The HCPLive conference coverage page features articles, videos, and expert-led live coverage from major medical meetings throughout the year.
Aleglitazar Does Not Improve Post-ACS Outcomes in Patients with Type 2 Diabetes
March 31st 2014The AleCardio trial was halted early due to safety concerns and lack of efficacy. Investigators reported patients with diabetes and acute coronary syndrome experienced elevated risk of heart failure, gastrointestinal hemorrhage, and renal dysfunction with no mitigating cardiovascular benefit.
Disappointing Results from SYMPLICITY-HTN 3 Trial of Renal Denervation in Resistant Hypertension
March 30th 2014Study data announced at ACC.14 demonstrate renal denervation does not significantly reduce blood pressure in resistant hypertension, contradicting previous studies showing the benefits of the procedure.
Cancer Survival Complicates Chronic Pain Management
As long-term cancer survival rates continue to surge, an increasing percentage of patients with cancer-related pain are progressing to the chronic pain arena, which necessitates more contemporary treatment approaches to cancer pain management.
Pain Experts Poke Holes in Published Clinical Treatment Guidelines
Although they have all participated in the development of treatment guidelines for a variety of pain conditions, 3 comprehensive pain experts openly acknowledged and discussed the practical limitations of published evidence-based recommendations during the closing session of the American Academy of Pain Medicine 2014 Annual Meeting.
With Behavioral Support in Place, Opioid Dose Reduction Does Not Exacerbate Pain or Function
Reducing high-dose opioid therapy does not worsen pain severity, functional ability, or aberrant drug-related behaviors in chronic pain patients when concurrent biopsychosocial services are offered.
Predicting Positive and Negative Symptom Exaggeration in Chronic Pain Patients
Sometimes, chronic pain patients intentionally magnify or downplay their physical and mental symptoms during office visits. Despite that fact, little attention in the clinical setting is paid to underlying motives for positively or negatively biased self-reports.
Mindfulness-based Pain Care Provides Opioid Taper Support
Even if a chronic pain patient had been taking opioid medications exactly as prescribed, it would still be possible for the patient to experience negative cognitive and emotional responses to dose tapering that could amplify sensory pain and lead to opioid addiction.
Researchers Emphasize Routine Urine Drug Testing to Ensure Opioid Compliance, Enhance Pain Care
In light of the fact that many physicians continue to rely on observational analysis and patient self-reporting to monitor opioid addiction or misuse, results from a scientific poster reinforced the benefits of routine urine drug testing in improving compliance with prescribed opioid medications and ultimately enhancing pain care.
Guidelines for Knee Osteoarthritis Management Miss Treatment Targets
Though different sets of treatment recommendations for knee osteoarthritis send conflicting messages to practicing physicians, James W. Atchison, DO, pointed out that the guidelines focus solely on the knee, while pain management specialists focus on the whole person.
Opioid-Induced Constipation Is Not Adequately Reported by Chronic Non-Cancer Pain Patients
Preliminary research data revealed a significantly higher incidence of opioid-induced constipation among patients taking opioid analgesics for chronic non-cancer pain than self-reported constipation complaints suggest.
American Academy of Allergy, Asthma & Immunology
March 7th 2014The annual meeting of the American Academy of Allergy, Asthma & Immunology was held from Feb. 28 to March 4 in San Diego and attracted more than 5,000 participants from around the world, including clinicians, academicians, allied health professionals, and others interested in allergic and immunologic disease. The conference highlighted recent advances in allergy, asthma, and immunology.
Grouping Fibromyalgia Patients by Symptom Incidence, Severity May Improve Treatment Outcomes
Although fibromyalgia lacks an effective standardized treatment, one part of the problem is the condition's diverse constellation of symptoms that include chronic widespread pain, fatigue, and even depression.
Long-Term and High-Dose Glucocorticosteroids for the Treatment of Chronic Rhinosinusitis
March 5th 2014Glucocorticosteroids have been shown to be effective for treating chronic rhinosinusitis associated with allergic rhinitis and nasal polyps. There are several formulations of topical and oral agents available to clinicians.
Asthma vs. COPD: Does the Diagnosis Matter in the Clinic When Designing a Management Plan?
March 5th 2014Do asthma and COPD share enough characteristics such as reduced rate of airflow resulting from increased inflammation, along with similar responses to some forms of treatment, reduce the importance of differential diagnosis?
Personalized Medicine and the Role of Biologics in Severe Chronic Rhinosinusitis
March 5th 2014Research into the pathogenesis of chronic rhinosinusitis has shed new light on the association between asthma and CRS while also providing new insight into CRS disease endotypes, enabling clinicians to individualize treatment regimens.
Nanotechnology Applications in Immunology and Allergy
March 4th 2014Successful applications of nanotechnology in the field of immunology will enable new generations of vaccines, adjuvants, and immunomodulatory drugs that aim to improve clinical outcomes in response in a range of infectious and non-infectious diseases.
Chronic Urticaria Remains a Challenging Condition to Assess and Treat
March 3rd 2014Due to its ambiguous etiology, the low cost-to-benefit ratio associated with many laboratory tests used in assessment and diagnosis, and the low-to-moderate strength of evidence supporting many pharmacologic approaches to treatment, chronic urticaria can be one of the most difficult inflammatory skin conditions for clinicians to manage.
The Evidence-based Management of Chronic Urticaria
March 3rd 2014A review of the various guidelines on the treatment of chronic urticaria shows there is limited evidence demonstrating the efficacy of many commonly used medications, with the strongest evidence supporting the use of one or more second-generation antihistamines.
Does Adherence to Asthma Treatment Guidelines Improve Outcomes in Patient-Centered Medical Homes?
March 2nd 2014With reimbursement increasingly tied to quality measures and other metrics, the question of whether best practices actually produce improved outcomes has taken on greater importance for clinicians and their patients.
Evaluating Risk Factors for Nonalcoholic Steatohepatitis and Nonalcoholic Fatty Liver Disease
January 19th 2014There are several known risk factors and "red flags" that should prompt clinicians to suspect nonalcoholic steatohepatitis or nonalcoholic fatty liver disease and conduct appropriate testing.