photo by lisa cee (Lisa Campeau) on flickr
To coincide with the recent annual meeting of the American Diabetes Association in Philadelphia (also home to your MD Consult editorial team), MD Consult has a number of new endocrinology-related stories across the News, Journals and Clinics sections. Some of the News stories were a bit discouraging – one study found that despite aggressive blood pressure lowering, the cardiovascular outcomes were not altered for diabetic patients. The authors of another study found that type 2 diabetes in young people went up by 21% between 2001 and 2009; certainly, it is a worrying statistic. But it was not all bad news: quality improvement programs were show to improve patient care and some disease-related outcomes, while gastric bypass surgery offered dramatic improvements – including remission – even for only mildly-obese diabetes sufferers.
Sticking with endocrinology, although moving away from diabetes, is the June issue of Best Practice & Research Clinical Endocrinology & Metabolism, which focuses on Graves’ ophthalmopathy. Articles in this issue describe the thyroid/eye disease’s evaluation, its epidemiology, and some advice on how to manage the disease for patients affected by the more severe form. Approaches to more moderate forms of Graves’ orbitopathy are also addressed, though, as is prevention. Another new journal this week is the June American Journal of Kidney Diseases. One paper looks at fracture risk for living kidney donors, and finds no evidence of an increase, although it was noted that this is an interim report and that long-term follow-up will continue. Also a subject for study this month is survival for long-term dialysis patients in comparison to the general population, and hepatorenal syndrome in cirrhosis patients is also described.
New this week in the Clinics is Endocrinology and Metabolism Clinics, which fits well with this week’s theme. The current issue examines insulin-like growth factors in a variety of contexts. Growth disorders of childhood are described, as are insulin-like growth factors in obesity. The specific impacts of insulin-like growth factors in bone, the kidneys, and the peripheral nervous system are among the topics covered this time as well. The June issue of Clinics in Perinatology is another new one, and it includes a range of subjects. Prenatal diagnosis and treatment of congenital diaphragmatic hernia is detailed, and in-utero hematopoietic cell transplantation is another promising area of exploration. Current approaches to treating necrotizing enterocolitis in premature infants is described, as are future directions for management of the disease.
Check back next week for more of what’s new on MD Consult.
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