Obesity May Exacerbate Psoriatic Arthritis Risks, Limit TNFI Effectiveness
October 3rd 2016Analysis of patient records from Denmark and Iceland found that obese psoriatic arthritis patients responded less than their lighter counterparts to tumor necrosis factor inhibitors (TNFIs) and that they used such medications for shorter periods of time.
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Alcohol Consumption Again Linked to Increased AFib Risk
September 23rd 2016“Acute alcohol consumption has long been linked to development of AF. In the Framingham, Copenhagen, and Women's Health Studies, chronic alcohol consumption, especially two or more drinks per day, is associated with up to 30% higher risk for incident AF,†the study authors wrote in the Journal of the American Heart Association.
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Activity Monitors Provide No Improvement in Fitness Study
September 23rd 2016A two-year-long randomized trial has found that wearable monitors that track activity and vital signs — which are obviously designed to help people achieve their fitness goals — actually hindered weight-loss efforts in young adults with body mass indexes (BMIs) between 25 and 40.
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Study Endorses Early TNF Use in Patients with Psoriasis
September 23rd 2016A new model that combines real-world prices with outcome data from both controlled trials and clinical practice indicates that the immediate use of tumor necrosis factor inhibitors (anti-TNFs) is a cost-effective way to achieve good first-year outcomes in patients newly diagnosed with both plaque psoriasis and psoriatic arthritis.
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Analysis: AF Treatment Should Go Beyond Stoke Prevention
September 16th 2016A meta-analysis of 104 cohort studies involving more than 9.5 million patients concludes that atrial fibrillation is associated with elevated rates of cardiovascular disease, renal disease and early death. Its authors conclude the treatment of AF should expand its focus beyond stroke prevention.
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Bad Air and Blood Sugar? Study Attempts to Link Pollution and Diabetes Risk
September 16th 2016Higher levels of nitrogen dioxide were associated with higher levels of HOMA-IR, glucose, insulin, and leptin. The degree of association, however, varied among the different populations. Effect estimates for pre-diabetic individuals were large and highly statistically significant, while the associations were smaller and weaker in non-diabetic individuals and those who had already developed T2DM.
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Trial Shows Ixekizumab Effective Against Psoriatic Arthritis
September 6th 2016Ixekizumab patients, who all started with an introductory 160-mg dose, were all more likely than placebo patients to achieve the primary endpoint of the study: a 20% reduction in disease burden as measured by American College of Rheumatology criteria (an ACR20 response) by week 24.
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Apixaban Compares Favorably with Warfarin in Safety, Efficacy
September 6th 2016A new analysis of data published in JAMA Cardiology concludes that apixaban (Eliquis) tends to be both safer and more effective than warfarin in patients with atrial fibrillation, regardless of their renal function.
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Studying the Link Between Exercise and Insulin Sensitivity
August 25th 2016Investigators recruited 20 middle-aged and sedentary patients who were at high risk of developing type 2 diabetes mellitus (T2DM) and subjected them to an 8-week program of walking and cycling. Most of the patients saw significant increases in their insulin sensitivity (and thus significant reductions in their risk of developing T2DM), but insulin sensitivity remained unchanged in a handful of patients.
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Treatment Intensification Required, Sooner if Possible, for Many Type 2 Diabetics
August 19th 2016A new analysis of patient records published in Diabetes Care supports rapid treatment intensification when metformin monotherapy fails in patients with type 2 diabetes mellitus (T2DM), but finds that intensification is often delayed in practice.
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Analysis of data from 2 large trials finds that cutoffs used to separate different “disease activity states†on the Disease Activity index for Psoriatic Arthritis (DAPSA) are valid. Different disease activity states are associated with different degrees of functional impairment and joint damage progression.
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The Effects of Dietary Fat and Carbohydrate on Metabolic Health
July 27th 2016A new meta-analysis of 102 randomized controlled diet trials found that consumption of polyunsaturated fat instead of carbohydrate or saturated fat reduces blood sugar levels and insulin resistance while also increasing the body’s ability to make insulin.
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Biosimilar Drugs for Psoriatic Arthritis, Other Conditions, One Step Closer to Approval
July 15th 2016The US Food and Drug Administration's (FDA's) Arthritis Advisory Committee recently voted unanimously to recommend the approval of biosimilars to adalimumab (Humira) and etanercept (Enbrel).
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Guideline-Based Screening May Miss Up to Half of Diabetic and Prediabetic Patients
July 15th 2016A retrospective analysis of diabetes and prediabetes diagnoses found that screening guidelines from the United States Preventative Service Task Force (USPSTF) would have detected less than half of all cases that were discovered.
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