MUHS announces surprise inspection of nursing colleges January 2024 onwards

Maharashtra: The surprise inspection will commence from 22.01.2024 onwards for the grant of Continuation/Extension of Affiliation for Academic Year 2024-25 for nursing faculty, a recent notice by the  Maharashtra University of Health Sciences (MUHS) to all the nursing colleges has informed 

The MUHS has also issued detailed guidelines related to the same.

“The University has initiated the process of Continuation of Affiliation/ Extension of Affiliation (if applicable) of affiliated Colleges for Academic Year 2024-25. Accordingly, the University has finalized the Local Inquiry Committee (LIC) Proforma for inspections,” the notice stated

The Colleges are required to go through LICIs Inspection Proforma and shall fill up requisite information, including all Annexures, for verification of the LIC Team. As instructed earlier during inspections for A.Y.2023-24, the Colleges have created the “MUHS Mandate” tab on the homepage of the College Website. It is mandatory for Colleges to upload information on all Annexures on the college website, and the information should be kept Year-wise and Annexures-wise for a period of 05 years.

MUHS further informed that the University has taken up paperless initiative and is gearing up for the Online Transmission of Question Papers and Onscreen Evaluation of Answer Books. However, the college must submit hard copies of a few annexures, viz. Annexures I, VI, VII, VIII & XIV to the University. Copies of the rest of the Annexures must be uploaded on the respective College Website.

It is mandatory for the College to maintain infrastructure, teaching staff, and other requirements as per MSR throughout the year; failing which affiliation granted shall be revoked by the University at any stage.

The Dean / Principal of the nursing College is required to update the College website as well as keep the information ready for verification of the LIC Team, the notice added

The pro-forma for the same can be checked out in the official notice. 

To view the notice, click on the link below –

https://medicaldialogues.in/pdf_upload/circular-no-742023-lic-insp-202425221223-228610.pdf

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Intas Pharma gets exclusive rights to commercialize Etanercept biosimilars in more than 150 countries across globe

Ahmedabad: Intas Pharmaceuticals Ltd., a multinational pharmaceutical company, has announced a strategic exclusive licensing agreement with mAbxience (a Fresenius Kabi majority-owned group with partial ownership from Insud Pharma) for a biosimilar for Etanercept.

Etanercept is a dimeric fusion protein with tumor necrosis factor (TNF) blocking action that was approved for use over 20 years ago, offering patients a valuable therapeutic option for treating various autoimmune diseases. According to IQVIA, global sales of Etanercept for 12 months, ending June 2023, were $ 11B.

In the partnership arrangement, Intas receives exclusive rights to commercialize Etanercept biosimilars, through its affiliates, for the treatment of various autoimmune diseases, in more than 150 countries across the globe, including Europe and the United States of America, leveraging strong sales, marketing capabilities and experience in successfully commercializing new biosimilars. mAbxience will be responsible for the development, manufacturing, and supply of the Etanercept biosimilar from its state-of-the-art, Good Manufacturing Practices (GMP) approved facilities.

“Partnering up with mAbxience, who are known for their dedication to quality and innovation, aligns perfectly with our vision. This partnership enables us to achieve our goal of providing high-quality treatments to patients worldwide. Together, we aim to revolutionize the landscape of autoimmune disease treatment,” said Intas’ Vice Chairman, Mr. Binish Chudgar.

Paul Tredwell, Executive Vice President of EMENA, Accord, said, “Accord is delighted to partner with mAbxience, whom we have known for some time as an excellent partner. This partnership cements our commitment to our autoimmune franchise, building on our innovative range of methotrexate products. Etanercept is a key biologic treatment which will continue to support patients. This, along with our future biological launches significantly increases our presence in our growing autoimmune franchise.”

“Expanding our global reach has always been at the core of mAbxience’s vision. Collaborating with Intas allows us to tap into new markets and bring our cutting-edge biosimilar candidate to countless patients battling autoimmune diseases. It reinforces our dedication to leading the way in the biosimilar industry,” said Jurgen Van Broeck, Global Commercial Director, mAbxience.

The financial terms of the transaction remain confidential. 

Read also: Intas Pharma to commercialise Serplulimab in India

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DME Gujarat Asks NEET Candidates To Fill Bank Account Details For Refund Process

Gujarat: The Director of Medical Education (DME Gujarat) has asked the NEET UG candidates to fill in the bank account details who have not received the refund. The list of unsuccessful tuition fee refund and security deposit refund candidates list of round 3, and the list of successful candidates whose tuition fee and security deposit have been refunded for rounds 1, 2, and 3 have also been released.

As per the notice, Students who have taken admission in Bachelor Medical/Dental/Ayurveda/Homeopathy (up to 9th round) in 2023-24 and have not received tuition fee refund in refund round 1, refund round 2 and refund round 3 should fill their bank account details. Further, students who are eligible for a refund of Rs.10,000/- security deposit and have not received refund round 1, refund round 2 and refund round 3 deposits have to fill in their bank account details. 

Instructions for refund –

For tuition fee refund – The candidates who have been admitted in Medical/Dental/Ayurved/Homoeopathy (till 9th Round only) and are eligible for the refund from the tuition fee paid at ACPUGMEC will have to fill in the online details at the link mentioned in the notice below regarding their refund, Bank Name; Bank Account No.; Bank MICR No.; IFSC No.; Account Holder Name.

For security deposit refund – The candidates who have either admitted/Non-admitted in Medical/Dental/Ayurved/Homoeopathy and are eligible for the refund of Security Deposit at ACPUGMEC will have to fill in the online details at the link mentioned in the notice below regarding their refund, Bank Name; Bank Account No.; Bank MICR No.; IFSC No.; Account Holder Name.

For NRI Candidates – For the refund of fees paid at ACPUGMEC, the NRI Candidates have to fill in the details of the Indian Account. Do not fill in the details of the NRE/NRO account.

The refund amount will be paid through Electronic Transfer to their bank account.

The following are the reasons for the failure of the transaction –

1. Mismatch in filled Account Details: Wrong Account No.; Wrong IFSC Code; etc

2. Dormant/Freeze account due to banking reasons

The online module for the refund process started on December 22, 2023, till 02.00 pm on December 28, 2023. If any mistake is found in the details of the refund, then report ACPUGMEC through the following e-mail: medadmgujarat2018@gmail.com.

The list of unsuccessful tuition fee refund and security deposit refund candidates list of round 3, and the list of successful candidates whose tuition fee and security deposit have been refunded for rounds 1, 2, and 3 have also been released.

To view the notices, click on the links below –

https://medicaldialogues.in/pdf_upload/medical-returnfinal-228558.pdf

https://medicaldialogues.in/pdf_upload/instructions-for-refund-round-4-ug-2023-24-228557.pdf

https://medicaldialogues.in/pdf_upload/successful-ug-security-deposite-refund-2-228559.pdf

https://medicaldialogues.in/pdf_upload/successful-ug-security-deposite-refund-3-228560.pdf

https://medicaldialogues.in/pdf_upload/successful-ug-tuition-fee-refund-2-228561.pdf

https://medicaldialogues.in/pdf_upload/successful-ug-tuition-fee-refund-3-228562.pdf

https://medicaldialogues.in/pdf_upload/ugr1successful-228563.pdf

https://medicaldialogues.in/pdf_upload/unsuccessful-ug-security-deposite-refund-3-228564.pdf

https://medicaldialogues.in/pdf_upload/unsuccessful-ug-tuition-fee-refund-3-228565.pdf

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Disclosure of Assets of Members: NMC Expresses its Reservations to Health Ministry

New Delhi: Amid the rising pressure to make the details of the assets and liabilities of the NMC Chairman and members public, the National Medical Commission (NMC) has expressed its ‘reservations’ in this regard.

Writing to the Under Secretary of the Union Ministry of Health and Family Welfare (MoHFW), the Commission has mentioned about the reservations for uploading some of the personal information of the officers including the details of lands, jewellery, investments in banks/ financial institutions/ insurance policy i.e. numbers, addresses etc.

Urging the Ministry to review the prescribed forms mentioned in the National Medical Commission Act, 2019, the Commission has further requested it to furnish its decision on the matter on an urgent basis.

This comes after the pending issue of asset disclosure was raised by Kannur-based Health Activist Dr. KV Babu, who filed a Right to Information (RTI) application in this regard to the Prime Minister’s Office. Consequently, the PMO directed the Union Health Ministry to take “appropriate action” in this regard. Apart from directing the Union Health Ministry to take action, the PMO also forwarded the complaint on non-disclosure of assets by the NMC members.

Also Read: NMC Disclosure of Assets: PMO Forwards Issue to Health Ministry for Appropriate Action

NMC Act 2019 on Asset Disclosure: 

The Chairperson and every member of NMC must declare their assets and liabilities at the time of entering the office and at the time of emitting it, mention the rules.

In this regard, Section 6(6) of the NMC Act 2019 States, “The Chairperson and every member of the Commission shall make declaration of his assets and his liabilities at the time of entering upon his office and at the time of demitting his office and also declare his professional and commercial engagement or involvement in such form and manner as may be prescribed, and such declaration shall be published on the website of the Commission.”

The Issue: 

Medical Dialogues had earlier reported that alleging a lack of transparency in the functioning of the Commission, RTI activist Dr. Babu KV had previously filed several applications under the Right to Information (RTI) Act.

The first application was filed on April 6 and referring to Section 6(6) of the NMC Act 2019, Dr. Babu sought the details of disclosure by the Chairman and members of NMC along with the details of disclosure by those who demitted NMC. Later, he also filed several other applications. However, he did not receive any response from the Commission.

Thereafter, he wrote a letter to the Union Health Minister Mansukh Mandaviya on July 12 seeking response. Dr. Babu pointed out that NMC was violating the NMC Act and RTI Act 2005 and therefore, he urged the Union Health Ministry to invoke section 45 of the NMC Act 2019 and direct the Commission to comply with NMC Act 6(6) and disclose the assets and liabilities without any delay.

Also Read :Pressure on NMC, Health Ministry for asset disclosure of NMC members

Dr. Babu informed that he filed two more RTI applications on July 19 and September 12. On both occasions, he was informed that as per the records available in the MEI section, no such e-mail related to non-disclosure of the assets/liabilities of NMC members had been received.

Thereafter, Dr. Babu wrote to the PMO on October 16, 2023, and filed an RTI application on October 24, 2023. Consequently, he received an RTI Reply on 09.11.2023 mentioning that his application was forwarded to the Health Ministry.

NMC Letter to Health Ministry: 

Following this, the NMC has now written to the Union Health Ministry on December 12, 2023, and expressed its reservation regarding the demand for making the documents public.

In the letter, a copy of which is with the Medical Dialogues team, the Commission referred to the grievance received on 23.10.2023 from Dr. Babu K.V. and the State note of NMC dated 09.06.2023.

Referring to the para (5) of the said status Note, NMC mentioned in the letter, “With regard to uploading of the said Forms in NMC’s website, there has been reservations for uploading some personal information of the officers, as prescribed in the Forms given in the said Rules in the public domain like complete details of lands, jewellery, investments in banks/ financial institutions/ insurance policy i.e. numbers, addresses etc. In view of the above concerns, it is requested to review the prescribed Forms given in the said Rules.”

At this outset, NMC requested the Union Health Ministry to review the prescribed forms mentioned in the NMC Act. 2019 and furnish its decision on the matter on urgent basis. The Commission further urged the Ministry to convey its decision at the earliest in case it is felt that NMC has to go ahead and upload the forms, so that needful may be done by the Commission.

Commenting on the matter, Dr. Babu told Medical Dialogues, “Even though it is mandatory for the NMC members to disclose their assets, NMC did nothing in this regard until after my RTI was filed. They have waited for two and a half years. They should have done it earlier. This is the statute.”

He further added, “NMC sent a communication in this regard on 9th June to the Ministry of Health. However, they remained silent on the matter afterward and it remained pending for 6 months. NMC never asked the Minister of Health what to do. It is around 2 months after my complaint to the PMO on 16th October, NMC is writing to the Ministry on 12th of December. They remained silent till my complaint to the PMO. It clearly shows that they were sabotaging the process of asset disclosure on the website.”

“I am hopeful that there will now be an action after the involvement of the PMO. As per the letter dated December 12, some of the officers have objected to making it public, If there is any objection, they should relinquish their posts,” he mentioned.

When asked why NMC members must make these documents public, he added, “Removal of MCI was following the allegations of corruptions. The parliamentary committee report was also critical of the MCI functioning and alleged that it was not transparent. NMC cannot go the MCI way again. They have to be transparent. That is why it has been made a part of the statute itself.”

Also Read: NMC refuses to disclose Details Of Assets and liabilities of its members, RTI unanswered

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15 percent hike approved for resident doctors in Assam

Assam- Bringing good news for medical practitioners working with government hospitals in the state, the Assam government has decided to increase the existing stipend for various categories of doctors by 15%. The stipend rise is applicable for post-doctoral, post-graduate doctors, senior residents, non-PG residents, and trainee doctors. The revised stipend will be effective from April 1, 2024.

This decision was taken in the weekly cabinet meeting held recently on 21 December, 2023. In the Cabinet meeting, several significant decisions were taken related to Assam. Among them, an increasing hike for doctors was also addressed by the Assam Chief Minister Himanta Biswa Sarma in the meeting.

Regarding this, Himanta Biswa Sarma also shared a release on his X account (formerly Twitter) and wrote, “15% hike In existing stipend for post-doctorate, post-graduate doctors, senior resident, non-PG resident, internee doctors, post graduate diploma, pre-registered internee of Government Medical and Dental Colleges to be effective from 1 April 2024”.

This initiative aims to provide substantial benefits to all the medical practitioners. On this, internee doctors, postgraduate diploma holders, and pre-registered internees of Government Medical and Dental Colleges will also witness a significant increase in their existing stipends.

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Doctors at Paras Health Gurugram treat congenital heart disease in 36-year-old male using double stenting procedure

Gurugram: Paras Health, a leading healthcare institution, successfully treated a rare congenital heart defect in a 36-year-old male patient, using a stenting procedure.

The patient was experiencing debilitating symptoms for several months. Initially, he diagnosed with abnormal heart sounds at a local hospital before being referred to Paras Health. 

Subsequently, via an eco-cardiography and transesophageal echocardiography at Paras Health – the patient was diagnosed with a rare variant of congenital heart deformity called sinus venosus ASD (Atrial Septal Defect)—a hole in the heart’s upper chambers (atria) wall. This condition led to fatigue, exertion, intolerance, reduced work capacity, and breathlessness, ultimately affecting his daily life and work.

Also Read:Paras Healthcare rebrands itself as Paras Health with new logo

This case’s uniqueness lies in the location of the hole, positioned unusually high within the wall of the upper chambers. Typically, addressing such complex cases requires invasive open-heart surgery.

However, the team of cardiologists at Paras Health Gurugram, Dr Deepak Thakur, Consultant, Pediatric and Adult Structural Heart Interventional Cardiologist, in collaboration with Dr Amit Bhushan Sharma, Director of Unit 1 Cardiology, and supported by Dr Alok Rajan, Head, Cardiac Anesthesia Department, devised and executed a groundbreaking non-surgical intervention.

Speaking about the condition, Dr Amit Bhushan Sharma, Director & Unit Head, Cardiology stated, “Adult structural heart deformities are a common detected these days. Among 100 cases of congenital deformities treated at Paras Health, 10-15% are found and treated in adults. This is because certain heart defects go undiagnosed for years due to their mild or tolerated symptomatic nature.

When the heart can no longer tolerate these defects, symptoms tend to manifest later in life. In this case as well the patient was suffering from Sinus Venosus ASD which is one such condition that remains mildly symptomatic and involves the upper part of the atrial septum near the superior vena cava—a large vein that carries blood from the body to the heart.

This type of defect can cause abnormal blood flow from the left atrium to the right atrium, leading to dilatation of right side heart and increased lung pressures.” Which with advancing age can make this defect incurable and can even make patient a candidate for heart lung transplant for survival.

Commenting on the procedure, Dr Deepak Thakur, Consultant, Pediatric and Adult Structural Heart Interventional Cardiologist, Paras Health, Gurugram said, “This successful intervention signifies a significant leap in our ability to treat complex congenital heart defects without subjecting patients to extensive open-heart procedures. The pioneering stenting technique enabled to closing of the defect and redirecting the vein to the correct chamber of the heart effectively and abolishing the abnormal blood flow making chambers get back to their normal physiology .

Remarkably, this intervention was performed under sedation through the groin on the beating heart, without the need for bypass surgery or prolonged ventilator support. One of the notable outcomes was the patient’s rapid recovery, allowing him to return to work the following day without visible scars or pain. Following the intervention, the patient is under regular follow-up care and is expected to resume a normal life, cautioned only to avoid major trauma.”

Dr Amit Bhushan added, “Our hospital aims to take forward the patient-centric and clinically reliable care that we stand for. The success of this case has been a milestone for us, reaffirming our state-of-the-art medical infrastructure/ technology, clinical excellence, and a dedicated team of doctors. Our Cardiac science Department offers complete spectrum of Cardiac services right from Fetal cardiology to gediatric cardiac care”

Patient expressed, “I was unaware of my congenital heart defect for years until it started affecting me severely. Thanks to the team of doctors at Paras Health who took care of me and suggested a best possible treatment for my complex condition. I’m grateful for their care, and I’m thrilled to be back at work within days, feeling healthier.”

Congenital heart diseases commonly affect infants and children, impacting around 10 in every 100 children. However, these conditions can also occur in adults, underscoring the importance of timely diagnosis and specialized care. This milestone achievement positions Paras Health, Gurugram, among the select centers globally capable of performing such intricate non-surgical interventions for congenital heart defects.

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Miniscrew sliding mechanics during space closure are potentially risky for unintended vertical changes

Miniscrew sliding mechanics during space closure are potentially risky for unintended vertical changes suggests a new study published in the Head & Face Medicine.

Miniscrews are a common method for controlling tooth anchorage in clinical practice. They offer advantages such as a small volume, independent patient compliance, and the provision of absolute anchorage in all three dimensions

This study aimed to investigate vertical changes in the maxillary central incisor and the maxillary first molar, along with alterations in the mandibular plane angle during space closure using miniscrew sliding mechanics.

Twenty adult patients treated at Peking University Hospital of Stomatology between 2008 and 2013 were included. Digital dental models and craniofacial cone-beam computed tomography (CBCT) scans were obtained at the start of treatment (T0) and immediately after space closure (T1). Stable miniscrews were used for superimposing maxillary digital dental models (T0 and T1), and vertical changes in the maxillary first molar and the maxillary central incisor were measured. Three-dimensional changes in the mandibular plane were assessed through CBCT superimposition.

Results

The maxillary central incisor exhibited an average extrusion of 2.56 ± 0.18 mm, while the maxillary first molar showed an average intrusion of 1.25 ± 1.11 mm with a distal movement of 0.97 ± 0.99 mm. Additionally, the mandibular plane angle decreased by an average of 0.83 ± 1.65°. All three indices exhibited statistically significant differences.

During space closure using the miniscrew sliding technique, significant changes occurred in both the sagittal and vertical dimensions of the upper dentition. This included extrusion of the maxillary central incisors, intrusion of the maxillary first molars, and a slight counterclockwise rotation of the mandibular plane.

Reference:

Su, H., Zhuang, Z., Han, B. et al. Vertical changes in the hard tissues after space closure by miniscrew sliding mechanics: a three-dimensional modality analysis. Head Face Med 19, 52 (2023). https://doi.org/10.1186/s13005-023-00388-9

Keywords:

Miniscrew, sliding, mechanics, during, space, closure, potentially, risky, unintended, vertical changes, Head & Face Medicine

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Bariatric surgery significantly lowers risk of severe hidradenitis suppurativa in obese individuals

France: Patients with obesity who undergo bariatric surgery may be at lower risk of developing hidradenitis suppurativa (HS) requiring hospitalization, a French study has revealed. Surgery was also linked to lower risk in those with the disease, but the reduction was insignificant.

“In obese people who underwent bariatric surgery, the risk of developing severe disease requiring hospitalization was 26% lower,” the researchers reported in the Journal of the European Academy of Dermatology and Venereology.

Hidradenitis suppurativa is a chronic inflammatory condition that affects the follicular epithelium of skin folds, characterized by recurrent painful abscesses and nodules, impairing the patient’s quality of life. HS patients frequently exhibit metabolic syndrome (MS), with obesity being identified as a risk factor; almost 20% of obese patients experience HS versus 1% in the general population. However, not many studies have evaluated the impact of weight loss on HS, especially with bariatric surgery, and results are discordant.

Andrea Chierici and colleagues from France aimed to investigate the effects of bariatric surgery on severe suppurative hidradenitis. For this purpose, they used nationwide administrative data in France to conduct a 10-year matched case-control study in patients with a body mass index (BMI) of 30 kg/m2 or greater.

A first analysis was performed among patients without hidradenitis suppurativa, comparing hospitalization risk for severe disease between 297,776 who underwent bariatric surgery and 2,735,930 who did not. A second analysis was performed among patients with hidradenitis suppurativa, comparing hospitalization risk of severe disease between 310 who underwent bariatric surgery and 3875 who did not.

The study led to the following findings:

· Among the patients without hidradenitis suppurativa, 0.08% of those who underwent bariatric surgery had a subsequent hospitalisation for severe hidradenitis suppurativa, compared with 0.11% of those who did not have this surgery. The difference corresponded to a significant 26% reduction in risk with surgery.

· Among the patients who had hidradenitis suppurativa, the hospitalisation rate for severe disease was 3.5 per 100 patient-years in the group who had bariatric surgery, compared with 5.4 per 100 patient-years in the group who did not have this surgery. The difference corresponded to a nonsignificant 32% reduction in risk with surgery.

Findings may have been impacted by confounding and have uncertain generalisability to other populations.

“With its well-known effects in reducing adipose tissue and insulin resistance with its associated inflammation triggering, and with dietary changes tied to metabolic surgery, patients undergoing weight loss surgery should have an inferior risk to develop de novo or recurrent HS,” the researchers wrote.

“There is a need for prospective case-control studies focusing on vitamins, weight loss and micronutrient deficiencies, and mild hidradenitis suppurativa forms incidence, not requiring hospital admission to confirm the protective effect of bariatric surgery,” they concluded.

Reference:

Chierici, A., Bulsei, J., Fatico, S. D., Alromayan, M., Alamri, A., Pavone, G., Liddo, G., Fontas, E., & Iannelli, A. Effects of bariatric surgery on severe suppurative hidradenitis: Results of a nationwide administrative data study in France. Journal of the European Academy of Dermatology and Venereology. https://doi.org/10.1111/jdv.19649

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Bempedoic acid use not tied to increased risk of new-onset diabetes: CLEAR Outcomes analysis

USA: Bempedoic acid safely reduces LDL cholesterol levels and the risk of cardiovascular events in statin-intolerant patients with and without diabetes, results from a new CLEAR Outcomes analysis have revealed.

The use of bempedoic acid over 3.4 years of follow-up in patients without diabetes did not lead to an increase in new-onset diabetes or worsening HbA1c levels, which is a concern with statin therapy. Bempedoic acid was also linked to a small amount of weight loss.

“The cardiometabolic safety profile and efficacy of bempedoic acid make it a clinical option for patients with and without diabetes who are unwilling or unable to take guideline-recommended doses of statins,” the researchers wrote in their study published in The Lancet Diabetes and Endocrinology.

Statins reduce cardiovascular (CV) events and LDL cholesterol among those with or without diabetes but have been suggested to increase new-onset diabetes. Findings from the CLEAR Outcomes trial revealed that t bempedoic acid reduced the risk of major adverse cardiovascular events (MACE) among statin-intolerant patients at high cardiovascular risk.

In the prespecified analysis of the CLEAR Outcomes trial, the dual aims of Prof Kausik K Ray, Department of Primary Care and Public Health, Imperial College London, London, UK, and colleagues were to evaluate the CV benefits of bempedoic acid, an ATP-citrate lyase inhibitor, in patients with diabetes. They also evaluated the risk of new-onset diabetes and HbA1c among those without diabetes in the CLEAR Outcomes trial.

The CLEAR Outcomes study, a cardiovascular outcomes trial, included 13,970 primary- and secondary-prevention patients deemed intolerant to statins. In the main trial, treatment reduced the relative risk of the primary four-component MACE endpoint (nonfatal MI, CV death, coronary revascularization, or nonfatal stroke), and the three-component MACE endpoint that excluded revascularization, by 13% and 15%, respectively. 6,373 had diabetes and 5,796 had prediabetes from the patients included in the trial.

The study led to the following findings:

  • Over a median of 3·4 years follow-up, patients with diabetes had significant relative and absolute cardiovascular risk reductions in MACE-4 endpoints with bempedoic acid (HR 0·83; absolute risk reduction of 2·4%) compared to placebo, with no statistical evidence of effect modification across glycaemic strata.
  • The proportion of patients who developed new-onset diabetes was similar between the bempedoic acid and placebo groups, 11·1% with bempedoic acid versus 11·5% with placebo (HR 0·95).
  • HbA1c concentrations at month 12 and the end of the study were similar between randomised groups in patients with prediabetes and normoglycaemia.
  • Placebo-corrected LDL cholesterol concentrations and high-sensitivity C-reactive protein at 6 months were reduced in each glycaemic stratum (diabetes, prediabetes, and normoglycaemia) for patients randomly assigned to bempedoic acid.

“Bempedoic acid reduces high-sensitivity C-reactive protein and LDL cholesterol, and risk of cardiovascular events in diabetes patients unable or unwilling to take guideline-recommended doses of statins,” the researchers wrote. “Patients without diabetes had no increase in new-onset diabetes or worsening HbA1c with bempedoic acid.”

“The cardiometabolic safety profile and efficacy of bempedoic acid make it a clinical option for those with and without diabetes,” they concluded.

Reference:

Ray KK, Nicholls SJ, Louie MJ, et al. Efficacy and safety of bempedoic acid among patients with and without diabetes: prespecified analysis of the CLEAR Outcomes randomised trial. Lancet Diab Endocrinol. 2023;Epub ahead of print.

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Hypochondriasis associated with Alarming high Mortality Risk: JAMA

In a groundbreaking study conducted in Sweden, researchers have unveiled concerning findings regarding the mortality risk associated with hypochondriasis, commonly known as health anxiety disorder. Published in December 2023, the study delves into the all-cause and cause-specific mortality among a sizable cohort of individuals grappling with this often-underdiagnosed psychiatric condition. The study concluded that hypochondriatic individuals have an increased risk of suicidal deaths. 

The study results were published in the journal JAMA Psychiatry. 

Health anxiety disorder, commonly referred to as hypochondriasis, is a widely observed psychiatric condition that is often overlooked, characterized by a continuous fixation on the fear of having severe and advancing physical disorders. The mortality risk for individuals grappling with hypochondriasis remains uncertain.

The study, spanning data from January 1, 1997, to December 31, 2020, examined 4,129 individuals diagnosed with hypochondriasis, as per the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10). This cohort was meticulously matched with 41,290 demographically similar individuals without hypochondriasis. The research aimed to uncover mortality rates and causes of death, bringing attention to the potential severity of health anxiety.

The study examined overall mortality and mortality related to specific causes as documented in the Cause of Death Register. Covariates taken into account encompassed birth year, gender, residence county, country of birth (Sweden or abroad), most recent recorded education, marital status, household income, and lifetime psychiatric comorbidities. Stratified Cox proportional hazards regression models were employed to calculate hazard ratios (HRs) and their corresponding 95% confidence intervals (CIs) for both overall and cause-specific mortality.

Results:

  • A critical revelation from the study is that individuals with hypochondriasis face a significantly elevated risk of all-cause mortality compared to those without the disorder with crude mortality rates of 8.5 and 5.5 per 1000 person-years, respectively.
  • After adjusting for sociodemographic variables, the hazard ratio (HR) was 1.69, with a confidence interval (CI) of 1.47-1.93, indicating a 69% higher mortality rate among individuals with hypochondriasis.
  • This heightened risk extended to both natural (HR 1.60, CI 1.38-1.85) and unnatural (HR 2.43, CI 1.61-3.68) causes of death.
  • Of particular concern is the stark association identified between hypochondriasis and an increased risk of death by suicide.
  • The hazard ratio for suicide was notably higher among individuals with hypochondriasis (HR 4.14, CI 2.44-7.03), underscoring the urgent need for targeted mental health interventions.

The study emphasized the importance of adjusting for various factors, including sociodemographic variables, family income, and lifetime psychiatric comorbidities. Even after such adjustments, the heightened mortality risk associated with hypochondriasis remained evident, highlighting the robustness of the findings.

Further reading: Mataix-Cols D, Isomura K, Sidorchuk A, et al. All-Cause and Cause-Specific Mortality Among Individuals With Hypochondriasis. JAMA Psychiatry. Published online December 13, 2023. doi:10.1001/jamapsychiatry.2023.4744

In conclusion, this comprehensive cohort study illuminates the alarming mortality risk among individuals with hypochondriasis, sounding a clarion call for improved detection and access to evidence-based mental health care. The results underscore the significance of addressing mental health concerns and providing tailored interventions, especially for individuals grappling with health anxiety disorder. The study advocates for a proactive approach to mental health, aiming to mitigate the heightened risk of both natural and unnatural causes of death associated with hypochondriasis. This research sends a powerful message about the critical need to prioritize mental health and create a more supportive and resilient society.

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