Published 04/30/2012 - 3:14 p.m. CDT
Original clinical study reports, which contain
far more detail than
published randomized
trials, should be made available to independent
researchers seeking to verify efficacy and safety
claims.
In support of this argument, the
history of the influenza antiviral
oseltamivir
(Tamiflu), which was approved by the FDA in 1999,
was cited. The widespread belief in
oseltamivir's efficacy, was based on a
meta-analysis of 10 trials conducted by the
manufacturer prior to
licensure. But the
authors pointed out that the FDA, which was aware
of these clinical trials, concluded that
oseltamivir had not been shown
to reduce
complications and required a statement on the
drug's label to
that effect. Moreover,
oseltamivir was not given an FDA indication for
prevention of spread of influenza.
To
this, [authors] commented, "If FDA
is right, the
drug's effectiveness may be no better than aspirin
or
acetaminophen.'"
Published 04/23/2012 - 2:41 p.m. CDT
The American Chiropractic
Association (ACA) and TeamCME
today announced
that quality
training programs and
resources for doctors of
chiropractic
who wish to be
included in a new national
registry of certified medical
examiners for the
transportation industry are
available in cities
across
the country, following news
that the U.S. Department of
Transportation (DOT) has
released its final rule on a
new safety
program.
Published 04/23/2012 - 1:39 p.m. CDT
The vast majority of
computerized drug warning
alerts generated in
hospitals are overridden,
suggesting that these systems
need refinement.
Published 04/22/2012 - 12:18 p.m. CDT
Seniors are using
brand-name drug discount
coupons even though their use
is prohibited by Medicare,
according to a survey from the
National
Coalition on Health
Care. And when they do, the
prescription often ends
up
being more expensive for the
insurer than it otherwise
might have
been, the
coalition said in the
statement.
As
policymakers balance the books
in Medicare, our research
confirms that drug coupons are
wasting Medicare and taxpayer
dollars.
Published 04/16/2012 - 11:36 a.m. CDT
An Arkansas state judge
has ordered Johnson &
Johnson to pay a $1.1
billion penalty after a jury
found the company guilty of
using
fraudulent tactics to
sell its Risperdal
anti-psychotic medicine.
Published 04/09/2012 - 6:52 a.m. CDT
TCA successfully
defends
scope of practice rules.
The Texas Chiropractic
Association on Friday
announced a brief summary of
the Third Court of Appeals
decision:
The case presented three
questions:
Are the two TBCE
rules that allow chiropractors
to make certain
“diagnoses”
valid? Answer:
Yes.
Can chiropractors
perform MUA? Answer:
No.
Can chiropractors
perform needle EMG?
Answer:
No.
Read more
in this article.
Published 04/08/2012 - 10:15 p.m. CDT
The Texas Court of
Appeals, Third District, at
Austin, Texas has published
its decision in the case of
TMA v TBCE. This article
reports on excerpts of this
decision, the significant
portions of which
are:
"We will affirm
the judgment in part and
reverse and remand in
part."
"in five issues
on appeal, TCA
challenges
the district court's judgment
invalidating TBCE rules
regarding needle EMG, MUA, and
'diagnoses.' TBCE brings three
issues
challenging only the
portions of the judgment
invalidating the
needle-EMG
and MUA rules."
"We
overrule the Chiropractor
Parties' issues concerning
needle EMG."
"We
overrule the Chiropractor
Parties' issues concerning
MUA."
"In its remaining
issues, TCA (but not
TBCE)
challenges the district
court's judgment invalidating
rules
authorizing
chiropractors to make certain
'diagnoses.'"
"TCA
replies, and we agree ... We
thus lack jurisdiction to
consider the Physician
Parties' "cross-point" and
dismiss it."
"TCA
responds that when read in the
context of the rule as a
whole [TBCE Rule] does not
exceed the
statutory scope
of chiropractic .... We
agree."
"Chiropractors
may render diagnoses regarding
findings and
examinations
within the statutory scope of
chiropractic .... We
sustain TCA's third
issue."
"The Physician
Parties argue that
[chiropractors] can only
treat, but not diagnose, the
subluxation complex.
We find
this argument
unpersuasive."
"
A
subluxation complex is
part of the biomechanical
condition of the spine
or
musculoskeletal system of the
human body and, thus, may be
analyzed,
evaluated,
examined, and diagnosed by
chiropractors."
"TBCE'
s ... definition of
"subluxation complex" ... a
-- neuromusculoskeletal
condition ... is part of the
musculoskeletal system of
the human body. To that
extent, it comports
with
the statutory scope of
chiropractic."
"We
sustain TCA's fourth
issue."
"The district
court erred in its
judgment
invalidating ... TBCE's
scope-of-practice rule, we
reverse that portion of the
judgment."
"We remand
the case for further
proceedings regarding the
Physician Parties'
alternative constitutional
challenges. ... we
affirm
the remainder of the district
court's judgment that
[certain parts] of TBCE's
scope-of-practice rule are
void."