July 2016 Briefing - Orthopedics

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

Fracture Risk Up for Patients Undergoing Bariatric Surgery

FRIDAY, July 29, 2016 (HealthDay News) -- Patients undergoing bariatric surgery have increased risk of fracture, according to a study published online July 28 in the BMJ.

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Pancreaticoduodenectomy Costs High at Safety-Net Hospitals

THURSDAY, July 28, 2016 (HealthDay News) -- Pancreaticoduodenectomy (PD) is associated with high costs at safety-net hospitals, according to a study published online July 27 in JAMA Surgery.

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New Rule Tied to Fewer Head Impacts in High School Football

WEDNESDAY, July 27, 2016 (HealthDay News) -- Limiting tackling during high school football practices lowers the risk of head impacts, according to a study published online June 22 in the Journal of Athletic Training.

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Pre-Op Fat Fractions in Rotator Cuff Muscles ID Post-Op Retear

WEDNESDAY, July 27, 2016 (HealthDay News) -- Magnetic resonance (MR) imaging of preoperative fat fractions within the rotator cuff muscles may be able to help predict postoperative retear, according to a study published in the August issue of Radiology.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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Teen Athletes at Low Risk for Opioid Addiction

TUESDAY, July 26, 2016 (HealthDay News) -- Teenage athletes are less likely to abuse opioids than adolescents who don't play sports or exercise, according to research published online July 25 in Pediatrics.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Ultrasound-Guided Treatment Feasible for Trigger Finger

FRIDAY, July 22, 2016 (HealthDay News) -- An ultrasonographically (US)-guided percutaneous treatment using a 21-gauge needle is efficacious for trigger finger, according to a study published in the August issue of Radiology.

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Surgery Not Always Necessary for Meniscal Tears

THURSDAY, July 21, 2016 (HealthDay News) -- In many cases of meniscal tear, exercise may work just as well as surgery in middle-aged patients, according to a study published online July 20 in The BMJ.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Disclosure of Adverse Events May Impact Surgeon Well-Being

THURSDAY, July 21, 2016 (HealthDay News) -- Surgeons who are less likely to discuss the preventability of an adverse event are more likely to be negatively affected by disclosure of these events, according to a study published online July 20 in JAMA Surgery.

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Progress for Lab-Grown Cartilage As Hip Replacement Option

WEDNESDAY, July 20, 2016 (HealthDay News) -- Progress has been made toward developing lab-grown cartilage that could postpone or possibly eliminate the need for hip replacement surgery in younger arthritis patients, according to research published online July 18 in the Proceedings of the National Academy of Sciences.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Osteoporosis Treatment-Linked Changes in BMD ID Fracture Risk

WEDNESDAY, July 20, 2016 (HealthDay News) -- For women initiating osteoporosis treatment, treatment-related changes in total hip bone mineral density (BMD) are associated with fracture risk, according to a study published online July 19 in the Annals of Internal Medicine.

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AAP Urges Awareness of Female Athlete Triad

TUESDAY, July 19, 2016 (HealthDay News) -- Physicians should be aware of the "female athlete triad," which includes amenorrhea, osteoporosis, and disordered eating, according to the American Academy of Pediatrics. The report was published online July 18 in Pediatrics.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Player-to-Player Hits in Football Up Magnitude of Head Impacts

MONDAY, July 18, 2016 (HealthDay News) -- As officials at all levels of American football continue to debate how to prevent concussions, a new study, published online July 18 in Pediatrics, using data from devices inside the helmets of high school players confirms that hits with other players are especially damaging.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Facial Fracture Risk Up for Older Women With Facial Injury

MONDAY, July 18, 2016 (HealthDay News) -- The risk of facial fracture varies with age, sex, and race, with increased risk among white and Asian older women, according to research published online July 14 in JAMA Facial Plastic Surgery.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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One Week of Bed Rest Lowers Muscle Mass, Insulin Sensitivity

WEDNESDAY, July 13, 2016 (HealthDay News) -- One week of bed rest is associated with a substantial reduction in skeletal muscle mass and decreased whole-body insulin sensitivity, according to a study published online June 29 in Diabetes.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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OSATS Can Be Used to Assess Residents' Shoulder Surgery Skills

FRIDAY, July 8, 2016 (HealthDay News) -- Objective Structured Assessment of Technical Skills (OSATS) checklists are reliable for assessing technical skills among orthopedic residents performing open surgery on the shoulder, according to a study published in the Journal of Surgical Education.

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Nurses, Doctors Report Health Issues Tied to Surgical Smoke

FRIDAY, July 8, 2016 (HealthDay News) -- Nurses and doctors commonly report problems as a result of surgical smoke exposure, but they do not take effective protective measures, according to a study published online June 27 in the Journal of Clinical Nursing.

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U.S. Medical Schools to Expand Training on Opioid Abuse

WEDNESDAY, July 6, 2016 (HealthDay News) -- U.S. medical schools are expanding training to address the increasing number of overdose deaths, according to a report published by The Associated Press.

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Teen Girls at Highest Risk of Schoolbag-Linked Back Pain

WEDNESDAY, July 6, 2016 (HealthDay News) -- Adolescent girls have the highest risk of suffering from intense back pain related to schoolbag use, according to a study published in the June issue of The Spine Journal.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Diabetes Impacts QOL Outcome After Lumbar Decompression

WEDNESDAY, July 6, 2016 (HealthDay News) -- Diabetes predicts diminished quality of life (QOL) improvements after lumbar decompression surgery, according to a study published in the June issue of The Spine Journal.

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Considerable Increase in Chiropractic Service Use in VA

TUESDAY, July 5, 2016 (HealthDay News) -- In the past decade there has been a substantial increase in the use of chiropractic services among the Veterans Affairs' (VA) service, according to a study published in the June issue of the Journal of Manipulative and Physiological Therapeutics.

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Communication Skills Training Beneficial for Surgery Residents

TUESDAY, July 5, 2016 (HealthDay News) -- A communication skills training program has beneficial effects on orthopedic surgery residents' interactions with older adults, according to a report published by the Hospital for Special Surgery in New York City.

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Elevated Risk of Death for Osteogenesis Imperfecta

TUESDAY, July 5, 2016 (HealthDay News) -- Patients with osteogenesis imperfecta (OI) have an elevated risk of death, according to a study published online June 27 in the Journal of Bone and Mineral Research.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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Hundreds of U.S. Clinics Sell Unapproved Stem Cell 'Therapies'

FRIDAY, July 1, 2016 (HealthDay News) -- Hundreds of clinics across the United States are marketing unapproved stem cell treatments for conditions ranging from aging skin to spinal cord injuries, according to a study published online June 30 in Cell Stem Cell.

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