August 2016 Briefing - Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for August 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 Approves Biosimilar Drug Erelzi for Rheumatoid Arthritis

THURSDAY, Sept. 1, 2016 (HealthDay News) -- A new biological drug to treat rheumatoid arthritis and other inflammatory diseases has been approved by the U.S. Food and Drug Administration.

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Optimism, Cynical Hostility Influence Fall Risk in Women

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Optimism is associated with a decreased fall risk and cynical hostility with an increased fall risk for women, according to a study published online Aug. 27 in the Journal of Bone and Mineral Research.

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Heat Illness Risk Highest in Early Preseason College Football

FRIDAY, Aug. 26, 2016 (HealthDay News) -- College football players face greatest risk for exertional heat illness (EHI) during the start of preseason play, according to a study published online Aug. 9 in the Journal of Athletic Training.

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Endurance-Exercise-Induced Impairments in Atrial Function

FRIDAY, Aug. 26, 2016 (HealthDay News) -- During endurance exercise, there is exercise-dose-dependent impairment in atrial function, according to a study published online Aug. 17 in JACC: Cardiovascular Imaging.

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Plain Radiography Can ID Changes in Gouty Tophi Size

FRIDAY, Aug. 26, 2016 (HealthDay News) -- For patients with tophaceous gout, plain radiography can assess response to hypouricemic treatment, according to a study published online Aug. 12 in the International Journal of Rheumatic Diseases.

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Ultrasonography Can Guide Drug Modification in Arthritis

THURSDAY, Aug. 25, 2016 (HealthDay News) -- Ultrasonography can be useful for guiding modification of anti-rheumatic drugs and steroids for patients with inflammatory arthritis (IA), according to a study published online Aug. 19 in the International Journal of Rheumatic Diseases.

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Steep Rise in U.S. Drug Prices Tied to Patent Monopolies

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Prescription drug prices are skyrocketing in the United States due in large part to government regulations, according to a study published in the Aug. 23/30 issue of the Journal of the American Medical Association.

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Even Mild TBI in Childhood Can Have Long-Term Adverse Effects

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Children and adolescents who suffer even mild traumatic brain injury (TBI) are more likely to have serious issues later on, including psychiatric disorders and premature death, according to a study published online Aug. 23 in PLOS Medicine.

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CDC Urges Prevention, Early Recognition of Sepsis

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Many cases of life-threatening sepsis could be recognized and treated long before they cause severe illness or death, according to an Aug. 23 Vital Signs report from the U.S. Centers for Disease Control and Prevention.

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Obesity Rates Higher Than Expected in Teen Athletes

TUESDAY, Aug. 23, 2016 (HealthDay News) -- Student-athletes have similar rates of obesity and high blood pressure as non-athletes, according to research published online Aug. 17 in The Journal of Pediatrics.

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Radiofrequency Neurotomy Efficient in Knee Osteoarthritis

TUESDAY, Aug. 23, 2016 (HealthDay News) -- For patients with chronic knee osteoarthritis (OA) pain, radiofrequency (RF) neurotomy of genicular nerves is safe and efficient, according to a study published online Aug. 12 in the International Journal of Rheumatic Diseases.

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ACA Has Increased Rx Drug Use, Cut Out-of-Pocket Spending

MONDAY, Aug. 22, 2016 (HealthDay News) -- The Affordable Care Act (ACA) has increased prescription use and reduced out-of-pocket spending, according to a report published online Aug. 17 in Health Affairs.

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Legal Issues Impact Delivery of Telehealth

THURSDAY, Aug. 18, 2016 (HealthDay News) -- Telehealth technologies can allow delivery of high-quality care at a lower cost, especially in underserved areas, but there is currently no uniform legal approach to telehealth, hampering its provision, according to a Health Policy Brief published online Aug. 15 in Health Affairs.

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Minority of Surgical Studies Include Men, Women Equally

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Few surgical studies include men and women equally, and only about one-third perform data analysis by sex, according to research published online Aug. 17 in JAMA Surgery.

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Residents Often Order Perceived Unnecessary Lab Tests

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Residents frequently order perceived unnecessary inpatient laboratory tests, according to a study published online Aug. 13 in the Journal of Hospital Medicine.

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Abaloparatide Reduces Fracture Risk in Women With Osteoporosis

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- In postmenopausal women with osteoporosis, an experimental drug appears to reduce the risk of bone fractures better than teriparatide or a placebo, according to a study published in the Aug. 16 issue of the Journal of the American Medical Association.

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U.S. Female Doctors Reimbursed Significantly Less Than Males

TUESDAY, Aug. 16, 2016 (HealthDay News) -- Female doctors in the United States make much less than their male colleagues, according to a study published online Aug. 15 in the Postgraduate Medical Journal.

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DASH Diet May Be Beneficial for Gout Patients

TUESDAY, Aug. 16, 2016 (HealthDay News) -- The Dietary Approaches to Stop Hypertension (DASH) diet may offer a non-drug treatment for gout, according to a study published online Aug. 15 in Arthritis & Rheumatology.

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Virtual Reality Component Reduces Risk of Falls in Elderly

FRIDAY, Aug. 12, 2016 (HealthDay News) -- For older adults at risk of falls, the addition of non-immersive virtual reality (VR) to treadmill training reduces the incidence of falls, according to a study published online Aug. 11 in The Lancet.

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One-Third of Patients Don't Retain Important Warfarin Info

FRIDAY, Aug. 12, 2016 (HealthDay News) -- Just over two-thirds of patients retain an "acceptable" amount of key information following warfarin counseling, according to a small study published online Aug. 6 in the Journal of Pharmacy Practice and Research.

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Risk of Post-Op Opioid Abuse Deemed Low for Elderly Patients

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Opioid abuse arises in only a very small fraction -- less than half of 1 percent -- of cases involving surgical patients aged 65 or older, according to a research letter published online Aug. 10 in JAMA Surgery.

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Many U.S. Hospitals Offer Language Services

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Overall, 68.8 percent of hospitals offer language services, with the proportion increasing with level of need, according to research published in the August issue of Health Affairs.

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Zika May Be Responsible for Arthrogryposis in Newborns

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- The Zika virus may be the cause of joint deformities in the arms and legs of newborns (arthrogryposis), according to a report published online Aug. 9 in The BMJ.

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Contemporary ECG Criteria Cuts Costs of Screening Athletes

TUESDAY, Aug. 9, 2016 (HealthDay News) -- Contemporary electrocardiographic (ECG) screening criteria can reduce the costs of screening of athletes, according to a study published in the Aug. 16 issue of the Journal of the American College of Cardiology.

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Soy Isoflavone May Improve Bone Health Post Menopause

THURSDAY, Aug. 4, 2016 (HealthDay News) -- For postmenopausal women, soy isoflavone supplementation is associated with improvement in bone health, according to a study published online July 28 in the Journal of Bone and Mineral Research.

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Opioid-Related Insurance Claims Rise 3,000 Percent

WEDNESDAY, Aug. 3, 2016 (HealthDay News) -- The number of private health insurance claims for Americans addicted to opioids and heroin rose 3,203 percent from 2007 to 2014, according to a Fair Health report.

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Overweight/Obesity Up Incidence of Hand, Hip, Knee Osteoarthritis

WEDNESDAY, Aug. 3, 2016 (HealthDay News) -- The incidence of hand, hip, and knee osteoarthritis (OA) increases with overweight and obesity, particularly in the knee, according to a study published in the August issue of Arthritis & Rheumatology.

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Injuries Up As Trampoline Parks Become More Popular

MONDAY, Aug. 1, 2016 (HealthDay News) -- As trampoline parks spring up across the United States, injuries to children have also increased, according to research published online Aug. 1 in Pediatrics.

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European Countries Implementing Cost-Sharing

MONDAY, Aug. 1, 2016 (HealthDay News) -- European health systems are requiring an increase in cost-sharing measures for patients 50 years of age and older, according to research published in the July issue of Health Affairs.

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