November 2019 Briefing - OBGYN & Women's Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for November 2019. 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.

Fewer Interval Cancers Diagnosed With Supplemental MRI for Dense Breasts

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- For women with extremely dense breast tissue and normal results on mammography, the use of supplemental magnetic resonance imaging (MRI) results in diagnosis of fewer interval cancers than mammography alone during a two-year screening period, according to a study published in the Nov. 28 issue of the New England Journal of Medicine.

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Asthma Exacerbations May Worsen Pregnancy Outcomes

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- For women with asthma, asthma exacerbation (AE) during pregnancy is associated with an increased risk for pregnancy complications, adverse perinatal outcomes, and early childhood respiratory disorders, according to a study published online Nov. 26 in the European Respiratory Journal.

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Potentially Tainted Marijuana Sold in Colorado

TUESDAY, Nov. 26, 2019 (HealthDay News) -- A warning about possibly contaminated and moldy recreational and medical marijuana has been issued by Colorado officials.

CNN Article

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

TUESDAY, Nov. 26, 2019 (HealthDay News) -- U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.

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Changes in Metabolic Syndrome Status Linked to MACE Risk

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Recovery from metabolic syndrome (MetS) is associated with a decreased risk for major adverse cardiovascular events (MACE), while increased risk is seen in association with MetS development, according to a study published online Nov. 26 in the Annals of Internal Medicine.

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Many Cancer Patients Interested in Pathology Consultations

TUESDAY, Nov. 26, 2019 (HealthDay News) -- When surveyed, a majority of cancer patients expressed interest in participating in a patient-pathologist consultation program, according to a study recently published in the Archives of Pathology & Laboratory Medicine.

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Cancer Patients With Obesity Show Poorer Psychosocial Health

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Patients with breast or prostate cancer who are obese score higher in psychosocial problem-related distress than nonobese patients, according to a study recently published in Psycho-Oncology.

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Maternal Efavirenz May Up Risk for Microcephaly Among Offspring

MONDAY, Nov. 25, 2019 (HealthDay News) -- In utero exposure to efavirenz is associated with an increased risk for microcephaly among children who are HIV-exposed but uninfected, according to a study published online Nov. 15 in The Lancet HIV.

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Endocrine Therapy Lowers QOL for Breast Cancer Patients

MONDAY, Nov. 25, 2019 (HealthDay News) -- Endocrine therapy reduces the quality of life of breast cancer patients, especially for postmenopausal women, according to a study recently published in the Annals of Oncology.

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Hypertension During Pregnancy May Up CV Risk in Middle Age

FRIDAY, Nov. 22, 2019 (HealthDay News) -- Hypertension during pregnancy heightens women's cardiovascular risk during middle age, according to a study published online Nov. 11 in the Journal of the American College of Cardiology.

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Electronic Health Record Usability Graded F by Physicians

FRIDAY, Nov. 22, 2019 (HealthDay News) -- The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.

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Threshold for Breast Cancer Recurrence Score Differs by Sex

THURSDAY, Nov. 21, 2019 (HealthDay News) -- The Oncotype DX Breast Recurrence Score (RS) is associated with mortality at a lower threshold for men versus women with breast cancer, according to a study published online Nov. 20 in Clinical Cancer Research.

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Inducing Labor at 41 Weeks May Cut Stillbirth Rates

THURSDAY, Nov. 21, 2019 (HealthDay News) -- In women with a low-risk pregnancy, induction at 41 weeks of gestation may be safer than a wait-and-see approach to 42 weeks, according to a study published online Nov. 20 in The BMJ.

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Few Anorexia Nervosa Patients Make Complete Recovery

THURSDAY, Nov. 21, 2019 (HealthDay News) -- Caregivers identify distinct components of recovery from eating disorders, although only 20 percent report achievement of full recovery, according to a study published online Nov. 19 in the International Journal of Eating Disorders.

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Employee Premiums, Deductibles Eating Larger Share of Income

THURSDAY, Nov. 21, 2019 (HealthDay News) -- During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.

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Most Infants Susceptible to Measles by 3 Months of Age

THURSDAY, Nov. 21, 2019 (HealthDay News) -- In an elimination setting, most infants are susceptible to measles by age 3 months, according to a study published online Nov. 21 in Pediatrics.

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Number of Pregnant Women Taking Antidepressants Down

THURSDAY, Nov. 21, 2019 (HealthDay News) -- There has been a significant decrease in the use of antidepressants by pregnant women in Denmark, with consumption falling by more than 33 percent since 2011, according to a study published in the November issue of Brain and Behavior.

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Cervical Cancer Screening Remains Low in Women Ages 45 to 65 Years

TUESDAY, Nov. 19, 2019 (HealthDay News) -- Cervical cancer screening rates are only about 70 percent among women ages 45 to 65 years, according to a study published online Nov. 1 in Preventive Medicine.

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Incidence of Squamous Cell Carcinoma of the Anus Increasing

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- There has been an increase in the incidence of squamous cell carcinoma of the anus (SCCA) in the United States, according to a study published online Nov. 19 in the Journal of the National Cancer Institute.

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Infection Likely Cause of One in Eight Stillbirths

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Most cases of infection-related stillbirth may be due to bacterial pathogens, according to a study published online Nov. 4 in Obstetrics & Gynecology.

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Prenatal Antidepressant Use May Up Risk for Gestational Diabetes

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Taking certain antidepressants while pregnant can increase the risk for developing gestational diabetes, according to a study recently published in The BMJ.

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Cancer Yield Similar for Dense Breast Ultrasound After DM, DBT

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- There is no significant difference in breast cancer detection rates with dense breast ultrasound screening following digital mammography (DM) versus digital breast tomosynthesis (DBT), according to a study recently published in the American Journal of Roentgenology.

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Umbilical Cord Milking May Harm Extremely Preterm Infants

TUESDAY, Nov. 19, 2019 (HealthDay News) -- In preterm infants born at less than 32 weeks of gestation, there is no significant difference in the rate for the composite outcome of mortality or severe intraventricular hemorrhage with umbilical cord milking versus delayed umbilical cord clamping, according to a study published in the Nov. 19 issue of the Journal of the American Medical Association, and the study was terminated early due to a significantly higher rate of severe intraventricular hemorrhage in the umbilical cord-milking group.

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AMA, AHA Support Refresher Training for Measuring Blood Pressure

TUESDAY, Nov. 19, 2019 (HealthDay News) -- Health care professionals (HCPs) should receive consistent and frequent training in measuring blood pressure (BP), according to a report prepared for the American Medical Association and the American Heart Association and released Nov. 18.

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AAP: Emergency Contraception Should be Given to Sexually Active Teens

TUESDAY, Nov. 19, 2019 (HealthDay News) -- Pediatricians should provide emergency contraception (EC) to teenagers who have had unprotected or underprotected intercourse, according to a policy statement from the American Academy of Pediatrics published online Nov. 18 in Pediatrics.

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CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products

TUESDAY, Nov. 19, 2019 (HealthDay News) -- In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Bipartisan Bill to Curb Drug Costs Backed by White House

MONDAY, Nov. 18, 2019 (HealthDay News) -- A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.

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White House Wants Hospitals, Insurers to Provide Actual Costs of Care

MONDAY, Nov. 18, 2019 (HealthDay News) -- New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.

AP News Article

Studies Confirm Safety of 9-Valent HPV Vaccination

MONDAY, Nov. 18, 2019 (HealthDay News) -- The safety of the 9-valent human papillomavirus vaccine (9vHPV) has been confirmed, according to two studies published online Nov. 18 in Pediatrics.

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Revision, Removal Risks Low for Synthetic Midurethral Slings

MONDAY, Nov. 18, 2019 (HealthDay News) -- The long-term risk for women with stress urinary incontinence needing surgical revision or removal after initial placement of synthetic midurethral slings is low, according to a study published in the November issue of Obstetrics & Gynecology.

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Less Sleep Tied to Lower Bone Mineral Density in Women

MONDAY, Nov. 18, 2019 (HealthDay News) -- Short sleep duration is associated with lower bone mineral density (BMD) and a higher risk for osteoporosis among postmenopausal women, according to a study published online Nov. 6 in the Journal of Bone and Mineral Research.

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Survey of U.S. Registered Nurses Points to Worsening Shortages

THURSDAY, Nov. 14, 2019 (HealthDay News) -- The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.

2019 Survey of Registered Nurses

Secondary Surgical Cytoreduction Not Superior in Ovarian Cancer

THURSDAY, Nov. 14, 2019 (HealthDay News) -- For patients with platinum-sensitive recurrent ovarian cancer, secondary surgical cytoreduction followed by chemotherapy does not result in longer overall survival than chemotherapy alone, according to a study published in the Nov. 14 issue of the New England Journal of Medicine.

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Few Women With Chronic Health Issues Use Reliable Birth Control

THURSDAY, Nov. 14, 2019 (HealthDay News) -- One in three women of reproductive age have a chronic condition that could compromise their health or lead to adverse outcomes during pregnancy, yet few use the most effective forms of contraception, according to a study published online Nov. 7 in the Journal of General Internal Medicine.

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1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight

THURSDAY, Nov. 14, 2019 (HealthDay News) -- From 1999 to 2016, there were trends for increases in measured body mass index (BMI) and weight among adults in the United States, and there was an increase in the proportion of adults attempting to lose weight, according to a study published online Nov. 13 in JAMA Network Open.

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Higher Skeletal Muscle Mass May Lower Long-Term Risk for CVD

THURSDAY, Nov. 14, 2019 (HealthDay News) -- Skeletal muscle mass (SMM) is inversely associated with the incidence of cardiovascular disease (CVD) among middle-aged and older adults, according to a study published online Nov. 11 in the Journal of Epidemiology & Community Health.

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Syringe Exchange Program Has Positive Impact on HIV Diagnoses

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- A syringe exchange program (SEP) has averted thousands of injection drug use (IDU)-associated HIV diagnoses over 10 years in Philadelphia and Baltimore, according to a study published in the Dec. 1 issue of the Journal of Acquired Immune Deficiency Syndrome.

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Imaging Rates Continue to Rise Despite Efforts to Reduce

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- Despite initiatives to reduce the use of medical imaging, rates continue to rise in both the United States and Ontario, Canada, according to a study recently published in the Journal of the American Medical Association.

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Physical Activity After Cancer Diagnosis Improves Survival

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- At least 150 minutes per week of moderate-intensity physical activity is associated with lower all-cause mortality among postmenopausal breast cancer patients, regardless of their levels of physical activity before diagnosis, according to a study published online Nov. 7 in Breast Cancer Research.

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Early Childhood High BMI Tied to Maternal Prepregnancy Factors

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- A child's high and increasing body mass index (BMI) between ages 2 and 6 years is strongly associated with maternal prepregnancy weight, according to a study published online Nov. 5 in Pediatric Obesity.

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Crowd Diagnosis of STDs Frequently Sought Online

FRIDAY, Nov. 8, 2019 (HealthDay News) -- Crowd diagnosis of sexually transmitted diseases (STDs) is common online, according to a research letter published in the Nov. 5 issue of the Journal of the American Medical Association.

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High Birth Number May Harm Cardiovascular Health in Women

FRIDAY, Nov. 8, 2019 (HealthDay News) -- Multiparity is associated with poorer cardiovascular health, especially among women with five or more live births, according to a study recently published in the American Journal of Obstetrics & Gynecology.

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Plastic Surgery Trainees May Delay Plans to Have Children

FRIDAY, Nov. 8, 2019 (HealthDay News) -- The demands of training may negatively affect family planning and reproductive health for both female and male plastic surgery residents and fellows, according to a study published in the November issue of Plastic and Reconstructive Surgery.

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Lung Cancer Incidence Rates Generally Declined From 2007 to 2016

FRIDAY, Nov. 8, 2019 (HealthDay News) -- The incidence rates of lung cancer declined in most age and sex groups from 2007 to 2016, with the smallest decrease seen among women living in nonmetropolitan counties, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Number of Potentially Excess Deaths Up in Nonmetropolitan Counties

THURSDAY, Nov. 7, 2019 (HealthDay News) -- During 2010 to 2017, nonmetropolitan counties had higher percentages of potentially excess deaths from five leading causes than metropolitan counties nationwide, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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SNAP Participation May Reduce Premature Deaths in the U.S.

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Participation in the national Supplemental Nutrition Assistance Program (SNAP) reduces the risk for premature mortality among U.S. adults, according to a study published in the November issue of Health Affairs.

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Ibuprofen Does Not Increase Postpartum Blood Pressure

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, do not increase blood pressure among postpartum women with hypertensive disorders of pregnancy, according to a study published online Nov. 4 in Obstetrics & Gynecology.

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Mailing HPV Kits to Underscreened Women Can Up Screening

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Mailing human papillomavirus (HPV) kits to underscreened women is associated with increased screening uptake but does not significantly increase precancer detection or treatment, according to a study published online Nov. 6 in JAMA Network Open.

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Those With Mental Illness Die Earlier

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- People living with any mental disorder have a shorter life expectancy than the general population, according to a Danish study published online Oct. 24 in The Lancet.

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Menopause Occurs at Median Age of 48 in Canadian Women With HIV

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Canadian women with HIV have a median age of menopause of 48 years, with lower education and hepatitis C coinfection independently associated with menopause at <45 years, according to a study published online Nov. 6 in Menopause.

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Women Less Likely to Receive Treatment for Myocardial Infarction

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Use of sex-specific diagnostic thresholds for myocardial infarction identifies more additional women than men with myocardial injury, but women are less likely to receive treatment, according to a study published in the Oct. 22 issue of the Journal of the American College of Cardiology.

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Exercise Should Be Prescribed to Cancer Survivors

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Exercise should be prescribed for cancer survivors, according to recommendations published in the November issue of Medicine & Science in Sports & Exercise and an article published online Oct. 16 in CA: A Cancer Journal for Clinicians.

Exercise Guidelines for Cancer Survivors
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Few Eligible Patients Receive Rx for Weight-Loss Medications

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Few eligible patients receive prescriptions for weight-loss medications, according to a study published online Oct. 11 in Obesity.

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Medical Practices Burdened by Regulatory Requirements

TUESDAY, Nov. 5, 2019 (HealthDay News) -- The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.

Annual Regulatory Burden Survey

Seriously Ill Medicare Beneficiaries Face Financial Hardship

MONDAY, Nov. 4, 2019 (HealthDay News) -- Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.

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Dr. Stephen Hahn Nominated to Head FDA

MONDAY, Nov. 4, 2019 (HealthDay News) -- Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.

CNN Article

Women Satisfied With Breast Reductions Years Later

MONDAY, Nov. 4, 2019 (HealthDay News) -- Women who undergo breast-reduction surgery before age 25 experience excellent breast-related quality of life decades after surgery, according to a study published in the November issue of Plastic and Reconstructive Surgery.

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FDA Committee: Makena Should Be Removed From Market

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Makena, a drug used to reduce the risk for preterm births, should be taken off the U.S. market, a U.S. Food and Drug Administration advisory committee recommends. The 9-to-7 vote in favor of withdrawing approval of the drug came in response to evidence suggesting it is not effective, CNN reported. Although not required to, the FDA often follows the advice of its advisory committees.

CNN Article
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U.S. Oncologist Shortage May Impact Women's Health

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Anticipated future shortages of oncology providers may have a serious and specific impact on women's health care, according to Doximity's 2019 Women's Health and Oncologist Workforce Analysis.

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Recommendations Developed to Address Clinician Burnout

FRIDAY, Nov. 1, 2019 (HealthDay News) -- In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.

Taking Action Against Clinician Burnout

Risk for Birth Defects Not Increased With Adalimumab

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Adalimumab exposure in pregnancy does not increase the risk for birth defects, according to a study published online Oct. 18 in PLOS ONE.

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