March 2016 Briefing - Otolaryngology

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

AMA Addresses Elements of Team-Based Care Model

TUESDAY, March 29, 2016 (HealthDay News) -- The elements of a team-based care model are described in a report published by the American Medical Association (AMA).

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How Can We Fix the Wage Gap Among Female Physicians?

MONDAY, March 28, 2016 (HealthDay News) -- Women doctors can address the gender wage disparity by understanding the reasons why they earn less, according to a report published in Medical Economics.

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Prevalence of Acute Otitis Media 46 Percent by Age 12 Months

MONDAY, March 28, 2016 (HealthDay News) -- The prevalence of acute otitis media (AOM) is 46 percent by age 12 months, according to a study published online March 28 in Pediatrics.

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Image-Guided Surveillance Beneficial for Head, Neck Cancer

WEDNESDAY, March 23, 2016 (HealthDay News) -- Image-guided surveillance seems beneficial for patients with squamous-cell carcinoma of the head and neck who have advanced nodal disease, according to a study published online March 23 in the New England Journal of Medicine.

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FDA: Most Powdered Medical Gloves Should Be Banned in U.S.

MONDAY, March 21, 2016 (HealthDay News) -- The U.S. Food and Drug Administration wants to ban most powdered medical gloves, saying they pose serious health risks to patients and health care providers alike.

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Case Before Supreme Court May Expose Doctors to Large Fines

FRIDAY, March 18, 2016 (HealthDay News) -- A case before a state supreme court could potentially expose physicians to large fines based on a legal technicality relating to what they should have known, rather than what they knew, according to the American Medical Association (AMA).

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Intraoperative Administration of OTO-201 Safe in Tube Placement

THURSDAY, March 17, 2016 (HealthDay News) -- Intraoperative administration of an otic suspension of ciprofloxacin (OTO-201) appears to be safe and effective for children requiring tympanostomy tube placement (TTP), according to research published online March 17 in JAMA Otolaryngology-Head & Neck Surgery.

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Spending on Prescription Meds Up About 5 Percent in 2015

THURSDAY, March 17, 2016 (HealthDay News) -- Spending on prescription medications for insured Americans increased about 5 percent in 2015, with the increase half of that seen in 2014, the Associated Press reported.

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Disruptive Patients Distract Docs, May Receive Compromised Care

WEDNESDAY, March 16, 2016 (HealthDay News) -- Disruptive patients may get worse care from physicians, according to a study published online March 7 in BMJ Quality & Safety. The findings aren't definitive because the researchers tested how physicians responded in fictional vignettes, instead of real-life encounters. Still, the results suggest that such patients distract physicians from doing their jobs.

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Mayo Clinic Has Established Model to Help Battle Burnout

TUESDAY, March 15, 2016 (HealthDay News) -- In an effort to reduce burnout among physicians, the Mayo Clinic is initiating a model to raise camaraderie and increase collaboration, according to a report published by the American Medical Association (AMA).

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Guidance Offered for Negotiating Higher Rates From Payers

MONDAY, March 14, 2016 (HealthDay News) -- Negotiations to increase payment from insurance companies can be extremely difficult, although it is possible to get a payment increase, according to a report published in Medical Economics.

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E-Consultations Can Improve Access to, Timeliness of Care

MONDAY, March 14, 2016 (HealthDay News) -- Electronic consultation (e-consultation), an asynchronous, non-face-to-face consultation between a primary care physician and a specialist, can improve access to care and reduce wait times, according to a study published in the March/April issue of the Annals of Family Medicine.

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Doctor Communication Supports Parents' Beliefs About Antibiotics

MONDAY, March 14, 2016 (HealthDay News) -- Clinician communication and prescribing behavior reinforce parents' understanding of antibiotic treatment, according to a study published in the March/April issue of the Annals of Family Medicine.

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Apnea Impacts Neurocognitive Function in Children

FRIDAY, March 11, 2016 (HealthDay News) -- Sleep-disordered breathing (SDB) has a deleterious impact in children, affecting neurocognitive functioning, according to a study published online March 1 in the American Journal of Respiratory and Critical Care Medicine.

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Triple-Handed Approach Eases Palpation of Ticklish Patients

FRIDAY, March 11, 2016 (HealthDay News) -- A novel triple-handed approach allows for examination of lymph-node basins without eliciting a ticklish response, according to a letter to the editor published in the March 10 issue of the New England Journal of Medicine.

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Revision Rate of 3.3 Percent for Septorhinoplasty Surgery

FRIDAY, March 11, 2016 (HealthDay News) -- The rate of revision septorhinoplasty is 3.3 percent, and specific patient characteristics correlate with increased revision rates, according to research published online March 10 in JAMA Facial Plastic Surgery.

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Physicians' Contracts Can Affect Patients, Professionalism

WEDNESDAY, March 9, 2016 (HealthDay News) -- Problematic clauses in physicians' contracts can impact patient care and professionalism, according to an Ideas and Opinions piece published online March 8 in the Annals of Internal Medicine.

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Neoadjuvant Chemo Response Predicts Sinonasal SCC Outcomes

TUESDAY, March 8, 2016 (HealthDay News) -- For patients with sinonasal squamous cell carcinoma (SCC), pathologic response to neoadjuvant chemotherapy is associated with disease progression, according to a study published online March 2 in Head & Neck.

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Online Media Often Used to Learn New Surgical Techniques

MONDAY, March 7, 2016 (HealthDay News) -- Many American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) members use online streaming media to learn new techniques, according to a research letter published online March 3 in JAMA Facial Plastic Surgery.

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SCOTUS: States Can't Force Health Care Data Release

WEDNESDAY, March 2, 2016 (HealthDay News) -- The Supreme Court has ruled against state efforts to collect health care data from insurance plans.

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Spouse Education Level May Impact Choice for Rural Practice

WEDNESDAY, March 2, 2016 (HealthDay News) -- Physicians who are married to a highly-educated spouse are less likely to work in rural underserved areas, according to a study published in the March 1 issue of the Journal of the American Medical Association.

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Pre-Visit Questionnaire Can Help ID Common Vestibular Diagnoses

WEDNESDAY, March 2, 2016 (HealthDay News) -- Use of a vestibular intake questionnaire can predict common vestibular diagnoses, prior to clinical assessment, according to research published online Feb. 25 in JAMA Otolaryngology-Head & Neck Surgery.

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