Blood pressure variability over time, not merely its average level, is a powerful risk factor for stroke, myocardial infarction, and other cardiovascular events, researchers said.

AAOS: Osteoporosis Drugs May Weaken Bones in Long Term (CME/CE)
NEW ORLEANS (MedPage Today) — The gains bisphosphonate use brings in the structural integrity of the femur decay over time in postmenopausal women with osteoporosis, researchers found.

AAOS: Nurse Staffing Level Matters in Hip Fracture Outcomes (CME/CE)
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NEW ORLEANS (MedPage Today) — For vertebral compression fractures, balloon kyphoplasty showed benefits over conservative therapy through two years of follow-up, researchers found.

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For patients without known heart disease, the diagnostic yield of coronary angiography appears to be low, researchers found.

Base VBAC Decision on Evidence, NIH Panel Urges
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White House Expands Program to Fight Fraud and Waste
WASHINGTON (MedPage Today) — President Barack Obama has announced new measures aimed at cracking down on fraud and waste in government programs, including medicare and medicaid.

FDA Reassures on Osteoporosis Drugs
Bisphosphonate drugs for osteoporosis do not seem to increase the risk of femoral fractures, the FDA announced, though the agency will continue to evaluate the possibility.

AAOS: Bone Graft Substitute Used Mostly Off-Label (CME/CE)
NEW ORLEANS (MedPage Today) — The vast majority of spinal procedures using bone morphogenetic protein (BMP) involve off-label uses, researchers found.

Virginia Bans Mandatory Health Insurance
WASHINGTON (MedPage Today) — Virginia has become the first state in the country to ban any requirement that its residents carry health insurance policies.

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Head-to-head studies of different drugs have dominated comparative effectiveness research to date, while other types of studies that might be equally useful have been neglected, researchers said. Pain Common in Systemic Sclerosis (CME/CE) Pain is common and can be severe in patients with systemic sclerosis, a Canadian cross-sectional analysis found. [...]

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Head-to-head studies of different drugs have dominated comparative effectiveness research to date, while other types of studies that might be equally useful have been neglected, researchers said.

Pain Common in Systemic Sclerosis (CME/CE)
Pain is common and can be severe in patients with systemic sclerosis, a Canadian cross-sectional analysis found. This is an underappreciated aspect of this disease.

medicare to Drug Plan Operator: You re Fired
medicare has terminated its contract with Fox Insurance Co., a prescription drug plan operator handling 123,000 beneficiaries in 21 states, because the government said it was improperly denying claims.

Labor Groups Protest Insurance Companies
WASHINGTON (MedPage Today) — Supporters of healthcare reform rallied against health insurers Tuesday, further casting the industry as the villain in the often theatrical healthcare reform debate.

SAN FRANCISCO (MedPage Today) — Robot-assisted surgery for prostate cancer may require alteration in radiation planning but doesn’t preclude sufficient lymph node sampling, according to results of two studies.

ACS Stats Find Gains in War on Cancer
Cancer is not quite the killer it was 20 years ago. The American Cancer Society found that “age-standardized” cancer deaths among men declined by 21% from 1990, while the rate among women declined by 12% from 1991 to 2006.

Labor Groups Protest Insurance Companies
WASHINGTON (MedPage Today) — Supporters of healthcare reform rallied against health insurers Tuesday, further casting the industry as the villain in the often theatrical healthcare reform debate.

Kidney Donors Survive Just Fine (CME/CE, with video)
Donors who gave up a kidney to save another person’s life paid no penalty in their own long-term survival, a study of national data suggested.

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Head-to-head studies of different drugs have dominated comparative effectiveness research to date, while other types of studies that might be equally useful have been neglected, researchers said.

Americans Have Sex into Their 60s and Beyond (CME/CE, with audio)
Thirty-somethings can expect to enjoy at least another 30 years of sex, researchers have found.

ASCO GU: BP Reveals Hit or Miss for Targeted Tx
SAN FRANCISCO (MedPage Today) — Early response to preoperative targeted therapy for metastatic renal cell carcinoma may indicate efficacy, while treatment-induced hypertension may be another marker after surgery, according to studies reported here.

FDA Panels to Advise on LABA Study Designs
The FDA is seeking advice this week from two of its advisory committees on how manufacturers of a major group of asthma drugs should study their potential risks.

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