THE JAMA REPORT

The JAMA Report is a weekly video and audio medical news service from the Journal of the American
Medical Association

THE JAMA REPORT:

EMBARGO: 4 p.m. (ET), July 27, 2010

BARIATRIC SURGERY COMPLICATIONS ASSOCIATED WITH LOW VOLUME HOSPITAL AND SURGEON PROCEDURE RATES

Bariatric surgeries for weight loss including the gastric bypass and adjustable gastric band procedures are now the second most common abdominal operations being performed in the United States. The safety and outcomes of these surgeries are still a concern. A new study in the state of Michigan shows while complication rates remain low, serious complications are associated with the volume of procedures in hospitals and by surgeons. Catherine Dolf has more in this week’s JAMA Report.

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RECENT JAMA REPORTS

EARLY EMBARGO: 4 a.m. (ET), July 18, 2010 (Special Embargo Time)

OPT-OUT RAPID H-I-V SCREENING IDENTIFIES ONLY SLIGHT INCREASE OF NEW CASES IN EMERGENCY DEPARTMENT SETTING

In 2006 the Centers for Disease Control and Prevention began recommending opt-out rapid H-I-V screenings in hospital emergency departments and other health care settings. This means patients admitted to an emergency department were tested for H-I-V unless they refused or opted-out of the test. A new study shows this testing is associated with only a modest increase in detecting new H-I-V cases and of those cases; many were identified in the later course of the disease. Catherine Dolf has more in this week’s JAMA Report.

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EMBARGO: 4 p.m. (ET), July 13, 2010

TELEPHONE CARE MANAGEMENT LESSENS PAIN AND DEPRESSION FOR CANCER PATIENTS

Pain and depression are two of the most prevalent symptoms facing cancer patients. These symptoms are also treatable but frequently are undetected and undertreated. A new study shows by receiving help for these symptoms with telephone care management, cancer patients lessened both their pain and depression. Catherine Dolf has more in this week's JAMA Report.

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EMBARGO: 4 p.m. (ET), July 6, 2010

TIGHT BLOOD PRESSURE CONTROL ASSOCIATED WITH WORSE OUTCOMES FOR PATIENTS WITH BOTH DIABETES AND CORONARY ARTERY DISEASE

National guidelines recommend patients with diabetes maintain a systolic blood pressure of less than 130 or a “tight control” versus a “usual control” blood pressure which is between 130 and 140. A new study shows having a blood pressure below 130 does not improve cardiovascular outcomes for patients who have both diabetes and coronary artery disease. Catherine Dolf has more in this week’s JAMA Report.

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EMBARGO: 4 p.m. (ET), June 22, 2010

WEIGHT GAIN AND BODY COMPOSITION CHANGES MIDLIFE INTO OLDER AGE ASSOCIATED WITH INCREASED DIABETES RISK

The incidence of diabetes in the United States has doubled over the past 15 years. Being overweight and obese along with changing body composition are well-recognized risk factors for developing the disease in young and middle-aged adults but what about the risks for older Americans? A new study shows those 65 and older who become overweight or obese are also at an increased risk for developing diabetes. Catherine Dolf has more in this week’s JAMA Report.

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EMBARGO: 4 p.m. (ET), June 15, 2010

EQUAL OR BETTER OUTCOMES FOR HOSPITALIZED C-O-P-D PATIENTS WHEN GIVEN LOW VERSUS HIGH DOSE STEROID THERAPY

Chronic Obstructive Pulmonary Disease or C-O-P-D is the fourth leading cause of death nationwide. The disease can destroy normal lung tissue making it difficult to breathe. Those hospitalized with C-O-P-D are often treated with steroids. While effective, steroids are associated with many undesirable side effects. A new study shows patients given low dose oral steroids do just as well if not better than those given the high dose I-V therapy. Catherine Dolf has more in this week’s JAMA Report.

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EMBARGO: 4 p.m. (ET), June 1, 2010

WORSENING OUTCOMES FOR HEART FAILURE PATIENTS AFTER SHORTER AND MORE SUCCESSFUL HOSPITAL STAYS

Over the last decade heart failure patients are experiencing shorter and more successful hospital stays. What happens when they leave the hospital especially in that crucial, 30 day period after discharge had been unclear. A new study shows the risk of being admitted to a nursing home, re-admitted to the hospital and dying in the month following hospital discharge is rising. Catherine Dolf has more in this week's JAMA Report.

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