May 2017 Briefing - Orthopedics

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

CDC: Prevalence of Arthritis 31.8% in Most Rural Areas of U.S.

WEDNESDAY, May 31, 2017 (HealthDay News) -- The prevalence of arthritis is 31.8 percent in the most rural areas and 20.5 percent in the most urban areas of the United States, according to research published in the May 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Evidence Lacking for Adolescent Idiopathic Scoliosis Screening

TUESDAY, May 30, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the benefits and harms of screening for adolescent idiopathic scoliosis (AIS) in children and adolescents ages 10 to 18 who don't have any signs or symptoms. These findings form the basis of a draft recommendation statement published online May 30 by the USPSTF.

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Draft Recommendation Statement
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Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) -- Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

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ACOG: Assess All Active Women for Female Athlete Triad

TUESDAY, May 30, 2017 (HealthDay News) -- All active females should be assessed for components of the female athlete triad, with further evaluation if one or more components are identified, according to a Committee Opinion published in the June issue of Obstetrics & Gynecology.

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High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) -- Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

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New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) -- A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

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New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) -- The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

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Reduction in Post-Op Delirium With mHELP Program

FRIDAY, May 26, 2017 (HealthDay News) -- For older patients undergoing abdominal surgery, participating in a modified Hospital Elder Life Program (mHELP) is associated with a reduced risk of postoperative delirium and with shorter length of stay, according to a study published online May 24 in JAMA Surgery.

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Some Benefit for Curcuminoids in Knee Osteoarthritis

FRIDAY, May 26, 2017 (HealthDay News) -- Curcuminoids seem beneficial for knee osteoarthritis (OA), although they are less effective for pain relief than ibuprofen, according to a review and meta-analysis published online May 4 in the International Journal of Rheumatic Diseases.

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New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) -- A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

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Knee Pain Relief Seen With Fiber, Chondroitin in Osteoarthritis

THURSDAY, May 25, 2017 (HealthDay News) -- Fiber and/or the dietary supplement chondroitin may help reduce knee pain from arthritis, according to two studies published online May 23 in the Annals of the Rheumatic Diseases.

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Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) -- Different paths to perspective of another's experience are associated with varying effect on helpers' health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

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Doctors Urged to Check Patient Drug History Before Opioid Rx

WEDNESDAY, May 24, 2017 (HealthDay News) -- Prescription databases can help combat drug abuse when doctors are required by law to check them before writing opioid prescriptions, according to a study to be published in a future issue of the American Economic Journal: Economic Policy.

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Mortality Rates Found Lower at Major Teaching Hospitals

WEDNESDAY, May 24, 2017 (HealthDay News) -- Older adults treated at major teaching facilities are less likely to die in the weeks and months following their discharge than patients admitted to community hospitals, according to research published in the May 23/30 issue of the Journal of the American Medical Association.

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Opioid Use Before TKA May Lead to Worse Pain After Surgery

WEDNESDAY, May 24, 2017 (HealthDay News) -- Patients taking opioids before total knee arthroplasty (TKA) may have greater pain after the procedure, according to a study published in the May 17 issue of the Journal of Bone & Joint Surgery.

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Dorsal Root Ganglion Stimulation Relieves Low Back Pain

WEDNESDAY, May 24, 2017 (HealthDay News) -- For patients with discogenic low back pain due to failed back surgery syndrome (FBSS), dorsal root ganglion (DRG) stimulation at L2 to L3 is associated with low back pain relief, according to a study published online May 9 in Pain Practice.

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Nine of Ten Practices Surveyed Have Dismissed Patients

MONDAY, May 22, 2017 (HealthDay News) -- The majority of medical practices have dismissed patients, according to a research letter published online May 15 in JAMA Internal Medicine.

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Beetroot Juice Can Reduce Central Sympathetic Outflow

FRIDAY, May 19, 2017 (HealthDay News) -- Acute dietary nitrate supplementation using beetroot (BR) juice can decrease central sympathetic outflow at rest and during exercise, according to a study published online May 5 in the American Journal of Physiology-Heart and Circulatory Physiology.

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Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) -- Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

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Weight Loss, Aerobic+Resistance Exercise Best for Obese Seniors

THURSDAY, May 18, 2017 (HealthDay News) -- Engaging in aerobic and resistance exercise while losing weight enables elderly obese patients to maintain more muscle mass and bone density compared to those who do just one type of exercise or none at all, according to a study published in the May 18 issue of the New England Journal of Medicine.

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Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) -- Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

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CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) -- The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

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No Evidence Steroids Benefit Symptomatic Knee Osteoarthritis

TUESDAY, May 16, 2017 (HealthDay News) -- Regular use of corticosteroid injections for degenerative knee disease is ineffective and may even result in cartilage loss, according to a study published in the May 16 issue of the Journal of the American Medical Association.

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Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) -- Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

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Quinine Exposure Linked to All-Cause Mortality

MONDAY, May 15, 2017 (HealthDay News) -- Long-term quinine exposure is associated with increased mortality, according to a research letter published in the May 9 issue of the Journal of the American Medical Association.

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Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) -- Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

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ACP: Recommendations Updated for Low Bone Density Treatment

FRIDAY, May 12, 2017 (HealthDay News) -- In a clinical practice guideline update published online May 9 in the Annals of Internal Medicine, recommendations are presented for the treatment of low bone density and osteoporosis to prevent fractures.

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Enhanced Recovery After Surgery Program Ups Outcomes

FRIDAY, May 12, 2017 (HealthDay News) -- An enhanced recovery after surgery (ERAS) program is associated with improved outcomes for patients undergoing elective colorectal resection and emergency hip fracture repair, according to a study published online May 10 in JAMA Surgery.

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Arthroscopy for Degenerative Knees Deemed Seldom Effective

THURSDAY, May 11, 2017 (HealthDay News) -- Arthroscopic surgery should rarely be used to treat degenerative knee disease, according to a Rapid Recommendations report published online May 10 in The BMJ.

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Practice Prices Linked to Some Measures of Care Coordination

THURSDAY, May 11, 2017 (HealthDay News) -- High-price practices have higher scores on certain measures of care coordination and management, but the overall relationship between higher prices and quality and efficiency of care is weak, according to a report published in the May issue of Health Affairs.

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Outpatient Wait Times Are Longer for Medicaid Recipients

THURSDAY, May 11, 2017 (HealthDay News) -- Medicaid patients have slightly longer waits at medical appointments than those with private insurance, according to a report published in the May issue of Health Affairs.

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Adherence to DASH Diet May Help Lower Occurrence of Gout

WEDNESDAY, May 10, 2017 (HealthDay News) -- The Dietary Approaches to Stop Hypertension (DASH) diet is effective for prevention of gout, according to a study published online May 9 in The BMJ.

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Increases in Rates of Insured Don't Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) -- Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

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Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) -- From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

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Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) -- An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

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Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) -- A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

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More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) -- More women than men leave the practice of medicine, according to an article published in Medical Economics.

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Open-Label Placebos Seem to Have Positive Clinical Effect

MONDAY, May 8, 2017 (HealthDay News) -- Compared with no treatment, open-label placebos seem to have a positive clinical effect, according to a review published online April 27 in the Journal of Evidence-Based Medicine.

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Osteoporosis Tx Ups Survival in Postmenopausal Breast Cancer

MONDAY, May 8, 2017 (HealthDay News) -- For postmenopausal breast cancer patients receiving aromatase inhibitors, oral osteoporosis therapy (OPT) is associated with improved survival, according to a study published online May 2 in Cancer.

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Crepitus Tied to Incident Symptomatic Knee Osteoarthritis

FRIDAY, May 5, 2017 (HealthDay News) -- Patients who report frequent grating, cracking, or popping sounds in or around the knees may be at higher risk for impending arthritis, according to a study published online May 4 in Arthritis Care & Research.

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Symptomatic Hand Osteoarthritis Will Affect 40 Percent of People

FRIDAY, May 5, 2017 (HealthDay News) -- Forty percent of people will be affected by symptomatic osteoarthritis in at least one hand, according to research published online May 4 in Arthritis & Rheumatology.

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Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) -- Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

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CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

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Even Low Level of Physical Activity May Cut Fracture Risk

THURSDAY, May 4, 2017 (HealthDay News) -- Short daily bouts of walking/bicycling and a few weekly exercise sessions are both associated with a lower rate of hip fracture and any fracture, according to a study published online April 29 in the Journal of Bone and Mineral Research.

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Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) -- About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Weight Loss Can Decelerate Knee Joint Degeneration

TUESDAY, May 2, 2017 (HealthDay News) -- Weight loss of 5 percent or more can significantly lower cartilage degeneration in overweight/obese patients, according to a study published online May 2 in Radiology.

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'Choosing Wisely' Linked to Small Drop in Back Pain Imaging

MONDAY, May 1, 2017 (HealthDay News) -- "Choosing Wisely," launched in April 2012, has contributed to a small reduction in low-value back imaging, according to a study published online April 25 in Health Affairs.

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Intraoperative Methadone Cuts Post-Op Opioid Use in Spine Sx

MONDAY, May 1, 2017 (HealthDay News) -- For patients undergoing posterior spinal fusion surgery, intraoperative methadone administration is associated with reduced postoperative opioid requirements, according to a study published in the May issue of Anesthesiology.

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Teleconcussion Assessments Are Feasible for Football Players

MONDAY, May 1, 2017 (HealthDay News) -- Teleconcussion assessment with a remote neurologist assessing football players using a telemedicine robot is feasible for sideline concussion assessments, with high levels of agreement with face-to-face providers, according to a study published online March 24 in Neurology.

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