A meta-analysis published in the Journal of the American Medical Association found that SGLT2 inhibitors slow chronic kidney disease progression regardless of albuminuria or diabetes status. "These data support removal of stratification by level of albuminuria from guideline recommendations for use of SGLT2 inhibitors in chronic kidney disease (CKD) and also support more widespread use of these treatments," researcher Natalie Staplin said.

The Obesity Society, the Obesity Medicine Association and the Obesity Action Coalition will jointly issue evidence-based guidelines for pharmacologic management for patients with obesity and overweight. The guidelines will cover the use of medications and address quality of life as a key metric. The guidelines were previewed at ObesityWeek.

The current administration is considering reinstating the food pyramid as a central visual in the upcoming US Dietary Guidelines. While details are still being finalized, sources suggest the new pyramid would emphasize protein and whole foods, but nutritionists express concern over the simplicity of the new guidelines.

The American College of Gastroenterology's recent guideline on nutrition in liver disease emphasizes protein intake and debunks the idea that patients with liver disease should avoid protein. "Cirrhosis is a catabolic state, so patients are losing their muscle mass, and if they cut protein, they are further exaggerating loss of bone mineral density, putting them at risk for fractures," says Dr. Ashwani Singal, the lead author.

An international study found that better staffing and work environments for nurses were associated with improvements in burnout and job dissatisfaction among physicians. The study, published in JAMA Network Open, surveyed more than 15,000 nurses and 6,400 physicians in the US and six European countries. In the US, a 10% increase in nurses' assessment of their work environments was associated with equal or greater improvements in measures of physician wellness and satisfaction.

Double the impact: "Our study provides evidence that investing in nurses is a 'two-for-one' solution," said researcher Linda Aiken, founding director of Penn Nursing's Center for Health Outcomes and Policy Research.

The New York Times is reporting that for the first time, the CDC told state health departments it is linking the measles outbreak in Texas to one in Utah and Arizona. If the outbreak does not end by January, the one-year anniversary of the start of the Texas outbreak, the US will lose its World Health Organization "elimination status" for the first time in 25 years. CDC data show 1,723 confirmed cases of measles in the US as of Nov. 13, with 87% linked to a record 45 outbreaks.