In the News

Study examines short-term impact of Medicaid expansion, insurance status on ED use

The 2014 expansion of Medicaid under the Affordable Care Act may have provided patients with more care choices, a study found, based on insurance status and location and type of ED visits examined during the first year of Medicaid expansion.

Off-label dosing of non-vitamin K anticoagulants associated with worse outcomes

Overdosing with non-vitamin K anticoagulants was associated with increased all-cause mortality compared with recommended doses, while underdosing was associated with increased risk of cardiovascular hospitalization.

MKSAP Quiz: Follow-up examination for diabetes

A 54-year-old woman is evaluated during a follow-up examination. She has a 22-year history of type 2 diabetes mellitus complicated by sensory neuropathy and proliferative retinopathy, for which she has received laser photocoagulation. She also has hypertension and hyperlipidemia. Medications are metformin, glipizide, atorvastatin, and lisinopril, 20 mg/d. Following a physical exam and lab studies, what is the most appropriate management of this patient's hypertension?

Beta-blockers after MI associated with better survival but worsening function in nursing home patients

While some elderly patients can benefit from this guideline-directed therapy, costs and benefits need to be balanced in those with impairments, the authors said.

ACP joins collaborative to fight clinician suicide and burnout

The National Academy of Medicine wants to build a collaborative platform for supporting and improving clinician well-being and resilience by joining with multiple organizations, including clinician and consumer groups as well as health care organizations and policy-making bodies.

ACP supports Surgeon General's report on e-cigarettes and youth

The report recognizes the growing threat e-cigarettes pose to health and development across the lifespan and offers pragmatic recommendations to address it.