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News, opinions and meeting coverage in primary care.

How Much Exercise to Burn Off a Burger?

Menus displaying the amount of exercise required to burn off calories in a meal had some impact on food choice, researchers found.

Cinnamon Game Harms Players

The "cinnamon challenge鈥� -- a party trick among youths who accept a dare to swallow a spoonful of ground cinnamon -- has led to a surge in calls to poison control centers with reports of spice-induced choking and aspiration, according to a new report.

Full Thyroid Removal May be Best in Graves' Disease

Removing the whole thyroid lessens the chance of hyperthyroidism recurrence in Graves' disease compared with partial thyroidectomy, but it also leads to increased temporary hypoparathyroidism, researchers found.

FDA Splits on Safety of Endo's Aveed for Low-T

SILVER SPRING, Md. -- An FDA advisory committee was split Thursday on the safety of an injectable form of testosterone replacement, but voted overwhelmingly against a proposed risk mitigation plan.

Ricin Deadly, but Not an Effective WMD

It may have been a preferred tool of Soviet hit men, but ricin generally flops as a weapon of mass destruction, several bioterrorism experts told 麻豆传媒.

Abortion Rate No Higher in Women on RA Drug

Women with rheumatoid arthritis (RA) being treated with methotrexate had no increase in the rate of induced abortions despite the drug's known teratogenicity, a case-control study showed.

More Docs Joining Forces in ACOs

SAN FRANCISCO -- The number of physician-led accountable care organizations (ACOs) has recently surpassed the number led by hospitals, becoming the largest backers of the payment and delivery model, an analysis showed.

Docs May See Pay Delay Under ACA Exchanges

SAN FRANCISCO -- A provision in the Affordable Care Act (ACA) states that insurance companies will not process claims on patients who haven't paid their premiums in 3 months, leaving doctors on the hook to recoup payment directly from the patients.

Docs' Charting Falls Short of ICD-10 Demands

SAN FRANCISCO -- Nearly 65% of clinical documentation doesn't contain enough information for coders to use for billing under the upcoming ICD-10 coding system, a survey of patient charts found.

Migraine Drug May Set Stage for Kidney Stones

ORLANDO - Patients who take topiramate (Topamax) therapy for treatment of migraine appear to deplete citrate in the urine, creating an environment for kidney stones, researchers reported here.

Afib Benefits Seen with Yoga, Acupressure

Blood pressure and heart rate declined significantly in patients with atrial fibrillation after 3 months of weekly yoga sessions, results of a small clinical study showed.

Model Predicts MRSA in Septic Arthritis

CHICAGO -- A model that included easily obtainable values early in treatment successfully ruled out most cases of methicillin-resistant Staphylococcus aureus in children with septic arthritis, researchers found.

Fracture Care for Kids on Medicaid Called 'Dismal'

CHICAGO -- Children receiving Medicaid are finding it increasingly difficult to obtain prompt orthopedic care following a fracture, a researcher said here.

AAN: Anxiety Drug May Help in Autism

SAN DIEGO -- The hypertension and anxiety treatment propranolol improved general social functioning in young adults with autism spectrum disorder, researchers reported here.

Mixed Results for Metal Ions Test in MoM Hips

CHICAGO -- Measurement of metal ion levels in whole blood in patients with metal-on-metal hip implants is useful, but imperfect, for identifying those whose new hips are functioning poorly and may be likely to fail, a researcher said here.

'Latex-Free' Claims Not Valid, FDA Says

The claim "latex-free鈥� is impossible to guarantee and should not be used on labeling of medical products, according to a new FDA guidance.

ACC: Is Chelation Plus Vitamins a Winning Combo?

SAN FRANCISCO -- Vitamins alone won't improve outcomes for patients who've had a heart attack, but they do appear to have additive benefits when given in conjunction with controversial chelation therapy, researchers reported here.

Tattoo Me: Tales of Regret and No Regrets

MIAMI BEACH -- Almost a third of people with tattoos regretted the decision to get body art, particularly men who obtained tattoos at a young age, a survey of more than 500 tattoo owners showed.

Lichen Planus in Ear Not Uncommon

MIAMI BEACH -- The autoimmune disease lichen planus may affect the ear more commonly than previously thought, researchers reported here.

Skin, Vessel Damage Seen with Tainted Cocaine

MIAMI BEACH -- People who use cocaine contaminated with the veterinary drug levamisole may experience more than just dermatological effects, including end-organ damage and stroke, researchers reported here.

UVB Exposure May Boost Low Vitamin D

MIAMI BEACH -- Narrowband UVB therapy may be a better treatment for vitamin D deficiency than supplementation, Swedish researchers reported here.

Novel Drug Works in Psoriasis

MIAMI BEACH -- An investigational phosphodiestirase-4 (PDE4) inhibitor may improve psoriasis, particularly in patients who haven't previously been treated, researchers reported here.

IL-4 Antibody Tames Atopic Dermatitis

MIAMI BEACH -- Atopic dermatitis disease activity declined significantly in patients treated with a monoclonal antibody directed against interleukin-4, according to pooled data from preliminary clinical trials.

Ondansetron Safe for Fetus, Study Affirms

Use of the antiemetic ondansetron during pregnancy was not associated with any adverse fetal outcomes, an observational study showed.

Fatal Reactions Prompt Omontys Recall

All lots of the new anemia drug peginesatide (Omontys) have been recalled because of severe hypersensitivity reactions -- some fatal -- observed after the drug was approved last March.

Deaths Trigger DEA Probe of Pain Specialist

Treating pain is challenging, and sometimes perilous, for both physician and patient, as is illustrated by Lynn Webster, MD, president-elect of the American Academy of Pain Medicine, who is the subject of an investigation triggered by as many as 20 deaths among his patients.

Zytiga Prolongs Prostate Cancer Survival

ORLANDO -- Survival improved and disease progression slowed in men with metastatic castration-resistant prostate cancer treated in first line with abiraterone acetate (Zytiga).

Steroids Reduce Benefits of Prostate Ca Tx

ORLANDO -- Men with castration-resistant prostate cancer had worse survival when treated with corticosteroids, regardless of their primary treatment, a post-hoc analysis of a randomized trial showed.

Early Radiation Boosts Prostate Cancer Survival

ORLANDO -- Immediate radiation therapy after radical prostatectomy led to a 50% increase in long-term biochemical progression-free survival for patients with locally advanced prostate cancer, according to a study reported here.

Contraception: Condoms Are King, Plan B Takes Hold

In the realm of contraception, the condom reigns supreme, but one in 10 have used emergency contraception such as Plan B, according to two reports on the contraceptive methods used by women of reproductive age in the U.S.

More Insurance Claims Filed Electronically

Healthcare providers continue to file more insurance claims electronically and submit claims more quickly, a report from the leading health insurance industry group showed.

Is Pot Smoking a Stroke Trigger?

HONOLULU -- Middle age stroke patients were twice as likely to be pot smokers than healthy middle age controls, researchers found.

ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

Surgery Boosts Outcomes in Esophageal Cancer

SAN FRANCISCO -- Surgery after chemoradiotherapy increased overall and disease-free survival compared with chemoradiotherapy alone in advanced esophageal cancer treatment, researchers reported here.

NuPathe's Patch for Migraine Wins FDA Approval

WASHINGTON -- Adults with migraine will soon have a new treatment option -- Zecuity, a transdermal, battery-powered sumatriptan patch.

'Rugby' Iron Pills Pulled Due to Drug Mix-Up

锘縒ASHINGTON -- The manufacturer of an iron supplement has recalled one lot of the product due to bottles of the affected lot potentially containing anti-nausea tablets instead.

FDA Lowers Ambien Dosages

WASHINGTON -- Makers of sleep drugs containing zolpidem, including Ambien and Ambien CR, must cut the recommended dosages for women by half to reduce morning drowsiness, the FDA announced Thursday.

Psychosis Common in Meth Addicts

Methamphetamine use makes hallucinations and other psychotic symptoms substantially more likely among addicts, particularly for those abusing other substances, a longitudinal study affirmed.

Judge OKs $762 Million Deal in Aranesp Case

A federal judge approved a $762 million settlement Wednesday in a case involving Amgen's off-label promotion of darbepoetin alfa (Aranesp), an anemia drug.

Painful Speed Bumps? Could Be Appendicitis

Diagnostic uncertainty surrounding appendicitis could turn into a small bump in the road, according to a study showing a high correlation between appendicitis and pain on driving over speed bumps on the way to the hospital.

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