR) systems, according to an article published Oct. 25 in Medical Economics.

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Docs, Lawyers Join Forces to Allow Doctors to Apologize

TUESDAY, Oct. 29 (HealthDay News) -- A new Senate bill allows health care professionals to make benevolent gestures without fear of these statements being used against them, according to a report published by the Pennsylvania Medical Society.

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MicroRNA-222, -146b Levels Linked to Papillary Thyroid Cancer

MONDAY, Oct. 28 (HealthDay News) -- Tumor levels of microRNA (miRNA)-222 and miRNA-146b are associated with papillary thyroid cancer (PTC) recurrence, and circulating levels are associated with the presence of PTC, according to a study published online Oct. 28 in Cancer.

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CRC Risk Up With Family Hx of Adenoma, Advanced Adenoma

MONDAY, Oct. 28 (HealthDay News) -- For people with a family history of colorectal adenomas and advanced adenomas, the risk of developing colorectal cancer (CRC) is significantly elevated, according to a study published online Oct. 21 in Cancer.

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Serum Biomarkers Identify Early Pancreatic Cancers

MONDAY, Oct. 28 (HealthDay News) -- The DNA of two genes is frequently altered in patients with early-stage pancreatic cancer, modifications that can be accurately detected in cancer cells and serum, according to a study published online Oct. 2 in Clinical Cancer Research.

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Many Interns Don't Practice Etiquette-Based Communication

FRIDAY, Oct. 25 (HealthDay News) -- Internal medicine interns overestimate the extent to which they practice an etiquette-based communication approach, according to a study published online Oct. 12 in the Journal of Hospital Medicine.

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Coffee Consumption Linked to Reduced Risk of Liver Cancer

FRIDAY, Oct. 25 (HealthDay News) -- Coffee consumption is associated with a 40 percent reduction in the risk of liver cancer, according to a meta-analysis published in the November issue of Clinical Gastroenterology and Hepatology.

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Peer Intervention Program Reduces Patient Complaints

FRIDAY, Oct. 25 (HealthDay News) -- A physician peer intervention program is effective in improving unsafe and dissatisfying physician behaviors identified through patient complaints, according to a study published in the October issue of the Joint Commission Journal on Quality and Patient Safety.

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Most Negative Online Posts Aren't Defamation

FRIDAY, Oct. 25 (HealthDay News) -- Few negative online posts about doctors reach the level of defamation, according to an article published Oct. 10 in Medical Economics.

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Physicians Should Motivate and Retain Top Employees

THURSDAY, Oct. 24 (HealthDay News) -- Even in a time of declining reimbursements, smart employers should know how to motivate and retain superstar employees in their practice, according to an article published Oct. 10 in Medical Economics.

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Penalty Delayed As Federal Exchange Comes Under Fire

THURSDAY, Oct. 24 (HealthDay News) -- U.S. consumers who sign up for health insurance by March 31 won't face tax penalties for being uninsured during the first three months of 2014, the Obama administration said Thursday.

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Increased Use of IMRT for Self-Referring Urologists

WEDNESDAY, Oct. 23 (HealthDay News) -- Use of integrated intensity-modulated radiation therapy (IMRT) has increased more among urologists who have acquired ownership of IMRT services versus urologists who do not own such services, according to research published in the Oct. 24 issue of the New England Journal of Medicine.

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Regular Internet Use Linked to Cancer Prevention Behaviors

WEDNESDAY, Oct. 23 (HealthDay News) -- Regular Internet use among older adults is associated with greater cancer-preventative behaviors such as colorectal cancer screening, physical activity, consumption of fruits and vegetables, and not smoking, according to a study published online Oct. 22 in Cancer Epidemiology, Biomarkers & Prevention.

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Modest Survival Benefits Seen for Family Caregivers

WEDNESDAY, Oct. 23 (HealthDay News) -- Being a caregiver to a family member may provide a small survival benefit to the caregiver, according to a study published online Oct. 3 in the American Journal of Epidemiology.

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Physical Symptoms From Prostate Biopsy Can Cause Anxiety

WEDNESDAY, Oct. 23 (HealthDay News) -- Problematic symptoms of prostate biopsy can lead to increased anxiety in men, even when the biopsy results are negative for cancer, according to research published online Oct. 21 in the Journal of Clinical Oncology.

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Research Backlog at NIH Due to Shutdown

TUESDAY, Oct. 22 (HealthDay News) -- It will take some time before research programs return to normal at the U.S. National Institutes of Health after the end of the federal government shutdown, officials say.

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Few Patients Told About Risks of Overdiagnosis Pre-Screening

TUESDAY, Oct. 22 (HealthDay News) -- Few patients who are eligible for cancer screening are aware of the risks of overdiagnosis and overtreatment, according to a research letter published online Oct. 21 in JAMA Internal Medicine.

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Pill Effects on Breast, Ovarian CA Same in High-Risk Women

TUESDAY, Oct. 22 (HealthDay News) -- Among women who are BRCA1/2 mutation carriers, the associations between ever use of oral contraceptives (OCs) and ovarian and breast cancers are similar to those observed in the general population, according to research published online Oct. 21 in the Journal of Clinical Oncology.

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Scribes Can Be Beneficial in Medical Practices

TUESDAY, Oct. 22 (HealthDay News) -- Medical scribes can accurately document physician or independent practitioner dictation and activities, allowing providers to spend more time with patients, according to an article published Oct. 10 in Medical Economics.

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High BMI Linked to Worse Survival in Pancreatic Cancer

MONDAY, Oct. 21 (HealthDay News) -- For patients with pancreatic cancer, higher prediagnostic body mass index (BMI) is associated with decreased survival, according to a study published online Oct. 21 in the Journal of Clinical Oncology.

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Obama: 'No Excuse' for Troubled HealthCare.gov Website

MONDAY, Oct. 21 (HealthDay News) -- Saying he's confident the problems will get fixed, President Barack Obama admitted today that there is "no excuse" for the troubles plaguing the beleaguered HealthCare.gov website. "There's no sugar-coating it. The website has been too slow, people have been getting stuck during the application process, and I think it's fair to say that nobody's more frustrated by that than I am," he said during the nearly 30-minute-long address in the White House Rose Garden.

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Seniors Rarely Consider Switching Medicare Plan, Provider

MONDAY, Oct. 21 (HealthDay News) -- Most seniors report being satisfied with Medicare coverage and most would not consider switching plan or provider even though the Medicare annual open enrollment period, which lasts from Oct. 15 to Dec. 7, allows people the opportunity to make changes, according to a report from Allsup.

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Small Businesses Weigh Health Insurance Options

MONDAY, Oct. 21 (HealthDay News) -- Small businesses rated most features of the Small Business Health Options (SHOP) exchanges favorably, but reasonable prices for premiums are especially important to them, according to research published online Oct. 16 in Health Affairs.

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3-Month Post-Op EPIC Scores Predict Functional Outcomes

FRIDAY, Oct. 18 (HealthDay News) -- Three-month scores on the Expanded Prostate Cancer Index Composite (EPIC) predict urinary and sexual functional outcomes at 12 months, according to a study published in the October issue of The Journal of Urology.

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Eye Contact Affects Patients' Perception of Clinician Empathy

FRIDAY, Oct. 18 (HealthDay News) -- Physicians who make direct eye contact and engage in a moderate amount of social touch are perceived by patients as being more empathetic, according to research published online Aug. 14 in the Journal of Participatory Medicine.

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In Buying Exchange Insurance, It Helps to Have Help

FRIDAY, Oct. 18 (HealthDay News) -- You have to wade through a lot of insurance jargon and be a skilled number-cruncher to choose the right health insurance plan on the new health exchanges, health literacy and consumer decision-making experts say.

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Sebelius: Exchange Launch 'Rockier Than We Would Have Liked'

THURSDAY, Oct. 17 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius admitted Wednesday that the troubled launch of the federal government's new health insurance exchange hasn't gone as planned. However, she said technicians were working to fix the glitches that have plagued the HealthCare.gov website, and improvements should be evident shortly to consumers, the Cincinnati Enquirer reported Wednesday.

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Risk Factors for VTE Post-Spine Surgery Identified

THURSDAY, Oct. 17 (HealthDay News) -- There are multiple independent risk factors for the development of deep venous thrombosis (DVT) and/or pulmonary embolism (PE) after spine surgery, according to a study published in the Oct. 1 issue of Spine.

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'Coverage Gap' Likely to Affect 5.2 Million Uninsured Adults

THURSDAY, Oct. 17 (HealthDay News) -- About 5.2 million uninsured adults are expected to fall into the Affordable Care Act (ACA) 'coverage gap,' with incomes too high to qualify for Medicaid programs but below the level eligible for federal subsidies to purchase private insurance, according to a report issued by the Henry J. Kaiser Family Foundation.

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Docs Should Discuss Out-of-Pocket Costs With Patients

THURSDAY, Oct. 17 (HealthDay News) -- Given the high out-of-pocket costs associated with health care and their implications for patients, physicians should discuss these costs with patients during the clinical decision-making process, according to a perspective piece published in the Oct. 17 issue of the New England Journal of Medicine.

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Steps Given to Minimize Burden of Prior Authorizations

THURSDAY, Oct. 17 (HealthDay News) -- Prior authorizations are a time-consuming part of work, but the process can be simplified, according to an article published online Oct. 10 in Medical Economics.

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Med Students Value 'Enjoying Work' in Specialty Selection

THURSDAY, Oct. 17 (HealthDay News) -- For first year medical students, enjoying work is the most important lifestyle domain in choosing a specialty, according to a study published in the October issue of Academic Medicine.

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nab-Paclitaxel, Gemcitabine Up Survival in Pancreatic Cancer

WEDNESDAY, Oct. 16 (HealthDay News) -- For patients with metastatic pancreatic cancer, treatment with albumin-bound paclitaxel (nab-paclitaxel) plus gemcitabine is more effective than gemcitabine alone, according to a study published online Oct. 16 in the New England Journal of Medicine.

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Medicare, Medicaid Will Be Affected by Federal Debt Default

WEDNESDAY, Oct. 16 (HealthDay News) -- Failure to raise the debt ceiling by Oct. 17 will have a substantial effect on health care programs, including Medicare and Medicaid, according to a report published by the American Association of Family Physicians (AAFP).

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Gastric, Esophageal Cancer Risk Linked to Teen Overweight

WEDNESDAY, Oct. 16 (HealthDay News) -- Adolescents' weight and socioeconomic status (SES) may affect their subsequent risk of developing esophageal and gastric cancer, according to a study published online Oct. 15 in Cancer.

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Nonprofit U.S. Hospital CEO Compensation Varies Widely

TUESDAY, Oct. 15 (HealthDay News) Nonprofit hospital chief executive officer (CEO) compensation is associated with technology and patient satisfaction, but not with processes of care, patient outcomes, or community benefit, according to a study published online Oct. 14 in JAMA Internal Medicine.

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Most Docs Monitor Online Reviews About Themselves

TUESDAY, Oct. 15 (HealthDay News) -- Most health care providers monitor online reviews about themselves and find the reviews fair, according to the results of a survey published by ZocDoc.

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Communication Factors Aid Cancer Diagnosis Disclosure

MONDAY, Oct. 14 (HealthDay News) -- Ensuring disclosure of a gynecological cancer diagnosis takes place in a private setting and that the conversation lasts for more than 10 minutes improves patient satisfaction, according to a study published online Oct. 7 in Obstetrics & Gynecology.

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Study Discusses How to Create Value in Insurance Marketplaces

MONDAY, Oct. 14 (HealthDay News) -- Based on experience from other markets, health insurance exchange marketplaces can create greater value for consumers, according to research published in the September issue of Health Management, Policy and Innovation.

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Hospital Care Quality Varies by Insurance Coverage

MONDAY, Oct. 14 (HealthDay News) -- Examining hospital quality differences by various patient insurance groups would help reduce care disparities, according to a study published in the October issue of Health Affairs.

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Economic Burden of Cancer Quantified in Europe

MONDAY, Oct. 14 (HealthDay News) -- The economic burden of cancer in the European Union (EU) was €126 billion in 2009, according to a study published online Oct. 14 in The Lancet Oncology.

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'Cyberchondria' Worse in Those Troubled by Uncertainty

FRIDAY, Oct. 11 (HealthDay News) -- In a vicious cycle, those who have trouble handling uncertainty turn to the Internet to search for medical information which in turn leads to greater health anxiety ("cyberchondria"), according to a study published online Aug. 31 in Cyberpsychology, Behavior, and Social Networking.

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Regional Variation Seen in Medicare ACO Formation

FRIDAY, Oct. 11 (HealthDay News) -- Underlying provider integration in a given geographic region may drive the formation of Medicare accountable care organizations (ACOs), according to a study published in the October issue of Health Affairs.

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Consumers Frustrated With First Days of ACA Exchanges

FRIDAY, Oct. 11 (HealthDay News) -- A new poll of consumer satisfaction with the Affordable Care Act's health insurance exchanges confirms what headlines having been saying since the online marketplaces' launch: things have not gone smoothly.

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Addicted Physicians Say Rx Misuse Is for 'Self-Medication'

FRIDAY, Oct. 11 (HealthDay News) -- Physicians who misuse prescription drugs report self-medication as a leading reason, according to research published in the September/October issue of the Journal of Addiction Medicine.

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Incidentally, Non-Incidentally Discovered Thyroid CA Compared

FRIDAY, Oct. 11 (HealthDay News) -- For patients with thyroid cancer, those with incidentally discovered (ID) versus non-incidentally discovered (NID) disease are older at presentation, have higher stage disease, and are more likely to be male, according to a review published online Oct. 10 in JAMA Otolaryngology-Head & Neck Surgery.

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Talaporfin Safe for Use in Sentinel Lymph Node Biopsy

THURSDAY, Oct. 10 (HealthDay News) -- Talaporfin sodium is safe and effective to use in combination with radioisotope (RI) for the detection of sentinel lymph nodes (SLNs) during breast cancer surgery, according to a study published online Sept. 30 in Lasers in Surgery and Medicine.

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State-Run Health Exchanges Off to Smoother Start

WEDNESDAY, Oct. 9 (HealthDay News) -- Unlike the highly publicized problems that have plagued the federal health exchange website created to help Americans register for insurance coverage, many state-run exchanges are operating well, according to published reports.

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More Evidence Needed for Management of Serrated Polyps

THURSDAY, Oct. 10 (HealthDay News) -- Consensus recommendations indicate that serrated polyps should be removed, but a lack of evidence and understanding may be preventing optimal management, according to an analysis published online Oct. 8 in BMJ.

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Prolonged Sorafenib Linked to Pancreatic Atrophy

THURSDAY, Oct. 10 (HealthDay News) -- Prolonged treatment with the oral multi-targeted tyrosine kinase inhibitor sorafenib may be associated with pancreatic atrophy, according to a letter to the editor published in the Oct. 10 issue of the New England Journal of Medicine.

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Bleeding Disorder Often Seen With Heavy Menstrual Bleeding

WEDNESDAY, Oct. 9 (HealthDay News) -- Bleeding disorders play an important role in both explained and unexplained cases of heavy menstrual bleeding (HMB) due in many cases to low but not deficient factor XI levels, according to research published in the September issue of the American Journal of Obstetrics & Gynecology.

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Provision of High-Quality Care Linked to Doc Job Satisfaction

WEDNESDAY, Oct. 9 (HealthDay News) -- For physicians, being able to provide high-quality health care is a driver of professional satisfaction, according to a study published online Oct. 9 by the RAND Corporation.

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AAFP Urges Congress to End Federal Government Shutdown

WEDNESDAY, Oct. 9 (HealthDay News) -- The American Association of Family Physicians (AAFP) is urging Congress to end the federal shutdown, according to a statement from the association.

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Greater Potential for Health Gains From Delayed Aging

WEDNESDAY, Oct. 9 (HealthDay News) -- The most effective way to stall disease, extend years of life in good health, and enhance public health would be to delay aging, according to research published in the October issue of Health Affairs.

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Gemcitabine Improves Overall Pancreatic Cancer Survival

TUESDAY, Oct. 8 (HealthDay News) -- Adjuvant gemcitabine treatment after surgical removal of pancreatic cancer significantly improves both disease-free and overall survival compared with observation, according to a study published in the Oct. 9 issue of the Journal of the American Medical Association.

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Use of Single-Fraction Radiation for Pain Found Rare in Elderly

TUESDAY, Oct. 8 (HealthDay News) -- Although single-fraction radiotherapy has been shown to be effective for pain relief of bone metastases in patients with prostate cancer, only about 3 percent of elderly patients receive single-fraction compared with multiple-fraction radiotherapy, according to a research letter published in the Oct. 9 issue of the Journal of the American Medical Association.

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Patients With Invasive Breast CA Should Undergo HER2 Testing

TUESDAY, Oct. 8 (HealthDay News) -- Human epidermal growth factor receptor 2 (HER2) status should be determined in all patients with invasive breast cancer, according to updated clinical practice guidelines published online Oct. 7 in the Journal of Clinical Oncology.

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Confusion Still Surrounds ACA Health Insurance Exchanges

TUESDAY, Oct. 8 (HealthDay News) -- Much confusion still exists surrounding the Affordable Care Act (ACA) health care insurance exchanges, which opened on Oct. 1, according to an article published online Sept. 30 in Medical Economics.

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Patient Satisfaction Is Poor Measure of Hospital Quality

TUESDAY, Oct. 8 (HealthDay News) -- The Pridit approach can be used to predict hospital quality and health outcomes, according to a study published online Sept. 30 in the Risk Management and Insurance Review.

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Patterns of Health Insurance Coverage Vary by State

TUESDAY, Oct. 8 (HealthDay News) -- Patterns of health insurance coverage among adults vary by state, and these differences may be used to guide efforts to expand coverage under the Affordable Care Act (ACA), according to research published online Sept. 25 in Health Affairs.

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Both Patients and Doctors Tend to Be Creatures of Habit

MONDAY, Oct. 7 (HealthDay News) -- Doctors often struggle with their patients' reluctance or inability to modify behaviors for the sake of their health, but physicians themselves are prone to stay the path they're on even if it isn't working or recommended, according to an opinion piece published Oct. 5 in The New York Times.

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Design and Software Problems Plague Health Exchanges

MONDAY, Oct. 7 (HealthDay News) -- Problems signing up for health insurance through HealthCare.gov, the federal website serving health exchanges in 36 states, are the result of design and software problems, The Wall Street Journal reported.

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U.S. Health Exchange Website Faced Intermittent Shutdowns

MONDAY, Oct. 7 (HealthDay News) -- The U.S. Health and Human Services Department announced late Friday that the healthcare.gov site -- a key to the launch of the new health care insurance exchanges -- would be unavailable during "off-peak" hours over the weekend for repairs.

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Senators Request Delay in Transition to Meaningful Use 2

MONDAY, Oct. 7 (HealthDay News) -- A group of U.S. senators has requested that the transition to meaningful use 2 be delayed by one year, according to an article published Sept. 30 in Medical Economics.

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Familial Component Identified in Papillary Thyroid Cancer

MONDAY, Oct. 7 (HealthDay News) -- First-degree, second-degree, and third-degree relatives of patients diagnosed with papillary thyroid cancer (PTC) are at significantly increased risk of developing the disease, according to research published online Oct. 3 in JAMA Otolaryngology-Head & Neck Surgery.

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Prostate Cancer Screening Cost $447 Million in 2009

FRIDAY, Oct. 4 (HealthDay News) -- The cost to Medicare of screening elderly men in the United States for prostate cancer was $447 million in 2009, with about three-quarters of the cost associated with biopsy-related procedures, according to a study published online Oct. 4 in Cancer.

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Majority of Physicians Concerned About Future of Medicine

FRIDAY, Oct. 4 (HealthDay News) -- Although physicians are concerned about the future of medicine, the majority are satisfied with practicing medicine and feel financial incentives could provide a way to motivate patients to change behavior, according to a survey conducted by the Deloitte Center for Health Solutions.

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Melanoma Patients Increase Sun Exposure After Diagnosis

FRIDAY, Oct. 4 (HealthDay News) -- Patients with cutaneous malignant melanoma (CMM) may actually increase their exposure to ultraviolet radiation in the first three years after diagnosis, according to a study published online Sept. 30 in JAMA Dermatology.

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High-Dose rhBMP Linked to Increased Incidence of Cancer

FRIDAY, Oct. 4 (HealthDay News) -- Patients receiving high-dose recombinant human bone morphogenetic protein-2 (rhBMP-2) as part of spine surgery have an increased risk of cancer and may be at risk for major complications, according to two studies published in the Sept. 4 issue of The Journal of Bone & Joint Surgery.

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Patient Portal Market Earned $279.8 Million in 2012

FRIDAY, Oct. 4 (HealthDay News) -- The total U.S. patient portal market for hospitals and physicians earned $279.8 million in 2012, and this is expected to increase in the coming years, mainly due to stage 2 meaningful use requirements, according to a report published by consulting firm Frost & Sullivan.

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Walking Linked to Reduced Breast Cancer Risk

FRIDAY, Oct. 4 (HealthDay News) -- Walking for as little as an hour per day can significantly reduce the risk of breast cancer among postmenopausal women, according to a study published in the October issue of Cancer Epidemiology, Biomarkers & Prevention.

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Number of EMR Functions Linked to Physician Stress

FRIDAY, Oct. 4 (HealthDay News) -- For primary care physicians, the number of electronic medical record (EMR) functions is associated with stress and satisfaction, according to a study published online Sept. 4 in the Journal of the American Medical Informatics Association.

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Glitches Still Dog Online Health Exchanges

THURSDAY, Oct. 3 (HealthDay News) -- Problems navigating the new federal and state computer-based health insurance exchanges spilled into a third day Thursday.

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Impact of Shutdown on Docs, Patients Discussed

THURSDAY, Oct. 3 (HealthDay News) -- The shutdown of non-essential government services as of midnight Oct. 1 has led to questions about what the shutdown means for primary care physicians and their patients; answers have been issued in an article published Oct. 1 in Medical Economics.

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Government Shutdown Impacting Health Care Agencies

THURSDAY, Oct. 3 (HealthDay News) -- The government shutdown is having a serious impact on health care agencies, according to an article published Oct. 1 in Medical Economics.

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Expanding Scope of Nurse Practitioners Practice Discussed

THURSDAY, Oct. 3 (HealthDay News) -- Non-physician practitioners could ease the anticipated increased demand for physicians, but broadening their scope of practice is controversial, according to an article published Sept. 10 in Medical Economics.

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Demand for Doctors Remained High in 2012

THURSDAY, Oct. 3 (HealthDay News) -- Demand for physicians, particularly primary care physicians remains high, according to a report published by the Association of Staff Physician Recruiters (ASPR).

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Fallout From Increase in High-Deductible Plans Examined

THURSDAY, Oct. 3 (HealthDay News) -- The expected increase in high-deductible health plan (HDHP) enrollment due to implementation of the Affordable Care Act (ACA) highlights the need for more research into the health impact of HDHPs, according to a perspective piece published online Oct. 2 in the New England Journal of Medicine.

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Technical Problems Still Vex Day 2 of ACA Exchange Rollout

WEDNESDAY, Oct. 2 (HealthDay News) -- Computer troubles continued to plague the launch of the Affordable Care Act's health insurance exchanges on Wednesday. But Obama administration officials said Wednesday that the computer glitches were a reflection of heavy consumer interest in the exchanges, not flaws with the online registration system.

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Technical Glitches Mar Affordable Care Act Exchange Debut

WEDNESDAY, Oct. 2 (HealthDay News) -- The Affordable Care Act health insurance exchanges rollout did not run smoothly on Tuesday as many consumers were frustrated by long delays and computer system failures.

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AMA: More Than Half of Doctors Self-Employed in 2012

WEDNESDAY, Oct. 2 (HealthDay News) -- More than half of physicians are self-employed, and 60 percent work in practices that are fully owned by physicians, according to the results of the 2012 Physician Practice Benchmark Survey.

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Technological Advances in Health Care for Google, Apple

WEDNESDAY, Oct. 2 (HealthDay News) -- Google and Apple have launched developments in health care technology, according to a report published Sept. 20 in Medical Economics.

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Breast Cancer Incidence Rates Up for African-American Women

TUESDAY, Oct. 1 (HealthDay News) -- Incidence rates of breast cancer among U.S. women are stable for most racial/ethnic groups, but are increasing for African-American women, with the incidence rates converging for whites and African-Americans, according to a study published online Oct. 1 in CA: A Cancer Journal for Clinicians.

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More Primary Care Visits, Less Colorectal Cancer Incidence

TUESDAY, Oct. 1 (HealthDay News) -- Higher utilization of primary care among Medicare beneficiaries reduces colorectal cancer (CRC) incidence and mortality, according to a study published in the Oct. 1 issue of the Annals of Internal Medicine.

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Peanut Butter Intake in Pre-Teens Tied to Breast Health

TUESDAY, Oct. 1 (HealthDay News) -- Vegetable protein and fat intakes, including peanut butter and nuts, during pre-adolescence may subsequently help reduce the risk for benign breast disease (BBD), according to a study published in the September issue of Breast Cancer Research and Treatment.

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Affordable Care Act Exchanges Are Up and Running

TUESDAY, Oct. 1 (HealthDay News) -- Despite the first federal government shutdown in 17 years and a push by Republicans in the House of Representatives to delay further implementation of "Obamacare," the Affordable Care Act's health insurance exchanges opened for business today.

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Many Health Care Professionals Oppose ACA Proposals

TUESDAY, Oct. 1 (HealthDay News) -- The majority of health care professionals are concerned about negative outcomes relating to enactment of the Affordable Care Act (ACA), although they recognize the benefits, according to a survey conducted by Coupa Software.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
editors@healthday.com

Poor Performance Triggering EMR Switch for Small Practices

TUESDAY, Oct. 1 (HealthDay News) -- Small physician practices are leaving electronic medical record (EMR) vendors as software systems have failed to meet growing expectations, according to a report from KLAS research.

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Specialties Hematology & Oncology

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