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Orthopedics

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For patients with low back pain

Epidural Steroid Injections Tied to Small Surgery-Sparing Effect

Moderate/low evidence that patients receiving ESI versus control less likely to undergo surgery
Discectomy-related information on the Internet is poor and of variable quality

Discectomy-Related Information on Internet Deemed Poor

Most websites are commercial; significantly higher quality for sites with Health on the Net code
Physicians work long hours

Most Docs Work 40 to 60 Hours Per Week

Considerable proportion work 61 to 80 or more hours; half of docs would prefer to work fewer hours
For adults with chronic nonspecific back pain

Light Therapy Seems Promising for Nonspecific Back Pain

Reduction in pain intensity, improvement in depressive symptoms in adult patients
Defensive medicine is commonly practiced among surgeons and radiologists in Austria

Defensive Medicine Common Among Surgeons, Radiologists

More than one-quarter of diagnostics ordered for defensive reasons in Austria
The increasing use of medical scribes should not be a replacement for improving electronic health records

Impact of Medical Scribes on EHR Advancement Discussed

Use of medical scribes should not be replacement for improvement of EHRs
Working long hours may raise the risk for alcohol abuse

Working Long Hours? Beware Risky Alcohol Consumption

Researchers find link between long hours on the job and excess alcohol consumption
Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

Guidelines Presented for Clinical Documentation in 21st Century

Recommendations provided for clinicians, provider institutions, government regulators, payers
Children who play football in middle school don't appear to have any noticeable short-term brain damage from repeated hits to the head

Short-Term Effects of Middle School Football Analyzed

No impairment of brain function seen over short term
The long-term effectiveness and harms of opioids for chronic pain are unclear

Major Risks of Long-Term Opioid Rx Deemed Dose-Dependent

In review, serious harms of long-term therapy seemed to depend on opioid dose