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Category: Orthopedics | Monthly Briefing

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July 2014 Briefing - Orthopedics

Last Updated: August 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for July 2014. 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.

Comorbidities Affect Odontoid Fracture Survival in Elderly

THURSDAY, July 31, 2014 (HealthDay News) -- The presence of comorbidities significantly impacts the survival of older adults following odontoid fracture, according to research published in the August issue of the Journal of Spinal Disorders & Techniques.

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Weight Loss Intervention in T2DM Linked to Bone Loss

THURSDAY, July 31, 2014 (HealthDay News) -- For men, but not women, with type 2 diabetes, a four-year weight loss intervention is associated with a small, but significant increase in bone loss, according to a study published online July 21 in Diabetes Care.

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Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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Heat Stroke Bigger Issue Than Cardiac Events in Runners

WEDNESDAY, July 30, 2014 (HealthDay News) -- Athletes participating in long-distance races more frequently experience serious events related to heat stroke than serious cardiac adverse events, according to a study published in the August 5 issue of the Journal of the American College of Cardiology.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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Any Amount of Running Tied to Lower Risk of Death

TUESDAY, July 29, 2014 (HealthDay News) -- Regardless of length, duration, or speed, running reduces the risk of death, according to a study published in the August 5 issue of the Journal of the American College of Cardiology.

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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Human Brain Has Coping Mechanism for Dehydration

MONDAY, July 28, 2014 (HealthDay News) -- Although dehydration significantly reduces blood flow to the brain, researchers in England have found that the brain compensates by increasing the amount of oxygen it extracts from the blood. The findings were published recently in the Journal of Physiology.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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Acetaminophen May Not Help in Lower Back Pain

THURSDAY, July 24, 2014 (HealthDay News) -- Acetaminophen is no more effective than placebo in acute low back pain, according to a study published online July 24 in The Lancet.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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For VTE Prevention, Best Anticoagulant Varies by Surgery

THURSDAY, July 24, 2014 (HealthDay News) -- Aspirin may be less preferable to other anticoagulants following hip fracture repair, but may be favored after elective knee or hip arthroplasty, according to a meta-analysis published online July 17 in the Journal of Hospital Medicine.

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Studies of Nonoperative Tx for Discogenic Back Pain Lacking

WEDNESDAY, July 23, 2014 (HealthDay News) -- High-quality studies evaluating nonoperative treatments for reducing discogenic low back pain are lacking, according to a review published in the July 15 issue of Spine.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Persistent Symptoms After Mild TBI Should Be Considered PTSD

TUESDAY, July 22, 2014 (HealthDay News) -- Persistent symptoms lasting three months after mild traumatic brain injury (mTBI) do not represent postconcussion syndrome (PCS) and should be considered part of the hyperarousal dimension of posttraumatic stress disorder (PTSD), according to a study published online July 16 in JAMA Psychiatry.

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Decompression Surgery Linked to Reduced Risk of Falls

TUESDAY, July 22, 2014 (HealthDay News) -- Decompression surgery in patients with lumbar spinal stenosis cuts their risk of falls, compared to similar patients utilizing nonsurgical interventions, according to a study published in the July 2 issue of The Journal of Bone & Joint Surgery.

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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Automated Models Can Identify Acute Back Pain in EMRs

MONDAY, July 21, 2014 (HealthDay News) -- Administrative data models can discriminate acute low back pain (LBP) from nonacute cases in electronic medical records (EMRs), according to a study published in the June 15 issue of Spine.

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Bone Biomarkers Change Following Spinal Cord Injury

FRIDAY, July 18, 2014 (HealthDay News) -- Following chronic, traumatic spinal cord injury (SCI), some bone biomarkers undergo noticeable changes, according to a study published in the July 1 issue of The Spine Journal.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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Brain Damage Seen Even With Mild Head Injury

WEDNESDAY, July 16, 2014 (HealthDay News) -- Even mild traumatic brain injury may cause brain damage and affect thinking and memory, according to a study published online July 16 in Neurology.

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Anticoagulants May Not Be Needed in Kids' Back Surgery

WEDNESDAY, July 16, 2014 (HealthDay News) -- Children who have spinal surgery may not require anticoagulant medication as thromboembolic complications occur rarely in these procedures, according to research published in the July 15 issue of Spine.

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Stroke History Heightens Risk for Adverse Surgical Outcomes

WEDNESDAY, July 16, 2014 (HealthDay News) -- A history of a stroke is associated with worse outcomes following elective surgery, according to a study published in the July 16 issue of the Journal of the American Medical Association.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Use of Minimally Invasive Surgery Varies Widely in U.S.

TUESDAY, July 15, 2014 (HealthDay News) -- Hospital utilization of minimally invasive surgery for common procedures varies widely nationwide, according to a study published July 8 in BMJ.

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Melatonin May Mediate Nocturnal Pain From Shoulder Disorders

TUESDAY, July 15, 2014 (HealthDay News) -- For patients with shoulder disorders such as a rotator cuff tear or frozen shoulder, melatonin may mediate nocturnal pain, according to a study published in the July 2 issue of The Journal of Bone & Joint Surgery.

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Risk Factors Identified for Nonorganic Back Pain

MONDAY, July 14, 2014 (HealthDay News) -- There is a significant association between certain easily identifiable criteria, including mechanism of injury and area of pain, and nonorganic low back pain among worker's compensation (WC) patients, according to a study published in the July 1 issue of The Spine Journal.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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Melanocortin Receptor Agonist Can Treat Multiple Diseases

FRIDAY, July 11, 2014 (HealthDay News) -- Melanocortin receptor type 3 (MC3) has protective properties for joint and periodontal tissues, according to a study published in the August issue of the American Journal of Pathology.

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Weather Conditions Not Associated With Low Back Pain

FRIDAY, July 11, 2014 (HealthDay News) -- Sudden, acute episodes of low back pain are not linked to weather conditions, according to a study published online July 10 in Arthritis Care & Research.

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Smoking Has Negative Impact on Success of ACL Reconstruction

THURSDAY, July 10, 2014 (HealthDay News) -- Cigarette smoking is associated with a negative impact on anterior cruciate ligament (ACL) reconstruction outcomes, according to a study published in the June 18 issue of The Journal of Bone & Joint Surgery.

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Article Address Ethical, Legal Issues of Sports Concussion

WEDNESDAY, July 9, 2014 (HealthDay News) -- The ethical and legal issues surrounding evaluation and management of patients with sports-related concussions are addressed in a position paper published online July 9 in Neurology.

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Blood Metal Ions Tied to Failed Hip Replacement, Resurfacing

WEDNESDAY, July 9, 2014 (HealthDay News) -- Raised levels of blood metal ions are associated with failed metal-on-metal hip resurfacings and total hip arthroplasties, according to a study published in the July 2 issue of The Journal of Bone & Joint Surgery.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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ACA Could Lead to Increase in Rate of Discretionary Surgery

MONDAY, July 7, 2014 (HealthDay News) -- Based on the Massachusetts' health care reform experience, full implementation of the Affordable Care Act could lead to increased rates of discretionary surgeries, according to a study published July 2 in JAMA Surgery.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Glucocorticoids Offer No Added Benefit for Spinal Stenosis

THURSDAY, July 3, 2014 (HealthDay News) -- Glucocorticoids when injected with lidocaine offer no additional benefit for treatment of lumbar spinal stenosis, according to a study published in the July 3 issue of the New England Journal of Medicine.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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CDC: Opioid Prescriptions Vary Widely Among States

TUESDAY, July 1, 2014 (HealthDay News) -- Physicians in Alabama -- the state with the highest number of opioid painkiller prescriptions -- issued nearly three times as many of those prescriptions as doctors in Hawaii -- the lowest prescribing state, according to researchers with the U.S. Centers for Disease Control and Prevention.

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