For the estimated 1 in 10 Americans—or 1 in 4 veterans—with Type 2 diabetes, keeping blood glucose levels in the near-normal range reduces the risk of complications such as heart, kidney and eye disease.
Diabetic CKD Progression Faster in Veterans Than General Population
Veterans with diabetic kidney disease have a faster rate of stage progression compared to patients in the general population, and more than half of veteran diabetic kidney disease patients progressed to an advanced stage or died within 5 years, according to a recent study.
Reducing the Number of PPI Prescriptions: Benefits and Potential Pitfalls
One of the most commonly prescribed classes of drugs, proton pump inhibitors (PPIs), reduces the risk of gastrointestinal bleeding in certain patients at increased risk. Most PPI prescriptions are written for other reasons, however. In fact, an estimated 25-70% of PPI users might not have an appropriate indication.
OIG Report Puts Spotlight on Questionable Bonuses to Top VA Executives
In September 2023, VA revealed that it had erroneously awarded $10.8 million in bonuses to 182 senior executives at its central office using retention provisions included in the PACT Act.
Risk of Dying from COVID-19 Remains Much Greater Than With Influenza
The risk of dying while hospitalized for COVID-19 might have decreased since the pandemic began, but SARS-CoV-2 still has a considerably higher mortality rates than seasonal influenza, according to a new VA study.
VHA Nursing Home Residents Have More Fractures With Antihypertensive Use
Starting an antihypertensive treatment is associated with a significant increase in fracture risk in older long-term VHA nursing home residents, according to a recent study.
Legislators Told AI Both Promising, Scary for Improving VA Healthcare
The speed at which artificial intelligence (AI) is being embraced at the VA has legislators both hopeful and concerned, optimistic that it can improve veterans’ health but worried about data privacy and the possibility of software superseding human decision-making in clinical settings.
Shields Helped Implement Program to Bring Infusion Closer to VHA Patients
The idea for VA’s Close To Me Infusion Service has its roots in many places. One of them was a veteran that Jenna Shields, PharmD, BCOP, saw weekly at the Pittsburgh VAMC. Suffering from a hematologic condition, he required weekly infusions that could only be given at the medical center.
Risk of Aggressive Endometrial Cancer Diagnosis Varies by Race, Ethnicity
The risk of an aggressive endometrial cancer diagnosis varies by race, ethnicity and country of origin, and non-Hispanic Black patients had the highest risk, according to a recent study.
VHA Has Very Low Use of Antiobesity Drugs Despite High Percentages of Overweight Veterans
Antiobesity medications have tended to be underused in the VHA despite a high prevalence of obesity in the veteran population, according to a new study, which added that real-world outcomes reports on use of drugs in veterans also have been limited.
Better Detection Might Explain Higher Thyroid Cancer Rates in Military Cohort
Even though a previous study found higher papillary thyroid cancer incidence in the U.S. military than the general population—with larger differences among Black than white individuals—it did not provide an explanation for why that might be the case.
Thyroid Dysfunction Affects Myocardial Disease in Older Patients
What is the relationship between thyroid dysfunction and measures of myocardial disease in older patients?
SGLT-2i, Testosterone Combo Can Increase Risk of Erythocytosis
Red blood cell production is stimulated with the combination of sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and testosterone replacement therapy TRT), based on clinical trial findings.
A Fight Over In-Vitro Fertilization at VA, as Some Lawmakers Seek to End It
Conservative lawmakers are seeking to limit VA’s ability to provide family planning care on two very different fronts.
Differentiating Reversible Dementia from AD, PD and TBI
Structural imaging markers hold promise for developing accurate, noninvasive, and accessible solutions to differentiate Parkinson’s disease (PD) and Alzheimer’s dementia (AD) reversable conditions and those caused by traumatic brain injury (TBI).
Olfactory Function Loss in GW Veterans Linked to Cognitive Deficits
A disorder related to military service in the 1991 Gulf War (GW), Gulf War illness (GWI)/Chronic Multisymptom Illness (CMI) includes symptoms such as fatigue, pain and cognitive dysfunction.
Herpes Zoster Infection Doesn’t Increase Parkinson’s Risk
Some researchers have postulated for years that systemic infections are associated with development of Parkinson’s disease (PD). Recent studies on the relationship between herpes zoster (HZ) and PD have been conflicting, however.
VA Has Low Rates of Preoperative Life-Sustaining Treatment Documentation
Surgery is a significant healthcare event that necessitates timely planning for goals of care (GOC), involving discussions about one’s current values, aspirations and treatment preferences.
Bramhall Works to Resolve Common Hearing Loss in Military Veterans
It’s such a common ailment among veterans that it’s almost a given: If you served any time in the military, you’re walking out with some type of hearing problem. That usually presents as hearing loss or tinnitus—a persistent ringing sound in the ears.
Many Patients with Limited Life Expectancy Choose to Undergo Lung Cancer Screening
Lung cancer screening has the potential to save lives by catching lung cancer at an early stage with definitive treatment. But it also carries potential harms—including overdiagnosis, distress from false-positive results and complications of further testing. For some people, those downsides can outweigh any benefits.
Women Veterans Receiving Surgery at the VHA Have Half the Risk of Mortality
Only 11% of U.S. military veterans are women, according to recent statistics, and they make up even a smaller percentage of patients using VA healthcare—about 10%.
Navy Investigates Sailor Suicides; Exacerbated by Shipyard Maintenance Periods
The Navy has been under public scrutiny in recent years after experiencing a rash of suicides aboard multiple ships, many of them undergoing maintenance at shipyards.
New Therapies Have Improved Survival for Prostate Cancer Patients
Improved treatment has meant better overall survival for many men diagnosed with prostate cancer, according to a new research letter. For older patients, however, the benefits of the new therapies weren’t as effective, the authors pointed out.
HCC Tumor Recurrence After Radiologic Responses
How often does local recurrence occur in hepatocellular carcinoma (HCC) patients who undergo selective transarterial radioembolisation (TARE) or transarterial chemoembolisation (TACE) and achieve a complete response (CR) radiologically?
Biomarkers Help Predict Which Cirrhosis Patients Develop HCC
It can be difficult to determine which patients with cirrhosis will go on to develop hepatocellular carcinoma (HCC).
Intravenous Ketamine Treatment Improves Depression in Veterans
Veterans who received intravenous ketamine treatments had improved symptoms of depression within the first 6 weeks, and these improvements were sustained over at least 6 months with decreasing infusion frequency, according to a recent study.
VA Study Implicates High Levels of IL-6 in Long QT Syndrome
Long QT syndrome (LQTS) is a cardiac disorder that predisposes patients to malignant arrhythmias, particularly Torsades de Pointes ventricular tachycardia, which can degenerate to cardiac arrest.
Misclassification Affects Estimates of Opioid-Use Disorder Medications
Is misclassification of people who inject drugs (PWID) and are hospitalized because of infections affecting the analysis of outcomes from medications for opioid-use disorder (MOUD?
Long-Acting Benzodiazepines Best for Alcohol Withdrawal in Veterans
An extensive study of VA patients concluded that the best way to manage alcohol withdrawal in hospitalized settings is the use of long-acting benzodiazepines with symptom-triggered therapy, as recommended in American Society of Addiction Medicine (ASAM) guidelines.
Study: Racism Contributes to Low OUD Prescribing in MHS
Rates of prescribing for medication for opioid-use disorder (MOUD) are low in the MHS and show evidence of institutional racism, according to a new study.
