U.S. Medicine

U.S. Medicine is a monthly magazine tailored for healthcare experts in the Department of Veterans Affairs, Department of Defense, and the U.S. Public Health Service. Each edition reaches 35,000 professionals, including doctors, pharmacists, physician assistants, nurse practitioners, and administrators. The publication features a variety of content, such as news articles, medical advancements, interviews, special reports on government issues, and regular columns.

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Articles

Determining What Weight Loss Medications Are Best for Veterans

1 week ago | usmedicine.com | Brenda Mooney

Unlike those who depend on Medicare, Medicaid in many states or most commercial insurance, patients at the VHA—as well as those covered by TRICARE—can receive covered weight-loss drugs, if they meet certain criteria. Studies have looked at the drugs, including incretin mimetics such as semaglutide, tirzepatide and liraglutide, to determine the benefits and safety related to their usage.
Obesity Increases the Complexity of Plaque Psoriasis Treatment

1 week ago | usmedicine.com | Brenda Mooney

Obesity is linked not only with the risk of developing plaque psoriasis, it also can complicate treatment of the condition, which is more common among U.S. veterans than nonveterans. Biologic therapy often is the first choice for those patients, and some agents show higher rates of efficacy and safety in plaque psoriasis sufferers with comorbid obesity. DURHAM, NC — Obesity not only increases the risks for some conditions, it also can complicate treatment.
RSV Infection Can Lead to Serious Risks, Including Cardiac Events

1 week ago | usmedicine.com | Brenda Mooney

A recent VA study established that respiratory syncytial virus was not as likely to cause severe effects as COVID-19 and influenza. But those and other researchers also have demonstrated that RSV can create difficulties, including a 14% hospitalization rate in veterans and novel cardiac issues in older patients in general. That’s why the authors are calling for higher vaccination rates.
Bridging the Gap: Treating Myeloproliferative Neoplasms in U.S. Veterans

1 week ago | usmedicine.com | Annette Boyle

Persian Gulf War era veterans have a higher risk of development of any subtype of myeloproliferative neoplasm (MPN), including polycythemia vera, compared with Korean War and Vietnam War era veterans. They also have an earlier age of MPN diagnosis, a higher risk of thrombosis and bleeding and a lower chance of survival compared with veterans of earlier wars. Across the board, however, symptom burden often was misunderstood by treating physicians.
New Studies: BRCA1, BRCA2 Mutations Deserve More Attention in Men

1 week ago | usmedicine.com | Mary Anne Dunkin

Male carriers of BRCA1/2 PVs are widely overlooked, even though they also are at increased risk of developing cancer, particularly of the prostate, pancreas and breast. Men represent half of BRCA1/2 PV carriers, but even their clinicians often are unaware of their carrier status, associated cancer risks and management recommendations. That is especially significant at the VA, which treats nearly 500,000 prostate cancer patients and survivors.
Veterans Three Times More Likely to Be Eligible for Lung Cancer Screening

1 week ago | usmedicine.com | Annette Boyle

While exposure to toxic materials plays an important role in veterans’ high rates of pulmonary disease and lung cancer, high rates of smoking also remain a key factor. That was underscored in a recent study which found that, among recent veterans with all types of lung cancer, 53.8% were former smokers and nearly 40% were current smokers. That often means reduced lung function in early adulthood or rapid decline in early middle-age, which can lead to mortality at a younger age.
TransCon PTH Offers Benefits Beyond Conventional Therapy for Hypoparathyroidism

1 week ago | usmedicine.com | Mary Anne Dunkin

Hypoparathyroidism primarily affects the bones and kidneys, and conventional therapy in use until recently—high doses of calcium and active vitamin D—have had limited effectiveness. FDA approval of a novel therapy might change the situation for adults, however. The clinical trials, which included veterans, indicated a high level of effectiveness in returning serum calcium levels to normal.
New Therapies Offer Options for Veterans With Multiple Myeloma

1 week ago | usmedicine.com | Annette Boyle

Because multiple myeloma (MM) tends to occur in older men and because military exposures are a strong risk factor for development of the malignant neoplasm of plasma cells, many MM patients treated within the VA healthcare system are frail. Now, studies are pointing the way to more effective treatments for that cohort.
What Is the Relative Severity of Respiratory Viral Illnesses?

1 week ago | usmedicine.com | Mary Anne Dunkin

PORTLAND, OR — Respiratory viral illnesses (RVIs) such as COVID-19, influenza, and respiratory syncytial virus (RSV) are significant causes of morbidity and mortality worldwide. Few studies have directly compared the severity of these infections, particularly among nonhospitalized patients, however.
Military Access Issues, Racial Disparities Create Gaps in Endometrial Cancer Care

2 weeks ago | usmedicine.com | Mary Anne Dunkin

Endometrial cancer has rising incidence and mortality rates in the United States, and that is having a strong impact on DoD healthcare. Military servicewomen diagnosed with that type of uterine cancer face extra challenges, however, if they are stationed in overseas or remote location. In addition, risks associated with advanced endometrial cancer are greatest for non-Hispanic Black women, who make up 32% of the U.S. active-duty force.