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Michigan Medicine - University of Michigan


Study: Older adults with rheumatoid arthritis still undermedicated, despite aggressive guidelines

A recent study suggests that many older adults with rheumatoid arthritis are not prescribed disease-modifying medications, despite guidelines calling for early and aggressive treatment. Only 45% of patients over 65 were prescribed these medications, highlighting the need to improve prescribing practices among primary care physicians.

SourceMichigan Medicine - University of Michigan·JournalACR Open Rheumatology·TypeObservational study·DateApr 7, 2022

Medicaid health plan community health workers have positive impact on care

A randomized controlled trial found that community health workers (CHWs) employed by Medicaid plans can help low-income individuals rely less on emergency rooms and more on outpatient care. The study showed significant reductions in acute care visits and costs, while outpatient visits increased among participants who connected with a CHW.

SourceMichigan Medicine - University of Michigan·JournalAmerican Journal of Public Health·TypeRandomized controlled/clinical trial·DateApr 1, 2022

Half of older adults now die with a dementia diagnosis, up sharply

A new study reveals that nearly half of all older adults now die with a dementia diagnosis listed on their medical record, a 36% increase from two decades ago. This rise may be attributed to better public awareness, more detailed medical records, and Medicare billing practices, rather than an actual increase in the condition.

SourceMichigan Medicine - University of Michigan·JournalJAMA Health Forum·TypeData/statistical analysis·DateApr 1, 2022

Critical and underutilized: Fire and police responders associated with higher cardiac arrest survival rates

A new study found that non-medical first responders, such as police and fire departments, are associated with higher cardiac arrest survival rates. They initiated CPR in 31.8% of incidents and AED use in 6.1% of cases, leading to significantly improved chances of survival and hospital discharge.

SourceMichigan Medicine - University of Michigan·JournalResuscitation·TypeData/statistical analysis·DateMar 29, 2022

Rehabilitation psychologists: Specialists you may not yet know, but might one day need

A rehabilitation psychologist's role is to guide patients through the process of rehab and recovery, addressing cognitive, behavioral, and emotional barriers that hinder progress. These experts can help individuals adjust to a new diagnosis, stay motivated during recovery, and deal with the emotional aftermath of hospitalization.

SourceMichigan Medicine - University of Michigan·JournalRehabilitation Psychology·TypeSurvey·DateMar 29, 2022

Spinal fluid sampling used to track treatment response in pediatric glioma

Researchers collected hundreds of cerebrospinal fluid samples from patients with Diffuse Midline Glioma, tracking changes in cell-free tumor DNA over time. The findings suggest that this method could provide data about tumors sooner than MRIs alone, allowing clinicians to address aggressive brain cancer more effectively.

SourceMichigan Medicine - University of Michigan·JournalNeuro-Oncology·TypeExperimental study·DateMar 24, 2022

Even at best hospitals, low-income older cancer patients struggle after surgery

A new study found that dual-eligible patients for Medicare and Medicaid have poorer outcomes and higher costs after cancer surgery, even in high-quality hospitals. These patients are more likely to experience complications, longer hospital stays, and lower chances of going home instead of a nursing facility.

SourceMichigan Medicine - University of Michigan·JournalJAMA Surgery·TypeData/statistical analysis·DateMar 9, 2022

Hospital-affiliated doctors prescribe fewer antibiotics through telehealth than third-party physicians

A new study found that hospital-affiliated emergency physicians prescribed antibiotics to patients with acute respiratory infections nearly twice as often as contractor-supplied physicians. This disparity highlights the need for improved antibiotic stewardship in telemedicine settings.

SourceMichigan Medicine - University of Michigan·JournalJournal of Telemedicine and Telecare·TypeSystematic review·DateMar 8, 2022

Researchers find natural mechanism to sensitize cancer to immunotherapy

A U-M study defines how a cytokine and fatty acid combination triggers ferroptosis, a type of cell death previously studied with synthetic molecules. This natural mechanism could make immunotherapy treatments more effective, particularly for cancers where the treatments currently work for only about 30% of patients.

SourceMichigan Medicine - University of Michigan·JournalCancer Cell·TypeExperimental study·DateMar 4, 2022

This is your gut on sushi

A new Michigan Medicine study suggests that genes from oceanic bacteria have entered the human gut microbiome, enabling digestion of seaweed polysaccharides. The research found that these genes are more common than previously recognized and are linked to the ability to process certain seaweed-derived sugars.

SourceMichigan Medicine - University of Michigan·JournalCell Host & Microbe·DateMar 2, 2022

ZIP codes matter when it comes to severe COVID-19

A new study shows that ZIP code social vulnerability index is linked to COVID-19 severity, with more disadvantaged areas experiencing higher symptom rates. However, differences disappear when patients are discharged from hospitals, suggesting equal access to care plays a crucial role in reducing initial disparities.

SourceMichigan Medicine - University of Michigan·JournalAnnals of Internal Medicine·TypeData/statistical analysis·DateFeb 21, 2022

Rogue antibodies make cells “sticky” to trigger blood clots in COVID-19 patients

Researchers found higher-than-expected levels of antiphospholipid autoantibodies in COVID-19 patients, causing endothelial cell activation and promoting clotting. Removing these antibodies from blood samples lost the activation effect, suggesting a potential cause of severe COVID-19 symptoms.

SourceMichigan Medicine - University of Michigan·JournalArthritis & Rheumatology·TypeExperimental study·DateFeb 17, 2022

A new tool for 3-D measurement of the aorta may identify fatal heart conditions earlier

Researchers developed a novel method of measuring aortic growth, called vascular deformation mapping, which outperforms standard manual rating methods. The technique uses high-resolution CT imaging to calculate three-dimensional changes in the aortic wall, achieving an accuracy of less than 1 millimeter.

SourceMichigan Medicine - University of Michigan·JournalMedical Physics·TypeImaging analysis·DateFeb 16, 2022

Follow-up costs can add up if a free cancer screening shows a potential problem

New studies from Michigan Medicine researchers aim to remove financial barriers for patients who receive abnormal test results, enabling them to complete the diagnostic process. The findings suggest that removing cost barriers could save lives by increasing screening uptake, particularly among women and underserved populations.

SourceMichigan Medicine - University of Michigan·JournalJAMA Network Open·TypeData/statistical analysis·DateFeb 14, 2022

Mental health is an issue for people with spinal cord injury. Chronic pain makes it worse

Adults with spinal cord injuries have a near-80% increased risk of developing psychological conditions compared to those without the injury. Chronic pain is equally negatively impacting mental health, associated with post-traumatic stress disorder and other mental health conditions in most cases.

SourceMichigan Medicine - University of Michigan·JournalSpinal Cord·TypeData/statistical analysis·DateFeb 8, 2022

Where mental health help is scarce, telehealth makes a big difference

A randomized study of over 1,000 people with PTSD and/or bipolar disorder shows that telehealth and integrated care models can improve treatment engagement and outcomes. Patients who received guidance from local clinic team members and in-person follow-up with nurses or social workers had better results.

SourceMichigan Medicine - University of Michigan·JournalJournal of General Internal Medicine·TypeRandomized controlled/clinical trial·DateFeb 7, 2022

Better education needed about oral sex disease risk, poll of young people shows

A new poll shows that most teens and young adults know it's possible to catch or spread a sexually transmitted infection by having unprotected oral sex, but over half underestimate the level of that risk. Young people also call for more education about the risks of oral sex and normalization of protection through popular culture.

SourceMichigan Medicine - University of Michigan·JournalThe Annals of Family Medicine·TypeSurvey·DateJan 27, 2022

Most older adults support steps to reduce firearm injury risk, study shows

A national survey of over 2,000 adults aged 50-80 found that most support steps to reduce firearm injury risk, including safety counseling and background checks. The study highlights opportunities to help older adults recognize and address risks in their homes, particularly for those living with children or experiencing cognitive decline.

SourceMichigan Medicine - University of Michigan·JournalPreventive Medicine·TypeSurvey·DateJan 27, 2022

Over one-third of young adult US men involved in technology-related abuse, study finds

A study by Michigan Medicine reveals that 25% of young American men experience both delivering and receiving technology-facilitated abuse. Healthcare providers should consider addressing this issue, as men who have mental health care visits are more likely to be involved in abusive relationships.

SourceMichigan Medicine - University of Michigan·JournalThe Annals of Family Medicine·TypeData/statistical analysis·DateJan 26, 2022

Discovery of a “hidden gem” enables gene editing with a small but mighty CRISPR-Cas3 system

Scientists have developed a novel CRISPR-Cas3 editor from the bacteria Neisseria lactamica that improves editing efficiency and is more easily produced. The tool enables 50% editing efficiency in stem cells and 95% efficiency in other human cell lines, paving the way for research in genetic diseases and developmental biology.

Drug combination reduces narcotic use, manages pain after surgery for teens with scoliosis

A new study suggests that combining two drugs can reduce postoperative opioid use and side effects in adolescents with scoliosis. The combination of intrathecal morphine and oral gabapentin provides more effective pain control, resulting in fewer side effects and lower narcotic consumption.

SourceMichigan Medicine - University of Michigan·JournalJournal of Orthopaedic Surgery and Research·TypeData/statistical analysis·DateJan 4, 2022