Hospital prices up 1.7% year-over-year in August

The producer price index for acute-care hospitals increased 1.7 percent between August 2013 and August 2014, according to figures from the Bureau of Labor Statistics. Overall hospital prices also increased 0.1 percent between July and August. The PPI for hospitals measures “changes in actual or expected reimbursement received for services across the full range of […]

CMS: 7.3M signed-up for healthcare through exchanges

As of Thursday, 7.3 million people have both enrolled in and paid for health insurance plans, Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner announced during a hearing of the House Oversight Committee. The announcement comes after a letter from Republican Senators John Barrasso of Wyoming and Tennesse’s Lamar Alexander to Tavenner, requesting an […]

5 ways CEOs can actually change hospital culture

Hospital CEOs should focus less on talking about an organization’s cultureand more on the elements that make up a hospital’s culture, such as mindset, methods, strategies and structures, former physician John Kenagy, M.D., founder of Kenagy & Associates. Health system leaders must develop adaptive concepts that support and foster a culture that can go with […]

Pulmonary Hypertension in Elders Usually Is Not Idiopathic Pulmonary Arterial Hypertension

Authors: Pugh ME et al., Chest 2014 Jul 146:159 Left heart disease was a more likely cause of pulmonary hypertension in an older population. Pulmonary hypertension is being diagnosed in a growing number of older adults, but whether this trend is due to pulmonary arterial hypertension (PAH; pulmonary hypertension not secondary to left heart disease […]

FDA Okays Naloxegol (Movantik) in Opioid-Induced Constipation

The US Food and Drug Administration (FDA) has approved naloxegol (Movantik, AstraZeneca Pharmaceuticals), a peripherally acting opioid receptor antagonist, for the treatment of opioid-induced constipation (OIC) in adults with chronic noncancer pain. OIC is a common adverse effect of opioid use. An estimated 40% to 80% of patients receiving long-term opioid therapy experience OIC, which […]

Spinal Manipulation Associated with Short-Term Relief of Back-Related Leg Pain

Spinal manipulation therapy plus home exercises is more effective than home exercises alone for treating back-related leg pain, according to a study in the Annals of Internal Medicine. Nearly 200 patients with subacute or chronic back-related leg pain were randomized to either spinal manipulation plus home exercises and advice or home exercises and advice alone […]

Finally, Migraine-Specific Preventive Therapy Is on the Horizon

Authors: Dodick DW et al., Lancet Neurol 2014 Sep 13:885 A phase II study of a monoclonal antibody shows great promise for the first specific migraine-prevention therapy. Calcitonin gene-related peptide (CGRP) has been a long-standing therapeutic target of interest in migraine. Small-molecule CGRP receptor antagonists demonstrated effectiveness for the treatment of acute migraine attacks, but […]

Postoperative cognitive function following general versus regional anesthesia: a systematic review

Published in J Neurosurg Anesthesiol. 2014 Oct;26(4):369-76 Authors: Davis N et al Abstract The effect of anesthetic technique on postoperative outcomes remains in question. This systematic review compares the role of regional versus general anesthesia, with a particular focus on postoperative cognitive function. Potentially relevant articles were identified by searching publicly available computerized databases for […]

Cerebral Glucose Metabolism and Sedation in Brain-injured Patients: A Microdialysis Study

Published in J Neurosurg Anesthesiol. 2014 Aug 20 Authors: Hertle DN et al BACKGROUND: Disturbed brain metabolism is a signature of primary damage and/or precipitates secondary injury processes after severe brain injury. Sedatives and analgesics target electrophysiological functioning and are as such well-known modulators of brain energy metabolism. Still unclear, however, is how sedatives impact […]