Curated News: NEJM

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Released: 1-Apr-2021 2:45 PM EDT
Houston Methodist among largest providers of monoclonal antibody treatment for Covid-19
Houston Methodist

Among the nation’s largest providers of monoclonal antibodies for Covid-19, Houston Methodist has infused nearly 4,000 patients. The hospital system was able to quickly ramp up its program by leveraging numerous resources through interdisciplinary collaboration. A commentary outlining challenges, resources and benchmarks published online March 29 in the New England Journal of Medicine and serves as a valuable model as more hospitals begin to treat Covid-19 with mAB therapy.

Released: 24-Mar-2021 5:15 PM EDT
Resident’s NEJM essay discusses combating anti-Asian hate
University of Washington School of Medicine

Dr. James Lee is a Korean-American resident in psychiatry at the University of Washington School of Medicine. His perspective, “Combating anti-Asian sentiment — a practical guide for clinicians,” was published March 24 in The New England Journal of Medicine.

Released: 23-Mar-2021 12:50 PM EDT
Real-World Data At UT Southwestern Shows Benefit of Early Vaccination on Health Care Workforce
UT Southwestern Medical Center

DALLAS – March 23, 2021 – Vaccinating health care workers resulted in an immediate and notable reduction of positive COVID-19 cases among employees, reducing the number of required isolations and quarantines by more than 90 percent, according to data at UT Southwestern Medical Center published in the New England Journal of Medicine.

Released: 23-Mar-2021 12:35 PM EDT
Though Risk is Minuscule, Infection after COVID-19 Vaccination is Possible
UC San Diego Health

Investigators from UC San Diego and UCLA report COVID-19 infection rates for a cohort of health care workers previously vaccinated for the novel coronavirus. Risk of infection is minuscule, but exists.

Released: 18-Mar-2021 9:00 AM EDT
Antibody Mediated Prevention (AMP) trials data published by the New England Journal of Medicine
HIV Vaccine Trials Network

The proof-of-concept AMP studies demonstrated that a broadly neutralizing antibody (bnAb) called VRC01 was effective at preventing the acquisition of HIV strains to the 30% of strains that were sensitive to the bnAb. This finding was seen both in Sub-Saharan Africa and the U.S. and South America. VRCO1 did not prevent the acquisition of HIV to strains that were resistant to the bNAb.

Released: 17-Mar-2021 11:40 AM EDT
South African Oxford AstraZeneca Covid-19 vaccine study a global game-changer
University of the Witwatersrand, Johannesburg

This is a landmark study in so far as being the first to raise the alarm that, despite early successes with Covid-19 vaccines, further research is warranted on a next generation of Covid-19 vaccines.

Released: 10-Mar-2021 5:00 PM EST
Mount Sinai Researchers Find that a Second Shot of COVID-19 Vaccine May Not be Necessary in Previously Infected Individuals
Mount Sinai Health System

A single shot of one of the currently authorized COVID-19 vaccines may be sufficient to provide immunity to individuals who have previously been infected by the virus, thus eliminating the need for a second dose and helping to stretch severely limited vaccine supplies, a study from Mount Sinai has found

8-Mar-2021 11:25 AM EST
Promising role for whole genome sequencing in guiding blood cancer treatment
Washington University in St. Louis

A new study from Washington University School of Medicine in St. Louis shows that whole genome sequencing is at least as accurate and often better than conventional genetic tests that help determine the treatment for a patient’s blood cancer. Genome sequencing technology continuously is decreasing in cost and recently reached a level similar to that of conventional testing.

Released: 8-Mar-2021 11:20 AM EST
New CAR T-Cell Therapy Extends Remission In Heavily Relapsed Multiple Myeloma Patients
UT Southwestern Medical Center

DALLAS – March 8, 2021 – A new type of CAR T-cell therapy more than triples the expected length of remission for multiple myeloma patients who have relapsed several times, according to an international clinical trial with UT Southwestern as the lead enrolling site.

Released: 5-Mar-2021 10:20 AM EST
After the Elderly, Those with Intellectual Disabilities are at Greatest Risk of Death from COVID-19
Thomas Jefferson University

A study of national data shows the devastating impact the pandemic has had on those with intellectual disabilities and their caregivers.

Released: 1-Mar-2021 5:05 PM EST
#YearofCOVID: The Evolution of Care
Cedars-Sinai

Peter Chen, MD, remembers those early days of March 2020 as one of swirling hyperactivity in the intensive care unit he leads at Cedars-Sinai. Chen and his team were struggling to respond to an emerging health crisis that was quickly growing into a global pandemic.

Released: 1-Mar-2021 4:10 PM EST
Repurposed Arthritis Drug Did Not Significantly Improve Severe COVID-19 Pneumonia
UC San Diego Health

A repurposed drug used to treat arthritis did not significantly improve the outcomes of patients with severe COVID-19 pneumonia. Tocilizumab did not significantly improve clinical status or mortality rate at 28 days for participants who received it compared to a placebo.

24-Feb-2021 2:30 PM EST
CAR T-cell therapy generates lasting remissions in patients with multiple myeloma
Dana-Farber Cancer Institute

In a major advance in the treatment of multiple myeloma, a CAR T-cell therapy has generated deep, sustained remissions in patients who had relapsed from several previous therapies, an international clinical trial has found.

22-Feb-2021 1:55 PM EST
Global study finds diet high in poor quality carbohydrates increases heart disease and death
McMaster University

A total of 137,851 people aged 35 to 70 years old were followed for a median of 9.5 years through the Population Urban and Rural Epidemiology (PURE) study run by the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences.

Released: 17-Feb-2021 7:05 PM EST
Five Years Later: Penn-developed CAR T Therapy Shows Long-lasting Remissions in Non-Hodgkin Lymphomas
Perelman School of Medicine at the University of Pennsylvania

A significant number of non-Hodgkin lymphoma (NHL) patients in a Penn Medicine-initiated clinical trial continue to be in remission five years after receiving the chimeric antigen receptor (CAR) T cell therapy Kymriah™, researchers in Penn’s Abramson Cancer Center reported today in the New England Journal of Medicine.

15-Feb-2021 4:30 PM EST
Study Discovers Safe, Effective Oral Treatment for Uterine Fibroids
University of Chicago Medical Center

A University of Chicago Medicine researcher working with an international team of scientists has developed a daily oral combination therapy that is reliable, safe and effective for long-term treatment of uterine fibroids.

15-Feb-2021 9:50 AM EST
Medication Keeps More Patients with ANCA-Associated Vasculitis in Remission Than Steroids
Perelman School of Medicine at the University of Pennsylvania

Avacopan, which targets a receptor that attracts the cells that cause inflammation, was shown to be more effective at keeping patients in remission for a year than prednisone

15-Feb-2021 11:55 AM EST
High Patient Uptake for Text Message System Monitoring Opioid Use in Real-Time
Perelman School of Medicine at the University of Pennsylvania

Among the orthopaedic surgery patients in a study using text messaging to monitor opioid use, 61 percent of their tablets were found to be left over

   
Released: 16-Feb-2021 10:05 PM EST
Os achados do estudo melhoram a precisão das estimativas de risco de câncer de mama para mulheres sem histórico familiar
Mayo Clinic

Um novo estudo multi-institucional liderado pelo Fergus Couch, Ph.D, um patologista da Mayo Clinic, fornece estimativas mais precisas do risco de câncer de mama para mulheres dos EUA que têm mutações herdadas nos genes de predisposição do câncer de mama.

13-Feb-2021 12:05 PM EST
Immunotherapy – targeted drug combination improves survival in advanced kidney cancer
Dana-Farber Cancer Institute

Patients with advanced kidney cancer, who received a targeted drug combined with a checkpoint-blocker immunotherapy agent had longer survival than patients treated with the standard targeted drug, said an investigator from Dana-Farber Cancer Institute, reporting results from a phase 3 clinical trial.

12-Feb-2021 10:45 AM EST
Yale Cancer Center Study Shows Targeted Therapy Improves Survival for Advanced Bladder Cancer
Yale Cancer Center/Smilow Cancer Hospital

In a new study led by researchers at Yale Cancer Center, the drug enfortumab vedotin significantly prolonged survival as compared with standard chemotherapy in patients with locally advanced or metastatic urothelial carcinoma or bladder cancer, who had previously received platinum-based treatment and a PD-1–PD-L1 inhibitor.

Released: 11-Feb-2021 9:30 AM EST
Implant Improves Balance, Movement and Quality of Life for People with Inner Ear Disorder
Johns Hopkins Medicine

Getting around without the need to concentrate on every step is something most of us can take for granted because our inner ears drive reflexes that make maintaining balance automatic. However, for about 1.8 million adults worldwide with bilateral vestibular hypofunction (BVH) — loss of the inner ears’ sense of balance — walking requires constant attention to avoid a fall. Now, Johns Hopkins Medicine researchers have shown that they can facilitate walking, relieve dizziness and improve quality of life in patients with BVH by surgically implanting a stimulator that electrically bypasses malfunctioning areas of the inner ear and partially restores the sensation of balance.

Released: 3-Feb-2021 8:15 AM EST
研究结果提高了无家族史女性乳腺癌风险评估的准确性
Mayo Clinic

妙佑医疗国际(Mayo Clinic) 病理学家Fergus Couch博士主持的一项新的多机构研究为携带乳腺癌易感基因遗传突变的美国女性提供了更准确的乳腺癌风险评估。于1月20日星期三发表在《New England Journal of Medicine》(新英格兰医学杂志)上的CARRIERS Consortium研究结果让医疗服务提供者能够更好地评估女性患乳腺癌的风险(其中许多女性都没有乳腺癌家族史),并提供更合适的风险管理策略。

Released: 3-Feb-2021 8:05 AM EST
نتائج دراسة تحسّن دقة تقديرات مخاطر الإصابة بسرطان الثدي للنساء بلا تاريخ عائلي للإصابة بالمرض
Mayo Clinic

تقدم دراسة جديدة شاركت فيها مؤسسات متعددة بقيادة فيرجوس كوتش، الحاصل على درجة الدكتوراه، أخصائي علم الأمراض في مايو كلينك، تقديرات أكثر دقة لخطر الإصابة بسرطان الثدي بالنسبة للنساء الأمريكيات اللاتي يحملن طفرات وراثية في جينات الأُهبة لسرطان الثدي. قد تتيح نتائج دراسة كاريرز كونسورتيوم، التي نُشرت يوم الأربعاء، 20 كانون الثاني/يناير في مجلة نيو إنجلاند الطبية، لمزودي الرعاية الصحية إجراء تقييم أفضل لخطر الإصابة بسرطان الثدي بالنسبة للنساء - وكثير منهن بلا تاريخ عائلي لسرطان الثدي- وتقدِّم استراتيجيات أنسب لإدارة المخاطر

1-Feb-2021 12:40 PM EST
Study finds recommended ICU sedatives equally safe, effective
Vanderbilt University Medical Center

A study published today in the New England Journal of Medicine provides the most definitive evidence to date that, of the two drugs recommended for light sedation of patients receiving mechanical ventilation in the ICU, one is as effective and safe as the other.

Released: 28-Jan-2021 1:05 PM EST
Resultados de estudio ofrecen más exactitud para calcular el riesgo de cáncer de mama en mujeres sin antecedentes familiares
Mayo Clinic

Un nuevo estudio llevado a cabo en varias instituciones y dirigido por el Dr. Fergus Couch, patólogo en Mayo Clinic, aporta un cálculo más exacto sobre el riesgo de cáncer de mama en las mujeres estadounidenses con mutaciones heredadas en los genes de predisposición a ese tipo de cáncer.

25-Jan-2021 1:05 PM EST
Hormonal IUDs Are a Viable and Underutilized Method for Emergency Contraception
University of Utah Health

in a first-of-its-kind study, University of Utah Health scientists found that hormonal IUDs were comparable to copper IUDs for use as emergency contraceptives. The researchers say the finding supports adding hormonal IUDs to current emergency contraception options.

Released: 26-Jan-2021 7:40 AM EST
恢复期血浆抗体水平与COVID-19致死风险
Mayo Clinic

妙佑医疗国际(Mayo Clinic) 的研究人员和合作者发现,在未使用呼吸机的COVID-19住院患者中,输注含高水平抗体的恢复期血浆与COVID-19死亡率下降有关。研究结果“恢复期血浆抗体水平与COVID-19致死风险”于2021年1月13日发表在《New England Journal of Medicine》(新英格兰医学杂志)上。

Released: 25-Jan-2021 5:50 PM EST
Los niveles de anticuerpos en plasma convaleciente y el riesgo de muerte por COVID-19
Mayo Clinic

Investigadores y colaboradores de Mayo Clinic descubrieron una asociación entre la administración de plasma convaleciente con alta carga de anticuerpos y menores tasas de mortalidad en pacientes internados con COVID-19 sin respirador.

Released: 22-Jan-2021 8:25 AM EST
Mutations Commonly Linked to Breast Cancer Found to Pose No Increased Risk, Population Study Reveals
Perelman School of Medicine at the University of Pennsylvania

Several genetic mutations previously linked to breast cancer and included on commercial genetic tests, including direct-to-consumer tests, were found not to increase a woman’s risk of disease, according to a population study of more than 64,000 women published online today in the New England Journal of Medicine from several institutions, including Penn Medicine.

Released: 21-Jan-2021 8:10 AM EST
Study findings improve accuracy of breast cancer risk estimates for women with no family history
Mayo Clinic

A new multi-institution study led by Fergus Couch, Ph.D., a Mayo Clinic pathologist, provides more accurate estimates of breast cancer risk for U.S. women who harbor inherited mutations in breast cancer predisposition genes.

Released: 20-Jan-2021 4:55 PM EST
CRISPR technology to cure sickle cell disease at UIC
University of Illinois Chicago

University of Illinois Chicago is one of the U.S. sites participating in clinical trials to cure severe red blood congenital diseases such as sickle cell anemia or Thalassemia by safely modifying the DNA of patients’ blood cells.

   
Released: 15-Jan-2021 1:30 PM EST
New England Journal of Medicine publishes COVID-19 treatment trial results
University of Texas at San Antonio

A clinical trial involving COVID-19 patients hospitalized at UT Health San Antonio and University Health, among roughly 100 sites globally, found that a combination of the drugs baricitinib and remdesivir reduced time to recovery, according to results published Dec. 11 in the New England Journal of Medicine.

Released: 13-Jan-2021 5:05 PM EST
New Combination Drug Therapy Offers Hope Against Methamphetamine Addiction
UT Southwestern Medical Center

DALLAS – Jan. 13, 2021 – A new treatment that combines two existing medications may provide long-sought relief for many battling debilitating methamphetamine use disorder, according to a study to be published tomorrow in The New England Journal of Medicine.

Released: 11-Jan-2021 2:45 PM EST
Study: Treatment-related complication for blood cancer patients could be reduced
Indiana University

Researchers at the Indiana University Melvin and Bren Simon Comprehensive Cancer Center published promising findings today in the New England Journal of Medicine on preventing a common complication to lifesaving blood stem cell transplantation in leukemia.

Released: 8-Jan-2021 2:35 PM EST
COVID-19 may damage blood vessels in the brain – not nerve cells
Uniformed Services University of the Health Sciences (USU)

Many individuals with COVID-19 say they experience headaches, along with a “fuzziness” or brain fog that can persist for weeks or months following recovery from the acute respiratory symptoms. This is sometimes referred to as “COVID brain.” The long-term clinical implications of infection by the virus continue to baffle scientists and, until now, the neurological manifestations have been believed to be a result of direct damage to nerve cells. However, a new study in the New England Journal of Medicine suggests the virus might actually damage the brain’s small blood vessels rather than nerve cells, themselves.

Released: 8-Jan-2021 11:55 AM EST
Experts tap into behavioral research to promote COVID-19 vaccination in the U
North Carolina State University

As the first doses of COVID-19 vaccines are being rolled out, it is still unclear whether enough Americans are willing to be vaccinated to allow the nation to return to normalcy.

   
Released: 31-Dec-2020 1:30 PM EST
Transfusions with higher red blood cell levels do not improve preterm baby outcomes
George Mason University

Very low birthweight infants are at a high risk for anemia and often need blood transfusions to survive.

Released: 25-Nov-2020 11:05 AM EST
BIDMC researchers reveal how genetic variations are linked to COVID-19 disease severity
Beth Israel Lahey Health

New research BIDMC-led sheds light on the genetic risk factors that make individuals more or less susceptible to severe COVID-19.

Released: 23-Nov-2020 7:55 AM EST
CODA Appendicitis Trial Shows the Risks and Benefits of Treating Appendicitis with Antibiotics Instead of Surgery
RUSH

Antibiotics may be a good treatment choice for some appendicitis patients, according to early results from the Comparing Outcomes of antibiotic Drugs and Appendectomy (CODA) trial reported in the New England Journal of Medicine.

18-Nov-2020 3:05 PM EST
Mass Eye and Ear Experts Urge Food and Drug Administration to Allow Over-The-Counter Hearing Aid Devices
Massachusetts Eye and Ear

Hearing experts advocate in The New England Journal of Medicine for the FDA to implement the Over-the-Counter Hearing Aid Act of 2017. The FDA missed the deadline to release the much-anticipated regulations on August 18, 2020

Released: 17-Nov-2020 11:00 AM EST
Story Tips From Johns Hopkins Experts On COVID-19
Johns Hopkins Medicine

For many of us, this year’s holiday season may look different, and many are asking how we can enjoy the fellowship of the season while keeping ourselves, our loved ones and our communities safe from COVID-19.

Released: 17-Nov-2020 8:55 AM EST
Patients taking statins experience similar side effects from dummy pills
Imperial College London

People taking dummy pills and statins experienced similar side effects in a new study.

Released: 16-Nov-2020 12:05 PM EST
Cleveland Clinic Led Trial Shows Drug Effective in 96% of Patients with Recurrent Pericarditis
Cleveland Clinic

Cleveland: Cleveland Clinic researchers leading a global clinical trial have found that rilonacept, an FDA approved drug for other inflammatory diseases, resolved acute pericarditis episodes and reduced risk of pericarditis recurrence. The study was published today in the New England Journal of Medicine and presented at the American Heart Association’s Scientific Sessions.

13-Nov-2020 4:30 PM EST
Study Shows Ablation Procedure More Effective Than Medications for Initial Treatment of Atrial Fibrillation
Cleveland Clinic

Cleveland: Cleveland Clinic researchers have found that cryoballoon ablation as the initial treatment for atrial fibrillation is more effective than current standard-of-care management using medications. The study was published today in the New England Journal of Medicine.

15-Nov-2020 10:40 AM EST
A Novel Monoclonal Antibody Therapy Cuts LDL Cholesterol by Half in a High-Risk Patient Population, Study Shows
Mount Sinai Health System

The investigational drug evinacumab reduced low-density lipoprotein (LDL) cholesterol—the so-called “bad” cholesterol—by 50 percent in patients with severe hypercholesterolemia whose condition is resistant to standard treatments, a phase 2 study from the Icahn School of Medicine of Mount Sinai and other global academic sites has found.

12-Nov-2020 3:05 PM EST
Polypill along with aspirin cuts heart attacks and strokes by up to 40%: International study
McMaster University

The information came from the International Polycap Study 3 (TIPS-3) study which followed the participants an average of 4.6 years. The study of 5,714 people from nine countries, particularly India and the Philippines, looked at the polypill alone compared to a placebo; aspirin alone versus a placebo, and the polypill plus aspirin versus a double placebo. The men in the study were 50 or older and the women were 55 or older.

10-Nov-2020 11:20 AM EST
Study of Nearly 2,000 Marine Recruits Reveals Asymptomatic SARS-CoV-2 Transmission Among Young Adults During Supervised Quarantine
Mount Sinai Health System

Results suggest the need for widespread surveillance testing to reduce COVID-19 transmission in group settings

Released: 2-Nov-2020 1:45 PM EST
NEJM Features University of Miami Expertise in Handling Elective Surgeries during Pandemic Surges
University of Miami Health System, Miller School of Medicine

Three medical authors published a clinical decisions article in the New England Journal of Medicine documenting three approaches to managing elective surgery during COVID-19 given the same scenario.

Released: 30-Oct-2020 8:25 AM EDT
NEJM: Clinical Trial Indicates Monoclonal Antibody Lowered Hospitalizations and Emergency Visits
Cedars-Sinai

COVID-19 (coronavirus) patients who were administered a novel antibody had fewer symptoms and were less likely to require hospitalization or emergency medical care than those who did not receive the antibody, according to a new study published in the The New England Journal of Medicine.



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