May 2013 Briefing - OrthopedicsLast Updated: June 03, 2013.
Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for May 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.
New Statement Released by Anticoagulation Forum
FRIDAY, May 31 (HealthDay News) -- The Anticoagulation Forum has endorsed a new consensus statement aimed at optimizing the delivery of anticoagulation therapy to inpatients; the statement has been published in the May issue of the Annals of Pharmacotherapy.
Patients Who Share in Care Decisions May Up Costs of Care
THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.
Odds of Mortality Up With Elective Surgery on Friday, Weekend
THURSDAY, May 30 (HealthDay News) -- For patients undergoing elective surgery, the odds of death are significantly increased for those who undergo the procedure on Friday or at the weekend, compared with Monday, according to research published online May 28 in BMJ.
2012 AMA Report Highlights Progress Toward Better Future
THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.
One-Third of Medical Students Have Implicit Anti-Fat Bias
THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.
Doc Passengers Assist in Half of In-Flight Medical Emergencies
WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.
Transparency Key to Improving Value Care for Patients
WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.
Enrollment in U.S. Medical Colleges Is Increasing
WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).
HHS: End-of-2013 Targets for EHR Use Already Reached
TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.
Morbid Obesity Complicates Treatment of Spine Trauma
TUESDAY, May 28 (HealthDay News) -- Morbid obesity complicates treatment of spine trauma, including imaging quality, surgical challenges, and postoperative nursing care, according to a case series published online May 21 in the Journal of Neurosurgery: Spine.
Telerehabilitation System Good for Assessing Low Back Pain
TUESDAY, May 28 (HealthDay News) -- A telerehabilitation system may be useful for evaluating chronic low back pain, according to a study published in the May 15 issue of Spine.
Docs Anticipating Changes Ahead As ACA Progresses
MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.
Glucosamine Supplementation Linked to Intraocular Pressure
FRIDAY, May 24 (HealthDay News) -- Supplementation with glucosamine is associated with increased intraocular pressure (IOP), which decreases after discontinuation of supplementation, according to a research letter published online May 23 in JAMA Ophthalmology.
Data Support Basing Health Decisions on Both Benefit, Cost
FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.
About One in Four Uninsured Could Be Excluded From ACA
FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.
Systematic Screening of Med Adherence Will ID Barriers
WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.
Competitive Sports Can Be Safe for Athletes With ICDs
WEDNESDAY, May 22 (HealthDay News) -- Athletes with implantable cardioverter-defibrillators (ICDs) can safely participate in competitive sports, according to a study published in the May 21 issue of Circulation.
Study Examines Outbreak of Spinal Infections in Michigan
TUESDAY, May 21 (HealthDay News) -- Factors such as increased case finding may explain why Michigan had half of the total spinal infections associated with contaminated methylprednisolone acetate in the recent fungal meningitis outbreak, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Digital Divide Exists With Physician EHR Adoption
MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.
Little Evidence for Prediction Rules for Low Back Pain
FRIDAY, May 17 (HealthDay News) -- Few randomized clinical trials have been done to assess clinical prediction rules for patients with lower back pain, and the trials that have been done are of low quality and do not provide sufficient evidence to support their use, according to a review published in the April 20 issue of Spine.
Prednisolone Disturbs Carbohydrate Metabolism
FRIDAY, May 17 (HealthDay News) -- In patients with inflammatory diseases without diabetes, treatment with low-dose prednisolone has deleterious effects on carbohydrate metabolism, according to a study published online May 13 in Diabetes Care.
Lifestyle Activities Impact Development of Spinal Stenosis
THURSDAY, May 16 (HealthDay News) -- Increased loading of the lumbar spine, arising from lifestyle activities (such as lifting heavy objects, more frequent pregnancy, and higher body mass index), could contribute to the degenerative process and lead to development of degenerative lumbar spinal stenosis (DLSS), according to a study published in the April 20 issue of Spine.
Majority of Surgical Residents Object to Regulated Hours
THURSDAY, May 16 (HealthDay News) -- About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education (ACGME) Common Program requirements, which place restrictions on duty hours, according to research published in the May issue of JAMA Surgery.
Discectomy Post-Op Pain Worse in Patients With Retrolisthesis
THURSDAY, May 16 (HealthDay News) -- The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to a study published in the April issue of The Spine Journal.
Study Compares Surgical Procedures for Spinal Stenosis
FRIDAY, May 10 (HealthDay News) -- For patients with spinal stenosis undergoing surgery, an interspinous process with spacer alone is associated with fewer complications but higher rates of revision surgery compared with decompression or fusion, according to a study published in the May 1 issue of Spine.
Meds for Back Pain Tied to Higher Erectile Dysfunction Risk
WEDNESDAY, May 15 (HealthDay News) -- Long-term use of painkillers for back pain is tied to an increased risk of erectile dysfunction, according to a study published in the May 15 issue of Spine.
Combination Osteoporosis Rx Further Improves Bone Density
WEDNESDAY, May 15 (HealthDay News) -- Combination therapy with teriparatide and denosumab may be most effective in treating postmenopausal women with osteoporosis at risk for fracture, according to a study published online May 15 in The Lancet.
No Benefit of Vertebral Body Stenting Over Kyphoplasty
WEDNESDAY, May 15 (HealthDay News) -- Among patients with painful osteoporotic vertebral fractures, there is no benefit to vertebral body stenting over balloon kyphoplasty, according to a study published in the April 3 issue of The Journal of Bone & Joint Surgery.
Chiropractic Therapy Helps Reduce Acute Low Back Pain
TUESDAY, May 14 (HealthDay News) -- Military personnel with acute lower back pain (LBP) who receive chiropractic manipulative therapy (CMT) in addition to standard medical care (SMC) show significantly improved scores for pain relief and physical functioning, compared to those receiving only SMC, according to a study published in the April 15 issue of Spine.
Guidelines Issued to Prevent Infection With Dental Work
TUESDAY, May 14 (HealthDay News) -- Practitioners might consider discontinuing prophylactic antibiotics for patients with prosthetic implants undergoing dental procedures, and these patients should be encouraged to maintain appropriate oral hygiene, according to clinical practice guidelines approved by the American Academy of Orthopaedic Surgeons (AAOS) and published in the April 17 issue of The Journal of Bone & Joint Surgery.
Classification System Would Help Spinal Deformity Care
TUESDAY, May 14 (HealthDay News) -- The management of adult spinal deformity (ASD) and selection of optimal fusion levels is incompletely defined, according to a review article published in the April issue of The Spine Journal.
New FDA Survey to Assess Doc Attitudes on DTC Advertising
MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.
Self-Image Worse for Teens With Untreated Scoliosis
MONDAY, May 13 (HealthDay News) -- Adolescents with untreated adolescent idiopathic scoliosis report worse pain and worse self-image than unaffected adolescents, although the difference is clinically significant only for self-image, according to a review published in the April 20 issue of Spine.
Poor Service, Bedside Manner Top Patients' Online Complaints
FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.
User Satisfaction With Electronic Health Records Down
FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.
HHS Releases Data on Inpatient Charges for Hospital Services
THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.
Smartphones, Smartphone Apps Increasingly Used by Docs
THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.
Application for Health Coverage Has Been Simplified, Shortened
WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).
Diabetes, Hypertension Prevalent With Spinal Stenosis
TUESDAY, May 7 (HealthDay News) -- Nonelderly, older adults with lumbar spinal stenosis (LSS) have a higher prevalence of diabetes and hypertension than those without stenosis, according to a study published in the April 20 issue of Spine.
Patients Most Annoyed by Long Waits, Unclear Test Results
FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.
CDC: About One in Five U.S. Adults Meets Exercise Guidelines
FRIDAY, May 3 (HealthDay News) -- In 2011, about 20 percent of U.S. adults met guidelines for both aerobic and muscle-strengthening physical activity, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Health Industry Payment Details to Be Publicly Available
THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.
Nearly One-Third Don't Pick Up New Osteoporosis Rx
THURSDAY, May 2 (HealthDay News) -- More than 30 percent of women fail to pick up new prescriptions for osteoporosis medications, according to a study published in the April issue of Osteoporosis International.
Manufacturers Donating Limbs to Boston Victims
WEDNESDAY, May 1 (HealthDay News) -- A group of prosthetics manufacturers has pledged to provide artificial legs for victims of the Boston Marathon bombings whose insurance won't cover the full cost of prosthetic devices.
Neuraxial Bests General Anesthesia in Arthroplasty
WEDNESDAY, May 1 (HealthDay News) -- In patients undergoing primary joint arthroplasty, neuraxial anesthesia is associated with better postoperative outcomes than general anesthesia, according to a study published in the May issue of Anesthesiology.
Teriparatide Injections Improve Pedicle Bone Quality
WEDNESDAY, May 1 (HealthDay News) -- Daily injection of teriparatide significantly reduces the incidence of pedicle screw (PS) loosening at one year following surgery to correct degenerative spondylolisthesis in osteoporotic postmenopausal women, according to a study published in the April 15 issue of Spine.
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