November 2017 Briefing - Ophthalmology

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

Most Older Adults Willing to Play Game to Monitor Vision

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Many older patients with age-related macular degeneration (AMD) use personal electronic devices, and most are willing to play a game to monitor vision, according to a study published online Nov. 13 in Clinical & Experimental Ophthalmology.

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Recent Increase in Cataract Sx at Ambulatory Surgical Centers

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- From 2001 to 2014 there was a transition in the site of cataract surgery from hospital outpatient departments (HOPDs) to ambulatory surgical centers (ASCs), according to a study published online Nov. 22 in JAMA Ophthalmology.

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Patients Often Uncomfortable With Overlapping Surgeries

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- On average, patients are neutral toward or uncomfortable with concurrent or overlapping surgical procedures, according to a study published in the Nov. 15 issue of The Journal of Bone & Joint Surgery.

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Clinician Denial of Patient Requests Impacts Satisfaction

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.

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Value-Based Payment Modifier Not Tied to Practice Performance

TUESDAY, Nov. 28, 2017 (HealthDay News) -- The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine.

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New Workflows Have Potential to Address Provider Burnout

MONDAY, Nov. 27, 2017 (HealthDay News) -- New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.

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Essay Adds to Discourse on Impact of Suggestive Jokes

MONDAY, Nov. 27, 2017 (HealthDay News) -- Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.

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Coffee Consumption Appears to Provide More Benefit Than Harm

MONDAY, Nov. 27, 2017 (HealthDay News) -- Coffee consumption seems safe and is associated with reduced risk for various health outcomes, according to a review published online Nov. 22 in The BMJ.

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Data May Weigh on Pros/Cons of Expanded Care Optometry

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- More than three-quarters of residents living in states where optometrists have been granted expanded scope of practice live within an estimated travel time (ETT) of 30 minutes to the nearest ophthalmologist office, according to a study published online Nov. 22 in JAMA Ophthalmology.

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Female Physicians' Spouses More Likely to Work

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.

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High Costs Associated With Physician Burnout, Attrition

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.

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Distinct Features for Drug Use-Related Endophthalmitis

MONDAY, Nov. 20, 2017 (HealthDay News) -- Patients with injection drug use (IDU) endogenous endophthalmitis (EE) are younger, with fewer comorbidities, and have more improvement in visual acuity after intervention compared with non-IDU EE patients, according to a research letter published online Nov. 16 in JAMA Ophthalmology.

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Many Health Care Providers Work While Sick

FRIDAY, Nov. 17, 2017 (HealthDay News) -- More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.

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Simple Checklist Can Identify Useful Clinical Practice Guidelines

FRIDAY, Nov. 17, 2017 (HealthDay News) -- A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.

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Erlotinib Overdose Tied to Conjunctivitis

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Overdosing of erlotinib may be associated with rapid onset of conjunctivitis, according to a case report published online Oct. 25 in the Journal of Clinical Pharmacy and Therapeutics.

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Force Analysis May Help Distinguish Surgeon Skill Level

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Force-sensing bipolar forceps and force analysis may help differentiate surgeon skill level, according to a study published online Nov. 15 in JAMA Surgery.

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Risk of Falls Up With Mild, Moderate Diabetic Retinopathy

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Among Asians, individuals with mild and moderate diabetic retinopathy (DR) are more likely to have fallen, and greater perceived barriers to diabetes self-management (DSM) are associated with the severity of DR, according to two studies published online Nov. 16 in JAMA Ophthalmology.

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AMD Risk Has Dropped By Birth Cohort Throughout 20th Century

FRIDAY, Nov. 17, 2017 (HealthDay News) -- There was a decrease in the five-year risk for age-related macular degeneration (AMD) by birth cohorts throughout the 20th century, according to a study published online Nov. 16 in JAMA Ophthalmology.

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High Levels of Burnout, Stress for U.S. Surgical Residents

THURSDAY, Nov. 16, 2017 (HealthDay News) -- Surgical residents have high levels of burnout, which is associated with high stress, depression, and suicidal ideation, according to a study published online in the Journal of the American College of Surgeons.

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Health Care Experts in Favor of Patient Contribution to Notes

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

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Longer Appointment Times in Clinic Where Trainees Present

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- The presence of trainees in an outpatient ophthalmology clinic is associated with longer appointment times, even for appointments for which the trainee is not present, according to a study published online Nov. 9 in JAMA Ophthalmology.

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Soluble Interleukin 2 Receptor IDs Sarcoidosis in Uveitis

MONDAY, Nov. 13, 2017 (HealthDay News) -- Soluble interleukin 2 receptor (sIL-2R) has slightly better diagnostic value than angiotensin-converting enzyme (ACE) for sarcoidosis in patients with uveitis, according to a study published online Nov. 9 in JAMA Ophthalmology.

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Doctors Have Extra Two Weeks to Preview Performance Data

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services' Physician Compare online resource, according to a report published by the American Academy of Family Physicians.

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Increases in U.S. Health Spending Tied to Health Service Price

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.

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18-Item Measure Reliable for Symptom Burden in Glaucoma

MONDAY, Nov. 6, 2017 (HealthDay News) -- A shortened glaucoma symptom measure based on the Collaborative Initial Glaucoma Treatment Study (CIGTS) Symptom and Health Problem Checklist (SHPC) is reliable for evaluating glaucoma symptoms, according to a study published online Nov. 2 in JAMA Ophthalmology.

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Cases of Low Vision, Blindness Estimated to Double in 30 Years

FRIDAY, Nov. 3, 2017 (HealthDay News) -- Prevalence and incidence rates of low vision and blindness demonstrate a growing need for low vision rehabilitation services in the United States, according to a study published online Nov. 2 in JAMA Ophthalmology.

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Pricing Interventions Increase Sales, Intake of Healthy Foods

FRIDAY, Nov. 3, 2017 (HealthDay News) -- Pricing interventions seem to improve access to healthy food and beverage options with increases in stocking and sales of these items, according to a review published online Nov. 2 in Preventing Chronic Disease.

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Driving Impairment Warnings Often Not Given With Rx Meds

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.

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CMS Launches Initiative to Examine Impact of Regulations

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients, according to an article published in Modern Healthcare.

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