Breast cancer remains a significant health concern, particularly among women veterans, who face unique challenges within the Veterans Affairs (VA) healthcare system. Chief among those challenges is an utter lack of comprehensive data regarding women veterans’ breast cancer experiences.
News
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.
Current Issue
Traumatic Brain Injury Linked to Much Higher Risk of Arrhythmia in Veterans
Traumatic brain injury, especially involving penetration, significantly increased the risk for atrial fibrillation or atrial flutter in U.S. military servicemembers and veterans, according to a new study.
Equal, Equitable and Excellent: A Call to Action for Indigenous Care
Native Americans serve in the military at the highest rates per capita of any racial or ethnic group. According to the Office of Health Equity, analysis of fiscal year 2016 to 2019 data revealed that American Indian veterans, less than half were enrolled in VA care.
Oncology
Overcoming Barriers to Veteran Participation in Outside-VA Cancer Clinical Trials
While clinical trials are essential for advancing treatment options in oncology and making certain patients receive innovative care, too few cancer patients are referred to them, according to a new study.
Indeterminate Liver Nodules Have a High but Variable Risk of HCC
For more than a decade, the Liver Imaging Reporting and Data System (LI-RADS) has been used to standardize the interpretation and reporting of liver lesions in patients at high risk for hepatocellular carcinoma (HCC).
Understanding Bispecific Antibodies for B-Cell Lymphoma Treatment
Bispecific antibodies represent a new approach to cancer immunotherapy that offers a two-for-one mechanism of action to increase efficacy in treating several types of lymphoma and multiple myeloma and other hematologic malignancies.
Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA
Good ride, cowboy! Good ride!
Pam and I have had our share of hard knocks this summer. From the ongoing personal and financial trauma of our sailboat/home lightning strike to our latest bout of COVID-19, the hits just seem to keep on coming. I also (finally) finished a fictional novel, but was utterly unprepared for the hell that is getting published.
Why Hasn’t More Community Care Improved Veteran Mortality Rates?
In 2014, Congress enacted the Choice Act, followed by the MISSION Act in 2018. Introduced in response to concerns that delays in receiving VA care were negatively impacting veterans, these legislations were designed to simplify the process for veterans to access VA-purchased care.
Unintended Pregnancy Accounts for Loss of Almost 2.5 Million Military-Readiness Days
Almost 45% percent of pregnancies in the United States are unintended, with an estimated 4.5% of reproductive age women having an unintended pregnancy each year.
Discontinuing SGLT2is, GLP-1 RAs Linked to Negative Outcomes in CKD Patients
Discontinuation of sodium-glucose co-transporter-2 (SGLT2) inhibitors and glucagon-like peptide-1 receptor agonists (GLP-1 RA) is common but is associated with harmful outcomes in adults with chronic kidney disease (CKD), according to a recent study.
Overcoming Barriers to Veteran Participation in Outside-VA Cancer Clinical Trials
While clinical trials are essential for advancing treatment options in oncology and making certain patients receive innovative care, too few cancer patients are referred to them, according to a new study.
Care Access Doesn’t Explain Racial Disparities in Rectal Cancer
Does differential access to care explain racial disparities in treatment and outcomes of rectal cancer? A new study from the Uniformed Services University of the Health Sciences suggested that other factors are likely to be at play.
Pandemic Decreased Already Too Low Lung Cancer Screening Rates
A new study demonstrated how critically the COVID-19 pandemic affected lung cancer screening (LCS).
More Point-of-Care Testing in Military Could Help Curb STI Transmissions
Sexually transmitted infections (STIs) affect an estimated 1 in 5 servicemembers, making early diagnosis and treatment important for controlling their spread among this high-risk population.
New Study Warns About Increased Antibiotic Resistance Against Third-Generation Broad-Spectrum Antibiotics in VA Facilities
VHA facilities across the United States have experienced a concerning rise in antibiotic resistance to third-generation cephalosporins, a class of broad-spectrum antibiotics commonly used to treat the Enterobacterales bacterial species.
Indeterminate Liver Nodules Have a High but Variable Risk of HCC
For more than a decade, the Liver Imaging Reporting and Data System (LI-RADS) has been used to standardize the interpretation and reporting of liver lesions in patients at high risk for hepatocellular carcinoma (HCC).
Homelessness Substantially Increases Risk of Death in Veterans With CKD
U.S. veterans with a history of homelessness had a much greater risk of end-stage kidney disease (ESKD) and death, according to a new study, underscoring the role of housing as a social determinant of health.
Faulty Cell Function in Gulf War Illness Likely Caused By Exposure to Hazardous Agents
Veterans suffering from Gulf War illness (GWI), also known as Gulf War Syndrome (GWS), have faulty cell function that is likely caused by intense exposure to hazardous biological and chemical agents during war service, according to a new study.
GLP-1 RAs Promising for Reducing Cirrhosis, Mortality in Liver Disease Patients
Treatment with glucagon-like peptide 1 receptor agonists (GLP-1 RAs) showed promise in lowering the incidence of cirrhosis and mortality in veterans with metabolic dysfunction-associated steatotic liver disease (MASLD) and diabetes, as long as the drug was initiated early in the course of the disease.
Surveys: Better HCC Surveillance Seen as Key to Improved Survival Rates
PALO ALTO, CA — Recent surveys found important gaps in knowledge and perceived barriers to hepatocellular carcinoma (HCC) surveillance in cirrhosis patients in the United States, especially with primary care providers. Even though hepatocellular carcinoma (HCC)...
Early Dialysis Leads to Modest Gains in Life Expectancy, Less Home Time
Older adults with reduced kidney function who start dialysis within 30 days and aren’t referred for transplant have modest gains in life expectancy and less time at home, according to a recent study.
Legislators: Efforts to Smoothly Transition Servicemembers to VA Falls Short
Legislators took DoD and VA to task for their failures to ensure that servicemembers, especially those in need of mental health services, receive a warm handoff from one department to the other upon discharge.
Congress Passed a $3 Billion Emergency Funding Bill to Help VA’s Budget Shortfall
Congress passed an emergency funding bill providing an additional $3 billion to VA to address an unexpected shortfall in the FY2024 budget for the Veterans Benefits Administration.
Understanding Bispecific Antibodies for B-Cell Lymphoma Treatment
Bispecific antibodies represent a new approach to cancer immunotherapy that offers a two-for-one mechanism of action to increase efficacy in treating several types of lymphoma and multiple myeloma and other hematologic malignancies.
Much-Touted ATLAS Telehealth Booths Went Mostly Unused in Rural Areas
A recent report is calling into question the effectiveness of VA’s ATLAS program, a pilot telehealth initiative that places telehealth booths at non-VA community spaces in rural areas where veterans are more likely not to have access to high-speed internet. Veterans can use the booths to conduct telehealth appointments with VA providers.
Cholesterol Medication Ezetimibe Promising for Lowering Alzheimer’s Disease Risk
The mechanism through which heart disease elevates the risk of Alzheimer’s disease and related dementia (ADRD) has been investigated intensively.
What Is the Role of the X Chromosome in Alzheimer’s Disease Genetics?
The X chromosome makes up 5% of the human genome and carries a high proportion of genes expressed in the brain. Yet, it is a relatively unexplored as a potential source of genetic variation in AD, according to a new study.
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. Chief among those challenges is an utter lack of comprehensive data regarding women veterans’ breast cancer experiences.
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.
Critical OIG Report Raises Key Questions About VA’s Community Care Program
A recent VA Office of the Inspector General (OIG) audit has added more fuel to the argument around community care, finding that VA has provided little accountability over the third-party providers tasked with overseeing the department’s community care networks.
VA Seeks ‘Maintenance Budget’ After Record Growth in Enrollment, Hiring
While VA’s proposed budget represents a 10% increase from last year, it includes decreases in key areas like hiring and infrastructure.
Good ride, cowboy! Good ride!
Pam and I have had our share of hard knocks this summer. From the ongoing personal and financial trauma of our sailboat/home lightning strike to our latest bout of COVID-19, the hits just seem to keep on coming. I also (finally) finished a fictional novel, but was utterly unprepared for the hell that is getting published.
Why Hasn’t More Community Care Improved Veteran Mortality Rates?
In 2014, Congress enacted the Choice Act, followed by the MISSION Act in 2018. Introduced in response to concerns that delays in receiving VA care were negatively impacting veterans, these legislations were designed to simplify the process for veterans to access VA-purchased care.
Unintended Pregnancy Accounts for Loss of Almost 2.5 Million Military-Readiness Days
Almost 45% percent of pregnancies in the United States are unintended, with an estimated 4.5% of reproductive age women having an unintended pregnancy each year.
Discontinuing SGLT2is, GLP-1 RAs Linked to Negative Outcomes in CKD Patients
Discontinuation of sodium-glucose co-transporter-2 (SGLT2) inhibitors and glucagon-like peptide-1 receptor agonists (GLP-1 RA) is common but is associated with harmful outcomes in adults with chronic kidney disease (CKD), according to a recent study.
Overcoming Barriers to Veteran Participation in Outside-VA Cancer Clinical Trials
While clinical trials are essential for advancing treatment options in oncology and making certain patients receive innovative care, too few cancer patients are referred to them, according to a new study.
Care Access Doesn’t Explain Racial Disparities in Rectal Cancer
Does differential access to care explain racial disparities in treatment and outcomes of rectal cancer? A new study from the Uniformed Services University of the Health Sciences suggested that other factors are likely to be at play.
Pandemic Decreased Already Too Low Lung Cancer Screening Rates
A new study demonstrated how critically the COVID-19 pandemic affected lung cancer screening (LCS).
More Point-of-Care Testing in Military Could Help Curb STI Transmissions
Sexually transmitted infections (STIs) affect an estimated 1 in 5 servicemembers, making early diagnosis and treatment important for controlling their spread among this high-risk population.
New Study Warns About Increased Antibiotic Resistance Against Third-Generation Broad-Spectrum Antibiotics in VA Facilities
VHA facilities across the United States have experienced a concerning rise in antibiotic resistance to third-generation cephalosporins, a class of broad-spectrum antibiotics commonly used to treat the Enterobacterales bacterial species.
Indeterminate Liver Nodules Have a High but Variable Risk of HCC
For more than a decade, the Liver Imaging Reporting and Data System (LI-RADS) has been used to standardize the interpretation and reporting of liver lesions in patients at high risk for hepatocellular carcinoma (HCC).
Homelessness Substantially Increases Risk of Death in Veterans With CKD
U.S. veterans with a history of homelessness had a much greater risk of end-stage kidney disease (ESKD) and death, according to a new study, underscoring the role of housing as a social determinant of health.
Faulty Cell Function in Gulf War Illness Likely Caused By Exposure to Hazardous Agents
Veterans suffering from Gulf War illness (GWI), also known as Gulf War Syndrome (GWS), have faulty cell function that is likely caused by intense exposure to hazardous biological and chemical agents during war service, according to a new study.
GLP-1 RAs Promising for Reducing Cirrhosis, Mortality in Liver Disease Patients
Treatment with glucagon-like peptide 1 receptor agonists (GLP-1 RAs) showed promise in lowering the incidence of cirrhosis and mortality in veterans with metabolic dysfunction-associated steatotic liver disease (MASLD) and diabetes, as long as the drug was initiated early in the course of the disease.
Surveys: Better HCC Surveillance Seen as Key to Improved Survival Rates
PALO ALTO, CA — Recent surveys found important...
Early Dialysis Leads to Modest Gains in Life Expectancy, Less Home Time
Older adults with reduced kidney function who start dialysis within 30 days and aren’t referred for transplant have modest gains in life expectancy and less time at home, according to a recent study.
Legislators: Efforts to Smoothly Transition Servicemembers to VA Falls Short
Legislators took DoD and VA to task for their failures to ensure that servicemembers, especially those in need of mental health services, receive a warm handoff from one department to the other upon discharge.
Congress Passed a $3 Billion Emergency Funding Bill to Help VA’s Budget Shortfall
Congress passed an emergency funding bill providing an additional $3 billion to VA to address an unexpected shortfall in the FY2024 budget for the Veterans Benefits Administration.
Understanding Bispecific Antibodies for B-Cell Lymphoma Treatment
Bispecific antibodies represent a new approach to cancer immunotherapy that offers a two-for-one mechanism of action to increase efficacy in treating several types of lymphoma and multiple myeloma and other hematologic malignancies.
Much-Touted ATLAS Telehealth Booths Went Mostly Unused in Rural Areas
A recent report is calling into question the effectiveness of VA’s ATLAS program, a pilot telehealth initiative that places telehealth booths at non-VA community spaces in rural areas where veterans are more likely not to have access to high-speed internet. Veterans can use the booths to conduct telehealth appointments with VA providers.
Cholesterol Medication Ezetimibe Promising for Lowering Alzheimer’s Disease Risk
The mechanism through which heart disease elevates the risk of Alzheimer’s disease and related dementia (ADRD) has been investigated intensively.
What Is the Role of the X Chromosome in Alzheimer’s Disease Genetics?
The X chromosome makes up 5% of the human genome and carries a high proportion of genes expressed in the brain. Yet, it is a relatively unexplored as a potential source of genetic variation in AD, according to a new study.
How PTSD, Cognitive Decline Affect Veterans’ Alzheimer’s Disease Biomarkers
While post-traumatic stress disorder (PTSD) and subjective cognitive decline (SCD) are independent risk factors for Alzheimer’s disease (AD) and dementia, the association of their interaction on AD biomarkers has not been clear.
Expert in Veteran Homelessness Helps VA Housing Programs Be More Effective
Few people understand the complexity of providing care to homeless veterans and those at risk for homelessness as well as Jack Tsai, PhD.
Breaking Barriers in Kidney Care: Cynthia Delgado’s Pioneering Efforts Lead to More Equitable Transplantation Practices at the VA
For more than two decades, the calculation of estimated glomerular filtration rate (eGFR) — a critical measure of kidney function — included race as a variable.
Black Americans Have Less Alzheimer’s Disease Awareness, Despite Higher Risk
Older Black Americans are almost twice as likely as white Americans to be affected by Alzheimer’s and related dementias, with 21.3% of Black Americans aged 70 and older living with the disease.
VA $1 Billion Behind in Collecting Insurance, Co-Pays With Software Tool Offline
VA is close to restarting a software tool integral to allowing the department to track its billing of community providers. The Program Integrity Tool (PIT) has been offline since flaws in the system were discovered in February 2023.
Review Finds Little Evidence That Massage Therapy Relieves Painful Health Conditions
For individuals seeking relief from painful health conditions, there’s low certainty of evidence that massage therapy will ease their pain, according to a recent review article.
New Algorithm Developed for Urinary Retention Evaluation, Catheterization
A new algorithm could improve care for adult inpatients who need to be evaluated for urinary retention and possible catheterization, according to a recent study.
Does ‘Underserved’ Designation Demoralize Staff at VA Facilities?
For the past several years, VA has been identifying the most underserved facilities in its system and requiring them to create action plans to improve care to their veterans.
Unraveling the Mystery of Long COVID: VA Steps Up for Nation in Crisis
By March 2020, the SARS-COV-2 virus had reached every inhabited continent on the globe, with devastating impact. In response, the U.S. and many other countries entered lockdowns to slow the spread and reduce deaths from the virus.
Innovative Pain Self-Management Program Improved Pain, Depressive Symptoms in HIV Patients
For almost three decades, antiretroviral therapy (ART) has enabled people with HIV to have nearly normal life expectancies. But as many as 85% of them experience chronic pain, due in part to common medical comorbidities and the side effects of life-saving treatments.
Microvascular Complications of Type 2 Diabetes Drop When PTSD Resolves in Veterans
Post-traumatic stress disorder (PTSD) has a range of adverse effects in veterans, and about 7% are affected at some point in their lifetimes. A recent study puts a spotlight on an unexpected co-morbidity—worsening Type 2 diabetes (T2D) outcomes.
Alternative Prostate Cancer Screening Guidelines for U.S. Black Men
In the United States, Black men are at highest risk for being diagnosed with and dying from prostate cancer.
Review Authors Urge More Genetic Testing of BRCA for Male Cancer Patients
Even though half of all carriers of inherited cancer-predisposing variants in BRCA1 and BRCA2 are male, the implications for their health tend to be under-recognized compared to females, according to a new study.
Prescription Medications Affect Survival Rates in Metastatic Prostate Cancer
How do prescription medications affect overall survival in metastatic hormone-sensitive prostate cancer?
Another Reason to Reduce PPI Use? Usage Linked to Susceptibility for Respiratory Infections
One of the most commonly used medication classes worldwide, proton pump inhibitors (PPIs) are effective for treating acid-related stomach disorders, such as ulcers, heartburn or acid reflux.
VA EHR Rollout at Lovell Federal Healthcare Center Better Than Previous Sites, But Legislators Say Some Issues Persist
About six months ago, the James A. Lovell Federal Healthcare Center became the sixth VA site to switch to the Oracle-Cerner electronic health record (EHR).
Hepatocellular Carcinoma Screening Associated With Improved Survival in Patients Cured of HCV Infection
Hepatitis C virus (HCV) is the most common blood-borne pathogen in the United States, with HCV-related cirrhosis being the leading cause of primary liver cancer, or hepatocellular carcinoma (HCC).
Study: Propofol Use Should Be Minimized in Children With ALL
A study involving military researchers has raised concerns about the use of certain types of anesthesia in children with acute lymphocytic leukemia (ALL)
Circumstances Linked to Bleeding Risk With Chronic Liver Disease Diagnosis
A recent study looked at risk factors for non-variceal bleeding within the first year after diagnosis of chronic liver disease in veterans.
Multiple Myeloma Patients Have Longer Survival With Military Healthcare
MHS beneficiaries with multiple myeloma (MM) had improved overall survival compared to MM patients from the U.S. general population, according to a new report.