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Category: Orthopedics | Monthly Briefing

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October 2011 Briefing - Orthopedics

Last Updated: November 01, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for October 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Pre-Op Erythropoietin Reduces Need for Peri-Op Transfusion

MONDAY, Oct. 31 (HealthDay News) -- Preoperative administration of erythropoietin and an iron supplement significantly reduces the requirement for perioperative transfusion in anemic patients undergoing valvular heart surgery, according to a study published in the November issue of Anesthesiology.

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Disc Herniation Symptom Duration Tied to Outcome

MONDAY, Oct. 31 (HealthDay News) -- Longer pretreatment symptom duration from lumbar disc herniation is associated with poorer outcomes after both surgical and nonsurgical intervention, according to a study published in the Oct. 19 issue of The Journal of Bone & Joint Surgery.

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Switching From IV to Oral Meds Cuts Health Care Costs

MONDAY, Oct. 31 (HealthDay News) -- For patients who are clinically eligible for oral (PO) medication intake, switching from intravenous (IV) to oral medication can substantially reduce the annual cost of health care, according to a study published online Oct. 17 in Clinical Therapeutics.

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Self-Reported Knee Function, Pain Worse Than Doc-Assessed

FRIDAY, Oct. 28 (HealthDay News) -- Following total knee arthroplasty, self-reported American Knee Society pain and function subscores are worse than clinician-assessed scores, but self- and clinician-assessment of the Oxford Knee Score is similar, according to a study published in the Oct. 19 issue of the Journal of Bone and Joint Surgery.

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Nonclinical Factors Impact Back Pain Treatment Decisions

FRIDAY, Oct. 28 (HealthDay News) -- Nonclinical factors, including gender, socioeconomic status, and patient presentation, influence physicians' treatment recommendations for acute nonspecific low back pain, with patient presentation the most influential factor, according to a study published in the Nov. 1 issue of Spine.

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Ghost Authorship Prevalent in About One-Fifth of Articles

WEDNESDAY, Oct. 26 (HealthDay News) -- The prevalence of articles with honorary authorship, ghost authorship, or both is 21 percent, which marks a significant decrease since 1996, according to a study published online Oct. 25 in BMJ.

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Yoga As Effective As Stretching for Chronic Low Back Pain

WEDNESDAY, Oct. 26 (HealthDay News) -- For primary care patients with chronic low back pain, yoga is as effective as conventional stretching exercises and more effective than a self-care book for improving function and reducing symptoms, according to a study published online Oct. 24 in the Archives of Internal Medicine.

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Radiographic Osteoarthritis Phenotypes Linked to Race

TUESDAY, Oct. 25 (HealthDay News) -- African-Americans are less likely to have hand radiographic osteoarthritis (rOA) phenotypes, but are more likely to have knee rOA phenotypes involving the tibiofemoral joints (TFJ), according to a study published online Oct. 20 in Arthritis & Rheumatism.

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Trabecular Bone Texture Predicts Arthritis Progression

FRIDAY, Oct. 21 (HealthDay News) -- Automated analysis of tibial trabecular bone (TB) texture in individuals with or without radiographic knee osteoarthritis shows promise for predicting progressive tibiofemoral joint space loss, according to a study published online Oct. 11 in Arthritis & Rheumatism.

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Ultrasound, Shock Wave Not Effective for Low Back Pain

FRIDAY, Oct. 21 (HealthDay News) -- The available evidence does not support the effectiveness of ultrasound or shock wave for treating low back pain (LBP), according to a review published in the October issue of The Spine Journal.

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3-D CT Useful for Classification of Ligament Ossification

THURSDAY, Oct. 20 (HealthDay News) -- Use of three-dimensional computed tomography (3-D CT) to visualize ossification of the posterior longitudinal ligament (OPLL) can aid with classification of lesions, according to a study published in the October issue of The Spine Journal.

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Readmission Risk Models Display Poor Predictive Ability

TUESDAY, Oct. 18 (HealthDay News) -- Most hospital readmission risk models have poor predictive ability, according to a review published in the Oct. 19 issue of the Journal of the American Medical Association.

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Halo Immobilization Superior to Fusion for C2 Fractures

FRIDAY, Oct. 14 (HealthDay News) -- For patients with C2 fractures, treatment with fusion is associated with increased overall complication rates, increased length of stay, and greater resource utilization compared to halo-vest immobilization, but mortality rates are similar for the two procedures, according to a study published online Sept. 30 in Spine.

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No Effect of Prophylaxis Type on Pulmonary Embolism Rate

FRIDAY, Oct. 14 (HealthDay News) -- The rate of pulmonary embolism after total hip arthroplasty does not differ by the type of prophylaxis or anesthesia used, according to a study published in the Oct. 5 issue of The Journal of Bone & Joint Surgery.

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Rare Disorders ID'd by NIH Undiagnosed Diseases Program

THURSDAY, Oct. 13 (HealthDay News) -- The extensive application of genomic technology under the U.S. National Institutes of Health Undiagnosed Diseases Program (NIH-UDP) helps diagnose complex and rare multisystem disorders, according to a report published online Sept. 26 in Genetics in Medicine.

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No Benefit of Occupational Therapy After Wrist Fracture

THURSDAY, Oct. 13 (HealthDay News) -- For patients with an unstable distal radial fracture treated with open reduction and volar locking plate fixation, surgeon-directed independent exercises, but not those under supervision of an occupational therapist, improve average motion and disability score of the wrist, according to a study published in the Oct. 5 issue of The Journal of Bone & Joint Surgery.

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Increased Travel Time to Trauma Centers in 2007

THURSDAY, Oct. 13 (HealthDay News) -- Geographic access to trauma centers in the United States declined from 2001 to 2007, especially in communities with higher numbers of poor, uninsured, African-American residents, and individuals living in rural areas, according to a study published in the October issue of Health Affairs.

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'Timed Up and Go' Test Predicts Nonvertebral, Hip Fractures

WEDNESDAY, Oct. 12 (HealthDay News) -- "Timed up and go" (TUG) test performance is an independent predictor of risk for incident nonvertebral and hip fractures in elderly women, according to a study published in the Oct. 10 issue of the Archives of Internal Medicine.

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Financial Conflicts of Interest Prevalent, Under-Reported

WEDNESDAY, Oct. 12 (HealthDay News) -- Conflicts of interest (COI) are prevalent among members and chairs of guideline panels, and are under-reported, according to a study published online Oct. 11 in BMJ.

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Good Long-Term Outcomes With Selective Thoracic Fusion

TUESDAY, Oct. 11 (HealthDay News) -- Selective thoracic fusion for adolescent idiopathic scoliosis (AIS) yields long-term stable spinal balance and lumbar curve correction, with outcome measures comparable to long instrumented fusion, according to a study published online Sept. 30 in Spine.

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Septicemia Most Costly Reason for Hospitalization in 2009

MONDAY, Oct. 10 (HealthDay News) -- Septicemia was the single most expensive condition treated in U.S. hospitals in 2009, with expenditure totaling nearly $15.4 billion, according to an October statistical brief based on Healthcare Cost and Utilization Project (HCUP) data published by the Agency for Healthcare Research and Quality (AHRQ).

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Electronic Records Enhance Care Transitions for Elderly

MONDAY, Oct. 10 (HealthDay News) -- Implementation of electronic health care record (EHR) systems is likely to enhance communication and patient care during care transitions, particularly for older patients, according to a study published in the October issue of the AORN Journal.

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Use of Oral Steroids Linked to Vitamin D Deficiency

THURSDAY, Oct. 6 (HealthDay News) -- The use of oral steroids is associated with serum 25-hydroxyvitamin D (25[OH]D) deficiency, according to a study published online Sept. 28 in the Journal of Clinical Endocrinology & Metabolism.

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Many Elderly in U.S. Undergo Surgery in Last Year of Life

THURSDAY, Oct. 6 (HealthDay News) -- A considerable proportion of elderly people in the United States undergo surgery in the year before their death, with the rate varying with age and geographical region, according to a study published online Oct. 6 in The Lancet.

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Early ID of Morbidly Obese Improves Surgical Care

THURSDAY, Oct. 6 (HealthDay News) -- Early identification of patients with a body mass index (BMI) of 35 kg/m² or more improves perioperative care and outcomes, according to a study published in the October issue of the AORN Journal.

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Pre-Op Anemia Ups Mortality After Non-Cardiac Surgery

THURSDAY, Oct. 6 (HealthDay News) -- For patients undergoing non-cardiac surgery, even a mild degree of preoperative anemia is independently associated with an increased risk of 30-day morbidity and mortality, according to a study published online Oct. 6 in The Lancet.

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More Minority Patients in Low-Quality, High-Cost Hospitals

THURSDAY, Oct. 6 (HealthDay News) -- Hospitals where the quality is low and costs high (worst hospitals) in the United States care for a higher proportion of elderly black, Hispanic, and Medicaid patients than high-quality, low-cost institutions (best hospitals), according to a study published in the October issue of Health Affairs.

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Poor Footwear Ups Impairment, Disability in Chronic Gout

MONDAY, Oct. 3 (HealthDay News) -- Use of poor footwear is common among patients with chronic gout, and is associated with foot-related disability and impairment, according to a study published online Oct. 3 in Arthritis Care & Research.

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Risk Factors ID'd for Post-Spine Surgery Death, Morbidity

MONDAY, Oct. 3 (HealthDay News) -- Older age, wound infections, and other medical comorbidities increase the risk of immediate morbidity or mortality in patients undergoing spine surgery, according to a study published in the Sept. 7 issue of The Journal of Bone & Joint Surgery.

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Vitamin D Insufficiency Prevalent in Psoriatic Arthritis

MONDAY, Oct. 3 (HealthDay News) -- Vitamin D insufficiency appears to be highly prevalent among people with psoriatic arthritis (PsA), regardless of where they live or the time of year, according to research published in the October issue of Arthritis Care & Research.

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Smoking Complicates Joint Replacement Outcomes

MONDAY, Oct. 3 (HealthDay News) -- Smoking is associated with higher rates of complications such as infections, stroke, pneumonia, and death following elective total hip replacement (THR) and total knee replacement (TKR) surgeries, according to research published in the October issue of Arthritis Care & Research.

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