Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for May 2016. 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.
Thigh Muscle Strength Predicts Knee Replacement Risk in Women
TUESDAY, May 31, 2016 (HealthDay News) — For women, but not men, thigh muscle strength predicts the risk of undergoing knee replacement surgery, according to a study published in the May issue of Arthritis & Rheumatology.
Glucocorticoid Use Ups Diabetes Risk in Rheumatoid Arthritis
TUESDAY, May 31, 2016 (HealthDay News) — For patients with rheumatoid arthritis (RA), glucocorticoid treatment is associated with increased risk of diabetes mellitus (DM), according to a study published in the May issue of Arthritis & Rheumatology.
AHRQ Communication Toolkit Can Help After Patient Harm Occurs
TUESDAY, May 31, 2016 (HealthDay News) — A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.
Showering Just Days After TKA Does Not Up Infection Risk
FRIDAY, May 27, 2016 (HealthDay News) — Total knee arthroplasty (TKA) patients are usually instructed to wait two weeks after surgery to take a shower to reduce the risk of infection; however, this may not be necessary, according to a study published recently in the Journal of Arthroplasty.
Remaining Uninsured May Be Difficult to Reach Via ACA
FRIDAY, May 27, 2016 (HealthDay News) — Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.
Hip Fracture Incidence Up With Non-Dialysis-Requiring CKD
FRIDAY, May 27, 2016 (HealthDay News) — The incidence of hip fracture and post-hip fracture mortality are increased for patients with non-dialysis-requiring chronic kidney disease (CKD), according to a study published online May 4 in the Journal of Bone and Mineral Research.
Recognition of Patient Expertise Can Improve Adherence
FRIDAY, May 27, 2016 (HealthDay News) — Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.
U/S + MR Arthrography Best for Medial Elbow Pain Assessment
WEDNESDAY, May 25, 2016 (HealthDay News) — For medial elbow pain, the combination of stress ultrasound (US) and magnetic resonance (MR) arthrography is associated with improved specificity, sensitivity, and diagnostic accuracy compared with either modality alone, according to a study published in the June issue of Radiology.
Opioid Prescriptions Drop for First Time in Two Decades
MONDAY, May 23, 2016 (HealthDay News) — In a sign that the opioid epidemic might be waning, new data show that the number of opioid prescriptions has dropped for the first time in 20 years.
Strategies Can Help Streamline Revenue-Related Processes
THURSDAY, May 19, 2016 (HealthDay News) — Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).
Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours
WEDNESDAY, May 18, 2016 (HealthDay News) — Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.
Sexual Harassment Experienced by One-Third of Female Doctors
WEDNESDAY, May 18, 2016 (HealthDay News) — Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.
Tai Chi Deemed Beneficial for Knee Osteoarthritis
TUESDAY, May 17, 2016 (HealthDay News) — For knee osteoarthritis, similar benefits are seen for Tai Chi and standard physical therapy, according to a study published online May 17 in the Annals of Internal Medicine.
Even Mild Football Head Injury Can Cause Visual Disturbance
FRIDAY, May 13, 2016 (HealthDay News) — Repeated blows to the head can cause near point of convergence (NPC), even if the individual impacts aren’t strong enough to cause a full-fledged concussion, according to research published online May 12 in JAMA Ophthalmology.
Pop-Up Messages Up Physician Awareness of Osteoporosis
THURSDAY, May 12, 2016 (HealthDay News) — The introduction of pop-up messages relating to a history of dual-energy X-Ray absorptiometry (DXA) in an order communication system can increase the rates of DXA prescription, as well as the rates of osteoporosis medication and exercise, according to a study published online May 6 in the Journal of Evaluation in Clinical Practice.
Cutting Brand-Name Drug Use Could Save U.S. $73 Billion
TUESDAY, May 10, 2016 (HealthDay News) — Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.
Case: Exertional Compartment Syndrome in Motorcycle Racer
TUESDAY, May 10, 2016 (HealthDay News) — In a case study published online April 14 in BMJ Case Reports, chronic exertional compartment syndrome of both flexor and extensor compartments of the forearm is described in a motorcycle racer, which resolved after fasciotomies.
CDC Establishes New ‘Clean Hands Count’ Campaign
MONDAY, May 9, 2016 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has introduced a new campaign, “Clean Hands Count,” to encourage health care professionals, patients, and patients’ families to keep their hands clean in order to prevent health care-associated infections.
Physician Leadership Training May Help Counteract Burnout
WEDNESDAY, May 4, 2016 (HealthDay News) — Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.
Price Transparency Tool Doesn’t Cut Health Care Spending
WEDNESDAY, May 4, 2016 (HealthDay News) — Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.
High School Football Players Have Most Post-Concussion Symptoms
TUESDAY, May 3, 2016 (HealthDay News) — High school football players are more likely to suffer more symptoms after a concussion, and to need more recovery time than their college counterparts; however, those who play in youth football leagues are the most likely to get back on the field less than 24 hours after a concussion, according to research published online May 2 in JAMA Pediatrics.
Report: Why Health Care Costs Are Lower in Europe Than U.S.
TUESDAY, May 3, 2016 (HealthDay News) — European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.
2017 May Offer Fewer Choices for Affordable Care Act Enrollees
MONDAY, May 2, 2016 (HealthDay News) — With the nation’s largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.
Aneurysmal Bone Cyst Can Present As Subungual Mass
MONDAY, May 2, 2016 (HealthDay News) — In a case report published online April 23 in the Journal of Cutaneous Pathology, a subungual aneurysmal bone cyst is described in a 39-year-old male patient.
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