September 2013 Briefing - OrthopedicsLast Updated: October 01, 2013.
Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for September 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.
Lower National Health Spending Due to Slow Economy
MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.
Medicare, Medicaid Will Still Run If Government Shuts Down
MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.
Only One-Third of Voters Think Congress Should Delay ACA
MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.
No Change in Admissions for Pediatric Sports-Related TBI
MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.
DOL Clarifies Employer Health Insurance Notification Duty
MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.
Modifiable Factors ID'd for Reducing Surgical Site Infections
MONDAY, Sept. 30 (HealthDay News) -- Specific modifiable preoperative, intraoperative, and postoperative factors can be optimized to reduce the risk of surgical site infections (SSIs) for patients undergoing elective orthopedic surgery, according to research published in the September issue of The Spine Journal.
Post-Hip Replacement Mortality Drops in England and Wales
FRIDAY, Sept. 27 (HealthDay News) -- Postoperative mortality following total hip replacement has decreased in England and Wales, according to research published in the Sept. 28 issue of The Lancet, a theme issue on surgery.
Health Worker Roles Impacted When 'Undervalued' by Patients
FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.
Practical Tips Offered for Medical Employee Satisfaction
FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.
HEALTH REFORM: ACA Impact on Medicare Recipients Unclear
FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.
Surgery, Physical Therapy Similar for Cervical Radiculopathy
FRIDAY, Sept. 27 (HealthDay News) -- Surgery with physical therapy results in a more rapid improvement during the first postoperative year for patients with cervical radiculopathy, compared to physical therapy alone, but similar outcomes are seen at two years, according to a study published in the Sept. 15 issue of Spine.
HEALTH REFORM: Medicaid Expansion Will Up Coverage
THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.
CDC: Flu Shot Coverage of Health Care Personnel Increasing
THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
EMG Signals Can Improve Robotic Leg Prostheses Control
WEDNESDAY, Sept. 25 (HealthDay News) -- Electromyographic signals can be used in conjunction with mechanical sensor data to improve control of robotic leg prostheses, according to a case report published in the Sept. 26 issue of the New England Journal of Medicine.
HEALTH REFORM: Exchanges Offer Options for the Uninsured
WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.
More Options, Lower Premiums With Insurance Exchanges
WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.
ACP Provides Overview of Health Insurance Marketplaces
WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.
Second Bone Mineral Density Test Doesn't Up Fx Prediction
TUESDAY, Sept. 24 (HealthDay News) -- For older adults, a second bone mineral density (BMD) measure after four years does not improve prediction of hip or major osteoporotic fractures, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.
HEALTH REFORM: Health Care Reform a Mixed Bag for Workers
TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.
Diet, Diet + Exercise Better Than Exercise Alone in Knee OA
TUESDAY, Sept. 24 (HealthDay News) -- For overweight and obese adults with knee osteoarthritis (OA), 18 months of diet and diet + exercise interventions is better than an exercise only intervention, with lower knee compressive force in the diet group and lower plasma interleukin-6 (IL-6) levels in both groups, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.
FDA Gives Final Guidance on Mobile Medical App Oversight
TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.
HEALTH REFORM: Young People Likely to Be Key to Success
MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.
FDA Issues Final Rule for Device Identification System
MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.
HEALTH REFORM: Health Care Exchanges Going Into Effect
MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.
Majority of U.S. Consumers Want Full Access to EMR
MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.
Post-Op Delirium Common in Elderly Spinal Surgery Patients
MONDAY, Sept. 23 (HealthDay News) -- There is an overall incidence of delirium events of 8.4 per 1,000 in patients undergoing lumbar spine surgical procedures, according to a study published in the Sept. 15 issue of Spine.
Physical Exams Commonly Lacking in Low Back Pain Care
FRIDAY, Sept. 20 (HealthDay News) -- Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.
Mild Adverse Events Common With Chiropractic Care
FRIDAY, Sept. 20 (HealthDay News) -- Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.
Little Correlation Between Care Quality, Patient Experience
FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.
New Medicaid Enrollees Under ACA May Be Healthier
THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.
Major Complications Predicted by Age, Back Surgery Type
THURSDAY, Sept. 19 (HealthDay News) -- American Society of Anesthesiologists (ASA) class, age, and type of back surgery are independent risk factors for major medical complications, according to research published in the Sept. 1 issue of Spine.
Millions Are Harmed by Unsafe Medical Care Each Year
THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.
Pros and Cons of Shortening Medical School Discussed
THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.
High-Volume Hospitals Have Fewer Surgical Readmissions
WEDNESDAY, Sept. 18 (HealthDay News) -- Hospitals with a high volume of surgeries and low surgical mortality rates have lower rates of surgical readmission than other hospitals, according to research published in the Sept. 19 issue of the New England Journal of Medicine.
~11 Percent of Combat Wounded Have Spinal Injuries
WEDNESDAY, Sept. 18 (HealthDay News) -- Spine injuries account for more than 11 percent of all casualties among U.S. combat-wounded military in Iraq and Afghanistan, according to a study published in the Sept. 15 issue of Spine.
Payment for Routine Office Visits Varies Substantially
WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.
Dual Epidural Analgesia Most Effective for Scoliosis Surgery
WEDNESDAY, Sept. 18 (HealthDay News) -- Dual continuous epidural analgesia (CEA) is the most effective pain control method following surgery for adolescent idiopathic scoliosis, according to a study published in the Sept. 1 issue of Spine.
EHR Systems Meeting Meaningful Use Criteria Beneficial
WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
More Than 1.6 Million Americans Expected to Get Cancer in 2013
TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.
Correlates of Post-Op Thigh/Groin Pain ID'd in LLIF
TUESDAY, Sept. 17 (HealthDay News) -- For patients undergoing stand-alone lateral lumbar interbody fusion (LLIF) procedures, there is a significant association between the amount of coronal curve correction and increase in lumbar lordosis and the development of postoperative anterior thigh/groin pain, according to research published in the Sept. 1 issue of Spine.
Postural-Specific Training Improves LBP, Disability
MONDAY, Sept. 16 (HealthDay News) -- In patients with non-specific chronic low back pain (NSCLBP), postural training matched to the specific control impairment more effectively reduces pain and disability than generalized training, according to a study published in the Sept. 1 issue of Spine.
Cervical Spine Range of Motion May Affect Postural Stability
FRIDAY, Sept. 13 (HealthDay News) -- In adults with neck pain, those with asymmetry in the range of motion (ROM) of the upper cervical spine (UCS) have increased postural sway compared with those with symmetry, but postural function does not differ between the groups, according to research published in the Sept. 1 issue of Spine.
Mindfulness Training Beneficial for Clinicians, Patients
THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.
Women May Benefit More From Interval Training
WEDNESDAY, Sept. 11 (HealthDay News) -- For running, women may benefit more from high intensity interval training (HIIT), according to a study published in the September issue of the Journal of Strength and Conditioning Research.
About Half of Health Care Providers Are 'Digital Omnivores'
TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.
Cardiac Imaging Not Useful for Screening Healthy Athletes
TUESDAY, Sept. 10 (HealthDay News) -- The prognostic value of using cardiac imaging to screen healthy athletes is uncertain, according to research published in the Sept. 1 issue of the Journal of the American College of Cardiology: Cardiovascular Imaging.
Unplanned Readmission Common After Spine Fusion
TUESDAY, Sept. 10 (HealthDay News) -- For patients undergoing spine fusion for adult spinal deformity, unplanned hospital readmissions are relatively common and are often related to surgical site infections, according to a study published in the Sept. 1 issue of Spine.
'Meaningful Use' Achievement Not Uniform Across Hospitals
MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.
Most Physicians Report Being Satisfied With Career Choice
MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.
Researchers Find Online Scoliosis Info Is Poor Quality
FRIDAY, Sept. 6 (HealthDay News) -- The quality of web-based information on scoliosis is poor, according to a study published in the Aug. 15 issue of Spine.
Moderate Exercise Doesn't Up Risk of Knee Osteoarthritis
THURSDAY, Sept. 5 (HealthDay News) -- Middle-aged adults who participate in moderate weekly physical activity do not increase their risk of knee osteoarthritis, according to a study published online Aug. 27 in Arthritis Care & Research.
Steroids Effective Short Term for Carpal Tunnel Syndrome
THURSDAY, Sept. 5 (HealthDay News) -- Methylprednisolone injections relieve symptoms of carpal tunnel syndrome in the short term, but most patients still have surgery at one year, according to a study published in the Sept. 3 issue of the Annals of Internal Medicine.
Low Rates of Gastrointestinal Bleeding Post-Lumbar Fusion
WEDNESDAY, Sept. 4 (HealthDay News) -- The rates of gastrointestinal (GI) hemorrhage complications are very low following lumbar fusion surgery, but are associated with greater costs and mortality, according to a study published in the Aug. 15 issue of Spine.
Male-Female Physician Earnings Gap Has Persisted for 20 Years
TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.
Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy
TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.
Employer-Based Health Insurance Premiums Rose Modestly in 2013
MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.
Workaholics Have Poorer Physical and Mental Health
MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.
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