April 2017 Briefing - Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 2017. 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.

Meeting Organizers Overlooking Qualified Female Scientists

FRIDAY, April 28, 2017 (HealthDay News) -- Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.

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AMA Urges Doctors to Talk About Safe Opioid Storage, Disposal

FRIDAY, April 28, 2017 (HealthDay News) -- Physicians should take three essential steps to reduce the amount of unwanted, unused, and expired medications in an effort to avoid non-medical uses of the drugs, according to a new recommendation from the American Medical Association (AMA) Task Force to Reduce Opioid Abuse.

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Older Women Show Limited Understanding of Osteoporosis

FRIDAY, April 28, 2017 (HealthDay News) -- Many older women have low awareness about osteoporosis and its contribution to fracture risk and a lack of understanding about the benefits of osteoporosis pharmacotherapy, according to a study published April 19 in the Journal of the American Geriatrics Society.

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Risk Factors in Six Areas Tied to Physician Burnout

THURSDAY, April 27, 2017 (HealthDay News) -- Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.

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Single-Payer Health System Bill Moves Forward in California

THURSDAY, April 27, 2017 (HealthDay News) -- A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.

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Clinician Awareness of Exercise Addiction May Be Lacking

THURSDAY, April 27, 2017 (HealthDay News) -- Health care professionals need to recognize exercise addiction and understand its risks, according to a practice pointer published online April 19 in the BMJ.

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Metal Sensitization More Likely for Women After Arthroplasty

THURSDAY, April 27, 2017 (HealthDay News) -- Among patients reporting pain but no infection after total joint arthroplasty (TJA), women have a higher rate and greater severity of metal sensitization than men, according to a study published April 19 in the Journal of Bone & Joint Surgery.

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Early RA Treatment Important for Long-Term Outcomes

THURSDAY, April 27, 2017 (HealthDay News) -- Early treatment of rheumatoid arthritis (RA) is important for long-term outcomes, and there has been a decrease in mortality rates attributable to RA, according to two studies published online April 20 in Arthritis & Rheumatology.

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Children With Suspected Child Abuse Present to Hospital Late

WEDNESDAY, April 26, 2017 (HealthDay News) -- Children with suspected child abuse (SCA) present late to the hospital, and most arrive at hospitals that are not designated pediatric-capable major trauma centers, according to a study published online April 24 in the Emergency Medicine Journal.

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Post-Op hsTnT Linked to 30-Day Mortality After Noncardiac Sx

TUESDAY, April 25, 2017 (HealthDay News) -- Peak postoperative high-sensitivity troponin T (hsTnT) is associated with increased risk of 30-day mortality among patients undergoing noncardiac surgery, according to a study published online April 25 in the Journal of the American Medical Association.

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Mindfulness-Based Stress Reduction May Ease Back Pain

TUESDAY, April 25, 2017 (HealthDay News) -- For patients with low back pain, mindfulness-based stress reduction (MBSR) may be associated with short-term improvements in pain intensity and physical functioning, according to a review published online April 24 in the Annals of Internal Medicine.

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Slow Processing Speed Predicts Falls in Elderly

THURSDAY, April 20, 2017 (HealthDay News) -- Slow processing speed predicts future falls in older adults with a history of falls, according to a study published online April 8 in the Journal of the American Geriatrics Society.

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Potential Benefits, Risks of OpenNotes Discussed

WEDNESDAY, April 19, 2017 (HealthDay News) -- The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.

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Doctors Need to Be Mindful of What They Post on Social Media

MONDAY, April 17, 2017 (HealthDay News) -- Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.

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One in Five Post-Op Patients Need Unscheduled Help

MONDAY, April 17, 2017 (HealthDay News) -- A sizable minority of patients need to make contact with health services after outpatient surgery, most often due to inadequate pain management, according to a study published online April 10 in Anesthesiology.

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Treatment Plan From Massage Therapist Alleviates Chronic LBP

FRIDAY, April 14, 2017 (HealthDay News) -- Massage therapy may provide some relief in chronic low back pain, according to a study published online recently in Pain Medicine.

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Web-Based Platform Better for Delivering Pre-Op Information

FRIDAY, April 14, 2017 (HealthDay News) -- Attaining preoperative information from an interactive web-based platform is better than conventional brochure material for children aged 3 to 12 years and their parents, according to a research report published online April 10 in Pediatric Anesthesia.

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Surgery Often the Starting Point for Opioid Addiction

THURSDAY, April 13, 2017 (HealthDay News) -- Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction, according to research published online April 12 in JAMA Surgery.

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Spinal Manipulation for LBP Tied to Modest Improvements

WEDNESDAY, April 12, 2017 (HealthDay News) -- Spinal manipulative therapy (SMT) is associated with modest improvements in pain and function among patients with acute low back pain, according to a review published in the April 11 issue of the Journal of the American Medical Association.

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Expectations, Concerns Vary With Age for Adults at Pain Clinic

WEDNESDAY, April 12, 2017 (HealthDay News) -- Patient expectations and concerns vary by age among adults attending a chronic pain clinic, according to a study published online March 30 in Pain Practice.

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Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors

MONDAY, April 10, 2017 (HealthDay News) -- An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.

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Music Therapy Relieves Post-Op Pain in Spinal Surgery Patients

MONDAY, April 10, 2017 (HealthDay News) -- Music therapy interventions can favorably affect pain perceptions in patients recovering from spine surgery, according to a study published recently in the American Journal of Orthopedics.

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MACRA Changes Government Approach to Doctor Payment

FRIDAY, April 7, 2017 (HealthDay News) -- Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government's approach to physician payment, according to a March 27 policy brief published in Health Affairs.

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Antenatal Betamethasone Doesn't Impact Pediatric Bone Mass

FRIDAY, April 7, 2017 (HealthDay News) -- Exposure to repeat doses of antenatal betamethasone is not associated with alterations in bone mass in mid-childhood compared with a single course of glucocorticoids, according to a study published online April 7 in Pediatrics.

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Risk Adjustment, Reinsurance Transfer Offer Financial Benefit

THURSDAY, April 6, 2017 (HealthDay News) -- Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.

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Second Opinion Yields Different Diagnosis for 1 in 5 Patients

WEDNESDAY, April 5, 2017 (HealthDay News) -- One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.

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Bone, Basal Metabolism Link Depends on Vitamin D Level

WEDNESDAY, April 5, 2017 (HealthDay News) -- For postmenopausal women with type 2 diabetes mellitus (T2DMPW), the correlation between bone metabolism and basal metabolism seems to be dependent on serum 25-hydroxyvitamin D (25[OH]D) levels, according to a study published online March 31 in the Journal of Diabetes Investigation.

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Doctors Must Be Wary of HIPAA Violations With Online Reviews

TUESDAY, April 4, 2017 (HealthDay News) -- Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.

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Physical Activity Independently Predicts Bone Strength in Teens

TUESDAY, April 4, 2017 (HealthDay News) -- Moderate-to-vigorous physical activity (MVPA) is an independent predictor of bone strength at the tibia and radius in adolescents, according to a study published online March 23 in the Journal of Bone and Mineral Research.

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Use of Health Literacy Tools Can Promote Shared Decision Making

MONDAY, April 3, 2017 (HealthDay News) -- Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.

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