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January 2018 Briefing – Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for January 2018. This roundup includes the latest...
Many pediatric patients have persistent pain after common ambulatory surgeries

Persistent Pain Common 1 Month After Elective Pediatric Surgery

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Prevalence of patients with pain at one, three, and six months is 24, 6, and 4 percent, respectively
The number of users who exceed the daily limit of nonsteroidal anti-inflammatory drugs is "nontrivial

NSAID Users Commonly Exceed Daily Limit

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Educating consumers about dosing directions could improve dosing compliance
Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016

Health Care Spending Up, Mainly Due to Rising Prices

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Spending increasing despite no change or decline in utilization of most health care services
A one-time preoperative physical therapy (PT) education session coupled with a web-based microsite (preopPTed) is associated with improved readiness to discharge from PT

Pre-Op PT Education Speeds Functional Milestones Post TJA

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But preoperative intervention has no impact on hospital length of stay among TKA, THA patients
Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care

Prescribing of Opioids Adds to Patient Satisfaction With Care

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Findings strongest with higher opioid use among patients with musculoskeletal conditions
Next-generation sequencing may be useful for identifying causative organisms in culture-negative periprosthetic joint infection

Next-Generation Sequencing May Be Useful in Joint Infection

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The technology ID'd organisms in nine of 11 cases of culture-negative periprosthetic joint infection
National Health Service England recently recommended that professionals ask all patients their sexual orientation at every opportunity

Professionals Disagree About Asking Patients About Sexuality

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Article offers opposing views about recommendation in England to ask patients about sexual orientation
In the presence of complete deep core muscle weakness

Core Muscle Weakness Increases Spinal Loading, Back Injuries

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Deep core muscle weakness linked to increase in peak anterior shear loading on all lumbar vertebrae
The U.S. Preventive Services Task Force has concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years. The recommendation statement has been published in the Jan. 9 issue of the Journal of the American Medical Association.

USPSTF Questions Adolescent Idiopathic Scoliosis Screening

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Finds insufficient evidence on balance of benefits and harms of screening asymptomatic 10- to 18-year-olds