Curated News: NEJM

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16-Oct-2019 9:00 AM EDT
Artificial Pancreas System Better Controls Blood Glucose Levels than Current Technology
Mount Sinai Health System

Study based at the Icahn School of Medicine at Mount Sinai and other centers finds new system has safety, efficacy benefits for people with type 1 diabetes

Released: 3-Oct-2019 5:05 PM EDT
Según estudios, la lesión pulmonar asociada al uso del cigarrillo electrónico podría ser producto de los vapores tóxicos
Mayo Clinic

La investigación sobre la anatomía patológica de la lesión pulmonar asociada al uso del cigarrillo electrónico está en etapas iniciales, pero, de acuerdo con un estudio llevado adelante por Mayo Clinic que se publicó en el The New England Journal of Medicine, las lesiones pulmonares por uso del cigarrillo electrónico posiblemente son producto de la intoxicación directa o del daño en los tejidos provocado por los vapores químicos nocivos.

Released: 2-Oct-2019 5:05 PM EDT
Lesão pulmonar associada ao uso de cigarros eletrônicos pode ser causada por vapores químicos tóxicos, segundo estudo
Mayo Clinic

Um estudo liderado pela Mayo Clinic publicado no The New England Journal of Medicine descobriu que as lesões pulmonares causadas pelo uso de cigarros eletrônicos provavelmente são causadas por toxicidade direta ou dano tecidual causado por vapores químicos nocivos.

Released: 2-Oct-2019 5:05 PM EDT
Mit dem Vaping verbundene Lungenverletzungen können von giftigen chemischen Dämpfen verursacht werden, findet Studie heraus
Mayo Clinic

Eine von der Mayo Clinic geleitete Studie, die in The New England Journal of Medicine veröffentlicht wurde, hat ergeben, dass Lungenverletzungen durch Vaping höchstwahrscheinlich von der direkten Toxizität oder Gewebeverletzungen durch giftige chemische Dämpfe verursacht.

Released: 2-Oct-2019 5:05 PM EDT
D'après une étude, des lésions pulmonaires associées au vapotage pourraient être causées par des fumées chimiques toxiques
Mayo Clinic

Une étude menée par la Mayo Clinic et publiée dans The New England Journal of Medicine révèle que les lésions pulmonaires dues au vapotage sont très probablement causées par une toxicité directe ou des lésions tissulaires dues à des vapeurs chimiques nocives.

1-Oct-2019 3:00 PM EDT
Vaping-associated lung injury may be caused by toxic chemical fumes, study finds
Mayo Clinic

Research into the pathology of vaping-associated lung injury is in its early stages, but a Mayo Clinic study published in The New England Journal of Medicine finds that lung injuries from vaping most likely are caused by direct toxicity or tissue damage from noxious chemical fumes.

Released: 2-Oct-2019 4:05 PM EDT
دراسة تكتشف أن إصابة الرئة المصاحبة لتدخين السجائر الإلكترونية قد تنتج عن أبخرة كيميائية
Mayo Clinic

لا يزال البحث في علم أمراض إصابات الرئة المصاحبة لتدخين السجائر الإلكترونية في مراحله الأولية، ولكن دراسة أجرتها Mayo Clinic ونشرتها في المجلة الطبية The New England Journal of Medicine وجدت أن إصابات الرئة بسبب تدخين السجائر الإلكترونية غالبًا ما تنتج عن التسمم المباشر أو تلف الأنسجة من جراء الأبخرة الكيميائية الضارة.

Released: 1-Oct-2019 11:05 AM EDT
Study Assesses Asthma Treatment Options in African American Children and Adults
Ann and Robert H. Lurie Children's Hospital of Chicago

A new study of African Americans with poorly controlled asthma, found differences in patients’ responses to commonly used treatments. Contrary to what researchers had expected, almost half of young children in the study responded differently than older children and adults, and than white children in prior studies.

Released: 30-Sep-2019 4:00 AM EDT
Three-Year COAPT Data Demonstrates Continued Safety and Effectiveness in Patients with Heart Failure and Secondary Mitral Regurgitation
Cardiovascular Research Foundation (CRF)

The three-year results from the COAPT trial demonstrated that reducing severe secondary mitral regurgitation (SMR) with the MitraClip device safely improves prognosis in selected heart failure (HF) patients. In addition, those patients that crossed over and received the MitraClip after 24 months showed the same benefits as those who received the device at the beginning of the study. Two-year data were presented at TCT 2018 and published in the New England Journal of Medicine.

Released: 30-Sep-2019 4:00 AM EDT
New Data Show that Patients with Left Main Disease Treated with PCI or CABG Have Similar Composite Outcomes at Five Years
Cardiovascular Research Foundation (CRF)

Patients with left main coronary artery disease (LMCAD) typically have a poor prognosis due to the large amount of myocardium at risk. Revascularization with either percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG) has been shown to prolong survival in patients with left main disease compared with medical therapy alone. Three-year data from the large-scale randomized ECXEL trial found no significant difference in the composite rate of death, stroke or myocardial infarction (MI) between the two treatments, with a reduction in 30-day major adverse events with PCI. These results were first reported at TCT 2016 and published in NEJM.

29-Sep-2019 2:05 PM EDT
Triplet-targeted therapy improves survival for patients with advanced colorectal cancer and BRAF mutations
University of Texas MD Anderson Cancer Center

The three-drug combination of encorafenib, binimetinib and cetuximab significantly improved overall survival (OS) in patients with BRAF-mutated metastatic colorectal cancer (mCRC), according to results of the BEACON CRC Phase III clinical trial led by researchers at The University of Texas MD Anderson Cancer Center.

27-Sep-2019 2:05 PM EDT
PARP inhibitor plus chemotherapy improves progression-free survival for advanced ovarian cancer patients
University of Texas MD Anderson Cancer Center

Researchers from The University of Texas MD Anderson Cancer Center reported study results showing that initial treatment with the PARP inhibitor veliparib in combination with chemotherapy significantly increased progression-free survival (PFS) for patients with newly diagnosed, metastatic high-grade serous ovarian cancer, according to the results of the VELIA trial.

25-Sep-2019 2:05 PM EDT
International study finds similar results from total or partial hip replacement
McMaster University

The trial was conducted on 1,495 patients 50 or older who had been able to walk before having a displaced femoral neck fracture, at 80 centres in the 10 countries of Canada, the U.S., Spain, United Kingdom, Netherlands, Norway, Finland, Australia, New Zealand and South Africa.

Released: 26-Sep-2019 3:05 PM EDT
Coronary Stent Patients May Not Need Long-Term Aspirin
Mount Sinai Health System

Results from international clinical trial ‘TWILIGHT’ could change standard of care for high-risk cases

23-Sep-2019 4:20 AM EDT
Secret-Shopper-Style Study Shows Online Birth Control Prescription Overall Safe, Efficient
Harvard Medical School

Secret-shopper-style study of nine Web-based and digital-app vendors of contraception scripts shows their services are overall safe and efficient Analysis also reveals reliable screening by vendors for contraindicated health conditions and medications in line with CDC prescription guidelines Such services may help reduce barriers to contraception and expand access for underserved populations Further improvements needed, particularly in counseling about alternative birth control methods and ensuring patient ability to adhere to prescribed medication

23-Sep-2019 1:30 PM EDT
Two Studies Evaluating Agents to Treat Ulcerative Colitis Published in The New England Journal of Medicine
Mount Sinai Health System

In the first clinical trial to evaluate two biologic therapies for moderate to severe ulcerative colitis (UC) head to head, Mount Sinai researchers found vedolizumab to be superior to adalimumab in a variety of measures. In a separate study, the investigators reported that ustekinumab is more effective than placebo as an induction and maintenance therapy for UC. The studies were published today in the The New England Journal of Medicine.

16-Sep-2019 1:00 PM EDT
Randomized Quality Improvement Projects Help Assess Effectiveness of Patient-focused Programs
NYU Langone Health

Hospitals routinely implement processes aimed at increasing provision of high quality care for patients, such as calling patients to encourage follow-up visits or providing doctors and nurses with alerts in electronic health records to prompt reminders for vaccinations.

13-Sep-2019 2:05 PM EDT
All-in-One Pill Reduces Blood Pressure, Cholesterol Levels in U.S. Study
Vanderbilt University Medical Center

A single pill containing low doses of three medications to treat high blood pressure and one to lower cholesterol reduced the estimated risk of cardiovascular disease by 25% in a study published today in the New England Journal of Medicine (NEJM).

9-Sep-2019 1:00 PM EDT
Lowy Medical Research Institute Scientists Find Cause of Debilitating Eye Disease
Lowy Medical Research Institute

Scientists at the Lowy Medical Research Institute (LMRI) have discovered one cause of a progressive, debilitating eye disease called macular telangiectasia type 2 (MacTel). The work, using genetic, clinical and biochemical studies has implications for other retinal eye diseases, as well as peripheral neuropathies.

11-Sep-2019 10:00 AM EDT
John A. Moran Eye Center Researcher, Patients, Play Key Role in Genetic Discovery Linked to Rare Eye Disease
University of Utah Health

Paul S. Bernstein, MD, PhD, spent more than a decade working with families at the John A. Moran Eye Center at the University of Utah on the hunt for the first gene known to cause a rare retinal disease known as MacTel.

Released: 9-Sep-2019 4:05 PM EDT
Unmarried Patients Less Likely to Survive Cancer as Bias Drives Treatments
University of Delaware

Unmarried patients with cancer are less likely to get potentially life-saving surgery or radiotherapy than their married counterparts, raising the concern that medical providers may be relying on stereotypes that discount sources of social support other than a current spouse. That's the conclusion reached by the University of Delaware's Joan DelFattore, a professor emerita who combined her personal experience as an unmarried patient with her skills as a researcher to publish a peer-reviewed article in the latest issue of The New England Journal of Medicine.

28-Aug-2019 4:55 PM EDT
Preventative artery repair provides major benefit after serious heart attack
McMaster University

The new study, a collaboration of 130 hospitals in 31 countries, has shown that opening all the blockages is better than treating only the one blockage causing the heart attack. This led to a 26 per cent reduction in the patient’s risk of dying or having a recurrent heart attack.

16-Aug-2019 11:00 AM EDT
Unprecedented Therapy Found Effective for Blood Cancer Patients With No Treatment Options
Mount Sinai Health System

Mount Sinai researchers have found a new type of therapy to be effective for patients with a particular type of bone marrow cancer that is resistant to several standard therapies, according to results of a clinical trial published in The New England Journal of Medicine in August.

9-Aug-2019 10:30 AM EDT
Surgeons report success in reducing opioid prescribing without increasing patients’ pain
Michigan Medicine - University of Michigan

A new study shows how one state’s surgeons reduced the number of opioids they prescribed to thousands of patients -- without causing patients to feel more pain or less satisfied with their surgical experience.

Released: 8-Aug-2019 4:25 AM EDT
Promising Clinical Trial Results for Drug for Rare Disease in Which Patients Can’t Eat Fat
UC San Diego Health

In a Phase III clinical trial, the drug volanesorsen significantly reduced blood fat (triglyceride) levels in participants with a rare disease called familial chylomicronemia syndrome; finding could also help inform better prevention methods and treatments for many types of heart disease.

29-Jul-2019 4:00 PM EDT
Physician Leaders Call for Action to Create a New Generation of Physician-Scientists
University Hospitals Cleveland Medical Center

In a perspective article in the New England Journal of Medicine, a group of prominent physician-scientist leaders proposes a plan for increasing the number of physicians who conduct research looking for tomorrow’s breakthroughs and cures. They write, “Revitalizing the physician-scientist pipeline is of critical importance to overcoming current and future health challenges.”

Released: 31-Jul-2019 4:05 PM EDT
Scientists Discover Autoimmune Disease Associated with Testicular Cancer
UCSF Helen Diller Family Comprehensive Cancer Center

Using advanced technology, scientists at Chan Zuckerberg (CZ) Biohub, Mayo Clinic and UC San Francisco, have discovered an autoimmune disease that appears to affect men with testicular cancer.

23-Jul-2019 5:00 PM EDT
Targeted therapy erdafitinib effective for patients with advanced bladder cancer and specific gene mutations
University of Texas MD Anderson Cancer Center

A Phase II clinical trial led by MD Anderson found that treatment with the FGFR inhibitor erdafitinib was effective in 40% of patients with metastatic bladder cancers marked by FGFR3 mutations. The trial results led to FDA approval of the drug.

12-Jul-2019 11:05 AM EDT
Sustainable Savings on Medical Care
Harvard Medical School

Over eight years, patients covered under a global budget payment model for doctors and hospitals showed slower spending growth and better quality than comparable populations mostly under the traditional fee-for-service model.

5-Jul-2019 12:40 PM EDT
Novel Therapy for Acute Migraine Shows Promise in Phase 3 Clinical Trial
Albert Einstein College of Medicine and Montefiore Health System

A drug belonging to a new generation of acute migraine headache treatments was found to eliminate pain and reduce bothersome symptoms for people with migraine in a large-scale trial reported in the July 11 issue of The New England Journal of Medicine. The drug, rimegepant, is awaiting U.S. Food and Drug Administration approval and may offer advantages over currently available migraine medications. The study was led by researchers at Albert Einstein College of Medicine and Montefiore Health System.

21-Jun-2019 2:05 PM EDT
Hidden Consciousness Detectable with EEG Just Days after Brain Injury
Columbia University Irving Medical Center

Nearly 1 in 7 brain-injured patients show early evidence of hidden consciousness—as revealed by EEG analysis—and are more likely to recover, researchers at Columbia have found.

Released: 19-Jun-2019 8:05 AM EDT
3 Signs of Progress Against Sickle Cell Disease
Cincinnati Children's Hospital Medical Center

June 19 is World Sickle Cell Awareness Day. Scientists at Cincinnati Children's have recently made three important steps forward in helping people with sickle cell in the U.S. and in sub-Saharan Africa live longer, better lives.

Released: 18-Jun-2019 10:00 AM EDT
Study Shows Experimental Drug Can Encourage Bone Growth in Children with Dwarfism
Johns Hopkins Medicine

Researchers at Johns Hopkins Medicine, the Murdoch Children’s Research Institute in Australia and seven other medical institutions report that an experimental drug called vosoritide, which interferes with certain proteins that block bone growth, allowed the average annual growth rate to increase in a study of 35 children and teenagers with achondroplasia, a form of dwarfism. The patients’ average boost in height to about 6 centimeters (2.4 inches) per year is close to growth rates among children of average stature, and the side effects of the drug were mostly mild, according to the researchers.

Released: 10-Jun-2019 9:45 AM EDT
Study Drug Delays Type 1 Diabetes in High Risk Children and Adults
Vanderbilt University Medical Center

A drug that targets the immune system can delay the onset of type 1 diabetes an average of two years in children and adults at high risk, according to findings from TrialNet’s Teplizumab (anti-CD3) Prevention Study published in the New England Journal of Medicine.

Released: 10-Jun-2019 8:00 AM EDT
How to Improve Care for Patients with Disabilities? We Need More Providers Like Them
Johns Hopkins Medicine

It is common for patients to prefer seeking care from a clinician similar to them — such as of the same gender, ethnicity and culture — who can relate to their experiences and make treatment plans that work better for their lives. To meet these preferences from patients and improve quality of care, a diverse clinician workforce that matches the diversity in the general population is needed. However, when it comes to patients with disabilities, the chance of getting a clinician “like them” is extremely low, which may lead to patients’ reluctance to seek care or follow prescribed interventions and treatments. Meanwhile, without adequate scientists with disabilities bringing perspectives to patient-centered research, the ability to improve care for patients with disabilities is limited.

Released: 3-Jun-2019 11:05 AM EDT
POLO trial for advanced pancreatic cancer: a new standard of care
University of Chicago Medical Center

Treatment with the drug olaparib significantly reduced the risk of disease progression or death from metastatic pancreatic cancer, according to findings from the recently completed, international, phase-III POLO (Pancreas cancer OLaparib Ongoing) trial.

2-Jun-2019 6:30 AM EDT
Enzalutamide improves survival for men with metastatic hormone-sensitive prostate cancer
Dana-Farber Cancer Institute

Enzalutamide, an oral androgen receptor inhibitor, can improve outcomes for men with metastatic hormone-sensitive prostate cancer (mHSPC), according to a large study presented by Christopher Sweeney, MBBS of Dana-Farber Cancer Institute's Lank Center for Genitourinary Oncology, during the American Society of Clinical Oncology (ASCO) Annual Meeting.

1-Jun-2019 7:30 AM EDT
Adding ribociclib to hormone therapy extends lives of women with most common metastatic breast cancer
University of California, Los Angeles (UCLA), Health Sciences

A UCLA-led study has found that using a drug called ribociclib in combination with a common hormone therapy may help premenopausal women with the most common type of breast cancer live longer than if they only receive the hormone therapy.

31-May-2019 7:30 AM EDT
Ribociclib plus hormone therapy extends survival for patients with premenopausal advanced hormone receptor-positive breast cancer
University of Texas MD Anderson Cancer Center

Adding the targeted therapy ribociclib to hormone therapy significantly improved overall survival (OS) in premenopausal patients with advanced hormone receptor-positive (HR+) breast cancer, according to results of the MONALEESA-7 Phase III clinical trial led by researchers at The University of Texas MD Anderson Cancer Center.

Released: 31-May-2019 11:50 PM EDT
International Clinical Trial of New Drug for Men with Advanced Prostate Cancer Yields Strong Results
Huntsman Cancer Institute at the University of Utah

Today the New England Journal of Medicine published the first results of a phase III international clinical study called TITAN (National Clinical Trials Number 02489318), which evaluated the effectiveness and safety of a new drug, apalutamide, to treat advanced prostate cancers. This publication accompanies a presentation today that outlines the study results at the American Society for Clinical Oncology (ASCO). Researchers found that treatment with apalutamide significantly improved overall survival, with a 33% reduction in risk of death compared to standard-of-care therapy. Additionally, this study showed apalutamide significantly delayed disease progression and increased the amount of time until a patient has to receive chemotherapy.

Released: 30-May-2019 12:05 PM EDT
NYU Langone Hospital–Brooklyn Appoints Director of Vascular Neurology, Comprehensive Stroke Center
NYU Langone Hospital - Brooklyn

Board certified in neurology and vascular neurology, Shadi Yaghi, MD, will oversee the Joint Commission–accredited Comprehensive Stroke Center at NYU Langone Hospital–Brooklyn and director clinical vascular neurology research for NYU Langone Health.

28-May-2019 12:05 PM EDT
Study reports ibrutinib and venetoclax combo effective as front-line therapy for select chronic lymphocytic leukemia patients
University of Texas MD Anderson Cancer Center

Ibrutinib and venetoclax, two FDA-approved drugs for treating chronic lymphocytic leukemia (CLL), have been shown to be effective when given together for high-risk and older patients with the disease, according to a study at The University of Texas MD Anderson Cancer Center.

21-May-2019 1:05 PM EDT
Black Men Less Likely Than Nonblack Patients to Adopt Active Surveillance for Low-Risk Prostate Cancer
Dana-Farber Cancer Institute

At a time when a growing number of men with prostate cancer considered “low risk” are opting for active surveillance or watchful waiting rather than immediate treatment with surgery or radiation, a new study reveals that black men are less likely than white men to adopt an active surveillance strategy for their disease.

16-May-2019 5:05 PM EDT
Deep Sedation and Controlled Paralysis Do Not Improve Survival of Critically Ill Patients with Severe Breathing Difficulty
Health Sciences at the University of Pittsburgh

Reversibly paralyzing and heavily sedating hospitalized patients with severe breathing problems do not improve outcomes in most cases, according to a clinical trial conducted at dozens of North American hospitals. The trial settles a long-standing debate in the critical care medicine community.

Released: 16-May-2019 3:05 PM EDT
تظهر الدراسة أن الدواء يقلل من خطر الانتكاس لمرض التهاب النخاع والعصب البصري
Mayo Clinic

قلّل دواء إيكوليزوماب "eculizumab"، وهو عبارة عن جسم مضاد اصطناعي يثبّط الاستجابة الالتهابية، بشكل كبير من مخاطر الانتكاس لمرض اضطراب طيف التهاب النخاع والعصب البصري (NMOSD). قد يسبب هذا الاضطراب الالتهابي المناعي الذاتي الذي يُعدّ مرضًا نادرًا لكنه حاد الإصابة بالعمى والشلل والموت. قدّم الباحثون والمتعانون الدوليون لدى Mayo Clinic النتائج التي توصلوا إليها في دراسة عشوائية مزدوجة التعمية باستخدام دواء وهمي، والتي نشرت في المجلة الطبية New England Journal of Medicine . وسيتم تقديم عملهم أيضًا في جلسة منصة العلوم الناشئة، وهي جزء من الاجتماع السنوي الواحد والسبعين للأكاديمية الأمريكية لعلم الأعصاب المنعقد في الفترة ما بين 4 إلى 10 مايو/أيّار في فيلادلفيا.

Released: 16-May-2019 3:05 PM EDT
Estudo mostra que droga reduz risco de recaída da neuromielite óptica
Mayo Clinic

O medicamento eculizumab, um anticorpo sintético que inibe a resposta inflamatória, reduziu significativamente o risco de recaída do doenças do espectro neuromielite óptica (NMOSD). Esse distúrbio inflamatório autoimune raro, mas grave, pode causar cegueira, paralisia e morte.

Released: 9-May-2019 8:45 AM EDT
How Nipah Virus Spreads From Person to Person: Lessons From 14 Years of Investigations
Johns Hopkins Bloomberg School of Public Health

The deadly Nipah virus, which is carried by bats and occasionally infects people, is more likely to be transmitted from person to person when the infected patient is older, male and/or has breathing difficulties, according to a study co-led by scientists at the Johns Hopkins Bloomberg School of Public Health.

Released: 3-May-2019 12:05 AM EDT
Study shows drug reduces risk of relapse with neuromyelitis optica
Mayo Clinic

The drug eculizumab, a synthetic antibody that inhibits the inflammatory response, significantly reduced the risk of relapse with neuromyelitis optica spectrum disorder (NMOSD). Mayo Clinic researchers and international collaborators published their findings in the New England Journal of Medicine.

Released: 30-Apr-2019 10:25 AM EDT
ASA Applauds CDC Acknowledgement of Misinterpretation of Opioid Prescribing Guideline
American Society of Anesthesiologists (ASA)

The American Society of Anesthesiologists (ASA) is pleased with the Centers for Disease Control and Prevention (CDC) article published in the New England Journal of Medicine acknowledging problems with the agency’s Guideline for Prescribing Opioids for Chronic Pain. ASA has been a longtime advocate for the Guideline and was involved in its review and development in 2016.

23-Apr-2019 11:05 AM EDT
Targeted therapy proves effective against aggressive rare blood cancer
Dana-Farber Cancer Institute

Clinical study treating BPDCN with tagraxofusp led to first FDA approval for the disease



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