Black patient trust in medical field growing, survey data indicate

PatientEngagementHIT (4/11, Heath) reports, “Black patient trust in the medical field is growing after nearly two years of a pandemic that has stressed public health and public perceptions of health and exposed the glaring inequities Black people experience in health care,” according to data from Pew Research. The survey data found 28% “of respondents said they have great confidence in medical scientists to act in the public’s interest; 50% said they have a fair amount of trust.” Also, “Black patients are…reporting good patient experiences.”

Related Links:

— “Black Patient Trust in Medical Pros, Patient Experience Improving “Sara Heath, PatientEngagementHIT, April 11, 2022

Proliferation Of Stand-Alone Clinics Offering Ketamine Concerning To Many In Medication Safety, Mental Health Fields

Modern Healthcare (4/5, Gillespie, Subscription Publication) reports the proliferation in “investor-owned or independently owned stand-alone clinics” offering ketamine, an off-label treatment for depression, “is concerning to many in the drug safety and mental health fields.” Off-label use of ketamine offers “no regulatory oversight of doctors’ prescribing patterns, safety protocols or adverse events in patients.” In addition, ketamine “is sometimes marketed for a host of other chronic diseases and behavioral diagnoses that have little scientific backing.”

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— “Modern Healthcare (Requires Subscription)

Treatment Mode Specifically Targeting Prevention Of Addiction-Related Suicide May Be Superior To Customary Care For Improving Knowledge, Behaviors And Help-Seeking, Investigators Posit

Healio (4/11, Herpen) reports, “A treatment mode specifically targeting prevention of addiction-related suicide is superior to customary care for improving knowledge, behaviors and help-seeking,” investigators concluded in a 906-patient study that “sought to evaluate the effectiveness of Preventing Addiction Related Suicide (PARS) treatment module on a wide range of suicide-related outcomes compared with customary care for those dealing with substance use disorders (SUD).” The findings were published online April 6 in JAMA Network Open.

Related Links:

— “Suicide prevention module superior to usual care for adults with substance use disorder “Robert Herpen, MA, Healio, April 11, 2022

Universal Screening May Help Reduce Disparities In Depression Treatment, Analysis Suggests

Medscape (4/11, Chris Jaklevic, Subscription Publication) reports, “An analysis at a large academic health system suggests that universal screening might help to reduce…disparities in depression treatment.” Researchers “analyzed electronic health record data following a rollout of a universal depression screening program at” the health system and “found that the overall rate of depression screening doubled at six primary care practices over a little more than 2 years, reaching nearly 90%.” The findings presented at the SGIM 2022 Annual Meeting revealed “screening disparities diminished for men, older individuals, racial and ethnic minorities, and people with language barriers.”

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Loss Of Certain Neurons Tied To Sleep Disturbances In Patients With Alzheimer’s Disease, Progressive Supranuclear Palsy, Trial Suggests

HealthDay (4/8, Roberts Murez) reported “a clinical trial that monitored” sleep in patients with Alzheimer’s disease and progressive supranuclear palsy who struggle with drowsiness “and then studied their brains after death discovered an entirely different reason for such sleepiness – they suffer a loss of neurons that help keep a person awake.” Investigators measured the proteins beta amyloid and tau and concluded, “These findings confirm with direct evidence that tau is a critical driver of sleep disturbances.” The trial results were published in JAMA Neurology.

Related Links:

— “New Insights Into Why Alzheimer’s Can Bring Drowsiness “Cara Murez, HealthDay, April 8, 2022

Justice Department Guidelines Say Discrimination Against People Undergoing Treatment For Opioid Use Disorder Violates ADA

The AP (4/9, Mulvihill, Lauer) reported, “On top of the stigma surrounding addiction, people who are in medical treatment for substance abuse can face additional discrimination – including in medical and legal settings that are supposed to help.” In response, “the U.S. Department of Justice published new guidelines aimed at dealing with the problem” and stated “that it’s illegal under the Americans with Disabilities Act to discriminate against people because they are using prescribed methadone or other medications to treat opioid use disorder.”

Related Links:

— “Treatment for opioid addiction often brings discrimination “Geoff Mulvihill and Claudia Lauer, AP, April 9, 2022

Study Reveals Psychiatric Symptoms, Impaired HRQOL Among Adolescents And Young Adults With T2D

Endocrinology Advisor (4/7, Nye) reports, “Psychiatric symptoms and impaired health-related quality of life (HRQOL) have been reported among adolescents and young adults with youth-onset type 2 diabetes (T2D),” researchers concluded in a 514-patient study, the findings of which were published online in Diabetes Care.

Related Links:

— “Depression and HRQOL Influence Disease Trajectory Among Patients With Youth-Onset Type 2 Diabetes “Jessica Nye, Endocrinology Advisor, April 7, 2022

Screening Patients With Cancer For Anxiety, Depression, Other Symptoms Of Distress May Help Identify Those At Heightened Risk Of Nonfatal Self-Injury, Study Indicates

Psychiatric News (4/7) reports, “Screening cancer patients for anxiety, depression, and other symptoms of distress may help identify those at heightened risk of nonfatal self-injury,” investigators concluded in a study involving “a total of 806,910 patients.” The study revealed that patients with cancer “who scored higher on the Edmonton Symptom Assessment System (ESAS) – a tool that asks patients to score the severity of their symptoms of nausea, pain, depression, well-being, and more – were more likely to experience nonfatal self-injury within six months than those who scored lower on the ESAS.” The findings were published online March 31 in JAMA Oncology.

Related Links:

— “Screening Cancer Patients for Distress May Identify Patients at Higher Risk of Self-Injury, Psychiatric News, April 7, 2022

Data: Record number of Americans dying with diagnosis of dementia

HealthDay (4/6, Munez) reports, “A record number of American adults are now dying with a dementia diagnosis,” but the “increase of 36% from two decades ago may have more to do with better record-keeping than an actual rise in dementia cases,” investigators concluded in a study that “used data from 3.5 million people over the age of 67 who died between 2004 and 2017, including bills submitted to the Medicare system in the last two years of their lives.” The findings were published online in JAMA Health Forum.

Related Links:

— “Half of Americans Now Die With Dementia Diagnosis, Better Record-Keeping May Be Why “Cara Murez, HealthDay, April 6, 2022

For Adults With Anxiety Or Depression, Regular Exercise May Have Nearly Double The CV Benefit Compared With Those Without These Diagnoses, Data Suggest

Healio (4/6, Kalvaitis) reports, “For adults with anxiety or depression, regular exercise had nearly double the CV benefit compared with those without these diagnoses,” investigators concluded after analyzing “health records of 50,359 adults (mean age, 59 years) in the Mass General Brigham Biobank database,” then assessing “rates of major adverse CV events among participants who self-reported physical activity for at least 500 metabolic equivalent (MET) minutes per week, which is aligned with current guideline recommendations for physical activity, compared with those who exercised less than 500 MET minutes per week.” The findings were presented at the American College of Cardiology’s 71st Annual Scientific Session & Expo.

Related Links:

— “Regular exercise yields greater CV benefit in adults with anxiety, depression “Katie Kalvaitis , Healio, April 6, 2022