Effectiveness of Physical Therapy for Back Pain

Julie Fritz, PhD, and colleagues have conducted a series of rigorous randomized clinical trials examining patients with acute back pain, back pain accompanied by sciatica, and back pain due to spinal stenosis. Their recent study found that patients with back pain and sciatica who were referred to physical therapy for treatment with exercise and manual therapy were more likely to rate their treatment as successful and reported significantly greater reductions in pain and disability than patients who were not referred. Continue reading → Effectiveness of Physical Therapy for Back Pain

Myocardial Recovery in Chronic Heart Failure

Chronic heart failure is a disease with poor prognosis and currently is a global epidemic. University of Utah Health investigator Stavros George Drakos, MD, and colleagues analyzed human heart tissue and produced evidence refuting the widely held notion that prolonged off-loading of the failing heart induced by cardiac assist devices results in disuse atrophy that further deteriorates heart function. Continue reading → Myocardial Recovery in Chronic Heart Failure

Combination Therapy for Treatment-Resistant Pancreatic Cancer

McMahon and colleagues reported that simultaneous combined inhibition of MEK plus autophagy displayed synergistic anti-proliferative effects against cultured pancreatic cancer cell lines and promoted regression of xenografted patient-derived pancreatic tumors in mice. Continue reading → Combination Therapy for Treatment-Resistant Pancreatic Cancer

Elective Labor Induction in First-Time Moms at 39 Weeks of Gestation

The optimal timing of delivery for low-risk pregnancies is not known. Risks of complications increase after 39 weeks of gestation, but inducing labor may increase the need for cesarean delivery, leading to policies prohibiting elective induction before 41 weeks. To address this dilemma, Robert Silver, MD, and colleagues at the University of Utah Department of Obstetrics & Gynecology randomized 6,106 low-risk, first-time pregnant women to either induction of labor at 39 weeks or expectant management. Continue reading → Elective Labor Induction in First-Time Moms at 39 Weeks of Gestation

Blood Pressure Treatment Target

Researchers have long debated the optimal blood pressure for people older than age 50, especially in older adults who might not tolerate lower blood pressure. Alfred Cheung, MD, and colleagues at University of Utah Health led one of five national Clinical Center Networks to design and conduct the Systolic Blood Pressure Intervention Trial (SPRINT). Continue reading → Blood Pressure Treatment Target