Family Practice News articles from November 2008

Family Practice News archives from November 2008

Sexual dysfunction postsurgery ignored.(Women's Health)
November 1, 2008... [ILLUSTRATION OMITTED] GOTEBORG, SWEDEN -- Almost every woman treated for a gynecologic cancer has sexual problems during or after therapy, yet providers and investigators rarely address those consequences. Sexual dysfunction is "the...

Little financial reward from PQRI.(VITAL SIGNS)(Brief article)
November 1, 2008... VITAL SIGNS Little Financial Reward From PQRI How has your practice's involvement in the 2007 and/or 2008 PQRI program affected total physician compensation? Don't know 9.8% Increased 11.7% No change ...

Type 2 algorithm backs aggressive approach to care: an [HbA.sub.1c] of 7% or greater is a call to act.(News)
November 1, 2008... A newly revised type 2 diabetes treatment algorithm released jointly by the American Diabetes Association and the European Association for the Study of Diabetes aims to clarify therapeutic options and to assure physicians that an aggressive...

Evidence-backed exercise goals set for adults, kids.(Obesity)
November 1, 2008... Adults who engage in at least 2.5 hours of moderate-intensity aerobic exercise each week and children who are physically active for I hour a day can realize "substantial" health benefits, according to guidelines from the U.S. Department of...

Ongoing drug safety investigations posted online.(News)
November 1, 2008... The Food and Drug Administration has posted on its Web site the first quarterly report of drugs identified as having "potential safety issues" that are under evaluation, to keep health care professionals and the public informed about latest...

FDA set to clarify food allergen label wording.(News)
November 1, 2008... COLLEGE PARK, MD. -- Efforts to improve the confusing, inconsistent, and often misleading statements on food packages that indicate a food allergen may be present in the product are underway at the Food and Drug Administration. ...

U.S. hospitals score a mediocre 'C' for palliative care services.(News)
November 1, 2008... Hospitals are rapidly adding palliative care services, but their availability is widely disparate, according to a report that gave a grade of "C" to the state of palliative care services in the nation's hospitals. Overall, 53% of U.S....

Paying for advanced medical imaging.(Guest Editorial)
November 1, 2008... Advances in imaging technology can promote earlier, safer, and more precise detection of disease. More than 80 million medical imaging tests are performed annually in the United States at a cost of more than $100 billion. About 15% of that...

Chain drugstores and cigarette sales.(Letter to the editor)
November 1, 2008... The recent graphic feature on the front page listed chain drugstores as the top source for prescription drugs ("Top 10 Channels for Prescription Drug Distribution in 2007," Vital Signs, June 1, 2008, p. 1). It is particularly ironic that...

Liability may delay vaccine adoption.(Letter to the editor)
November 1, 2008... A front page article says that physicians may choose to delay adoption of combination vaccines because doctors are reimbursed based on the number of vaccines they administer, and that reducing the number of shots will reduce profits ("New Combo...

Uninsured buy luxuries, nut health care.(Letter to the editor)
November 1, 2008... I must respectfully disagree with Dr. Steffie Woolhandler and her opposition to consumer-directed health care ("Do High-Deductible Plans Coupled With HSAs Promote Underinsurance?" Point/Counterpoint, July 15, 2008, p. 12). She attempts to...

Ivabradine cuts coronary events in those with high resting heart rate.(Cardiovascular Medicine)(Antiangina agents)
November 1, 2008... MUNICH -- The antianginal drug ivabradine reduced acute myocardial infarctions and need for coronary revascularization in patients with coronary artery disease, left ventricular dysfunction, and a resting heart rate of 70 beats per minute or...

Groups address GI effects of antiplatelets, NSAIDs.(Cardiovascular Medicine)(gastrointestinal, non-steroidal anti-inflammatory drugs)
November 1, 2008... Identifying and treating the potentially life-threatening problem of gastrointestinal complications in patients who use the combination of antiplatelet therapy and NSAIDs are the focus of a new scientific statement by the American College of...

STAT registry: acute severe hypertension is poorly managed.(Cardiovascular Medicine)(Studying the Treatment of Acute Hypertension)
November 1, 2008... MUNICH -- Acute severe hypertension is a common, suboptimally treated condition with a high recurrence rate and surprisingly high morbidity and mortality. These are the principal lessons of the just-completed large national Studying the...

Cardiomyopathy common in breast cancer patients taking trastuzumab.(Cardiovascular Medicine)
November 1, 2008... MUNICH -- Roughly one in four breast cancer patients will develop trastuzumab-mediated cardiomyopathy when the monoclonal antibody is used with adjuvant chemotherapy in real-world settings. In the clinical trial setting, 5%-10% of women...

Coronary impact of smoking is worse in women.(Cardiovascular Medicine)(Brief article)
November 1, 2008... MUNICH -- Women who smoke tend to have their first acute MI considerably earlier in life than do male smokers. This observation in a case-control study suggests smoking increases the risk of cardiovascular disease to a relatively greater...

Guidelines suggest doubling kids' daily vitamin D dosage.(Metabolic Disorders)
November 1, 2008... BOSTON -- All children should get at least 400 IU of vitamin D daily, either through dietary intake or supplementation, beginning within days of birth and continuing through adolescence. New guidelines from the American Academy of...

Greater loss of bone density seen in men with diabetes.(Metabolic Disorders)
November 1, 2008... MONTREAL -- Loss of bone mineral density over time appears to be more severe in older men with type 2 diabetes than in older men without diabetes, even though men with diabetes have higher average bone mineral density at baseline. Data...

Benefits outweigh lasofoxifene's risks in select women.(Metabolic Disorders)
November 1, 2008... ROCKVILLE, MD. -- The majority of a federal advisory panel agreed that the benefits of treatment with lasofoxifene, a selective estrogen receptor modulator, would likely outweigh the risks in some postmenopausal women with osteoporosis. ...

Long-term outlook improving for type 1 patients.(Metabolic Disorders)(Clinical report)
November 1, 2008... ROME -- The long-term outlook for patients with type 1 diabetes today is improving substantially and is projected to improve further now that intensive therapy is used more widely. That conclusion is based on an analysis of epidemiologic...

Intensive lifestyle intervention delivers a bonanza of benefits.(Metabolic Disorders)
November 1, 2008... MUNICH -- Obese type 2 diabetes patients with metabolic syndrome saw dramatic improvements in cardiac function and multiple cardiovascular risk factors after only 3 weeks in a German pilot study of an intensive lifestyle modification program...

Avoid delayed hypoglycemia in type 1 athletes.(Metabolic Disorders)
November 1, 2008... KEYSTONE, COLO. -- Delayed-onset hypoglycemia can become a concern in patients with type I diabetes after high-intensity or prolonged exercise, according to diabetes counselor Gary Scheiner, who spoke at a conference on the management of...

Early insulin trumps oral therapy in type 2.(Metabolic Disorders)
November 1, 2008... Early, aggressive insulin therapy is probably the optima] treatment for patients with newly diagnosed type 2 diabetes who present with severe hyperglycemia, because it provides better short-term glycemic control and [beta]-cell recovery than a...

Study shows spike in prevalence of food allergies.(Skin Disorders)(Clinical report)
November 1, 2008... CHICAGO -- The prevalence of reported food allergies has risen 24% in children under age 5 years and 19% in children aged 5-17 years during the past decade, according to a study by the National Center for Health Statistics. The study,...

Makeup allergens are the source of most lip cheilitis.(Skin Disorders)(Brief article)
November 1, 2008... SAN FRANCISCO -- Fragrances, lip balm, and nickel are the allergens most responsible for allergic contact cheilitis, which is more prevalent in women. The data come from a subset of 10,061 patients with allergic contact dermatitis who were...

New psoriasis treatments boast ease, convenience.(Skin Disorders)
November 1, 2008... CHICAGO -- A topical coal-tar solution that doesn't smell, a user-friendly hydrogel patch, and supraerythemogenic phototherapy were among the innovative approaches to psoriasis discussed at the American Academy of Dermatology Academy's 2008...

Black box on efalizumab's label warns of infection risk.(Skin Disorders)
November 1, 2008... The label of the immunomodulator efalizumab will soon have a black box warning describing the potential risks of progressive multifocal leukoencephalopathy and other life-threatening infections, because of postmarketing reports of these serious...

Cardiac issues go unrecognized in many patients with psoriasis.(Skin Disorders)
November 1, 2008... PARIS -- Patients with moderate to severe psoriasis are at increased risk for cardiovascular disorders and diabetes, which often go undiagnosed, according to an analysis of three clinical trials. "There was a substantial number of psoriasis...

Let's reexamine the treatment of URIs.(Expert Commentary)(upper respiratory infection)
November 1, 2008... The data from three studies should prompt us to reexamine our approach to the management of upper respiratory infections in children. Guidelines from the American Academy of Pediatrics recommend antimicrobial treatment for children with...

One in four teen girls got at least one HPV vaccine dose.(Infectious Diseases)
November 1, 2008... A Survey providing the first estimates for human papillomavirus vaccination found that 25% of girls aged 13-17 had received at least one dose of the vaccine, according to the Centers for Disease Control and Prevention. "This was very good...

Experts offer hot tips for helping smokers quit.(Mental Health)
November 1, 2008... SAN DIEGO -- When it comes to helping patients quit smoking, most primary care physicians could stand to improve their communication and persuasion skills. A 2007 survey of more than 3,000 physicians conducted by the Association of...

Antipsychotics raise need for health checks.(Mental Health)(Clinical report)
November 1, 2008... BARCELONA -- More than 20% of patients taking antipsychotic medications for schizophrenia were at risk for diabetes, more than 30% had undiagnosed hyperlipidemia, and more than 50% had undiagnosed hypertension, a large European epidemiologic...

Preeclampsia may put adult offspring at risk of stroke.(Women's Health)
November 1, 2008... WASHINGTON -- A maternal history of preeclampsia may identify adults who are at increased risk for stroke. Adults whose mothers had severe preeclampsia were almost twice as likely to have strokes, compared with adults whose mothers didn't...

Hypertension in pregnancy ups risk for later HT, stroke.
November 1, 2008... WASHINGTON -- Women who had hypertension during pregnancy are at increased risk for hypertension and stroke after 40 years of age. Follow-up data from more than 4,000 women suggest providers should ask patients about a history of...

Pulmonary hypertension and SSRIs.(Drugs Pregnancy And Lactation)(selective serotonin reuptake inhibitors)
November 1, 2008... Over the last several years, the reproductive safety of selective serotonin reuptake inhibitors (SSRIs) has been the focus of continual interest and concern, with data from several studies informing the question of relative risks of fetal...

Hands-on approach helps assess shoulder pain.(Musculoskeletal Disorders)
November 1, 2008... SAN DIEGO -- When patients present to primary care clinics complaining of shoulder pain, the injury usually stems from secondary impingement, which results from mechanical dysfunction such as structural glenohumeral laxity or insufficiency of...

Most NSAID responders do so within two weeks.(Musculoskeletal Disorders)(non-steroidal anti-inflammatory drug)(Brief article)
November 1, 2008... PARIS -- The overwhelming majority of osteoarthritis patients who will respond favorably to a given cyclooxygenase-2-selective NSAID will do so within the first 2 weeks, a pooled analysis of two placebo-controlled clinical trials has shown. ...

Large study links rhinitis to adult-onset asthma.(Pulmonary Medicine)
November 1, 2008... Rhinitis was a strong predictor of adult-onset asthma, according to findings from an 8-year population-based study in Europe. In the European Community Respiratory Health Survey, data from 6,461 participants showed that allergic rhinitis...

Taking the stairs at work is a leg up for a healthier heart.(Obesity)
November 1, 2008... MUNICH -- "No thanks, I'll take the stairs instead," was the catch-phrase at the University Hospital, Geneva, last year as physicians and nurses in the Geneva stair study eschewed elevators for foot power. The study was set up to test a...

Merck drops taranabant, cites psychiatric side effect profile.(Obesity)
November 1, 2008... Pharmaceutical manufacturer Merck & Co. has stopped developing taranabant, a weight-loss drug, because of concerns over psychiatric side effects, the company announced last month. "Available phase III data showed that both efficacy and...

GERD guidelines deem surgery a last resort.(Digestive Disorders)
November 1, 2008... Medical therapy with antisecretory drugs should be the first-line treatment for gastroesophageal reflux disease, with antireflux surgery offered only to those whose symptoms are not controlled by medication or who can't tolerate the drugs,...

Barrett's guidelines tweak screening justification.(Digestive Disorders)
November 1, 2008... ORLANDO -- Strategies for screening and treatment approaches for Barrett's esophagus, which were addressed in clinical practice guidelines released by the American College of Gastroenterology earlier this year, continued to trigger discussion...

Call to action targets deep vein thrombosis.(Clinical Rounds)(acting Surgeon General Steven K. Galson's statement)
November 1, 2008... WASHINGTON -- Despite progress that has been made in preventing deep vein thrombosis and pulmonary embolism, the persistently high incidence of these conditions has prompted a Call to Action statement by Acting Surgeon General Steven K. Galson....

Deaths raise ESA safety concerns in stroke study.(Clinical Rounds)(Clinical report)
November 1, 2008... A greater mortality rate in patients treated with epoetin alfa in a German study evaluating the drug's potential neuroprotective effects in stroke patients is the subject of an ongoing Food and Drug Administration safety review. A...

Framingham score IDs risk with raloxifene.(Clinical Rounds)(cerebrovascular event risk)(Brief article)
November 1, 2008... ORLANDO -- The Framingham stroke risk score can predict a high-risk postmenopausal woman's likelihood of a future cerebrovascular event with raloxifene use, according to an analysis of data from the Raloxifene Use for the Heart study. ...

Imaging preauthorization advised under Medicare.(Practice Trends)
November 1, 2008... The Government Accountability Office is urging Congress to require Medicare to adopt prior authorization procedures for outpatient imaging services, saying that the federal health program's current approach has allowed costs to balloon. ...

Mass. Medicaid waiver extended.(POLICY & PRACTICE)(Massachusetts)(Brief article)
November 1, 2008... The Centers for Medicare and Medicaid Services has granted Massachusetts a 3-year, $21.2 billion Medicaid waiver that will allow the state to continue to expand access to care through its health reform law. The agreement represents a $4.3...

Cephalon pays $425 million.(POLICY & PRACTICE)(inappropriate drug marketing for off-label use)(Brief article)
November 1, 2008... Cephalon Inc. has agreed to pay more than $425 million to settle claims that it inappropriately marketed three drugs for off-label uses, according to the U.S. Justice Department. The settlement will resolve civil and criminal complaints...

Consumers like flat Rx pricing.(POLICY & PRACTICE)(Brief article)
November 1, 2008... Pharmacy customers who take advantage of flat-rate generic prescription drug prices have higher levels of satisfaction than those who don't, according to the second annual J.D. Power and Associates National Pharmacy Study. Nearly one-fourth of...

Nationwide RAC launched.(POLICY & PRACTICE)(recovery audit contractor program)(Brief article)
November 1, 2008... CMS has launched its national recovery audit contractor program as part of its "aggressive new steps to find and prevent waste, fraud and abuse in Medicare." The new RACs, which will be paid on a contingency fee basis, soon will begin to...

Many drug studies unpublished.(POLICY & PRACTICE)(Brief article)
November 1, 2008... Studies on new prescription drugs are less likely to be published if they conclude that the medication is ineffective, researchers reported in the journal PLoS Medicine. The researchers found that only 43% of all clinical trials submitted to...

Florida files Vioxx suit.(POLICY & PRACTICE)
November 1, 2008... Florida Attorney General Bill McCollum has sued Merck & Co. on behalf of state agencies he said were damaged by "the company's allegedly deceptive marketing and promotion" of Vioxx. The lawsuit follows a 3-year investigation of Merck's...

Many practices are not prepared for disasters.(Practice Trends)
November 1, 2008... SAN DIEGO -- About a third of medical practices have no emergency medical preparedness plan to deal with disasters such as hurricanes and terrorist attacks, results from a national survey showed. More than 60% have not had disaster drills...

Geisinger uses medical home model to trim inpatient costs.(Practice Trends)(Geisinger Health System)
November 1, 2008... WASHINGTON -- Geisinger Health System has used a medical home model to slash inpatient costs in a demonstration program that it is now expanding to more of its practice sites, Dr. Glenn Steele Jr., CEO, said at a press briefing. The pilot...

Medical error reports tend to lowball costs.(Practice Trends)
November 1, 2008... Medical error studies that focus only on inpatient stays and do not take into account hospital readmissions and other patient care may underestimate costs by up to 30%, according to an analysis of millions of health insurance claims. ...

Penicillin allergy; negligence, and standard of care.(Law & Medicine)
November 1, 2008... Question: A 56-year-old man was admitted to the hospital with pneumonia. He had told the triage nurse on initial presentation he was allergic to penicillin, but the hospitalist subsequently administered ampicinin. Shortly after receiving the...

Breaking the code.(Genomic Medicine)
November 1, 2008... In a recent lecture, Dr. Harold E. Varmus, Nobel laureate, former head of the National Institutes of Health, and president of Memorial Sloan-Kettering Cancer Center, suggested that we should temper our expectations about the near-term prospects...

AAFP eyes greater role in setting CPT values.(Practice Trends)(American Academy of Family Physicians, Current Procedural Terminology)
November 1, 2008... Over the next year, officials at the American Academy of Family Physicians will weigh the best strategy for getting their voices heard when it comes to setting the values that determine Medicare payments. Traditionally, organized medicine...

When the (only a) moment is right.(Indications)(premature ejaculation)(Brief article)
November 1, 2008... Despite long being popularly perceived as a major concern for men, premature ejaculation did not have an evidence-based definition until earlier this year, when the International Society for Sexual Medicine (ISSM) presented the conclusion of a...

From the big brother research dept.(Indications)(electroencephalography)(Brief article)
November 1, 2008... A couple of West Coast firms are adapting brain-scanning technology to gain insight into how people react to advertisements, computer games, and even presidential candidates. The companies use EEG sensors to correlate brain activity with...

From the that '70s lifesaver dept.(Indications)(Brief article)
November 1, 2008... The Bee Gees still rule. Yes, their iconic 1977 disco smash "Stayin' Alive" has been shown to help heart patients do just that, according to research presented at the American College of Emergency Physicians annual meeting. A study presented at...

E-prescribing tied to Medicare bonus.(News)
November 15, 2008... BOSTON -- "E-prescribing saves lives, it saves money, and it's time we implement it," according to Health and Human Services Secretary Mike Leavitt. Streamlining the bloated health care system "is an economic imperative for our country. We...

CDC: immunize smokers against pneumococcus: habit accounts for 50% disease burden.(Infectious Diseases)
November 15, 2008... ATLANTA -- Cigarette smoking in adults aged 19-64 years should be considered an indication for 23-valent pneumococcal polysaccharide vaccination, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention...

MRSA-related sinusitis spikes, cultures warranted.(News)(methicillin-resistant Staphylococcus aureus )
November 15, 2008... WASHINGTON -- A steep increase in the proportion of sinusitis cases caused by methicillin-resistant Staphylococcus aureus should drive health care providers to broaden the use of cultures in areas where the prevalence of MRSA is high, a new...

Medicare rule could mean 5.1% more.(News)
November 15, 2008... physicians will have the potential to gain as much as a 5.1% increase in their Medicare payments next year, according to a final rule issued by the Centers for Medicare and Medicaid Services. The projected pay raise is a combination of the...

Transition to ICD-10 will carry big price tag.(News)
November 15, 2008... The federal government's plan to transition from the ICD-9-CM diagnosis and procedure code set to the ICD-10 by 2011 could cost physicians big bucks, according to a cost analysis commissioned by the Medical Group Management Association and...

Medicaid costs will outpace U.S. economy.(News)(Brief article)
November 15, 2008... The price tag for medical assistance under Medicaid is expected to reach nearly $674 billion over the next decade, with the federal government picking up more than $383 billion of the cost, according to projections from the Centers for Medicare...

Bisphosphonates not tied to atrial fib, FDA review finds.(News)
November 15, 2008... The Food and Drug Administration's safety review of bisphosphonates has not found a clear association between treatment with a bisphosphonate and atrial fibrillation, the agency recently announced. "Based on the data available at this time,...

Brain stimulation device cleared for depression.(News)
November 15, 2008... The Food and Drug Administration has cleared a noninvasive device that delivers magnetic stimulation to the brain for treating depression in adults, according to Neuronetics Inc., the manufacturer of the device. The FDA cleared the...

P4P isn't the only tool in the drawer.(Guest Editorial)(pay for performance )
November 15, 2008... Health care policy makers' enthusiastic embrace of pay for performance as the dominant strategy to improve quality and rein in health care costs needs to be weighed against significant questions about the program's cost effectiveness and likely...

Skepticism about ezetimibe persists.(Letter to the editor)
November 15, 2008... Your article on ezetimibe and cancer missed a crucial point ("Experts Continue to Debate Ezetimibe Cancer Concerns," Oct. 1, 2008, p. 1). The SEAS trials reported an increase in total cancer and especially an increase in fatal cancers. In...

Forced cultural competency needless.(Letter to the editor)
November 15, 2008... While it is acceptable that the AMA has apologized for their discriminatory practices in the past, they are merely another group that has done so in a long line of apologists, including the U.S. government ('AMA Apology for Racial Inequity Is...

Collections of physician writers.(Letters)(Letter to the editor)
November 15, 2008... I read your article on Dr. Daniel C. Bryant with great interest ("Revering the Work of Physician Writers," October 2008, p. 70). My father, Benjamin Bernard Weinstein, M.D., established three collections of works by physician writers at...

Aspirin boosted survival in acute unstable angina.(Cardiovascular Medicine)(Brief article)
November 15, 2008... MUNICH -- Aspirin saves lives in patients with unstable angina, according to a retrospective chart review. Patients who were treated with aspirin during their acute care hospitalization for unstable angina and who were prescribed aspirin at...

Certain agonists may aggravate valve problems.(Cardiovascular Medicine)
November 15, 2008... MADRID -- Patients with a cardiovascular abnormality who also take an ergotamine-derived dopamine agonist are at an increased risk for a worsening of their heart problems. But "most patients who stop ergotamine-derived treatment seem to...

Aspirin did not cut CV risk in younger diabetics: at the same time, the data suggest that low-dose aspirin may reduce total events in older patients.(Cardiovascular Medicine)
November 15, 2008... NEW ORLEANS -- Aspirin therapy is commonly used for primary prevention of cardiovascular events in persons with type 2 diabetes, but a Japanese study of 2,539 subjects found no statistically significant reduction in the primary end point of...

CT angiography shows plaque in patients at low clinical risk.(Cardiovascular Medicine)(Clinical report)
November 15, 2008... BOSTON -- Direct screening for atherosclerosis using CT coronary angiography may provide a more accurate cardiovascular risk picture than do routine clinical predictors. However, the value of the imaging method in asymptomatic patients must be...

Age is not a contraindication for thyroid surgery.(Metabolic Disorders)
November 15, 2008... CHICAGO -- Octogenarians undergoing thyroid surgery experience a markedly increased rate of serious perioperative complications, compared with younger patients, according to Dr. Michal Mekel. Dr. Mekel of Massachusetts General Hospital in...

Whites, women more prone to thyroid disease.(Metabolic Disorders)(Brief article)
November 15, 2008... CHICAGO -- The prevalence of thyroid cancer and other forms of thyroid disease in the United States is markedly greater in whites and females. Preliminary data from the National Health and Nutrition Examination Survey for 2005-2006 showed...

PCV13 is promising against worrisome serotypes.(Infectious Diseases)(pneumococcal conjugate vaccineS)
November 15, 2008... WASHINGTON -- An updated pneumococcal conjugate vaccine containing 13 different bacterial strains appears to be safe and immunogenic, based on pilot data from four European studies including several hundred infants and toddlers. The data...

Few children younger than age 2 years receive influenza vaccination.(Infectious Diseases)
November 15, 2008... ATLANTA -- Influenza vaccination rates remain low among children aged 6-23 months, despite a recommendation made 3 years ago by the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices that children younger...

Research launched on skin disease comorbidities.(Skin Disorders)
November 15, 2008... BETHESDA, MD. -- The Society for Investigative Dermatology has launched an ambitious multiyear, multidisciplinary research agenda focusing on skin disease comorbidities. Initially, the Co-Morbidities of Skin Disease project will focus on...

Mental health in U.S. is worsening, survey shows.(Mental Health)
November 15, 2008... CHICAGO -- A barometer of the nation's mental health shows psychopathology-related symptoms have worsened overall in the past decade, with intriguing geographic variations. Rates of frequent mental distress are highest in the Appalachian...

Antipsychotics linked to adverse metabolic, CV events in children.(Mental Health)(cardiovascular)
November 15, 2008... Antipsychotic medications are associated with adverse metabolic and cardiovascular events in children and adolescents who are treated in usual-care settings. In a retrospective cohort study, children who are treated with antipsychotics,...