Obesity drugs tied to more muscle loss vs. other weight loss interventions

SAN FRANCISCO — Incretin-based obesity medications may result in higher muscle-related loss vs. other weight loss strategies, according to data published in Annals of Internal Medicine.
The findings “suggest that while weight loss led to known losses of muscle-based parameters, the proportion of muscle lost relative to total weight lost was higher in those taking incretins, and even higher in studies using semaglutide and tirzepatide,” John A. Batsis, MD, an associate professor at the University of North Carolina at Chapel Hill, told Healio. “In addition, our analysis did not find any studies

Study: Human notes best AI across the board

SAN FRANCISCO — Human-generated notes were deemed higher-quality and preferable to AI scribes in a new study that debuted today at the annual American College of Physicians meeting.
Ashok Reddy, MD, MS, an associate professor of medicine at the University of Washington School of Medicine and a health services researcher at U.S. Department of Veterans Affairs Puget Sound, presented the findings in ACP’s plenary session.
“We all know the problem. Every one of us has probably stayed late at the clinic — or, more likely, headed home to finish our notes at night. Ambient AI scribes promise to help,”

ACP issues new guidance on breast cancer screening in women at average risk

SAN FRANCISCO — All asymptomatic women aged 50 to 74 years at an average risk for breast cancer should receive biennial screening mammography, new ACP guidance published in Annals of Internal Medicine states.
Carolyn J. Crandall, MD, MS, MACP, chair of the ACP Guidelines Committee and a professor of medicine at David Geffen School of Medicine at the University of California, Los Angeles, unveiled the new guidelines during the plenary session at the ACP Internal Medicine Meeting.
“We considered the benefits, harms, patient preferences and values, and costs, and developed our guidance

Technology may measure outflow biometry in real time

WASHINGTON — A technology introduced at the American Society of Cataract and Refractive Surgery meeting has shown promise in addressing an unmet need in glaucoma surgery, according to a presenter.
During the Charles D. Kelman, MD, Innovator’s Lecture, Sean Ianchulev, MD, MPH, said that while cataract surgery has had a success rate of about 95% for the past 50 years, the success rate of medication-free outcomes for glaucoma surgery is far less.
“You’re lucky if you get to 40% or 50%,” he said. “Half of the time, you don’t have complete success.”
The cataract surgery success rate is due to the

Tennessee allows optometrists to perform laser surgery

A law authorizing optometrists to perform certain laser surgeries for glaucoma and after cataract surgery was signed into law in Tennessee on April 14, according to a statement from the American Optometric Association.
The law allows optometrists to perform peripheral iridotomy, selective laser trabeculoplasty and YAG capsulotomy. Before doing so, they must complete relevant training from an accredited optometry school or college and be certified by the state board of optometry.
“This law modernizes our state’s optometric scope to reflect the education and clinical training doctors of optometry

Consider dual biologic therapy for severe hidradenitis suppurativa

DENVER — Dual biologic therapy should be considered for patients with very severe hidradenitis suppurativa, according to a speaker at the American Academy of Dermatology Annual Meeting. However, caution is advised for some combinations.
Medications and procedures that may improve HS signs and symptoms are “not quite enough” for some patients, Jennifer L. Hsiao, MD, FAAD, associate professor of dermatology at Keck School of Medicine at the University of Southern California and a member of Healio Dermatology’s Peer Perspective Board, said during a presentation.
“Every time you start a

Tibial tubercle osteotomy did not improve graft survivorship

NEW ORLEANS — Concomitant tibial tubercle osteotomy did not improve graft survivorship among patients undergoing patellofemoral osteochondral allograft transplantation, according to results presented here.
“Typically, with cartilage grafts around the knee, the idea is that we want to unload the patella to take pressure off to allow the cartilage to heal,” Laith M. Jazrawi, MD, FAAOS, chief of sports medicine and director of the sports medicine fellowship at NYU Langone Health, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “What we found in

Most adults with atopic dermatitis have sexual health disorders

Eighty-five percent of adults with atopic dermatitis also reported a sexual health disorder, but the frequency of these disorders fell with improvements in AD severity, according to data published in Clinical and Translational Allergy.
The vulnerabilities that patients with AD experience in their emotional and mental health as well as the potential of symptoms like eczema and pruritus to interfere with sexual activity may drive these disorders, Jorge Sánchez, MD, MSc, PhD, professor, group of clinical and experimental allergy, Hospital Alma Mater de Antioquia, University of Antioquia,

No ‘perfect timing’ of arteriovenous fistula creation

Editor’s note: In a recent study of older patients with end-stage kidney disease living in Europe, researchers found one-third received an arteriovenous fistula within 6 months of starting hemodialysis .
The researchers argued that better prediction of the start of hemodialysis is needed to effectively time vascular access surgery.
Healio | Nephrology News & Issues asked Editorial Advisory Board Member Anil K. Agarwal, MD, FACP, FASN, FNKF, FASDIN, professor of clinical medicine at the University of California, San Francisco, to weigh in on the question of timing for creating arteriovenous

Cemented, uncemented TKA had similar outcomes

NEW ORLEANS — Cemented and cementless total knee arthroplasty with patella resurfacing yielded similar revision rates, reoperation rates and patient-reported outcome measures, according to results presented here.
“In this large, randomized controlled trial of cemented vs. uncemented knees with all patella resurfaced, we were unable to show a difference in clinical outcomes, but we showed an equivalent outcome between cemented and uncemented knees at 5 years for patient-reported outcomes, revision rates and radiographic outcomes,” Simon W. Young, MD, FRACS, from the University