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Guidelines have been updated for screening and treatment for tuberculosis infection among health care personnel

Recs Updated for TB Screening, Treatment in Health Care Workers

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Guidelines include preplacement TB risk assessment, postexposure symptom evaluation and testing
The Outcomes Reporting App for Clinical and Patient Engagement tool can predict quality measures following ventral hernia repair and facilitate preoperative surgeon-patient discussions

Tool Predicts Quality Measures After Ventral Hernia Repair

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ORACLE can be used to show patients how lifestyle changes affect outcomes of interest
For opioid-naive patients treated for a surgical musculoskeletal injury

Opioid Quantity Prescribed After Musculoskeletal Injury Tied to Prolonged Use

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Opioid type not predictive of prolonged use for patients with musculoskeletal injury undergoing surgery
Receipt of tramadol alone after surgery is associated with an increased risk for prolonged opioid use

Risk for Prolonged Opioid Use Up in Patients Receiving Tramadol

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Those receiving tramadol postop have similar, higher risks as those receiving other short-acting opioids
Use of an electrical current to measure extracellular fluid volume -- bioimpedance spectroscopy -- may identify postoperative breast cancer patients at risk for lymphedema at an earlier stage

Bioimpedance Spectroscopy May Identify Lymphedema Earlier

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Surveillance with the technology may allow earlier detection, more effective treatment for lymphedema
Fournier gangrene is a safety concern for adults with diabetes receiving treatment with sodium-glucose cotransporter-2 inhibitors

Fournier Gangrene Is Safety Concern With SGLT2 Inhibitors

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FDA identified 55 cases of FG in patients on SGLT2 inhibitors from March 2013 through January 2019
The risk for Parkinson disease is increased after appendectomy

DDW: Parkinson Disease Risk Up After Appendectomy

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Risk greater for those aged 18 years and up, Caucasians, African-Americans, Asians
Physicians are aware of patients' difficulty with affording medical care and consider out-of-pocket costs in their decision making

Doctors Aware of Patient Difficulties Affording Medical Care

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Three-quarters of doctors surveyed say they consider out-of-pocket costs when making clinical decisions
Endoscopic sleeve gastroplasty is associated with significant total body weight loss over five years

DDW: Lasting Weight Loss Seen With Endoscopic Sleeve Gastroplasty

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Patients were predicted to achieve their minimum weight at 24 months after ESG
Sharing personalized practice pattern data with physicians that is benchmarked to national data for their peers can reduce overuse of Mohs micrographic surgery among outliers

Sharing Data With Surgeons Can Reduce Overuse of Mohs Surgery

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Mean stages per case reduced; reduction in Medicare spending estimated to be $11.1 million