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October 2018 Briefing – Orthopedics

October 2018 Briefing – Orthopedics

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Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for October 2018. 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.

AMA Announces Initiative to Reinvent Physician Training

TUESDAY, Oct. 30, 2018 — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.

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Many Hospitals Noncompliant With Record Request Regulations

MONDAY, Oct. 29, 2018 — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.

Abstract/Full Text

Trump Administration Announces Plan to Cut Drug Prices

FRIDAY, Oct. 26, 2018 — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.

HHS Study
New York Times Article

Pace of Change Has Accelerated in Alternative Payment Models

THURSDAY, Oct. 25, 2018 — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

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Most Supplements Contain Prohibited Stimulants

WEDNESDAY, Oct. 24, 2018 — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editor’s Note (subscription or payment may be required)

Deep Neural Network Improves Detection of Wrist Fractures

WEDNESDAY, Oct. 24, 2018 — Deep learning methods allow senior medical specialists to deliver their expertise to emergency medicine clinicians via use of a deep neural network, which is associated with considerable improvement in sensitivity and specificity of detecting fractures in wrist radiographs, according to a study published online Oct. 22 in the Proceedings of the National Academy of Sciences.

Abstract/Full Text

White House Unveils New Insurance Option for Small Firms

TUESDAY, Oct. 23, 2018 — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

AP News Article
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Kids’ Sport Participation Tied to Higher Bone Mass in Young Adults

TUESDAY, Oct. 23, 2018 — Children who are consistent sport participators have greater bone mineral content (BMC) at age 20 years, according to a study published online Oct. 17 in the Journal of Bone and Mineral Research.

Abstract/Full Text (subscription or payment may be required)

Strong Link for Peds Obesity, Slipped Capital Femoral Epiphysis

MONDAY, Oct. 22, 2018 — High childhood body mass index (BMI) is strongly correlated with slipped capital femoral epiphysis (SCFE), according to a study published online Oct. 22 in Pediatrics.

Abstract/Full Text

Physical Therapy an Option for Nonobstructive Meniscal Tears

FRIDAY, Oct. 19, 2018 — Physical therapy (PT) is non-inferior to arthroscopic partial meniscectomy (APM) for patients with nonobstructive meniscal tears, according to a study published in the Oct. 2 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Aspirin, Anticoagulants Similarly Prevent VTE After TKA

FRIDAY, Oct. 19, 2018 — Among patients undergoing total knee arthroplasty (TKA), aspirin alone may provide protection against postoperative venous thromboembolism (VTE) that is similar to that of other anticoagulants, according to a study published online Oct. 17 in JAMA Surgery.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Procurement Requirements Drive Interoperability in Health Care IT

THURSDAY, Oct. 18, 2018 — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.

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Gabapentin Beats Pregabalin for Chronic Sciatica

WEDNESDAY, Oct. 17, 2018 — For patients with chronic sciatica (CS), gabapentin (GBP) is superior to pregabalin (PGB), with fewer and less severe adverse events (AEs), according to a study published online Oct. 15 in JAMA Neurology.

Abstract/Full Text

Without Medicaid Expansion, Poor Patients Forgo Medical Care

MONDAY, Oct. 15, 2018 — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.

AP News Article

Active Pharmaceuticals ID’d in >700 Dietary Supplements

MONDAY, Oct. 15, 2018 — Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open.

Abstract/Full Text
Editorial

Age, Sex Affect Extended Post-Concussion Symptoms in Children

MONDAY, Oct. 15, 2018 — Age, sex, and family factors play a role in the persistence of post-concussion symptoms (PCSs) one year after injury, according to a study published online Oct. 15 in Pediatrics.

Abstract/Full Text

Multicomponent Intervention Can Reduce Sitting Time at Work

FRIDAY, Oct. 12, 2018 — A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms, according to a study published online Oct. 10 in The BMJ.

Abstract/Full text
Editorial

Zoledronate Lowers Fracture Risk in Women With Osteopenia

FRIDAY, Oct. 12, 2018 — The risk for fragility fractures is significantly lower in women with osteopenia who receive zoledronate than in those who receive placebo, according to a study published online Oct. 1 in the New England Journal of Medicine.

Abstract/Full Text

Payer Policies May Discourage Non-Pharma Tx for Low Back Pain

THURSDAY, Oct. 11, 2018 — There is a need for public and private insurers to broaden their coverage policies for non-drug pain treatments for low back pain, according to a study published online Oct. 5 in JAMA Network Open.

Abstract/Full Text
Editorial

Review: Vitamin D Does Not Appear to Prevent Fractures, Falls

THURSDAY, Oct. 11, 2018 — Vitamin D supplementation does not prevent fractures or falls or have a clinically meaningful impact on bone mineral density in pooled analyses, according to a review and meta-analysis published online Oct. 4 in The Lancet Diabetes & Endocrinology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 — A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

The New York Times Article

Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 — Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

Abstract/Full Text
Editorial

Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 — Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

Abstract/Full Text
Editorial

Clinical Comorbidities Up After Arthroscopic Hip Surgery

FRIDAY, Oct. 5, 2018 — Following elective arthroscopic hip surgery, the rate of seven major clinical comorbidities increases significantly, according to a study published online Sept. 27 in the British Journal of Sports Medicine.

Abstract/Full Text (subscription or payment may be required)

Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 — Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 — A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 — Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Medicare Patient Readmit Rates Higher in Proprietary Hospitals

WEDNESDAY, Oct. 3, 2018 — Among Medicare patients with six major diseases, readmission rates are higher for those receiving care in proprietary hospitals compared with government or nonprofit hospitals, according to a study published online Sept. 18 in PLOS ONE.

Abstract/Full Text

Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 — In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

Abstract/Full Text

For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 — Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Voluntary Recall of Robaxin 750 mg Due to Dosage Misprint

TUESDAY, Oct. 2, 2018 — Endo Pharmaceuticals is voluntarily recalling two lots of Robaxin (methocarbamol tablets) 750 mg tablets (100-count bottles) due to incorrect dosage information.

Endo Press Release
FDA Recall Notice

Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 — In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

Abstract/Full Text

Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 — The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Hospital Privacy Curtains Become Increasingly Contaminated

MONDAY, Oct. 1, 2018 — Curtains surrounding patient beds become progressively contaminated with bacteria, according to a study published in the September issue of the American Journal of Infection Control.

Abstract/Full Text

More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 — From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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Risk of Venous Thromboembolism Recurrence High

MONDAY, Oct. 1, 2018 — The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.

Abstract/Full Text

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Posted: November 2018

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