March 2013 Briefing - RheumatologyLast Updated: April 01, 2013.
Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for March 2013. 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.
Many Uninsured Vets Will Be Eligible for Medicaid Under ACA
FRIDAY, March 29 (HealthDay News) -- A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood Johnson Foundation.
Cervical Discectomy, Fusion Is Durable and Cost-Effective
FRIDAY, March 29 (HealthDay News) -- Single-level instrumented anterior cervical discectomy and fusion (ACDF) is durable and cost-effective after five years of follow-up, according to a study published in the March 15 issue of Spine.
Low Vitamin D Levels Common Among Spinal Fusion Patients
THURSDAY, March 28 (HealthDay News) -- A substantially high number of patients undergoing spinal fusion have a vitamin D deficiency or inadequacy, according to a study published in the March 15 issue of Spine.
Regional Variation Noted in Prevalence of Delayed Care
THURSDAY, March 28 (HealthDay News) -- There is considerable county-wide variation in the prevalence of delayed care, with high prevalence linked to a weaker health care infrastructure, according to a letter published in the March 28 issue of the New England Journal of Medicine.
Study: Primary Care Extension Program Should Be Funded
THURSDAY, March 28 (HealthDay News) -- The Primary Care Extension Program (PCEP) has the potential to transform primary care and needs to be funded, according to a study published in the March/April issue of the Annals of Family Medicine.
Using Internet Search Logs Can Help Identify Drug Interactions
THURSDAY, March 28 (HealthDay News) -- Search logs can be used to inexpensively mine for anonymized signals that may alert authorities to potential drug interactions and add new Web-scale pharmacovigilance capabilities, according to research published online March 6 in the Journal of the American Medical Informatics Association.
Inpatient Deaths Fell by 8 Percent in Last Decade
WEDNESDAY, March 27 (HealthDay News) -- The number of inpatient hospital deaths declined by 8 percent over the last decade, although the total number of hospitalizations increased by 11 percent during the same period, according to a March data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
Majority of Lumbar Spine MRIs Are Inappropriately Ordered
WEDNESDAY, March 27 (HealthDay News) -- There is substantial overuse of lumbar magnetic resonance imaging (MRI) scans, according to a research letter published online March 25 in JAMA Internal Medicine.
Submitting Peer-Review Reports Could Expedite Process
WEDNESDAY, March 27 (HealthDay News) -- Attaching previous peer-review reports during the next submission of the same paper to a different journal could optimize the peer-review process, according to research published in the March/April issue of the Annals of Family Medicine.
Elevated Blood Cobalt Levels Linked to Metal Hip Failures
TUESDAY, March 26 (HealthDay News) -- Elevated blood cobalt concentrations are associated with an increased risk of early joint failure in metal-on-metal (MoM) hip resurfacings secondary to the development of an adverse local tissue response, according to a study published online March 12 in BMJ Open.
Residency Reforms Reduced Duty Hours, Increased Sleep
TUESDAY, March 26 (HealthDay News) -- Additional residency reforms implemented in 2011 have reduced duty hours and increased sleep duration, but with perceived reductions in quality of patient care, according to research published online March 25 in JAMA Internal Medicine.
Mobility Impaired May Have Difficulty Accessing Docs
FRIDAY, March 22 (HealthDay News) -- Many U.S. subspecialty practices cannot accommodate patients with mobility impairment, according to a study published in the March 19 issue of the Annals of Internal Medicine.
Impact of Budget Sequestration on Health Care Discussed
THURSDAY, March 21 (HealthDay News) -- The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine.
Effect of Immigration Status on Medicaid Eligibility Discussed
WEDNESDAY, March 20 (HealthDay News) -- Under the Affordable Care Act, a considerable proportion of low-income uninsured adults will be ineligible for Medicaid coverage due to their immigration status, and their main providers are likely to be safety-net health care providers, according to a March report published by the State Health Access Data Assistance Center.
Manual Osteopathic Treatment Improves Chronic Back Pain
WEDNESDAY, March 20 (HealthDay News) -- Treatment of nonspecific chronic low back pain with osteopathic manual treatment (OMT) is associated with moderate or substantial improvements in low back pain, according to a study published in the March/April issue of the Annals of Family Medicine.
Total Knee Replacement Poses Large Public Health Burden
WEDNESDAY, March 20 (HealthDay News) --The prevalence of total knee replacement is estimated at 4.2 percent for U.S. adults aged 50 years and older, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.
ER Discharge Dx/Disposition Discordant With Chief Complaint
TUESDAY, March 19 (HealthDay News) -- A considerable proportion of patients with emergency department visits with the same presenting complaint as those ultimately given a primary care-treatable diagnosis require immediate emergency care or hospital admission, according to a study published in the March 20 issue of the Journal of the American Medical Association.
Conflict-of-Interest Disclosures Common at 2011 AAOS Meeting
TUESDAY, March 19 (HealthDay News) -- At the 2011 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, voluntarily disclosed conflicts of interest were common, especially for featured symposia, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.
CMV-Linked Eye Infections ID'd in Patients Without HIV
MONDAY, March 18 (HealthDay News) -- Cytomegalovirus (CMV)-associated posterior uveitis or panuveitis can develop in patients without HIV infection, most of whom have evidence of compromised immune function, according to a study published online March 14 in JAMA Ophthalmology.
Final Rule in Notice of Benefit, Payment Parameters Issued
FRIDAY, March 15 (HealthDay News) -- The final rule of the Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2014, which expands on existing standards, has been released.
Health Insurance Exchanges Will Mainly Be Run by Feds
FRIDAY, March 15 (HealthDay News) -- More than half of the states within the United States will allow the federal government to establish health insurance exchanges, according to a report issued by the Henry J. Kaiser Family Foundation.
Pharmaceutical Companies Are Reducing Promotional Spending
FRIDAY, March 15 (HealthDay News) -- Pharmaceutical companies have been reducing the amount of money they spend on promotion to consumers and providers over the past decade and spend much less to promote biologics compared with small molecule drugs, according to a study published online March 4 in PLOS ONE.
AMA Files Brief Contesting Insurer's Payment Practices
WEDNESDAY, March 13 (HealthDay News) -- A landmark case examining the question of whether physicians can bring a class arbitration against a health insurer who has underpaid them is currently before the U.S. Supreme Court, in a brief filed by the Litigation Center of the American Medical Association and State Medical Societies and the Medical Society of New Jersey.
$120 Million to Be Sequestered From Health Centers in 2013
TUESDAY, March 12 (HealthDay News) -- Budget sequestration, which is expected to reduce federal spending, is likely to result in a $120 million loss in grant funding for the nation's 1,200 community health centers in 2013, according to a report published by the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative.
Salty Diet Implicated in Autoimmune Disease
FRIDAY, March 8 (HealthDay News) -- A salty diet could contribute to the development of autoimmune diseases, according to research published in the March 6 issue of Nature.
Double-Jointed Adolescents Risk Musculoskeletal Pain
THURSDAY, March 7 (HealthDay News) -- Joint hypermobility (JH) increases the risk of musculoskeletal pain in adolescence, particularly in the shoulder, knee, and ankle/foot, according to a study published online Feb. 28 in Arthritis & Rheumatism.
Most Docs Report Information Overload in EHR-Setting
WEDNESDAY, March 6 (HealthDay News) -- Primary care practitioners (PCPs) using electronic health records (EHRs) are susceptible to information overload and feel that the EHR notification system makes it possible to miss test results, according to a research letter published online March 4 in JAMA Internal Medicine.
Clinical Trials Published Almost Two Years After Completion
WEDNESDAY, March 6 (HealthDay News) -- Clinical trials are published, on average, almost two years after completion, with time to publication affected by the funding source, number of trial participants, and journal impact factor, according to a research letter published online March 4 in JAMA Internal Medicine.
Anti-TNF Therapy Not Linked to Herpes Zoster Risk in RA
TUESDAY, March 5 (HealthDay News) -- For patients with rheumatoid arthritis (RA) and other inflammatory diseases, use of anti-tumor necrosis factor (TNF) therapy is not associated with an increased risk of herpes zoster, according to a study published in the March 6 issue of the Journal of the American Medical Association.
U.K. Health Performance Worse Than Comparable Countries
TUESDAY, March 5 (HealthDay News) -- The United Kingdom has worse health performance than other comparable countries, according to a study published online March 5 in The Lancet.
Proportion of Black Males in U.S. Medical Schools Dropping
MONDAY, March 4 (HealthDay News) -- The proportion of black males in medical school is decreasing, according to a report published by the Association of American Medical Colleges (AAMC).
Panel Recommends 10 Patient Safety Strategies
MONDAY, March 4 (HealthDay News) -- An expert panel is strongly encouraging the immediate adoption of 10 patient safety strategies and encouraging the adoption of a further 12, according to a supplement published in the March 5 issue of the Annals of Internal Medicine.
Computerized Provider Order Entry System Cuts Rx Errors
MONDAY, March 4 (HealthDay News) -- Electronic prescribing through computerized provider order entry (CPOE) systems can substantially reduce medication errors in inpatient acute-care settings, according to a study published online Feb. 20 in the Journal of the American Medical Informatics Association.
CMS Reports on Progress Toward Improved Health Care
MONDAY, March 4 (HealthDay News) -- Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online Feb. 28.
Sequestration to Impact Health Care-Related Programs
FRIDAY, March 1 (HealthDay News) -- The $85 billion of mandatory cuts in federal spending that take effect March 1 as part of sequestration will be felt across health care and related programs, with cuts to Medicare providers and to the budgets of federal agencies.
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