Sara Freeman, Bianca Nogrady, Tara Haelle, Mary Ann Moon, Bruce Jancin
Topics include: Intensive therapy for psoriatic arthritis • Subclinical hyperthyroidism and fracture risk • Oral contraceptives and VTE risk • Statins, fibrates, and stroke in the elderly • Cystic fibrosis–related diabetes • CVD risk in Hodgkin survivors • Carotid stenosis in central sleep apnea
Here are 7 articles in the July issue of Clinician Reviews (accreditation valid until January 1, 2016):
1. BSR: Multiple Benefits Seen With Intensive Psoriatic Arthritis Therapy Multiple joint and skin benefits can be achieved by intensively treating patients with psoriatic arthritis (PsA) until they achieve a set of minimal disease activity (MDA) criteria (see Table), an expert said at the British Society for Rheumatology annual conference.
2. Subclinical Hyperthyroidism Linked to Higher Fracture Risk Individuals with subclinical hyperthyroidism are at increased risk for hip and other fractures, according to the authors of a meta-analysis. The researchers examined data from 70,298 individuals—4,092 with subclinical hypothyroidism and 2,219 with subclinical hyperthyroidism—enrolled in 13 prospective cohort studies.
3. Newer Oral Contraceptives Pose Higher VTE Risk The risk for venous thromboembolism (VTE) is generally greater for women using oral contraceptives with newer types of progestogen hormones than for those taking older, second-generation birth control pills, study results showed.
4. Statins, Fibrates Lower Stroke Risk in Elderly Both statin and fibrate therapies taken to improve lipid profiles decreased risk for stroke by 30% in a community-dwelling population of elderly people, according to a prospective European study published online in the British Medical Journal.
6. CVD Risk Persists for 40 Years in Hodgkin Survivors People who survive Hodgkin lymphoma in adolescence or young adulthood remain at very high risk for cardiovascular disease (CVD) for at least 40 years—the longest period for which they have been followed, according to the results of a retrospective cohort study of more than 2,500 patients.
7. Asymptomatic Carotid Stenosis and Central Sleep Apnea Linked More than two-thirds of patients with asymptomatic carotid stenosis are likely to have sleep apnea, according to an observational study. The polysomnography results of 96 patients with asymptomatic extracranial carotid stenosis revealed that 69% had sleep apnea: 42% had obstructive sleep apnea (OSA) and 27%, central sleep apnea (CSA).