February 2019 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for February 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.

Teens' Social Media Use Does Not Predict Later Depression

THURSDAY, Feb. 28, 2019 (HealthDay News) -- Social media use does not predict later depressive symptoms among adolescents or college undergraduates, according to a study recently published in Clinical Psychological Science.

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Mental Health Disorders Up After Head & Neck Cancer Diagnosis

THURSDAY, Feb. 28, 2019 (HealthDay News) -- In patients with head and neck cancer (HNC), the prevalence of mental health disorders (MHDs) is significantly higher after cancer diagnosis, according to a study published online Feb. 28 in JAMA Otolaryngology-Head & Neck Surgery.

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Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Maternal prenatal vitamin intake during the first month of pregnancy is associated with a reduced risk for autism spectrum disorder (ASD) in siblings of children with ASD, according to a study published online Feb. 27 in JAMA Psychiatry.

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Green Space in Childhood Tied to Better Mental Health Later

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- Living around high levels of green space during childhood is associated with a lower risk for a wide spectrum of psychiatric disorders later in life, according to a study published online Feb. 25 in the Proceedings of the National Academy of Sciences.

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Contributors to Delay of Multiple Sclerosis Diagnosis ID'd

TUESDAY, Feb. 26, 2019 (HealthDay News) -- First symptoms and disease type are contributors to delays in multiple sclerosis (MS) diagnosis, according to a study recently published in the Multiple Sclerosis Journal.

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Atypical Temporal Work Patterns Linked to Depressive Symptoms

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Women working extra-long hours and men and women working weekends have increased depressive symptoms, according to a study published online Feb. 25 in the Journal of Epidemiology & Community Health.

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Sertraline Tops CBT for Reducing Depression in Dialysis Patients

TUESDAY, Feb. 26, 2019 (HealthDay News) -- For patients receiving maintenance hemodialysis, an engagement interview on treatment acceptance has no effect on acceptance of depression treatment, and depression scores are modestly better with sertraline treatment versus cognitive behavioral therapy (CBT) after 12 weeks of treatment, according to a study published online Feb. 26 in the Annals of Internal Medicine.

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Program Aids Weight Loss in Patients With Mental Illness

TUESDAY, Feb. 26, 2019 (HealthDay News) -- A behavioral weight loss intervention is effective among overweight and obese individuals with serious mental illness (SMI), regardless of their diabetes status, according to a study published online Feb. 14 in Diabetes Care.

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Nonmedical Rx Opioid Use in Teens Linked to Parental Use

MONDAY, Feb. 25, 2019 (HealthDay News) -- Nonmedical prescription opioid (NMPO) use in adolescents is associated with parental NMPO use and with smoking and parent-adolescent conflict, according to a study published online Feb. 25 in Pediatrics.

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Serious Medical Outcomes Reported With Kratom Exposure

MONDAY, Feb. 25, 2019 (HealthDay News) -- Kratom, or Mitragyna speciosa, exposure is associated with serious medical outcomes, especially as part of multiple-substance exposure, according to a study published online Feb. 20 in Clinical Toxicology.

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2014 to 2017 Saw Improvement in Burnout for U.S. Physicians

MONDAY, Feb. 25, 2019 (HealthDay News) -- From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.

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Opioid-Related Mortality Up From 1999 to 2016 in Eastern U.S.

MONDAY, Feb. 25, 2019 (HealthDay News) -- In the eastern United States, opioid-related mortality, particularly mortality associated with synthetic opioids, has increased, according to a study published online Feb. 22 in JAMA Network Open.

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Some Characteristics Unique to Depression Before, After Birth

MONDAY, Feb. 25, 2019 (HealthDay News) -- Several unique characteristics are linked with depression at different time points before and after giving birth, according to a study published online Feb. 5 in the Journal of Neuroscience Research.

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Since Early 2000s, Overdose Death Rates Are Highest in U.S.

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Since the early 2000s, the United States has had the highest drug overdose death rates among its peer countries, according to a study published online Feb. 21 in the Population and Development Review.

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National Health Spending Set to Increase 5.5 Percent Annually

FRIDAY, Feb. 22, 2019 (HealthDay News) -- National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.

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Most Patients Do Not Disclose Complementary Medicine Use

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.

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Guideline Covers Extracutaneous Manifestations of Psoriasis

FRIDAY, Feb. 22, 2019 (HealthDay News) -- The extracutaneous manifestations of psoriasis and guidance on use of biologic treatment for management of psoriasis are discussed in two new guidelines published online Feb. 13 in the Journal of the American Academy of Dermatology.

Abstract/Full Text - Elmets
Abstract/Full Text - Menter

Vertical Integration Has Little Impact on Quality Measures

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Vertical integration between hospitals and physicians has little impact on quality measures, while increased hospital market concentration is strongly associated with reduced quality in measures of patient satisfaction, according to a study published online Feb. 9 in Medical Care Research and Review.

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Acupuncture Alleviates Moderate-to-Severe Menopause Symptoms

THURSDAY, Feb. 21, 2019 (HealthDay News) -- A brief acupuncture intervention is associated with reductions in moderate-to-severe menopausal symptoms, according to a study published online Feb. 19 in BMJ Open.

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Many Experience Improvement in Sex Life After Bariatric Surgery

THURSDAY, Feb. 21, 2019 (HealthDay News) -- About half of women and men who report some level of dissatisfaction with their sexual life prior to bariatric surgery experience clinically meaningful improvement during five years of follow-up, according to a study published online Feb. 20 in JAMA Surgery.

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Leg Amputation in ESRD Patients Should Prompt Palliative Care Discussion

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Nearly one in 10 patients with end-stage renal disease (ESRD) undergoes lower-extremity amputation in their last year of life, according to a study published online Feb. 19 in the Journal of the American Society of Nephrology.

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New Kaiser Permanente Medical School Plans to Waive Tuition

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A new medical school to be opened by California-based health system Kaiser Permanente will waive tuition for all students in its first five graduating classes.

The New York Times Article
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1997 to 2014 Saw Large Hike in Screen Time for Ages 0 to 2

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Between 1997 and 2014, screen time more than doubled for children aged 0 to 2 years, with television time accounting for most screen time, according to a research letter published online Feb. 18 in JAMA Pediatrics.

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Lower Self-Perception Observed in Children With Amblyopia

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Children with amblyopia have significantly lower mean peer acceptance and physical competence scores at age 3 to 7 years, according to a study published online Feb. 14 in JAMA Ophthalmology.

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Hospital Prices Growing Faster Than Physician Prices

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014, according to a report published in the February issue of Health Affairs.

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Wisdom Linked to Cognitive Performance in Schizophrenia

THURSDAY, Feb. 14, 2019 (HealthDay News) -- For people with schizophrenia (PwS), wisdom is associated with better cognitive performance, according to a study published online Feb. 14 in Schizophrenia Research.

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CVD Does Not Modify Depression-Mortality Link in Elderly

THURSDAY, Feb. 14, 2019 (HealthDay News) -- In older adults, the association between depressive symptoms and mortality is not influenced by the presence of cardiovascular disease (CVD), according to a study recently published in the Journal of the American Geriatrics Society.

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Physical Activity Down Across Chronic Disease Subgroups

THURSDAY, Feb. 14, 2019 (HealthDay News) -- People with a wide variety of chronic diseases are less physically active than individuals without chronic diseases, according to a study published online Feb. 5 in the International Journal of Epidemiology.

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FDA Panel Backs Ketamine-Like Drug for Depression

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- An expert panel for the U.S. Food and Drug Administration has endorsed a drug for major depressive disorder that is a close relative to ketamine.

CNN Article

Coexisting Medical Conditions, Smoking Explain PTSD-CVD Link

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- The correlation between posttraumatic stress disorder (PTSD) and cardiovascular disease (CVD) is not independent and is explained by physical and psychiatric conditions and smoking, according to a study published online Feb. 13 in the Journal of the American Heart Association.

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Lower Birth Weight May Up Risk for Psychiatric Disorders

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- After adjustment for family-related factors and gestational age, lower birth weight is associated with a small but significant increased risk for several psychiatric disorders, according to a study published online Feb. 6 in JAMA Psychiatry.

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Yoga May Help With Rheumatoid Arthritis Symptoms, Severity

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- Yoga may be effective as a complementary or adjunct therapy for patients with rheumatoid arthritis (RA) taking disease-modifying antirheumatic drugs (DMARDs), according to a study published online Feb. 1 in Restorative Neurology and Neuroscience.

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USPSTF Recommends Counseling to Prevent Perinatal Depression

TUESDAY, Feb. 12, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians provide or refer counseling interventions for pregnant or postpartum women at increased risk for perinatal depression. This recommendation forms the basis of a final recommendation statement published in the Feb. 12 issue of the Journal of the American Medical Association.

Recommendation Statement
Evidence Review
Editorial 1
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Editorial 3 (subscription or payment may be required)
Editorial 4 (subscription or payment may be required)

Health Care Spending Per Person Increased to $5,641 in 2017

TUESDAY, Feb. 12, 2019 (HealthDay News) -- In 2017, health care spending per person reached $5,641, according to the Health Care Cost Institute (HCCI) annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Many Systematic Reviews Do Not Fully Report Adverse Events

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Many systematic review protocols in the International Prospective Register of Systematic Reviews (PROSPERO) do not include adverse event reporting, according to a study published in the April issue of the Journal of Clinical Epidemiology.

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Acne Relapses Linked to Lower Quality of Life, Productivity

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Acne relapses are significantly associated with impaired quality of life as well as productivity loss and absenteeism, according to a study recently published in the Journal of the European Academy of Dermatology and Venereology.

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Many Children Not Receiving Needed Mental Health Treatment

MONDAY, Feb. 11, 2019 (HealthDay News) -- About half of the estimated 16.5 percent of U.S. children with a treatable mental health disorder do not receive needed treatment from a mental health professional, according to a research letter published online Feb. 11 in JAMA Pediatrics.

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Low Fitness, Obesity Linked to Later Disability Pension

MONDAY, Feb. 11, 2019 (HealthDay News) -- Among men, low cardiorespiratory fitness and obesity in adolescence are associated with an increased risk for later receipt of a disability pension, according to a study published online Feb. 12 in the Annals of Internal Medicine.

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Racial/Ethnic, Income Variation ID'd in the Opioid Epidemic

MONDAY, Feb. 11, 2019 (HealthDay News) -- There is considerable race/ethnicity and income-level variation in the opioid epidemic, according to research published online Feb. 11 in JAMA Internal Medicine.

Abstract/Full Text - Friedman Study
Abstract/Full Text - Research Letter 1 (subscription or payment may be required)
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Editorial (subscription or payment may be required)

Children With Autism More Often Have Sleep Problems

MONDAY, Feb. 11, 2019 (HealthDay News) -- More children with autism spectrum disorder (ASD) have sleep problems compared with other children, according to a study published online Feb. 11 in Pediatrics.

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Higher Optimism Tied to Lower Odds of Pain After Deployment

MONDAY, Feb. 11, 2019 (HealthDay News) -- For U.S. soldiers, higher levels of optimism are associated with lower odds of reporting new pain after deployment, according to a study published online Feb. 8 in JAMA Network Open.

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Johnson & Johnson to Provide Drug Prices in TV Ads

FRIDAY, Feb. 8, 2019 (HealthDay News) -- In a drug industry first, Johnson & Johnson will start giving the list prices of its prescription drugs in television ads.

AP News Article

Certain Opioids Less Effective With SSRI Antidepressants

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Certain opioids are less effective for postoperative pain in patients taking selective serotonin reuptake inhibitor (SSRI) antidepressants, according to a study published online Feb. 6 in PLOS ONE.

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Slower Gait Speed, Shorter Step Length Tied to Later Depression

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Older people who develop depression have significantly slower gait speed and shorter step length several years before diagnosis, according to a study published online Feb. 5 in the Journal of the American Geriatrics Society.

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Misuse of Rx Opioids Linked to Other High-Risk Behaviors

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Misuse of prescribed opioids is associated with other high-risk drug behaviors, according to a study published online Feb. 5 in Pharmacoepidemiology & Drug Safety.

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Chronic Rhinosinusitis Linked to Depression, Anxiety

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with incidence of depression and anxiety, according to a study published online Feb. 7 in JAMA Otolaryngology-Head & Neck Surgery.

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Editorial (subscription or payment may be required)

Parents Conflicted About Opioid Use in Children

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Parents are conflicted about the use of prescribed opioids in children, with most concerned about side effects and risks but believing opioids are the most effective option for managing pain, according to a survey commissioned by the American Society of Anesthesiologists (ASA) and released to coincide with Physician Anesthesiologists Week, held from Jan. 27 to Feb. 2.

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Discord Found in Clinician-, Criteria-Based Fibromyalgia Diagnosis

THURSDAY, Feb. 7, 2019 (HealthDay News) -- There is disagreement between clinical diagnosis and criteria-based diagnosis of fibromyalgia, according to a study published online Feb. 6 in Arthritis Care & Research.

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Age-Standardized Mortality Rate for Suicide Down Since 1990

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Since 1990, the age-standardized mortality rate for suicide has decreased worldwide, according to a study published online Feb. 6 in The BMJ.

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Trazodone Not Associated With Reduced Risk for Dementia

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Trazodone is not associated with a reduced risk for dementia compared with other antidepressants at the prodromal stage of disease, according to a study published online Feb. 5 in PLOS Medicine.

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Antidepressant Overprescribing Appears Common in Elderly

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Potential antidepressant overprescribing appears to be common among elderly patients and involves mostly newer antidepressants used for nonspecific psychiatric symptoms and subthreshold diagnoses, according to a study published online Jan. 23 in Pharmacology Research & Perspectives.

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Hepatitis C Infection Rates Up After OxyContin Reformulation

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- States with above-median OxyContin misuse before reformulation of the drug experienced a 222 percent increase in hepatitis C infection rates after reformulation, according to a report published in the February issue of Health Affairs.

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California Bill Would Tighten Controls on Children's Genitalia Surgery

TUESDAY, Feb. 5, 2019 (HealthDay News) -- A bill that would place more restrictions on children's genitalia surgery in California raises serious concerns among doctors in the state. Under the bill, doctors would not be able to treat or perform surgery on children born with genitals that do not match a single gender or are otherwise atypical unless such surgery is medically necessary or the child consents, the Associated Press reported.

AP News Article

Radiologists Can Help ID Intimate Partner Violence

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Victims of intimate partner violence (IPV) undergo more imaging procedures than age- and sex-matched control patients and are more likely to have obstetric-gynecologic findings and acute fractures, according to a study published online Feb. 5 in Radiology.

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Ethnic Differences Seen at Time of Dementia Diagnosis in U.K.

TUESDAY, Feb. 5, 2019 (HealthDay News) -- In the United Kingdom, patients from minority ethnic groups have lower cognitive scores and are younger at first diagnosis of dementia than the white U.K.-born population, according to a study published online Jan. 24 in the International Journal of Geriatric Psychiatry.

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Evidence of Therapeutic Efficacy Substantial for Cannabis Use

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Most qualifying conditions for which patients are licensed to use cannabis medically have substantial or conclusive evidence of therapeutic efficacy, according to a report published in the February issue of Health Affairs.

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Shortage of Anxiety Drug Creates Alarm Among Patients, Doctors

FRIDAY, Feb. 1, 2019 (HealthDay News) -- A shortage of the anti-anxiety drug buspirone in the United States has patients and doctors concerned.

The New York Times Article

Physician Burnout Tied to Ability to Address Social Needs

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Improving clinic capacity to respond to patients' social needs may reduce primary care physician burnout, according to a study published in the January-February issue of the Journal of the American Board of Family Medicine.

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Direct-to-Doctor Payments May Increase Opioid Prescribing

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Physicians who receive direct pharmaceutical payments for opioid prescribing prescribe more opioids, especially hydrocodone and oxycodone, according to a study published online Jan. 22 in Addiction.

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Mindfulness-Based Stress Reduction Also Benefits Chronic Pain

FRIDAY, Feb. 1, 2019 (HealthDay News) -- For patients with chronic pain (CP), both mindfulness-based stress reduction (MBSR) and cognitive behavioral therapy (CBT) improve physical functioning, pain intensity, and depression, according to a review published online Jan. 31 in Evidence-Based Mental Health.

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Maternal Factors Predict Postpartum Depression Trajectory

FRIDAY, Feb. 1, 2019 (HealthDay News) -- Four maternal characteristics can predict 12-month trajectories for women with postpartum depression with 72.8 percent accuracy, according to a study published online Jan. 15 in Depression & Anxiety.

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Pharmacist-Led Phone Follow-Up May Cut Readmission Rates

FRIDAY, Feb. 1, 2019 (HealthDay News) -- A pharmacist-led, postdischarge structured telephone follow-up (TFU) intervention can reduce 30-day and 90-day readmission rates for polypharmacy patients, according to a study published online Jan. 23 in the British Journal of Clinical Pharmacology.

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