November 2014 Briefing - Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Jogging May Help Seniors Walk More Efficiently

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Jogging helps seniors ward off age-related physical decline in walking efficiency, according to a study published online Nov. 20 in PLOS ONE.

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FDA Advisory Panel Votes on Epidural Steroid Shots for Pain

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- An expert advisory panel to the U.S. Food and Drug Administration decided on Tuesday not to recommend the agency issue a strong warning against the general use of steroid injections for neck or back pain; however, there is concern regarding transforaminal cervical injections with particulate steroids.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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Catastrophizing Linked to Pain, Disability in Low Back Pain

THURSDAY, Nov. 13, 2014 (HealthDay News) -- For patients with low back pain, catastrophizing may be associated with pain and disability, and fear-avoidance beliefs (FABs) correlate with poor treatment outcomes, according to two reviews published in the Nov. 1 issue of The Spine Journal.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Biomarkers ID Disease Activity in Elderly With Low Back Pain

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Serum biomarkers can be used for assessment of active disease in older patients with low back pain, according to a study published online Nov. 3 in the Journal of the American Geriatrics Society.

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Cost-Effectiveness Evidence for Minimal Access Surgery Lacking

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- There is insufficient evidence to assess the cost-effectiveness of minimal access surgery (MAS) compared with conventional open procedures for the cervical and lumbar spine, according to a review published in a supplement to the Oct. 15 issue of Spine, focusing on value-based spine care.

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Pain, Depression Tied to Delirium Risk Post-Surgery

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Pain and depression before an operation may increase seniors' risk for delirium after surgery, according to a study published in the November issue of The Lancet Psychiatry.

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Few Studies Assess Value of Cervical Degenerative Disc Sx

MONDAY, Nov. 10, 2014 (HealthDay News) -- Few studies examine the cost-effectiveness of surgery for patients with cervical degenerative disc disease (DDD), according to a review published in a supplement to the Oct. 15 issue of Spine, focusing on value-based spine care.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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T1ρ on MRI May Detect Early Spinal Degeneration

THURSDAY, Nov. 6, 2014 (HealthDay News) -- T1ρ values on magnetic resonance imaging (MRI) may identify early degeneration in the intervertebral disc of asymptomatic young male weightlifters, according to a study published in the Oct. 15 issue of Spine.

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Bone Health After Fracture May Be Overlooked in Men

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Older men are much less likely than women to receive osteoporosis screening and treatment after suffering a wrist fracture, according to a study published in the Nov. 1 issue of The Journal of Bone & Joint Surgery.

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Urinary Retention Seen in ~5% of Posterior Lumbar Surgeries

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- The risk of developing postoperative urinary retention (POUR) after posterior lumbar spine surgery is approximately 5 percent, with certain patient factors associated with higher risk, according to a study published in the Oct. 15 issue of Spine.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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Preterm, Low Birth-Weight Babies May Need New Hips As Adults

MONDAY, Nov. 3, 2014 (HealthDay News) -- Adults who were born preterm or at a low birth weight may have an increased risk of needing a hip replacement due to osteoarthritis, according to a study published online Nov. 3 in Arthritis Care & Research.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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