Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for August 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.
Minimal Evidence for Electronic Communication Guidelines
THURSDAY, Aug. 31, 2017 (HealthDay News) — Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.
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Prophylaxis Linked to Improved Function, HRQoL in Hemophilia
THURSDAY, Aug. 31, 2017 (HealthDay News) — For adults with severe hemophilia and pre-existing joint disease, prophylaxis is associated with improved function, quality of life, activity, and pain, according to a study published online Aug. 24 in the Journal of Thrombosis and Haemostasis.
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Proactive Approach Encouraged for Online Patient Reviews
WEDNESDAY, Aug. 30, 2017 (HealthDay News) — Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.
Sedentary Time a ‘Potent Risk Factor’ for Mobility Loss
WEDNESDAY, Aug. 30, 2017 (HealthDay News) — Excessive sitting, especially while watching television, poses a significant health hazard to older Americans, according to a study published online Aug. 30 in the Journal of Gerontology: Medical Sciences.
Platelet-Rich Plasma Effective for Chronic Venous Leg Ulcers
TUESDAY, Aug. 29, 2017 (HealthDay News) — For patients with chronic venous leg ulcers, autologous platelet-rich plasma (PRP) is safe and effective, with highly significant improvement in ulcer size compared to conventional treatment, according to a study published online Aug. 19 in the Journal of Cosmetic Dermatology.
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FDA Cites ‘Significant Deviations’ at Florida Stem Cell Clinic
TUESDAY, Aug. 29, 2017 (HealthDay News) — A Florida stem cell clinic has received a warning letter from the U.S. Food and Drug Administration about what the agency describes as serious problems that could pose health risks to patients.
Cycling Crash Deaths Rising in the United States
FRIDAY, Aug. 25, 2017 (HealthDay News) — Bicyclist deaths on U.S. roadways are up significantly, and men — not children — are commonly the victims, a new report finds.
Thoracic Kyphosis Not Tied to Physical Function
FRIDAY, Aug. 25, 2017 (HealthDay News) — In healthy, relatively high-functioning older adults, kyphosis severity is not associated with subsequent physical function, according to a study published online Aug. 21 in the Journal of the American Geriatrics Society.
Early Rotator Cuff Surgery Offers Good Long-Term Outcomes
THURSDAY, Aug. 24, 2017 (HealthDay News) — Early surgery for isolated supraspinatus repairs leads to considerable improvement in clinical and radiographic outcomes at 10 years, according to a study published in the Aug. 16 issue of The Journal of Bone & Joint Surgery.
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Increased Risk of MI, Stroke for Patients With Hip Fracture
THURSDAY, Aug. 24, 2017 (HealthDay News) — Patients with hip fracture have an increased risk of myocardial infarction (MI) and stroke, according to a study published online Aug. 21 in the Journal of Bone and Mineral Research.
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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.
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Hours Worked Impacted by Kids for Female, Not Male Doctors
MONDAY, Aug. 21, 2017 (HealthDay News) — For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.
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Depression, Anxiety May Affect Bone Metabolism in Older Teens
MONDAY, Aug. 21, 2017 (HealthDay News) — Major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitor (SSRI) use are associated with bone metabolism in older adolescents and young adults, according to a study published online Aug. 16 in the Journal of Bone and Mineral Research.
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Physical Activity Predicts Disability in Older Adults
FRIDAY, Aug. 18, 2017 (HealthDay News) — Accelerometer-measured physical activity (PA) levels are strongly associated with major mobility disability (MMD) and persistent MMD (PMMD) events in older adults with limited mobility, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.
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Oral Contraceptive Use Linked to Lower Rheumatoid Arthritis Risk
FRIDAY, Aug. 18, 2017 (HealthDay News) — Oral contraceptive (OC) use is associated with reduced risk of rheumatoid arthritis (RA), according to research published online Aug. 17 in the Annals of Rheumatic Diseases.
Increasing Physical Activity, Function Can Decrease Fall Fears
THURSDAY, Aug. 17, 2017 (HealthDay News) — Enhancing physical activity level and function can decrease the fear of falling among elderly patients, according to a study published online Aug. 9 in the Journal of Clinical Nursing.
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Online Nursing Education Can Up Patient Use of VTE Prophylaxis
THURSDAY, Aug. 17, 2017 (HealthDay News) — Online training for nurses has been found to increase hospital patients’ use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.
Few Racial Differences in Peds Anesthesia Meds Administration
THURSDAY, Aug. 17, 2017 (HealthDay News) — There does not appear to be significant racial differences in preoperative or intraoperative medication administration for children undergoing emergency appendectomies, according to a study published online Aug. 10 in Pediatric Anesthesia.
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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions
THURSDAY, Aug. 17, 2017 (HealthDay News) — Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.
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Electrotherapy, Acupuncture Ease Post Knee Arthroplasty Pain
WEDNESDAY, Aug. 16, 2017 (HealthDay News) — Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty, according to a meta-analysis published online Aug. 16 in JAMA Surgery.
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Geriatric Trauma Outcome Score Estimates Unfavorable Discharge
WEDNESDAY, Aug. 16, 2017 (HealthDay News) — The geriatric trauma outcome score II (GTOS II) prognostic calculator can estimate the probability of unfavorable discharge in injured elders, according to a study published online Aug. 14 in the Journal of the American Geriatrics Society.
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Studies Used for FDA Approval of Device Changes Often Low Quality
TUESDAY, Aug. 15, 2017 (HealthDay News) — Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.
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Specialist Access No Better With Adoption of Access Standards
TUESDAY, Aug. 15, 2017 (HealthDay News) — Adoption of specialty access standards does not improve access to specialists, according to a study published online Aug. 14 in JAMA Internal Medicine.
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‘On the Move’ Group Exercise Program Aids Walking in Elderly
TUESDAY, Aug. 15, 2017 (HealthDay News) — The “On the Move” group exercise program is more effective at improving mobility in the elderly, compared to seated, usual-care exercise programs, according to a study published online Aug. 14 in JAMA Internal Medicine.
Sonography May Aid Hyaluronic Acid Injections for Knee Arthritis
MONDAY, Aug. 14, 2017 (HealthDay News) — Sonography-guided hyaluronic acid injection may yield better results than surface anatomy-guided injection in patients with knee osteoarthritis, according to a study published online Aug. 9 in the International Journal of Rheumatic Diseases.
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Marrow Fat May Affect Bone Mass After Roux-en-Y Gastric Bypass
FRIDAY, Aug. 11, 2017 (HealthDay News) — Glucose metabolism and weight are associated with marrow fat behavior, and marrow fat may determine bone mass after Roux-en-Y gastric bypass (RYGB), according to a study published online Aug. 9 in the Journal of Bone and Mineral Research.
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Hip Bone Mineral Density Tied to Knee Cartilage Defects
TUESDAY, Aug. 8, 2017 (HealthDay News) — Bone mineral density (BMD), particularly in the hip, is negatively associated with knee cartilage defects and bone marrow lesions (BMLs) in patients with knee osteoarthritis, according to a study published online Aug. 1 in the International Journal of Rheumatic Diseases.
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Guidance Provided for Preventing Practice Billing Errors
MONDAY, Aug. 7, 2017 (HealthDay News) — Strategies can help to prevent medical practice billing errors, according to a report published in Medical Economics.
Osteoporosis Meds Up BMD in Nonmetastatic Prostate Cancer
MONDAY, Aug. 7, 2017 (HealthDay News) — For men with nonmetastatic prostate cancer who are receiving androgen deprivation therapy (ADT), bisphosphonates and denosumab improve bone mineral density (BMD), according to a review published online Aug. 8 in the Annals of Internal Medicine.
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No Effect of B Vitamin on Fracture Risk in Women at High CV Risk
MONDAY, Aug. 7, 2017 (HealthDay News) — For women with preexisting cardiovascular (CV) disease or three or more coronary risk factors, daily supplementation with B vitamins and folic acid does not affect fracture risk or bone turnover, according to a study published online July 29 in the Journal of Bone and Mineral Research.
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Reconstruction Method in Gastric CA Surgery Affects Bone Density
FRIDAY, Aug. 4, 2017 (HealthDay News) — The reconstruction method may affect postoperative bone mineral density (BMD) loss in gastric cancer, according to a study published online July 31 in the Journal of Gastroenterology and Hepatology.
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For Young Adults, Fractures Mainly Due to Severe Trauma
THURSDAY, Aug. 3, 2017 (HealthDay News) — In a cohort of young adults, fractures mainly result from severe trauma, with few fractures at osteoporotic sites, according to a study published online July 29 in the Journal of Bone and Mineral Research.
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Moderate, Vigorous Activity Not Tied to More Elderly Falls
THURSDAY, Aug. 3, 2017 (HealthDay News) — Falls are not more common or injurious in older women who engage in higher levels of moderate-to-vigorous physical activity (MVPA), according to a study published online July 29 in the Journal of the American Geriatrics Society.
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Revenue Exceeds Expenditures for Many ABMS Member Boards
WEDNESDAY, Aug. 2, 2017 (HealthDay News) — Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.
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U.S. Doctors Still Writing Too Many Opioid Prescriptions
TUESDAY, Aug. 1, 2017 (HealthDay News) — More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published online Aug. 1 in the Annals of Internal Medicine.
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Comprehensive Initiative Has Positive Impact on Opioid Rx
TUESDAY, Aug. 1, 2017 (HealthDay News) — A comprehensive initiative, including creation of prescribing and dispensing policies, monitoring and follow-up processes, and clinical coordination through electronic health record integration, can have a positive impact on opioid prescribing, according to research published online July 14 in the Journal of Evaluation in Clinical Practice.
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