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Healthcare Prices Hard to Find Online

Lisa Rapaport  |  December 4, 2017

(Reuters Health)—Consumers who search online for prices of common medical procedures may be disappointed by what they find, a U.S. study suggests. Researchers used the search engines Google and Bing to check the cost of common services like cholesterol tests, hip replacements and magnetic resonance imaging (MRI) scans in 8 cities: New York; Los Angeles;…

Lacrimal & Tear Fluid Yield Clues to Dry Eye Disease

Lara C. Pullen, PhD  |  December 4, 2017

A recent study suggests novel markers of dry eye disease can be found in the lacrimal fluid and tear fluid of patients. Researchers analyzed the proteins in these fluids and found immune response-related proteins are upregulated at the protein level in lacrimal fluid of patients with dry eye disease and may be an important biomarker…

Multimodal Imaging May Uncover Neural Mechanisms in Pediatric Neuropsychiatric Lupus

Carina Stanton  |  December 1, 2017

In clinical practice, many unknowns exist about how SLE affects the brain—particularly in children. To help these young children battling pediatric SLE, Andrea Knight, MD, MSCE, is examining how advanced neuroimaging techniques may uncover potential inflammatory and non-inflammatory mechanisms of neuropsychiatric dysfunction in lupus…

Consumers with High-Deductible Health Plans Could Be Smarter Shoppers

Lisa Rapaport  |  November 30, 2017

(Reuters Health)—Even when consumers have health plans that require them to pay a high amount out-of-pocket for care, they often don’t talk to doctors about the price of treatments or shop around to get the best deal, a U.S. study suggests. Researchers focused on high-deductible health plans, which typically have lower monthly premiums than other…

Patient Satisfaction Plummets When Doctors Say ‘No’ to Requests

Lisa Rapaport  |  November 30, 2017

(Reuters Health)—Patients may become less satisfied with their care when doctors refuse their requests for things, such as prescriptions or lab tests, a U.S. study suggests. Researchers examined data on 1,141 patients with a total of 1,319 doctor visits. Overall, about two-thirds of these visits included at least one patient request for the doctor to…

Rheumatology Guidelines often Based on Weak Evidence

Will Boggs MD  |  November 29, 2017

NEW YORK (Reuters Health)—Most recent clinical practice guidelines (CPGs) from the American College of Rheumatology (ACR) are based on expert opinion and lack A-level evidence in support of their recommendations, researchers report. “I’d like to highlight not just for providers but also for patients and policymakers that, even though we in the United States are…

Obesity’s Effects on Inflammatory Markers in Patients with RA

Arthritis Care & Research  |  November 29, 2017

New research has examined the effect of obesity on inflammatory markers, specifically C-reactive protein (CRP) level and erythrocyte sedimentation rate, in patients with rheumatoid arthritis (RA). Researchers found higher BMIs were associated with higher CRP levels in women both with and without RA, suggesting the phenomenon is related to adiposity and not an indication of disease activity. For men with RA, low BMI was associated with higher CRP levels, which proved to be RA-specific but not a direct causal effect of adiposity…

European Commission Approves Subcutaneous Belimumab for SLE; FDA Safety Alert for Febuxostat

Michele B. Kaufman, PharmD, BCGP  |  November 29, 2017

Subcutaneous belimumab has been approved in the EU to help treat patients with active autoantibody-positive SLE…

SIRT1: A Therapeutic Target for Osteoporosis?

Lara C. Pullen, PhD  |  November 27, 2017

New research has found the sirtuin family of proteins may be a positive regulator of bone mass. In the study, pharmacological activation of SIRT1 in mice resulted in increased bone mass, suggesting the pharmacological activation of SIRT1 may protect against osteoporosis…

Just You & the Patient: Tips to Stay Focused at Work

Karen Appold  |  November 24, 2017

Ringing phones, patient emergencies, staff interruptions—rheumatologists work amidst distraction all day. Here are some practical and personal tips on how to stay focused on your patients…

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