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April 2020 Briefing - Orthopedics

Last Updated: May 01, 2020.

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 2020. 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.

Symptomatic Health Care Staff in U.K. Screened for COVID-19

THURSDAY, April 30, 2020 (HealthDay News) -- Screening symptomatic health care workers for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is feasible during the pandemic, according to a research letter published online April 22 in The Lancet.

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David Shulkin, M.D., on COVID-19 Financial Consequences for Health Care System

MONDAY, April 27, 2020 (HealthDay News) -- Health care organizations are facing hard financial decisions amid the COVID-19 pandemic, but an end is in sight as some are beginning to slowly open back up around the country, according to David Shulkin, M.D. Shulkin, who served as ninth secretary for Veterans Affairs and is former president and CEO of Beth Israel Medical Center in New York, spoke with HealthDay during a live stream on the HealthDay YouTube channel and live blog.

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KIMT3 Article

Social Inequality May Contribute to Poor Metabolic, Bone Health

TUESDAY, April 28, 2020 (HealthDay News) -- Social factors might be significant contributors to coexisting metabolic syndrome (MetS) and osteoporosis (OP) in postmenopausal women, according to a study published online April 20 in Menopause.

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Roadmap Developed for Resuming Elective Surgery During COVID-19

MONDAY, April 27, 2020 (HealthDay News) -- A roadmap for resuming elective surgery after new cases of COVID-19 begin to wane is presented in a joint statement published by the American College of Surgeons and other societies.

Joint Statement

Racial Differences Found in Managing Children's Pain From Broken Bones

MONDAY, April 27, 2020 (HealthDay News) -- There are racial differences in pain management and pain outcomes for children seen in the emergency department for long-bone fractures, according to a study published online April 20 in Pediatrics.

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Scoring System Helps Guide Surgical Care During COVID-19

WEDNESDAY, April 22, 2020 (HealthDay News) -- A scoring system for medically necessary time-sensitive (MeNTS) procedures can facilitate decision making and triage in the setting of COVID-19, according to a study published online April 9 in the Journal of the American College of Surgeons.

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Alone, Low Vitamin D Does Not Cause Osteoporotic Fractures

WEDNESDAY, April 22, 2020 (HealthDay News) -- While low blood levels of vitamin D are associated with osteoporotic fractures, the link is not causative, according to the results of an analysis published online April 7 in Clinical Chemistry.

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Benefit of Social Distancing Outweighs Economic Impact

MONDAY, April 20, 2020 (HealthDay News) -- The economic benefits of lives saved through social distancing substantially outweigh the value of the projected losses to the U.S. economy, according to a study to be published in a forthcoming issue of the Journal of Benefit-Cost Analysis.

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SARS-CoV-2 Contamination of Air, Surfaces Examined in ICU, Wards

WEDNESDAY, April 15, 2020 (HealthDay News) -- Considerable severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) contamination of air and object surfaces is reported in intensive care units (ICUs) and general coronavirus disease 2019 (COVID-19) wards (GW), according to a study published online April 10 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Medical Masks May Be Sufficient During COVID-19 Routine Care

TUESDAY, April 14, 2020 (HealthDay News) -- Use of medical masks, such as surgical or procedural masks, does not increase the risk for viral infection or respiratory illness, and their use may serve as a protective measure in instances of N95 respirator shortages, according to the results of a meta-analysis published online April 4 in Influenza and Other Respiratory Viruses.

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Overweight, Obese Preschoolers Have Higher Risk for Fractures

TUESDAY, April 14, 2020 (HealthDay News) -- Preschool children with a body mass index (BMI) in the overweight or obese range have an increased incidence of bone fractures in childhood compared with preschool children of normal weight, according to a study published online April 7 in the Journal of Bone and Mineral Research.

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High Rates of Appropriate E-Consults Seen Across Specialties

MONDAY, April 13, 2020 (HealthDay News) -- The rates of appropriate electronic consultations (e-consults) are high across specialties, according to a study published online April 14 in the Annals of Internal Medicine.

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Ergonomic Risk Factors Identified for Surgeons

MONDAY, April 13, 2020 (HealthDay News) -- Most surgeons report being in physical pain after performing surgery, according to a study published in the April issue of the Journal of the American College of Surgeons.

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Sex, Gender Differences in Psoriasis May Have Clinical Implications

FRIDAY, April 10, 2020 (HealthDay News) -- There are sex- and gender-specific differences related to clinical characteristics and quality-of-life (QoL) measures in patients with psoriasis, according to a study published online March 14 in Clinical and Experimental Dermatology.

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Outcomes Better at One Year With Physical Therapy for Knee OA

THURSDAY, April 9, 2020 (HealthDay News) -- For patients with osteoarthritis of the knee, those undergoing physical therapy have less pain and functional disability at one year compared with those who receive an intraarticular glucocorticoid injection, according to a study published in the April 9 issue of the New England Journal of Medicine.

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Majority of Physicians Report Serious Concerns About COVID-19

MONDAY, April 6, 2020 (HealthDay News) -- According to a national survey conducted by Harvard Medical School, the RAND Corporation, and Doximity, practicing physicians currently report substantial concerns about supplies, the government response, and availability of testing amid the COVID-19 pandemic.

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Higher Alcohol Intake May Harm Bone Health in HIV Patients

FRIDAY, April 3, 2020 (HealthDay News) -- Greater alcohol consumption is associated with lower serum levels of bone formation markers among patients living with HIV and substance use disorder, according to a study published online March 2 in Alcoholism: Clinical & Experimental Research.

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Rivaroxaban Prevents VTE After Lower-Limb Surgery

FRIDAY, April 3, 2020 (HealthDay News) -- Following nonmajor orthopedic surgery of the lower limb, rivaroxaban is superior to enoxaparin for prevention of major venous thromboembolism, according to a study published online March 29 in the New England Journal of Medicine.

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35.1 Percent of Workers Report Work-Related Health Problems

THURSDAY, April 2, 2020 (HealthDay News) -- More than one-third of employed individuals report work-related health problems, according to research published in the April 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Unemployed Workers Less Likely to Be Uninsured Post-ACA

THURSDAY, April 2, 2020 (HealthDay News) -- Following implementation of the Affordable Care Act (ACA), unemployed workers were less likely to be uninsured, and uninsurance rates decreased more in states with Medicaid expansion, according to a report from the Urban Institute and the Robert Wood Johnson Foundation.

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Proton Pump Inhibitor Therapy May Up Fracture Risk in Children

THURSDAY, April 2, 2020 (HealthDay News) -- Proton pump inhibitors (PPIs) taken for acid reflux may lead to an increased risk for fractures in children and adolescents, according to a study published online March 12 in the Journal of Pediatric Gastroenterology and Nutrition.

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Low Vitamin D May Reduce Mobility After Hip Fracture Surgery

WEDNESDAY, April 1, 2020 (HealthDay News) -- Vitamin D deficiencies are associated with a lower likelihood of older patients regaining independent walking ability following hip fracture surgery, according to a study recently published in the American Journal of Clinical Nutrition.

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