April 2018 Briefing - Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 2018. 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.

New Clinic Satisfaction Tool Provides Real-Time Feedback

THURSDAY, April 26, 2018 (HealthDay News) -- A new clinic satisfaction tool improves communication and provides real-time feedback, according to a study published online April 14 in Neurosurgery.

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High Risk of Death After Major Diabetes-Related Amputations

FRIDAY, April 27, 2018 (HealthDay News) -- There is a high risk of postoperative mortality among patients undergoing lower-limb amputation, according to a study published online April 5 in Diabetes Care.

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Saturday Is National Prescription Drug Take Back Day

THURSDAY, April 26, 2017 (HealthDay News) -- The U.S. Drug Enforcement Administration and local agencies are holding the 15th National Prescription Drug Take Back Day across the country this Saturday, April 28.

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Medicare Requiring Hospitals to Post Prices Online

WEDNESDAY, April 25, 2018 (HealthDay News) -- U.S. hospitals will have to post their standard prices online and make it easier for patients to access their electronic medical records, Medicare officials said Tuesday.

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Patients Prefer Doctors Who Engage in Face-to-Face Visits

MONDAY, April 23, 2018 (HealthDay News) -- Patients prefer physicians who engage in face-to-face (F2F) clinic visits, rather than those using an examination room computer (ERC), according to a research letter published online April 19 in JAMA Oncology.

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FDA Approves First Drug for Rare Form of Rickets

FRIDAY, April 20, 2018 (HealthDay News) -- Ultragenyx Pharmaceutical Inc.'s Crysvita (burosumab-twza) has been approved by the U.S. Food and Drug Administration to treat adults and children ages 1 year and older with x-linked hypophosphatemia (XLH).

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Mechanism in Non-Contact ACL Tears Similar in Men, Women

FRIDAY, April 20, 2018 (HealthDay News) -- Males and females have similar knee positions at the time of non-contact anterior cruciate ligament (ACL) rupture, according to a study published online April 18 in the American Journal of Sports Medicine.

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Mortality Down With Spinal Anesthesia for Hip Fx Surgery

FRIDAY, April 20, 2018 (HealthDay News) -- For patients undergoing hip fracture fixation, general anesthesia (GA) is associated with increased 90-day mortality compared with spinal anesthesia (SA), according to a study presented at the 2018 World Congress on Regional Anesthesia and Pain Medicine, held from April 19 to 21 in New York City.

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USPSTF: Exercise Interventions Prevent Falls in Seniors

TUESDAY, April 17, 2018 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that exercise interventions may be beneficial for preventing falls in older adults; however, the evidence is insufficient to weigh the benefits and harms of vitamin D, calcium, and combined supplementation. These findings form the basis of two recommendation statements published April 17 in the Journal of the American Medical Association.

Evidence Report - Falls
Final Recommendation Statement - Falls
Editorial - Falls
Evidence Report - Vitamin D
Final Recommendation Statement - Vitamin D
Editorial - Vitamin D

Neuroscience Education, Motor Control Training Ease Spinal Pain

TUESDAY, April 17, 2018 (HealthDay News) -- For individuals with chronic spinal pain, pain neuroscience education combined with cognition-targeted motor control training seems more effective than current best-evidence physical therapy, according to a study published online April 16 in JAMA Neurology.

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Recommendations Developed on Gender Equity in Medicine

MONDAY, April 16, 2018 (HealthDay News) -- In a position paper published online April 17 in the Annals of Internal Medicine, recommendations are provided aimed at addressing gender equity in physician compensation and career advancement opportunities.

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Nonoptimized Drug Therapy Costs More Than $500 Billion Annually

MONDAY, April 16, 2018 (HealthDay News) -- The estimated annual cost of drug-related morbidity and mortality resulting from nonoptimized medication therapy is more than half a trillion dollars in the United States, according to a study published online March 26 in the Annals of Pharmacotherapy.

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Recent Years Saw Increase in Burden of Prior Authorization

THURSDAY, April 12, 2018 (HealthDay News) -- The burden of prior authorization (PA) has increased over the past five years, and 92 percent of physicians report associated delays in access to care, according to the results of a survey published by the American Medical Association (AMA).

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Suggestions Offered to Reduce Physician Frustration With EHRs

TUESDAY, April 10, 2018 (HealthDay News) -- Changes can be implemented to help reduce physician frustration with electronic health records (EHRs), according to an article published in Medical Economics.

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Considerable Differences in Burden of Disease at State Level

TUESDAY, April 10, 2018 (HealthDay News) -- There are considerable differences in the burden of disease at the state level, according to a study published in the April 10 issue of the Journal of the American Medical Association.

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Scoliosis Surgery Found Beneficial for Cerebral Palsy Patients

TUESDAY, April 10, 2018 (HealthDay News) -- Scoliosis surgery in patients with cerebral palsy (CP) leads to a significant improvement in health-related quality of life (HRQoL), which is maintained five years following surgery, according to a study published in the April 4 issue of The Journal of Bone & Joint Surgery.

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Whole Body CT Doesn't Cut Mortality in Peds Blunt Trauma

TUESDAY, April 10, 2018 (HealthDay News) -- Whole body computed tomography (WBCT) is not associated with reduced mortality compared with a selective CT approach among children with blunt trauma, according to a study published online April 9 in JAMA Pediatrics.

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Interns' Schedule Takes Toll on Sleep, Physical Activity, Mood

FRIDAY, April 6, 2018 (HealthDay News) -- New interns' intense and changing schedules take a toll on sleep, activity, and mood, according to a study published online March 14 in the Journal of General Internal Medicine.

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ACA Marketplaces Expand Coverage for Chronically Ill

THURSDAY, April 5, 2018 (HealthDay News) -- The Affordable Care Act's Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period, according to a study published in the April issue of Health Affairs.

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Online Doc Reviews Don't Reflect Patient Satisfaction Surveys

THURSDAY, April 5, 2018 (HealthDay News) -- Online physician reviews do not reflect patient satisfaction surveys (PSSs), according to a study published in the April issue of the Mayo Clinic Proceedings.

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Variations Identified in Free-Text Directions in E-Prescriptions

WEDNESDAY, April 4, 2018 (HealthDay News) -- There is considerable variation in the quality of free-text patient directions (Sig) in electronic prescriptions (e-prescriptions), according to a study published online April 2 in the Journal of Managed Care & Specialty Pharmacy.

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Transfusion Outcomes Differ by Race for Peds Scoliosis Surgery

MONDAY, April 2, 2018 (HealthDay News) -- In the surgical correction of pediatric scoliosis, black race is independently associated with increased estimated blood loss, increased rate of blood transfusion, and increased amount of blood transfused, according to a study published online March 9 in Pediatric Anesthesia.

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Pre-Op Chronic Opioid Use Ups Poor Outcomes Post Spinal Fusion

MONDAY, April 2, 2018 (HealthDay News) -- Preoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion, according to a study published online March 20 in Spine.

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