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Older adult falls result in substantial medical costs

Falls in Elderly Patients Cost $50 Billion Annually

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Findings include medical costs attributed to fatal and nonfatal falls; costs for fatal falls $754 million
Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance

Doctors Facing Challenge to Help Needy While Protecting Practices

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Many practices are finding it difficult to maintain their viability while caring for patients who can't pay
Total hip arthroplasty is associated with increased life expectancy during the 10 years after surgery

Total Hip Arthroplasty Linked to Increased Survival for 10 Years

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Survival better than expected up to ~10 years after surgery; no significant difference at 12 years
A patient-reported outcome tool has been developed and validated to predict response after lumbar spine surgery

Patient-Reported Outcome Tool Developed for Lumbar Spine Sx

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Models had good predicted performance in validation cohort, with concordance statistic of 0.66 to 0.79
Use of multimodal analgesia is associated with fewer complications

Multimodal Analgesia Cuts Complications Post Arthroplasty

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Fewer respiratory, GI issues; reductions also seen in opioid prescriptions and hospital length of stay
Arthroscopic partial meniscectomy-only procedures make up 66.7 percent of knee arthroscopies performed by low- and high-volume surgeons

Surgeons Often Do Arthroscopic Partial Meniscectomy

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Procedure common despite evidence showing no benefit for patients with degenerative meniscal tears
Opioid treatment is not superior to non-opioid treatment for improving pain-related function over 12 months

Opioids Don’t Top Non-Opioids for Pain-Related Function

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Findings in patients with moderate-to-severe chronic back pain, hip or knee osteoarthritis pain
Men have increased incidence of cervical sprains and fractures associated with sports

AAOS: Football Is Leading Cause of Cervical Injury in U.S.

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Incidence of injuries in males was 1.7 and 3.6 times greater than for females for neck sprains, fractures
Despite low-level evidence

AAOS: Stem Cell Tx for Knee OA Costs About $5,000 Per Injection

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High cost, rapidly expanding use despite low-level evidence; mean marketed clinical efficacy of 82.2%
Participation in sports

AAOS: Participation in Sports Safe After Total Knee Arthroplasty

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Only 3 patients in sports cohort had further operative intervention; no component revisions performed