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Geriatrics

Can the "Formulary Police" Be Stopped?

Demands for prior approvals (PAs) have begun to spread, virus-like, from top-dollar biologics to familiar standards such as methotrexate. A quick survey by an Alabama rheumatologist reveals the additional high cost to practices of merely dealing with all those PAs. And who's practicing rheumatology now -- you or those health-plan clerks? What can be done? He offers a solution ...

Geriatrics

Recent research on the health of older persons uncovers news both good and sobering. See highlights of 10 studies in our slides.

radiculopathy

Epidural steroid injections and gabapentin lower pain scores and boost functional capacity, but differences between the two modalities are small and results are transitory.

chronic pain

A detailed review in the British Medical Journal recommends tools for pain measurement and assesses the latest evidence about treatments.

A large study of veterans reveals factors that predict which people starting methotrexate for rheumatic diseases after the age of 65 will quickly begin to show signs of liver damage.

Knee osteoarthritis can trigger a series of clinical problems that set patients on the road to early frailty, especially if both knees are involved. It's prudent for their physicians to be on high alert for it.

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