JOURNAL UPDATE

Any Initial Bone Fracture Ups Risk for More Fractures in Older Women

All types of initial bone fractures associated with increased risk for subsequent fractures among postmenopausal women

• Pre-TKA Vitamin D Deficiency May Adversely Affect Outcomes in Postmenopausal Women
• Low Bone Mineral Density Prognostic for Atherosclerotic CVD
• 2.4 Million ED Visits in ≥65s Due to Unintentional Falls
• Physicians Report Sharing Office Visit Notes Beneficial Overall

OTHER JOURNAL ARTICLES

Gender Gap in Orthopedics Remains Largely Unchanged

As of April 2020, only 8 percent of orthopedic surgeons nationally are women

Erythropoietin May Up Risk for Hip Fracture in Hemodialysis Patients

Risk for hip fracture increased with EPO doses of 50 to 149, 150 to 299, and ≥300 versus <50 units/kg/week

Women Physicians Delay Childbearing Versus Nonphysicians

Physicians more likely to experience childbirth at older ages; have same cumulative probability of childbirth as nonphysicians

Peripheral Nerve Stimulation May Cut Pain After Orthopedic Surgery

Pain scores, opioid consumption reduced in first postoperative week with percutaneous peripheral nerve stimulation versus sham treatment

Cannabis Use Disorder Tied to Spine Surgery Complications

Surgical patients with concurrent cannabis use disorder had higher rates of inpatient neurovascular, thromboembolic, and pulmonary complications

Female Sex, Work Culture Biggest Contributors to Physician Burnout

Compared with electronic health record usage at an academic medical center, clinician sex and work culture contributed more to burnout

Claim Rates ID’d for Musculoskeletal Disorders From Overexertion

Work-related musculoskeletal disorder claims from overexertion among construction workers were highest for those aged 35 to 44 years

Proportion of Black Physicians Has Changed Little Since 1900

Racial income differences were statistically significant each survey year, with difference of $50,000 in 2018

Nearly Half of Older Adults Use Online Physician Ratings

Online ratings perceived to be very important nearly as often as word-of-mouth recommendations from family and friends

USPSTF Finds Evidence Insufficient for Vitamin D Screening

Evidence insufficient to ascertain benefits and harms of screening for vitamin D deficiency in asymptomatic adults

Work-Related Carpal Tunnel Syndrome Down From 2003 to 2018

Workers in construction, manufacturing jobs may be more susceptible to carpal tunnel than those working in office jobs

Medicare Payment Patterns Examined for Hip Fracture Surgery

From 2005 to 2014, the ratio of Medicare reimbursements for hospital charges compared with surgeon charges has increased

Several Racial/Ethnic-Minority Groups Underrepresented in Health Care Professions

Greater efforts needed to increase diversity in health care professions

Risk for Acute Kidney Injury High With Protocol for Post-TKA Infection

AKI seen in 14 percent of patients treated with antibiotic-loaded bone cement spacer after resection of periprosthetic joint infection

Branded Rx Requests Up Medicare Costs by $1.6 Billion

Physician, patient requests account for almost one-third of branded dispensing