Military Health System (MHS) beneficiaries with multiple myeloma have longer 5- and 10-year survival rates compared to multiple myeloma patients from the U.S. general population, according to a recent study.
News
Congress Doesn’t Address VA’s PACT Act-Related $12 Billion Shortfall
Before going on recess through mid-November, Congress passed a continuing resolution to keep the federal government funded through Dec. 20, 2024. That resolution, however, did not address the $12 billion shortfall in VHA’s FY 2025 budget,
Current Issue
House Coronavirus Committee Held Its Last Meeting in November
Next month marks the 5-year anniversary of the first case of COVID-19 reported in the United States. Since then, more than 110 million Americans have been infected, and 1.2 million have died.
Chronic Ill Health Remains an Issue for Many Gulf War Veterans
For many veterans who served during the 1990-1991 Gulf War era, Gulf War Illness (GWI) and chronic ill health have lasting effects nearly 30 years later, according to a recent study.
Oncology
VA Overtreats Prostate Cancer in Veterans with Limited Life Expectancy
Overtreatment, especially with radiotherapy, has increased for veterans with limited life expectancy and intermediate-risk or high-risk prostate cancer, according to a new study.
Veterans Study Found Positive Sotorasib Results Similar to CodeBreak Trials
Three years ago, based on the CodeBreak100 trial, the Food and Drug Administration granted accelerated approval to the KRAS G12C inhibitor sotorasib for treating advanced non-small cell lung cancer in the second line or later.
Limited Information on Breast Cancer Risk After Military Exposures
A long list of health effects have been attributed to military environmental exposures (MEE) such as volatile organic compounds (VOCs), endocrine-disrupting chemicals (EDCs), tactile herbicides, airborne hazards and open burn pits (AHOBP) and depleted uranium.
Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA
To Care for Him Who Shall Have Borne the Battle and for His Widow, and His Orphan.
During my many career visits to the U.S. Department of Veterans Affairs (VA) building on 810 Vermont Ave. NW, Washington, DC, I have been greeted in the main lobby by Lincoln’s mission statement for the VA. Few governmental agency taskings have been stated more eloquently and succinctly. It would take another 65 years before the modern VA was created, on July 21, 1930, when Hoover signed Executive Order 5398. Lincoln’s call for the American people to pay their debt to those who defend the Constitution remains a primary responsibility of our democracy
VA Accused of Not Keeping Up with a More Active Amputee Patient Population
While VA has long considered itself a provider of world-class prosthetics care, younger veterans are reporting that the department has yet to adapt to a more active patient population.
Prediction of Patient Outcomes After Severe Traumatic Brain Injury
Serum cytokines, neuronal proteins and clinical data can be used to predict vasospasm and early mortality in patients with severe traumatic brain injury, according to a recent study.
VARA Registry Seeks to Improve the Lives of Veterans With Rheumatoid Arthritis
New findings concerning the risk of interstitial lung disease in rheumatoid arthritis (RA) and how body composition and metabolic dysregulation are tied to RA and inflammation were among the highlights of research presented at the 20th Annual Fall Meeting of the VA Rheumatoid Arthritis (VARA) Registry held in September.
Higher CVD Events in Older Adults Undergoing Chemotherapy, With Certain Cancers
Cardiovascular disease (CVD) is a greater risk for cancer survivors because of either their malignancy or its treatment.
Sexual Orientation Affects Prevalence of Atherosclerotic CVD in Veterans
Sexual orientation appears to have some unexplained effect on cardiovascular health, according to a new study.
Prescribing of Antihypertensives Not Always Guideline Concordant at VHA
While more than half of U.S. veterans diagnosed with hypertension with a pretreatment systolic BP ≥160 mm Hg were started on antihypertensive monotherapy, disparities existed between guideline-recommended first-line treatments and the actual regimens initiated, according to a new study.
Higher Psychosocial Well-Being at Time of Trauma Reduces PTSD Risk
Victims of traumatic events with higher well-being in three areas—vocational well-being, financial well-being and social well-being—are less likely to experience post-traumatic stress disorder (PTSD), according to a recent study.
VA Overtreats Prostate Cancer in Veterans with Limited Life Expectancy
Overtreatment, especially with radiotherapy, has increased for veterans with limited life expectancy and intermediate-risk or high-risk prostate cancer, according to a new study.
Understanding Long-Term Surgical Outcomes Can Help Ensure Treatments Align With Patient Priorities
Surgical outcome studies often focus on mortality, complications or hospital readmissions. While such outcomes are important, they don’t always align with matters most to older patients, particularly those nearing the end of life.
Audit, Feedback Increase HF Medication Management by VA Pharmacists
Giving more active feedback to primary care pharmacists about their heart failure patients led to more interactions and a greater number of medication adjustments, according to a presentation at a recent conference.
Hearing Loss Linked to Parkinson’s Disease; Hearing Aids Help Offset Risk
A complex and progressive neurological disorder, Parkinson’s disease (PD) has been diagnosed in more than a million Americans and disproportionately impacts veterans.
Operator of Fraudulent Pain Clinics Took Advantage of Veterans, Servicemembers, Others; Sentencing Scheduled for February
Michael Kestner, the owner and operator of medical clinics in Tennessee, Virginia and North Carolina, was convicted last month in federal court of fraudulently billing Medicare and TRICARE for $35 million in unnecessary opioid injections.
Understanding the Underuse of Mental Healthcare by U.S. Servicemembers
Post-traumatic stress disorder (PTSD) and depression are common mental health conditions among U.S. servicemembers, yet only a fraction of those affected pursue mental healthcare services. An even smaller proportion receive adequate levels of care.
Veterans With HIV Tended to Have CVD Events Earlier Than Those Without
HIV patients have an increased atherosclerotic plaque vulnerability, making them more susceptible to severe cardiovascular complications, according to previous research.
Use of HIV Pre-Exposure Prophylaxis Too Low in Women Veterans
HIV remains a persistent health concern in the United States, with more than 36,000 new diagnoses in 2021, according to a new study noting that HIV preexposure prophylaxis (PrEP) is recommended for those at increased risk for infection.
Schizophrenia, Antipsychotics Raised Dementia Risks in Veterans With HIV
A new study raised alarms about the association between dementia risks in HIV patients with schizophrenia and the use of off-label antipsychotics.
Veterans Study Found Positive Sotorasib Results Similar to CodeBreak Trials
Three years ago, based on the CodeBreak100 trial, the Food and Drug Administration granted accelerated approval to the KRAS G12C inhibitor sotorasib for treating advanced non-small cell lung cancer in the second line or later.
Limited Information on Breast Cancer Risk After Military Exposures
A long list of health effects have been attributed to military environmental exposures (MEE) such as volatile organic compounds (VOCs), endocrine-disrupting chemicals (EDCs), tactile herbicides, airborne hazards and open burn pits (AHOBP) and depleted uranium.
Medications Can Cause Falls, Related Adverse Outcomes in COPD Patients
Chronic obstructive pulmonary disease (COPD) is the sixth-most-common cause of death in the United States, but the link between medications and a greater risk of morbidity and mortality in those patients is not well known, according to a new report.
Did VA ‘Cry Wolf’ About Budget Shortfall? Legislators Claim It Did
Legislators are accusing VA of crying wolf after a recent budget update revealed that the department did not need $3 billion in supplemental benefits funding after all and that it might not be facing a healthcare funding shortfall next year, either.
Military Health System Multiple Myeloma Patients Survive Longer
Military Health System (MHS) beneficiaries with multiple myeloma have longer 5- and 10-year survival rates compared to multiple myeloma patients from the U.S. general population, according to a recent study.
Congress Doesn’t Address VA’s PACT Act-Related $12 Billion Shortfall
Before going on recess through mid-November, Congress passed a continuing resolution to keep the federal government funded through Dec. 20, 2024. That resolution, however, did not address the $12 billion shortfall in VHA’s FY 2025 budget,
Continued Issues, Absent Research in Breast Cancer Care for Women Veterans
Breast cancer remains a significant health concern, particularly among women veterans, who face unique challenges within the Veterans Affairs (VA) healthcare system.
Judge Requires VA to Build More Housing for Homeless in West Los Angeles
Last month, a federal judge provided an overwhelming victory to veterans who filed a class-action lawsuit against VA that sought to force the department to build more housing for homeless veterans on its West Los Angeles Medical Center campus.
Use of Non-therapeutic Laparotomy Decreased in Recent Wars but Remain Essential Battlefield Trauma-Care Tool
As combat casualty care improved over time during the wars in Iraq and Afghanistan, the use of nontherapeutic laparotomy (NTL) decreased.
Strong Links Found Between Obstructive Respiratory Disease in Veterans, Psychiatric Health Conditions
Veterans with obstructive respiratory disease should receive timely screening and treatment for comorbid psychiatric and medical conditions that frequently accompany the condition, according to a new study.
VA Projects $2.88 Billion Shortfall for This Fiscal Year; $12 Billion for Next Year
VA is projecting a $2.88 billion budget shortfall for the remainder of fiscal year 2024 and another $12 billion for FY2025. This comes after VA leaders spent this spring assuring Congress that its FY2025 budget request, while lean, would be sufficient to do the job.
Congress member Calls for McDonough Resignation Over Questionable Bonuses
VA Secretary Reminds Committee He Sought Investigation WASHINGTON, DC—A member of the House VA Committee has called on VA Secretary Denis McDonough to resign over the nearly $11 million in bonuses inappropriately paid to senior VA Central Office (VACO) officials....
New Research Finds Service Dogs Beneficial for Veterans With PTSD
The VA covers the veterinary care and the equipment costs of service dogs for veterans with physical disabilities such as blindness or vision impairment, but the use of service dogs for veterans with post-traumatic stress disorder (PTSD) and other mental health issues has remained controversial.
Fewer Deaths After Serious Illness in Veterans Treated With PARC Care Model
After a serious illness, veterans who received medical care via the Post-Acute Recovery Center (PARC) model experienced fewer deaths and more days outside of the hospital compared to those not treated with PARC, according to a recent study.
To Care for Him Who Shall Have Borne the Battle and for His Widow, and His Orphan.
During my many career visits to the U.S. Department of Veterans Affairs (VA) building on 810 Vermont Ave. NW, Washington, DC, I have been greeted in the main lobby by Lincoln’s mission statement for the VA. Few governmental agency taskings have been stated more eloquently and succinctly. It would take another 65 years before the modern VA was created, on July 21, 1930, when Hoover signed Executive Order 5398. Lincoln’s call for the American people to pay their debt to those who defend the Constitution remains a primary responsibility of our democracy
VA Accused of Not Keeping Up with a More Active Amputee Patient Population
While VA has long considered itself a provider of world-class prosthetics care, younger veterans are reporting that the department has yet to adapt to a more active patient population.
Prediction of Patient Outcomes After Severe Traumatic Brain Injury
Serum cytokines, neuronal proteins and clinical data can be used to predict vasospasm and early mortality in patients with severe traumatic brain injury, according to a recent study.
VARA Registry Seeks to Improve the Lives of Veterans With Rheumatoid Arthritis
New findings concerning the risk of interstitial lung disease in rheumatoid arthritis (RA) and how body composition and metabolic dysregulation are tied to RA and inflammation were among the highlights of research presented at the 20th Annual Fall Meeting of the VA Rheumatoid Arthritis (VARA) Registry held in September.
Higher CVD Events in Older Adults Undergoing Chemotherapy, With Certain Cancers
Cardiovascular disease (CVD) is a greater risk for cancer survivors because of either their malignancy or its treatment.
Sexual Orientation Affects Prevalence of Atherosclerotic CVD in Veterans
Sexual orientation appears to have some unexplained effect on cardiovascular health, according to a new study.
Prescribing of Antihypertensives Not Always Guideline Concordant at VHA
While more than half of U.S. veterans diagnosed with hypertension with a pretreatment systolic BP ≥160 mm Hg were started on antihypertensive monotherapy, disparities existed between guideline-recommended first-line treatments and the actual regimens initiated, according to a new study.
Higher Psychosocial Well-Being at Time of Trauma Reduces PTSD Risk
Victims of traumatic events with higher well-being in three areas—vocational well-being, financial well-being and social well-being—are less likely to experience post-traumatic stress disorder (PTSD), according to a recent study.
VA Overtreats Prostate Cancer in Veterans with Limited Life Expectancy
Overtreatment, especially with radiotherapy, has increased for veterans with limited life expectancy and intermediate-risk or high-risk prostate cancer, according to a new study.
Understanding Long-Term Surgical Outcomes Can Help Ensure Treatments Align With Patient Priorities
Surgical outcome studies often focus on mortality, complications or hospital readmissions. While such outcomes are important, they don’t always align with matters most to older patients, particularly those nearing the end of life.
Audit, Feedback Increase HF Medication Management by VA Pharmacists
Giving more active feedback to primary care pharmacists about their heart failure patients led to more interactions and a greater number of medication adjustments, according to a presentation at a recent conference.
Hearing Loss Linked to Parkinson’s Disease; Hearing Aids Help Offset Risk
A complex and progressive neurological disorder, Parkinson’s disease (PD) has been diagnosed in more than a million Americans and disproportionately impacts veterans.
Operator of Fraudulent Pain Clinics Took Advantage of Veterans, Servicemembers, Others; Sentencing Scheduled for February
Michael Kestner, the owner and operator of medical clinics in Tennessee, Virginia and North Carolina, was convicted last month in federal court of fraudulently billing Medicare and TRICARE for $35 million in unnecessary opioid injections.
Understanding the Underuse of Mental Healthcare by U.S. Servicemembers
Post-traumatic stress disorder (PTSD) and depression are common mental health conditions among U.S. servicemembers, yet only a fraction of those affected pursue mental healthcare services. An even smaller proportion receive adequate levels of care.
Veterans With HIV Tended to Have CVD Events Earlier Than Those Without
HIV patients have an increased atherosclerotic plaque vulnerability, making them more susceptible to severe cardiovascular complications, according to previous research.
Use of HIV Pre-Exposure Prophylaxis Too Low in Women Veterans
HIV remains a persistent health concern in the United States, with more than 36,000 new diagnoses in 2021, according to a new study noting that HIV preexposure prophylaxis (PrEP) is recommended for those at increased risk for infection.
Schizophrenia, Antipsychotics Raised Dementia Risks in Veterans With HIV
A new study raised alarms about the association between dementia risks in HIV patients with schizophrenia and the use of off-label antipsychotics.
Veterans Study Found Positive Sotorasib Results Similar to CodeBreak Trials
Three years ago, based on the CodeBreak100 trial, the Food and Drug Administration granted accelerated approval to the KRAS G12C inhibitor sotorasib for treating advanced non-small cell lung cancer in the second line or later.
Limited Information on Breast Cancer Risk After Military Exposures
A long list of health effects have been attributed to military environmental exposures (MEE) such as volatile organic compounds (VOCs), endocrine-disrupting chemicals (EDCs), tactile herbicides, airborne hazards and open burn pits (AHOBP) and depleted uranium.
Medications Can Cause Falls, Related Adverse Outcomes in COPD Patients
Chronic obstructive pulmonary disease (COPD) is the sixth-most-common cause of death in the United States, but the link between medications and a greater risk of morbidity and mortality in those patients is not well known, according to a new report.
Did VA ‘Cry Wolf’ About Budget Shortfall? Legislators Claim It Did
Legislators are accusing VA of crying wolf after a recent budget update revealed that the department did not need $3 billion in supplemental benefits funding after all and that it might not be facing a healthcare funding shortfall next year, either.
How Will the Trump Administration Alter VA Operations? Some Pundits Say to Look at Project 2025 Proposals
As President-elect Donald Trump gathers his Cabinet and prepares to take office for the second time, questions remain about how this new administration will attempt to transform government agencies, including VA.
Suicide Rates Continue to Rise, Especially for Active-Duty U.S. Servicemembers
Suicide deaths per 100,000 servicemembers were 9% higher in 2023 than in 2022, according to a report from the DoD, which advises that 523 servicemembers took their own lives last year.
Reducing Patient Anxiety Caused by ‘Active Surveillance’ of Low-Risk Cancer
In patients with low-risk cancers undergoing active surveillance, the medical field needs to help manage the anxiety caused by waiting, according to a recent study.
Mary Jo Pugh Spearheads Research Into TBI Link to Heart Issues
As an investigator at the Informatics, Decision-Enhancement and Analytic Sciences Center of Innovation (IDEAS COIN) at the Salt Lake City VA, the longitudinal studies that Mary Jo Pugh, PhD, RN, has helped build during her 25-year career have demonstrated that traumatic brain injury (TBI) greatly increases a patient’s risk for a host of comorbidities, most notably chronic cardiovascular disease.
Federal Medicine’s Role in Uncovering How the Epstein-Barr Virus Relates to MS
We interviewed Lynn Levin, MD, formerly of the Department of Epidemiology, Division of Preventive Medicine, Walter Reed Army Institute of Research, about the research that led to the discovery of the crucial role of the Epstein-Barr virus in the development of multiple sclerosis and several other autoimmune disorders.
Photophobia After Mild TBI Often Declines in Servicemembers After 30 Days
After a mild traumatic brain injury (mTBI), military servicemembers who suffer from photophobia, a symptom of visual discomfort in response to normal light levels, often show a decline in photophobia within 30 days of the injury, according to a recent study.
Veterans Receiving Educational Materials, More Likely to Deprescribe Problematic Medications
Sending patient-directed educational materials prior to primary care visits proved to be an effective, low-tech intervention to increase deprescribing of potentially low-value and high-risk medications, according to a new VA study.
Vagus Nerve Stimulation Therapy Is Safe Treatment for Drug-Resistant Epilepsy; Has Risks, However
Vagus nerve stimulation therapy is a safe treatment option for drug-resistant epilepsy over long-term follow-up, but the treatment does have risks, according to a recent study.
Identification of PTSD as a Parkinson’s Disease Risk Factor Could Allow Targeting of Preventive Treatment
VA researchers investigating risk factors for Parkinson’s disease (PD) have identified a strong link between the progressive brain disease and post-traumatic stress disorder (PTSD).
How Anxiety Disorder Can Exist Without ‘Excessive Worry’
Should “excessive worry” be a requirement for a diagnosis of generalized anxiety disorder?
Psychotherapy Beneficial When Veterans With PTSD Have a SUD
Is it beneficial for VA to provide evidence-based psychotherapy (EBP) to veterans with post-traumatic stress disorder and co-occurring substance use disorder?
Legislators Question Why VISN Leaders Were Unaware of Hampton VAMC Problems
Lawmakers are seeking answers to how quality control issues could manifest and then linger at the Hampton, VA, VAMC for years without VISN leaders being aware of them.
Higher Rates of Early Menopause Reported in Women Veterans of the Persian Gulf War
Female military personnel from the Persian Gulf War with probable post-traumatic stress disorder (PTSD) are nearly twice as likely to experience early menopause and related health consequences, according to study results presented at the 2024 Annual Meeting of The Menopause Society in Chicago in September.
Costs of Diabetic Kidney Disease Called ‘Profound’ in the United States
Diabetic kidney disease (DKD) affects about one-third of Type 2 diabetes patients, affecting quality of life and causing significant economic burdens on the healthcare system.
Some Disparities Continue in Veterans Newly Diagnosed With T2D
Racial/ethnic disparities in glycemic control among non-Hispanic Black (NHB) and non-Hispanic white (NHW) veterans with Type 2 diabetes (T2D) have persisted, especially with very poor glycemic control, according to a new study.
Changes in the Use of Incretin-Based Therapies for T2D at the VHA
Incretin-based therapies for the management of Type 2 diabetes (T2D) have become a well-established class of drugs within the VHA, according to a new study.
More Education About Antibiotic Benefits/Risks Can Help Curb Unnecessary Usage
Lack of knowledge of the potential risks of antibiotic use was associated with increased expectations of being prescribed one, according to a new study, which said the lack of awareness is especially great among patients going to public health clinics.
‘Simply the Right Thing to Do’: Behind the VA’s Victory Against HCV in Veterans
In the early 2000s, the VA recognized it had a serious problem. Recent research indicated that veterans were three times more likely to be infected with hepatitis C virus (HCV) than the general population, and Vietnam veterans—the largest cohort in care—bore the brunt of those infections.
Stimulating a Target Brain Circuit Holds Promise for Treating PTSD
Scientists studying post-traumatic stress disorder (PTSD) have been puzzled by several mysteries surrounding the condition, such as why military personnel with severe brain injuries are less likely to develop PTSD compared to those without any brain injury or why a neurostimulation therapy that has proven helpful for other mental health disorders actually worsened PTSD in some studies.
Taxpayers Likely Overpaid by Millions for Veterans Dual Enrolled in the VHA, Medicare Advantage
The federal government appeared to have been massively overpaying for care provided to veterans dually enrolled in VA healthcare and Medicare Advantage plans, according to a new analysis.
