June 2016 Briefing - Orthopedics

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

Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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Genetic Heart Condition Common Cause of Sudden Death in Sports

WEDNESDAY, June 29, 2016 (HealthDay News) -- About one-third of sudden deaths are caused by hypertrophic cardiomyopathy, according to research published recently in The American Journal of Medicine.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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Many Teens Using Unregulated Supplements to Alter Appearance

MONDAY, June 27, 2016 (HealthDay News) -- Many teens are turning to risky, unregulated supplements to change their appearance, according to a new report from the American Academy of Pediatrics (AAP) published online June 27 in Pediatrics.

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Daily Calcium Intake of 1,000 or 2,000 mg Best for Rickets

MONDAY, June 27, 2016 (HealthDay News) -- For children with rickets, radiographic healing is more rapid with 1,000 mg and 2,000 mg daily calcium intake compared with 500 mg, according to a study published online June 17 in the Journal of Bone and Mineral Research.

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Autologous Adipose-Derived Stromal Cells May Ease Knee OA

MONDAY, June 27, 2016 (HealthDay News) -- For patients with knee osteoarthritis, a single intra-articular injection of autologous adipose-derived stromal cells (ASCs) can reduce pain and inflammation, according to research published online May 23 in Stem Cells Translational Medicine.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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APCs, Doctors Order Low-Value Services With Similar Frequency

WEDNESDAY, June 22, 2016 (HealthDay News) -- Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Exercise After Learning May Improve Knowledge Retention

FRIDAY, June 17, 2016 (HealthDay News) -- Physical activity after learning might help improve retention of new information, but the exercise has to be done within a specific time window, and it can't be immediately after learning, according to a study published online June 16 in Current Biology.

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Soles of the Feet Should Also Be Checked for Skin Cancer

THURSDAY, June 16, 2016 (HealthDay News) -- Stress and damage caused by walking or running could be a risk factor for melanoma on the soles of the feet, according to a research letter published in the June 16 issue of the New England Journal of Medicine.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Unplanned Readmission for ~8 Percent of Surgical Discharges

THURSDAY, June 16, 2016 (HealthDay News) -- Unplanned readmissions occur in about 8 percent of patients discharged from the general surgical service, according to a study published online June 15 in JAMA Surgery.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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HIV Infection Negatively Affects Bone Acquisition

WEDNESDAY, June 15, 2016 (HealthDay News) -- HIV infection with T cell activation is associated with lower bone mineral density (BMD) and stiffness, according to a study published online June 10 in the Journal of Bone and Mineral Research.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Many Patients Prescribed Opioids Sharing Leftover Pills

MONDAY, June 13, 2016 (HealthDay News) -- More than half of patients prescribed opioids receive more than they need, and many share the drugs or fail to store them securely, according to research published online June 13 in JAMA Internal Medicine.

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Senior Runners Expend Similar Energy As Younger Runners

FRIDAY, June 10, 2016 (HealthDay News) -- Runners over age 65 could burn oxygen at nearly the same rate as much younger runners, according to a study published in the April issue of Medicine & Science in Sports & Exercise.

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Pediatric Unanticipated Admission Incidence 0.97 Percent

FRIDAY, June 10, 2016 (HealthDay News) -- The incidence of pediatric unanticipated admissions is 0.97 percent, with about half of admissions related to anesthesia, according to a study published online June 1 in Pediatric Anesthesia.

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Postural Instability Predicts Off-Loading Nonadherence in T2DM

THURSDAY, June 9, 2016 (HealthDay News) -- For patients with diabetic foot ulcers (DFUs), off-loading adherence is associated with healing, but postural instability is a powerful predictor of nonadherence, according to a study published online June 6 in Diabetes.

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Prescription Drug Monitoring Programs Cut Opioid Use

WEDNESDAY, June 8, 2016 (HealthDay News) -- Implementation of prescription drug monitoring programs can reduce the prescribing of Schedule II opioids, according to a study published in the June issue of Health Affairs.

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Electroacupuncture May Benefit Carpal Tunnel Syndrome

WEDNESDAY, June 8, 2016 (HealthDay News) -- Electroacupuncture may be a beneficial treatment option for carpal tunnel syndrome, according to a study published online June 6 in CMAJ, the journal of the Canadian Medical Association.

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PPI Use Ups Risk of Osteoporosis, Osteopenia in Femur

WEDNESDAY, June 8, 2016 (HealthDay News) -- Proton pump inhibitor (PPI) use is associated with increased risk of developing osteoporosis and osteopenia in femur bones, according to a study published online May 31 in the International Journal of Rheumatic Diseases.

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Hip Arthroscopy Often Not the Best Option for Older Patients

MONDAY, June 6, 2016 (HealthDay News) -- Many patients in their 60s who have hip arthroscopy need total hip arthroplasty (THA) within two years, according to research published in the April issue of Arthroscopy: The Journal of Arthroscopic and Related Surgery.

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U-Shaped Pattern for Dietary Calcium Intake, Fracture Risk

MONDAY, June 6, 2016 (HealthDay News) -- Dietary calcium intake seems to have a U-shaped correlation with fracture risk in men and possibly in women, according to a study published online May 21 in the Journal of Bone and Mineral Research.

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Possible Benefit for Cannabinoids in Rheumatic Conditions

MONDAY, June 6, 2016 (HealthDay News) -- Cannabinoids may have limited benefits in rheumatic conditions, with some potential benefit in terms of pain relief and effect on sleep, according to a review published in the May issue of Arthritis Care & Research.

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Many Still on Opioids Six Months After Total Joint Arthroplasty

FRIDAY, June 3, 2016 (HealthDay News) -- A significant number of patients continue to take prescription opioids many months after joint replacement surgery, according to a study published in the June issue of Pain.

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Spironolactone No Benefit for Knee OA in Older Adults

FRIDAY, June 3, 2016 (HealthDay News) -- For older adults with knee osteoarthritis (OA), spironolactone is not associated with improvements in symptoms, physical function, or health-related quality-of-life, according to a study published in the May issue of Arthritis Care & Research.

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AMA Module Promotes Training of Medical Assistants

THURSDAY, June 2, 2016 (HealthDay News) -- A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).

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Patients Like to See Physicians Wearing White Coats

THURSDAY, June 2, 2016 (HealthDay News) -- Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.

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Vigilance Urged for Heparin-Induced Thrombocytopenia

WEDNESDAY, June 1, 2016 (HealthDay News) -- Diagnosis and management of heparin-induced thrombocytopenia (HIT) are discussed in a review published in the May 31 issue of the Journal of the American College of Cardiology.

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