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November 2012 Briefing - Rheumatology

Last Updated: December 03, 2012.

Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for November 2012. 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.

Worse Outcomes for Total Joint Arthroplasty in RA Versus OA

FRIDAY, Nov. 30 (HealthDay News) -- Patients with rheumatoid arthritis (RA) are at higher risk of dislocation and infection following total joint arthroplasty compared to patients with osteoarthritis (OA), according to a review published in the December issue of Arthritis & Rheumatism.

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Removal of Consultation Fees Increased Spending on Doc Visits

WEDNESDAY, Nov. 28 (HealthDay News) -- The 2010 Medicare elimination of consultation payments (mainly billed by specialists) led to a net increase in spending on physician office visits, according to a study published online Nov. 26 in the Archives of Internal Medicine.

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Political Leaders Face Voter Opposition to Medicare Cuts

WEDNESDAY, Nov. 28 (HealthDay News) -- The majority of those who voted for President Obama in the 2012 election favor implementing the Affordable Care Act (ACA), while those who voted for Republican officeholders are likely to oppose parts or all of the implementation of the ACA; both sides oppose cuts to Medicare as a means to balance the budget, according to an analysis of newly released polls published as a Special Report online Nov. 28 in the New England Journal of Medicine.

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State Cost of Affordable Care Act's Medicaid Expansion Modest

WEDNESDAY, Nov. 28 (HealthDay News) -- Implementation of the Affordable Care Act's (ACA) Medicaid expansion will likely result in modest state costs by 2022, but will gain health care coverage for more than 20 million uninsured Americans, according to report published by the Kaiser Family Foundation.

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Doc Earnings Growth Lags Behind Other Health Professionals

TUESDAY, Nov. 27 (HealthDay News) -- Compared with other health professionals, in the last 15 years there has been considerably less growth in the earnings of physicians in the United States, according to a research letter published in the Nov. 28 issue the Journal of the American Medical Association.

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Growing Number of Drugs Possibly Inhibited by Grapefruit

TUESDAY, Nov. 27 (HealthDay News) -- There are increasing numbers of newly marketed drugs that have the potential to interact with grapefruit, all of which are metabolized by the cytochrome P450 3A4 enzyme (CYP3A4), according to a review published online Nov. 26 in CMAJ, the journal of the Canadian Medical Association.

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Obama Administration Moving Forward With Health Care Law

WEDNESDAY, Nov. 21 (HealthDay News) -- Three rules have been proposed by the Obama administration to further facilitate implementation of the Affordable Care Act, according to a Nov. 20 press release from the U.S. Centers for Medicare & Medicaid Services.

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Pulmonary Complications Often Fatal in Systemic JIA

MONDAY, Nov. 19 (HealthDay News) -- Pulmonary complications are under-recognized in systemic juvenile idiopathic arthritis (sJIA), and are often fatal, according to a study published online Nov. 8 in Arthritis Care & Research.

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Arthritis Cartilage Shows Mitochondrial Dysfunction

MONDAY, Nov. 19 (HealthDay News) -- Cartilage from osteoarthritis patients shows greater oxidative damage and mitochondrial dysfunction than healthy cartilage, which is associated with the downregulation of the superoxide dismutase 2 (SOD2) gene, according to a study published online Nov. 8 in Arthritis & Rheumatism.

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Mental Illness, Job Stress Both Factors in Physician Suicides

FRIDAY, Nov. 16 (HealthDay News) -- The presence of mental illness or job problems may make physicians more vulnerable to suicide than non-physicians, according to a study published online Nov. 5 in General Hospital Psychiatry.

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Social Network Profile May Harm Medical Applicants

MONDAY, Nov. 12 (HealthDay News) -- Social networking profiles may harm an applicant's chances of admission to medical school or a residency program, according to a study published online Nov. 8 in the Postgraduate Medical Journal.

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Impaired Central Pain Mechanism for Patients With RA

FRIDAY, Nov. 9 (HealthDay News) -- Compared with pain-free control patients, women with rheumatoid arthritis (RA) exhibit impaired conditioned pain modulation (CPM), according to research published online Nov. 1 in Arthritis & Rheumatism.

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Racial Variation in Pain in Knee OA Linked to Vitamin D Levels

THURSDAY, Nov. 8 (HealthDay News) -- For patients with knee osteoarthritis, racial differences in experimental pain are associated with levels of vitamin D, according to a study published online Nov. 7 in Arthritis & Rheumatism.

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Xeljanz Approved for Rheumatoid Arthritis

WEDNESDAY, Nov. 7 (HealthDay News) -- Xeljanz (tofacitinib) has been approved by the U.S. Food and Drug Administration to treat moderately to severely active rheumatoid arthritis (RA) among people who can't tolerate, or haven't been helped by, the drug methotrexate.

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Antirheumatic Drugs Have Minor Effect on Preeclampsia Risk

TUESDAY, Nov. 6 (HealthDay News) -- The use of a disease-modifying antirheumatic drug (DMARD) during pregnancy is rare and is associated with a nonsignificant increase in the risk for preeclampsia in women with autoimmune disease, according to a study published in the November issue of Arthritis Care & Research.

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Few PT Interventions Effective for Knee Osteoarthritis

TUESDAY, Nov. 6 (HealthDay News) -- Only a few physical therapy (PT) interventions are effective for knee pain secondary to osteoarthritis, specifically exercise and ultrasonography, according to a review published in the Nov. 6 issue of the Annals of Internal Medicine.

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Salivary Gland Ultrasonography Improves Sjögren's Diagnosis

FRIDAY, Nov. 2 (HealthDay News) -- The addition of salivary-gland ultrasonography (SGUS) to American-European Consensus Group (AECG) classification criteria improves the accuracy of diagnosis of primary Sjögren's syndrome (pSS), according to a study published online Oct. 25 in Arthritis & Rheumatism.

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Factors Impacting Benefit of Exercise in Knee OA Identified

FRIDAY, Nov. 2 (HealthDay News) -- For patients with knee osteoarthritis, self-reported knee instability and fear of physical activity correlate with the likelihood of treatment response following a therapeutic exercise program, according to a study published in the November issue of Arthritis Care & Research.

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NSAIDS Don't Affect C-Reactive Protein Levels in RA Patients

THURSDAY, Nov. 1 (HealthDay News) -- Overall, oral nonsteroidal anti-inflammatory drugs (NSAIDs) do not have an effect on C-reactive protein (CRP) levels in patients with rheumatoid arthritis (RA), according to research published in the November issue of Arthritis & Rheumatism.

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Self-Management of Low Back Pain Has Small Effects

THURSDAY, Nov. 1 (HealthDay News) -- Self-management of low back pain (LBP) has only small effects on pain and disability, according to the results of a systematic review and meta-analysis published in the November issue of Arthritis Care & Research.

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