April 2016 Briefing - Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 2016. 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.

FDA Reconsidering Training for Doctors Prescribing Opioids

FRIDAY, April 29, 2016 (HealthDay News) -- Mandatory safety training for doctors who prescribe opioids is being reconsidered by the U.S. Food and Drug Administration.

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Wide Variation in Health Care Costs Across the U.S.

FRIDAY, April 29, 2016 (HealthDay News) -- Health care prices vary widely across the United States, even within the same state, according to a study published in the April issue of Health Affairs.

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Article Discusses Workplace Violence in Health Care

THURSDAY, April 28, 2016 (HealthDay News) -- There is a lack of data relating to the prevalence of workplace violence in health care and how to address it, according to a review article published in the April 28 issue of the New England Journal of Medicine.

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Doctors Have a Only a Few Weeks Left to Review Financial Data

WEDNESDAY, April 27, 2016 (HealthDay News) -- Under the Physician Payments Sunshine Act, physicians have only a few weeks left to review and report disputes relating to their financial ties to drug and medical device manufacturers, according to the American Medical Association.

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U.S. Health Report Card Finds Racial, Ethnic Disparities Persist

WEDNESDAY, April 27, 2016 (HealthDay News) -- An update on Americans' health finds that racial and ethnic disparities persist, with significant gaps in obesity, cesarean births, and dental care. But advances have been made in some important areas, including infant mortality rates, women smokers, and numbers of uninsured, according to the new report from the U.S. Department of Health and Human Services.

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A Doctor's View: EHRs Impair Physician-Patient Relationship

MONDAY, April 25, 2016 (HealthDay News) -- Electronic health records (EHRs) may be impairing the physician-patient relationship, according to an article published in Medical Economics.

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Physicians Can Get Involved in Developing Payment Models

FRIDAY, April 22, 2016 (HealthDay News) -- Doctors can be involved in developing new payment models for their practices, according to the American Medical Association.

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Preexisting Mental Distress Can Slow Concussion Recovery

THURSDAY, April 21, 2016 (HealthDay News) -- Athletes may take longer to recover after a concussion if they had psychosomatic symptoms before their head injury, according to a study published online April 20 in Neurology.

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No Solid Evidence for Pre-Participation Screens in Athletes

THURSDAY, April 21, 2016 (HealthDay News) -- There is no solid evidence for the effectiveness of pre-participation screening in reducing the number of sudden cardiac deaths among young athletes, according to an analysis published online April 20 in The BMJ.

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Do Antihistamines Blunt Exercise Recovery?

THURSDAY, April 21, 2016 (HealthDay News) -- Histamine may contribute to exercise recovery in skeletal muscle, and blockade of histamine receptors may interfere with that mechanism, according to research published online April 9 in the Journal of Physiology.

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Spinal Manipulation Offers Little Low Back Pain Disability Relief

WEDNESDAY, April 20, 2016 (HealthDay News) -- Spinal manipulative therapy reduces disability from low back pain (LBP) more than functional technique, but not in a clinically meaningful way, according to a study published in the March issue of The Spine Journal.

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Metal Up in Blood With Titanium Growth Guidance Sliding Device

TUESDAY, April 19, 2016 (HealthDay News) -- Implantation of sliding growth guidance instrumentation LSZ-4D, made from titanium alloy Ti6A14V, is associated with increased content of Ti and V ions in the blood and in the tissues around the device, according to a study published in the March issue of The Spine Journal.

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Post-Op Gouty Arthritis Described in Patient Taking Thiazide

TUESDAY, April 19, 2016 (HealthDay News) -- A case of postoperative acute gouty arthritis following laparoscopic cholecystectomy with umbilical hernioplasty, secondary to hydrochlorothiazide use, has been documented in a case report published in the March issue in the Journal of Pharmacy Practice and Research.

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Provocative Discography May Up Risk of Clinical Disc Problems

MONDAY, April 18, 2016 (HealthDay News) -- Provocative discography, an invasive diagnostic procedure involving disc puncture with pressurization, is associated with increased risk of clinical disc problems, according to a study published in the March issue of The Spine Journal.

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Article Offers Ways to Address Overlooked Details in Practice

MONDAY, April 18, 2016 (HealthDay News) -- Looking at a family medicine practice with fresh eyes can help address unsightly issues that patients notice, according to an article published in Family Practice Management.

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2016 Match Marks Record Highs for Registrants, Matching

FRIDAY, April 15, 2016 (HealthDay News) -- The 2016 Match was the largest ever recorded by the National Resident Matching Program, with a higher match rate that 2015, according to a report from the American Medical Association.

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Decrease in Medicare Spending for 2012 ACO Entrants

FRIDAY, April 15, 2016 (HealthDay News) -- Early reductions in Medicare spending were seen for the first full year of Medicare Shared Savings Program (MSSP) contracts for 2012 Accountable Care Organization (ACO) entrants, according to a study published online April 13 in the New England Journal of Medicine.

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Health Care Workers Skip Hand Washing One-Third of the Time

THURSDAY, April 14, 2016 (HealthDay News) -- Staff at many outpatient health care facilities in New Mexico failed to follow recommendations for hand hygiene more than one-third of the time, according to findings published in the April 1 issue of the American Journal of Infection Control.

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Fusion Not Always Necessary for Back Pain From Stenosis

THURSDAY, April 14, 2016 (HealthDay News) -- Spinal fusion surgery is too often used to treat lower back pain caused by stenosis when decompression would suffice, but is still beneficial for select patients, according to a pair of new clinical trials published in the April 14 issue of the New England Journal of Medicine.

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Low Fruit, Vegetable Intake Linked to Hip Fracture Risk

WEDNESDAY, April 13, 2016 (HealthDay News) -- For older adults, daily intake of no more than one serving of fruit and vegetables is associated with increased risk of hip fracture relative to moderate intake, according to a study published online April 8 in the Journal of Bone and Mineral Research.

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Doctors Can Be Misled About FDA 'Breakthrough' Drug Designation

TUESDAY, April 12, 2016 (HealthDay News) -- Use of the word "breakthrough" in the U.S. Food and Drug Administration's expedited approval process could mislead doctors about the new drugs' actual benefits, according to a research letter published in the April 12 issue of the Journal of the American Medical Association.

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Parental Hip Fracture Independently Ups Offspring Risk

TUESDAY, April 12, 2016 (HealthDay News) -- Parental hip fracture (HF) is independently associated with increased risk of offspring major osteoporotic fracture (MOF) and HF, according to research published online April 8 in the Journal of Bone and Mineral Research.

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VA Commission on Care: Eliminate VA Medical Centers

MONDAY, April 11, 2016 (HealthDay News) -- A radical proposal has been suggested for eliminating all Veterans Affairs (VA) medical centers and outpatient facilities in the next 20 years, floated by seven of 15 members of the VA Commission on Care, according to an article published in the Military Times.

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Vitamin D Supplementation Doesn't Change Lean Mass, BMD

MONDAY, April 11, 2016 (HealthDay News) -- For postmenopausal women with vitamin D insufficiency completing a structured weight-loss program, vitamin D3 supplementation is not associated with changes in lean mass or bone mineral density (BMD), according to a study published online April 5 in the Journal of the American Geriatrics Society.

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Sport-Banned Oxilofrine Found in Diet Supplements

THURSDAY, April 7, 2016 (HealthDay News) -- A stimulant banned from competitive sports, oxilofrine, has been found in more than a dozen dietary supplements marketed for "burning" body fat, according to a study published online April 7 in Drug Testing and Analysis.

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Surgery Cuts Fracture Risk in Primary Hyperparathyroidism

WEDNESDAY, April 6, 2016 (HealthDay News) -- For patients with primary hyperparathyroidism (PHPT), parathyroidectomy is associated with reduced fracture risk, whereas bisphosphonate treatment is not superior to observation, according to a study published online April 5 in the Annals of Internal Medicine.

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Are Guidelines Needed to Assess Competence of Aging Physicians?

FRIDAY, April 1, 2016 (HealthDay News) -- The question of whether national guidelines need to be developed for assessing the competence of aging physicians was discussed during a recent meeting of key stakeholders, according to a news release from the American Medical Association (AMA).

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Medicare Tests New Payment System for Joint Replacements

FRIDAY, April 1, 2016 (HealthDay News) -- A new way of paying for hip and knee replacements is being tested by Medicare with the goal of improving quality and cutting costs.

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