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Embargoed news from Annals of Internal Medicine

Studies of newly diagnosed prostate cancer patients reveal that older, sicker men are unlikely to benefit from aggressive therapy. Researchers found that those aged 61-74 and over 75 with multiple health issues face high risks of mortality from non-prostate causes, suggesting a shift towards more conservative treatment approaches.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateMay 20, 2013

Study says VeriStrat predicts response but not survival benefit from erlotinib

A study published in the Journal of Thoracic Oncology found that VeriStrat can predict response to erlotinib, but does not provide a survival benefit. The test showed a significant difference in median survival between good and poor responders, with good responders experiencing longer survival on erlotinib.

SourceInternational Association for the Study of Lung Cancer·JournalJournal of Thoracic Oncology·DateOct 15, 2012

Study demonstrates that placebo response occurs at nonconscious level

Researchers identified a novel mechanism that explains the power of placebos and nocebos, demonstrating the unconscious mind plays a key role in pain experiences. Studies showed that patients can show clinical improvement even when receiving treatments devoid of active ingredients or known therapeutic efficacy.

SourceBeth Israel Deaconess Medical Center·JournalProceedings of the National Academy of Sciences·DateSep 10, 2012

Antibiotic therapy improves moderate exacerbations of mild-to-moderate COPD

A multicenter trial found that antibiotic treatment with amoxicillin/clavulanate significantly improved clinical cure rates and prolonged the median time to next exacerbation in patients with mild-to-moderate COPD. Patients with elevated capillary C-reactive protein (CRP) levels were more likely to be cured without antibiotics.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateSep 7, 2012

Statins shown to cause fatigue

Researchers found that individuals taking statin cholesterol-lowering drugs are more likely to experience decreased energy and fatigue upon exertion. The study, which included over 1,000 adults, suggests that these side effects should be taken into account when prescribing statins.

SourceUniversity of California - San Diego·JournalArchives of Internal Medicine·DateJun 11, 2012

When is it ethical to prescribe placebos?

A recent article in the Hastings Center Report raises questions about the AMA's policy on prescribing placebos, arguing that it may not be the best way to protect or benefit patients. The article suggests that some bioethicists argue that an undisclosed placebo is sometimes the best available treatment for certain patients.

SourceThe Hastings Center·JournalHastings Center Report·DateMay 30, 2012

Late-breaking clinical trials

Seven late-breaking clinical trials presented at ATS 2012 examined treatments for ventilator-associated pneumonia, cardiac surgery associated kidney injury, septic shock, idiopathic pulmonary fibrosis, smoking cessation, malignant pleural effusion, and non-cystic fibrosis bronchiectasis. Results showed that shorter courses of doripenem...

Study examines effect of prednisolone in patients with Bell palsy

A randomized trial of 829 patients with Bell palsy found that prednisolone treatment significantly reduced mild and moderate sequelae at 12 months. The study also showed that valacyclovir alone did not affect the severity of sequelae, while the combination of prednisolone plus valacyclovir did not offer additional benefits.

SourceJAMA Network·JournalArchives of Otolaryngology - Head and Neck Surgery·DateMay 21, 2012