September 2017 Briefing - Orthopedics

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

Embezzlement Widespread in Medical Practices

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Embezzlement is widespread among medical practices, and knowing the warning signs is helpful for preventing it, according to an article published in Medical Economics.

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More Than 78 Percent of Health Care Personnel Receive Flu Shot

THURSDAY, Sept. 28, 2017 (HealthDay News) -- More than 78 percent of health care personnel (HCP) and 53.6 percent of pregnant women received influenza vaccination during the 2016-2017 influenza season, according to two studies published in the Sept. 29 issue of Morbidity and Mortality Weekly Report.

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Optimal Length of Post-Op Opioid Pain Medication Rx Identified

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The optimal length of opioid pain medication prescription after common surgical procedures lies between the observed median prescription length and the early nadir, according to a study published online Sept. 27 in JAMA Surgery.

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Working With a Scribe Improves Physician Satisfaction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Working with a scribe significantly improves physicians' overall satisfaction, satisfaction with chart quality and accuracy, and charting efficiency, according to a study published online Sept. 11 in the Annals of Family Medicine.

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Cancer Risk Up for RA Patients With Venous Thromboembolism

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Patients with rheumatoid arthritis (RA) and venous thromboembolism (VTE) have increased risk of cancer in the first year after VTE and during a longer follow-up period, according to a study published online Sept. 15 in the Journal of Thrombosis and Haemostasis.

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Fragmented QRS Predicts Cardiac Death During Exercise

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Fragmented QRS complex may predict risk of exercise-related sudden cardiac death, according to a study published online Sept. 20 in the Journal of Cardiovascular Electrophysiology.

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USPSTF Recommends Exercise for Preventing Falls in Seniors

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends exercise to prevent falls in at-risk community-dwelling adults aged 65 years and older. These findings form the basis of a draft recommendation statement published online Sept. 26 by the USPSTF.

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Bayesian Method Useful for Noncompleters of 400-m Walk

TUESDAY, Sept. 26, 2017 (HealthDay News) -- A Bayesian multiple imputation (MI) method is useful for calculating the speeds of those who are unable to complete the 400-m walk test within the time constraint (noncompleters), according to a study published online Sept. 8 in the Journal of the American Geriatrics Society.

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Genotype-Guided Warfarin Dosing Cuts Adverse Events

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Genotype-guided warfarin dosing is associated with reduced risk of adverse events compared with clinically-guided dosing among patients undergoing elective hip or knee arthroplasty, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.

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Back Pain in Older Men Tied to Incident Vertebral Fractures

TUESDAY, Sept. 26, 2017 (HealthDay News) -- Incident, clinically undiagnosed radiographic vertebral fractures (VFs) are associated with increased likelihood of back pain symptoms, according to a study published online Sept. 7 in the Journal of Bone and Mineral Research.

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CDC Launches Campaign to Fight Prescription Opioid Epidemic

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention is launching a communication campaign featuring accounts of people recovering from opioid use disorder, and those who have lost someone to opioid overdose, in an effort to fight the prescription overdose epidemic.

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AAP Offers Guidance for Infectious Disease in Sports

MONDAY, Sept. 25, 2017 (HealthDay News) -- Participation in organized sports can potentially expose athletes to infectious diseases, with major risk factors including skin-to-skin contact, environmental exposures and physical trauma, and sharing of equipment, according to a clinical report published online Sept. 25 in Pediatrics.

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Worker Contribution to Health Benefits Up in 2017

MONDAY, Sept. 25, 2017 (HealthDay News) -- In 2017, health benefits coverage remained stable, while workers faced considerable variation in costs, according to a report published online Sept. 19 in Health Affairs.

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Self-Reported Function IDs Post-Op Course in Elderly

MONDAY, Sept. 25, 2017 (HealthDay News) -- Self-reported function is more informative than frailty phenotype in predicting a negative postoperative course in older adults, according to a study published online Sept. 19 in the Journal of the American Geriatrics Society.

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Effect of Osteoporotic Fractures Similar to Diabetes Burden

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Osteoporotic fractures and complications of diabetes similarly impact quality of life (QoL), according to a study published online Sept. 12 in the Journal of Evaluation in Clinical Practice.

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Concussion May Increase Multiple Sclerosis Risk

FRIDAY, Sept. 22, 2017 (HealthDay News) -- Concussion during adolescence increases the risk of subsequent multiple sclerosis (MS) diagnosis, according to a study published online Sept. 4 in the Annals of Neurology.

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Steroid Injection Betters Hand Function With Carpal Tunnel

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Local steroid injection is effective for treatment of carpal tunnel syndrome (CTS) and improves hand function, according to a small study published online Sept. 13 in the International Journal of Rheumatic Diseases.

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Intradiscal Electrothermal Therapy Cost-Effective

THURSDAY, Sept. 21, 2017 (HealthDay News) -- For patients with discogenic low back pain, intradiscal electrothermal therapy (IDET) is an effective and cost-effective treatment alternative to circumferential lumbar fusion with femoral ring allograft (FRA), according to a study published online Sept. 12 in PAIN Practice.

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Insurer Market Power Lowers Providers' Prices

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets, according to a report published in the September issue of Health Affairs.

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ACP Does Not Support Legalization of Assisted Suicide

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The American College of Physicians (ACP) does not support the legalization of physician-assisted suicide, a practice that raises ethical, clinical, and other concerns, according to a position paper published online Sept. 19 in the Annals of Internal Medicine.

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Physicians Tweeting About Drugs May Have Conflict of Interest

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Most physicians on Twitter with a financial conflict of interest (FCOI) and frequent tweets mention specific drugs for which they have a conflict, according to a study published in the September issue of The Lancet Haematology.

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Doctors Spend Almost Six Hours Per Day on EHR Tasks

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Physicians spend almost six hours per day in the electronic health record (EHR), with 4.5 hours spent during clinic hours and 1.4 hours spent after clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

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'Science Spin' Found Prevalent in Biomedical Literature

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Spin in biomedical literature (also referred to as "science hype") is prevalent, with trials having the highest and greatest variability in the prevalence of spin, according to a review published online Sept. 11 in PLOS Biology.

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Peri-Op IV Corticosteroids Benefit Knee, Hip Arthroplasty

THURSDAY, Sept. 14, 2017 (HealthDay News) -- Intravenous corticosteroids are both safe and effective when used perioperatively in total knee or hip arthroplasty, with benefits including less pain, vomiting, and nausea, and fewer opioids, according to a review published online Aug. 29 in PAIN Practice.

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Fibrous Dysplasia Associated With Increased Breast Cancer Risk

THURSDAY, Sept. 14, 2017 (HealthDay News) -- Patients with fibrous dysplasia (FD) are at increased risk for breast cancer, according to a study published online Aug. 30 in the Journal of Bone and Mineral Research.

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Study Details Humanitarian Surgical Care in Afghanistan

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Humanitarian surgical care (HSC) has been provided to local national civilians during the Afghanistan conflict, with 49.3 percent of patients treated for non-war-related (NWR) conditions, according to a research letter published online Sept. 13 in JAMA Surgery.

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Some Aspects of Empathy Improve During Medical Training

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Certain aspects of empathy improve during medical student training, according to a study published online Sept. 7 in Medical Education.

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Are Physicians Obligated to Help on Planes?

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.

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Distal Bicep Tendon Rip Tied to Transthyretin Amyloidosis

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Rupture of the distal biceps tendon (RBT) in a patient with heart failure with preserved ejection fraction should raise suspicion for wild-type transthyretin amyloidosis (ATTRwt), according to a research letter published in the Sept. 12 issue of the Journal of the American Medical Association.

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Most Opioid Use Concentrated in Top 10 Percent of Users

TUESDAY, Sept. 12, 2017 (HealthDay News) -- The top 10 percent of privately insured U.S. adults without cancer using opioids account for most opioid use, according to a research letter published online Sept. 12 in the Annals of Internal Medicine.

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Age Legislation Cuts Off-Road-Vehicle-Related Injury Rate

MONDAY, Sept. 11, 2017 (HealthDay News) -- The population-based rate of off-road-vehicle (ORV)-related injuries was reduced following a 2010 Massachusetts law restricting their use by children aged younger than 14 years and regulating their use by children up to age 18 years, according to a study published online Sept. 11 in Pediatrics.

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Alendronate Effective, Safe in 'Oldest Old' With Prior Fracture

THURSDAY, Sept. 7, 2017 (HealthDay News) -- Alendronate treatment reduces the risk of hip fracture in elderly patients with a prior fracture, with sustained safety, according to a study published online Aug. 30 in the Journal of Internal Medicine.

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Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

WEDNESDAY, Sept. 6, 2017 (HealthDay News) -- Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients, according to a study published online Sept. 5 in JAMA Pediatrics.

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General Anesthesia in Infants May Affect White Matter Volume

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Infants who receive general anesthesia for surgery before they're 1 year old may have less white matter in their brains, according to research published online Aug. 24 in Anesthesiology.

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AAP: Watch for Rapid Weight Changes in Young Athletes

FRIDAY, Sept. 1, 2017 (HealthDay News) -- In a new clinical report from the American Academy of Pediatrics, published in the September issue of Pediatrics, clinicians are reminded to promote healthy weight control in young athletes.

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Electronic Alert Doesn't Up Appropriate Thromboprophylaxis

FRIDAY, Sept. 1, 2017 (HealthDay News) -- A computer-based alert system with a Geneva Risk Score calculation tool in the electronic patient chart does not improve appropriate thromboprophylaxis in patients admitted to general medical wards, according to a study published online Aug. 24 in the Journal of Thrombosis and Haemostasis.

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Peri-Op Management Key in Surgical Resident Malpractice

FRIDAY, Sept. 1, 2017 (HealthDay News) -- The perioperative period appears critical in malpractice cases involving surgical residents, according to a study published online Aug. 30 in JAMA Surgery.

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