July 2017 Briefing - Orthopedics

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

Pre-Op Methylprednisolone Beneficial in Knee Arthroplasty

MONDAY, July 31, 2017 (HealthDay News) -- For patients undergoing elective unilateral total knee arthroplasty, preoperative administration of methylprednisolone is associated with reduced circulating markers of endothelial activation and damage, according to a study published online July 28 in Anaesthesia.

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Single BMD, Fracture History Predict Long-Term Fracture Risk

MONDAY, July 31, 2017 (HealthDay News) -- For older women, a single bone mineral density (BMD) measure and fracture history can predict long-term fracture risk, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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Outbreak of Septic Arthritis Described in New Jersey

MONDAY, July 31, 2017 (HealthDay News) -- In a report published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, details are presented of an outbreak of septic arthritis associated with intra-articular injections at a New Jersey outpatient practice.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Nearly All Donated Brains From NFL Players Show CTE

TUESDAY, July 25, 2017 (HealthDay News) -- Ninety-nine percent of former National Football League (NFL) players who donated their brain to science were found to have chronic traumatic encephalopathy (CTE), according to a case series published in the July 25 issue of the Journal of the American Medical Association.

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No Need for Obese Patients to Lose Weight Before THR, TKR

TUESDAY, July 25, 2017 (HealthDay News) -- Obese patients don't need to lose weight before undergoing knee or hip replacement surgery, according to a study published online July 19 in the The Journal of Bone & Joint Surgery.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Prevalence of Vertebral Fracture Varies With Assessment Method

MONDAY, July 24, 2017 (HealthDay News) -- The prevalence of vertebral fracture varies for different methods of radiological assessment, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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Hand Transplantation in Child Continues to Be Successful

WEDNESDAY, July 19, 2017 (HealthDay News) -- Heterologous bilateral hand transplantation in a child has been successful, according to a report published online July 18 in The Lancet Child & Adolescent Health.

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Post-Op Pain May Often Be Underrated by Inpatient Staff

WEDNESDAY, July 19, 2017 (HealthDay News) -- Postoperative pain is frequently underrated when assessed by nursing staff on wards, according to a study published online July 14 in PAIN Practice.

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Reduction of Opioid Dose May Improve Pain, Quality of Life

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reductions in opioid dosing might improve pain and function, as well as boost quality of life, according to a report published online July 18 in the Annals of Internal Medicine.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Opioids Often Overprescribed in Patients Undergoing Surgery

MONDAY, July 17, 2017 (HealthDay News) -- For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Errors in Opioid Prescribing for Adult Outpatients Common

THURSDAY, July 13, 2017 (HealthDay News) -- For adults receiving opioid medication prescriptions, errors are common, and most often occur on handwritten prescriptions, according to research published recently in the Journal of Opioid Management.

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Alendronate Cuts Hip Fx Risk in Seniors Taking Prednisolone

THURSDAY, July 13, 2017 (HealthDay News) -- For older patients receiving prednisolone, alendronate is associated with reduced risk of hip fracture, according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Intensive Lifestyle Changes May Up Frailty Fracture Risk in DM

TUESDAY, July 11, 2017 (HealthDay News) -- For overweight or obese individuals with diabetes mellitus (DM), intensive lifestyle intervention (ILI) does not increase overall fracture risk but correlates with increased risk of frailty fracture, according to a study published online July 5 in the Journal of Bone and Mineral Research.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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Radial Extracorporeal Shock Wave Therapy Aids RA With Arthralgia

MONDAY, July 10, 2017 (HealthDay News) -- Radial extracorporeal shock wave therapy (rESWT) is beneficial for patients with rheumatoid arthritis with arthralgia, according to research published online June 30 in PAIN Practice.

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Patient Involvement Can Cut Errors in X-Ray Imaging

FRIDAY, July 7, 2017 (HealthDay News) -- A patient involvement system can reduce errors in X-ray imaging, according to a study published online July 5 in the Journal of Evaluation in Clinical Practice.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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Traumatic Brain Injury May Up Later Risk of Dementia

THURSDAY, July 6, 2017 (HealthDay News) -- A severe head injury, especially during middle age, could dramatically increase the risk for developing dementia later in life, according to research published online July 5 in PLOS Medicine.

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Radiofrequency Denervation Unlikely to Ease Low Back Pain

THURSDAY, July 6, 2017 (HealthDay News) -- Radiofrequency denervation does no more than strength and mobility exercises for low back pain, according to a study published in the July 4 issue of the Journal of the American Medical Association.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Pre-, Post-Op C-Reactive Protein Levels Tied to Delirium

WEDNESDAY, July 5, 2017 (HealthDay News) -- For older adults undergoing major noncardiac surgery, preoperative and postoperative day 2 (POD2) C-reactive protein (CRP) levels are associated with the incidence, duration, and severity of delirium, according to a study published online May 26 in the Journal of the American Geriatrics Society.

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Concussion Can Increase Risk of Abnormal Menstrual Patterns

WEDNESDAY, July 5, 2017 (HealthDay News) -- Adolescent and young women have significantly increased odds of multiple, abnormal menstrual patterns following concussion, according to a study published online July 3 in JAMA Pediatrics.

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