March 2018 Briefing - Otolaryngology

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

Duration of Antibiotics Often Exceeds Guidelines for Sinusitis

THURSDAY, March 29, 2018 (HealthDay News) -- The durations of most courses of antibiotic therapy for adult outpatients with sinusitis exceed guideline recommendations, according to a research letter published online March 26 in JAMA Internal Medicine.

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Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 (HealthDay News) -- A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

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EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 (HealthDay News) -- Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

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Ethical Duties ID'd for Short-Term Global Health Experiences

MONDAY, March 26, 2018 (HealthDay News) -- In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

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Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 (HealthDay News) -- The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

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Hearing Difficulty May Up Risk of Accidental Injury

FRIDAY, March 23, 2018 (HealthDay News) -- Hearing difficulty is associated with accidental injury, according to a study published online March 22 in JAMA Otolaryngology-Head & Neck Surgery.

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Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 (HealthDay News) -- Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

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Vaccine-Derived Immune Protection Against Mumps Wanes

THURSDAY, March 22, 2018 (HealthDay News) -- Vaccine-derived immune protection against mumps wanes on average 27 years after vaccination, according to a study published online March 21 in Science Translational Medicine.

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Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 (HealthDay News) -- A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

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Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 (HealthDay News) -- A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 (HealthDay News) -- The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

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Review Supports Rhinoplasty for Nasal Airway Obstruction

MONDAY, March 19, 2018 (HealthDay News) -- For adults with nasal airway obstruction, repair of the lateral nasal wall is effective, according to a review published online March 15 in JAMA Facial Plastic Surgery.

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Costs Up for Neonates With Vocal Fold Motion Impairment

MONDAY, March 19, 2018 (HealthDay News) -- For neonates undergoing congenital heart surgery (CHS), vocal fold motion impairment (VFMI) is associated with increased costs due to increased post-procedure length of stay (PPLOS), according to a study published online March 15 in JAMA Otolaryngology-Head & Neck Surgery.

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Risk of Post-Tonsillectomy Complications Up for Under-3s

FRIDAY, March 16, 2018 (HealthDay News) -- Children aged younger than 3 years seem to have increased risk of complications following tonsillectomy compared with children aged 3 years or older, according to a study published online March 15 in JAMA Otolaryngology-Head & Neck Surgery.

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Grass Peptide Immunotherapy Cuts Seasonal Allergy Symptoms

THURSDAY, March 15, 2018 (HealthDay News) -- Immunotherapy with peptide hydrolysates from Lolium perenne (LPP) reduces seasonal allergy symptoms and is generally well tolerated, according to a study published online March 7 in Allergy.

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Drug Copayments Often Exceed Prescription Drug Costs

WEDNESDAY, March 14, 2018 (HealthDay News) -- Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23 percent of all prescriptions, according to a research letter published in the March 13 issue of the Journal of the American Medical Association.

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U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 (HealthDay News) -- Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 (HealthDay News) -- The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

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Odds of Opioid Prescriptions Up in Head and Neck Cancer Patients

MONDAY, March 12, 2018 (HealthDay News) -- The odds of opioid prescription are increased for patients with head and neck cancer (HNCA) versus those with lung or colon cancer (LCCA), according to a research letter published online March 8 in JAMA Otolaryngology-Head & Neck Surgery.

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Doctors Facing Challenge to Help Needy While Protecting Practices

FRIDAY, March 9, 2018 (HealthDay News) -- Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance, according to an article published in Medical Economics.

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Aspirin Therapy Appears Safe Before Thyroid Surgery

WEDNESDAY, March 7, 2018 (HealthDay News) -- Continuing aspirin therapy before thyroid surgery does not appear to increase the risk of intraoperative bleeding, according to a study published online March 1 in JAMA Otolaryngology-Head & Neck Surgery.

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Pediatric Otolaryngology Practice Continues to Evolve

MONDAY, March 5, 2018 (HealthDay News) -- The pediatric otolaryngology (ORL) specialty has evolved over the past decade, with a notable decline in involvement in facial plastic and reconstructive surgery, according to a study published online Feb. 22 in JAMA Otolaryngology-Head & Neck Surgery.

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High Prevalence of Hearing Loss Seen After Infant Heart Surgery

FRIDAY, March 2, 2018 (HealthDay News) -- The prevalence of hearing loss in preschool children who had heart surgery in infancy may be above 20 percent, according to a study published in the January issue of The Journal of Pediatrics.

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