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COVID-19 news from Annals of Internal Medicine

Researchers found that COVID-19 vaccines are more than 95% effective in preventing confirmed infection. The study also revealed significant disparities among different age groups and comorbidities, with higher risks observed among older adults and those with underlying health conditions. Additionally, a separate cohort study showed tha...

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateJul 20, 2021

Infusion centers associated with substantially better outcomes than the ER for patients with acute pain events and sickle cell disease

A prospective cohort study found that treatment at an infusion center is associated with substantially better outcomes than treatment in the emergency department for patients with sickle cell disease. Patients treated in ICs received parenteral pain medication faster and were more likely to have their pain reassessed within 30 minutes.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateJul 5, 2021

Mount Sinai ophthalmologists develop new technique to assess progression of sickle cell retinopathy

Researchers used OCT angiography to image patients with sickle cell retinopathy and found that sequential imaging can help assess disease progression and treatment effectiveness. The study showed that untreated patients had more flickering blood vessels, indicating a higher risk of permanent blockage.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalBiomedical Optics Express·DateMay 10, 2021

A better treatment for sickle cell disease

A team of researchers from Texas A&M University developed an organ-on-a-chip device that can model the disease physiology of patients with sickle cell disease. The device uses blood outgrowth endothelial cells to mimic a patient's vessel, allowing for personalized treatment and predicting disease progression.

SourceTexas A&M University·JournalBioengineering & Translational Medicine·DateMar 24, 2021

Budget impact of gene therapy for sickle cell disease

A new study evaluates the economic impact of gene therapy on severe sickle cell disease, suggesting substantial costs and potential cost savings for Medicaid programs. The analysis estimates a high prevalence of sickle cell disease among these programs, which may affect treatment affordability.

SourceJAMA Network·JournalJAMA Pediatrics·DateMar 22, 2021

Standard vital signs could help estimate people's pain levels

A new study shows that machine-learning strategies can be applied to routinely collected physiological data to provide clues about pain levels in people with sickle cell disease. The researchers found that these vital signs give clues into the patients' reported pain levels, outperforming baseline models.

SourcePLOS·JournalPLOS Computational Biology·DateMar 11, 2021

Pain hides in our data

Researchers developed an AI algorithm to mine physiological data from patients with chronic pain, detecting changes in pain levels and atypical fluctuations. The study aims to provide a more precise treatment method by supplementing subjective pain assessments with objective data-driven approaches.

SourceNorthwestern University·JournalPLOS Computational Biology·DateMar 11, 2021

Addressing a complex world of pain in a single gene difference

A single letter difference in a gene leads to sickle cell disease affecting 20 million worldwide, with varying life expectancy depending on social and environmental factors. A new review calls for integrative studies to better understand the disease globally and develop locally-appropriate interventions.

SourceWiley·JournalAdvanced Genetics·DateMar 1, 2021

Best way found to treat children with sickle cell anemia in sub-Saharan Africa

A study published in the New England Journal of Medicine has found that dose escalation of hydroxyurea treatment is more effective and has similar side effects than a lower fixed dose for children with sickle cell anemia in Uganda. The findings have global implications and could impact use of hydroxyurea worldwide.

SourceCincinnati Children's Hospital Medical Center·JournalNew England Journal of Medicine·DateJun 24, 2020

2019's new medicines

In 2019, the pharmaceutical industry approved 48 new medicines, including treatments for various cancers, sickle cell disease, and migraines. The majority of these drugs had novel mechanisms of action, such as antibody-drug conjugates and small interfering RNA.

SourceAmerican Chemical Society·JournalChemical & Engineering News·DateJan 22, 2020

Computer model could help test new sickle cell drugs

A team of Brown University researchers developed a new computer model to simulate the way red blood cells become misshapen in sickle cell disease. The model can be used to quickly and inexpensively pre-screen new drug candidates, potentially identifying promising treatments for the genetic disorder that affects millions worldwide.

SourceBrown University·JournalScience Advances·DateAug 22, 2019

New genetic weapons challenge sickle cell disease

A new study uses CRISPR-Cas9 to repair the sickle cell mutation in patients' hematopoietic stem cells, boosting their own protective fetal hemoglobin. The approach showed promising results, with up to 40% of edited cells fixed and a significant increase in fetal hemoglobin expression.

SourceRice University·JournalNucleic Acids Research·DateJun 3, 2019

UMN researchers study effect of chronic opioid therapy on pain and survival in sickle cell disease

Researchers found that chronic morphine treatment decreased survival in control mice, but not in sickle mice with sickle cell disease. Chronic opioid therapy also caused hyperalgesia, a condition of increased pain sensitivity, in sickle mice. The study suggests that opioids may still be effective for managing pain in SCD patients despi...

SourceUniversity of Minnesota Medical School·JournalBlood Advances·DateApr 2, 2019

Most precise measurements of sickle cell disease building blocks could lead to new treatments

A breakthrough study has revealed that the building blocks of sickle cell disease are much less efficient at organizing than previously thought. This finding could lead to new treatments, including medicines prescribed at lower doses, and improve outcomes for approximately 20 million people worldwide who suffer from the lifelong disease.

SourceUniversity of Minnesota·JournalScience Advances·DateMar 28, 2019

Blood diseases cured with bone marrow transplant

A new protocol has increased the rate of successful bone marrow transplants from half-matched donors to nearly 100%, offering a higher chance of cure for patients with severe inherited blood disorders. Patients experienced reduced symptoms and no longer required immunosuppressive medications.

SourceJohns Hopkins Medicine·JournalThe Lancet Haematology·DateMar 14, 2019