Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2017. 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.
Wait Time Linked to Worse Outcomes in Hip Fracture Surgery
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery, according to a study published in the Nov. 28 issue of the Journal of the American Medical Association.
Patients Often Uncomfortable With Overlapping Surgeries
WEDNESDAY, Nov. 29, 2017 (HealthDay News) — On average, patients are neutral toward or uncomfortable with concurrent or overlapping surgical procedures, according to a study published in the Nov. 15 issue of The Journal of Bone & Joint Surgery.
Value-Based Payment Modifier Not Tied to Practice Performance
TUESDAY, Nov. 28, 2017 (HealthDay News) — The Value-Based Payment Modifier (VM) is not associated with performance differences between practices serving higher-risk and lower-risk patients, according to a study published online Nov. 28 in the Annals of Internal Medicine.
Clinician Denial of Patient Requests Impacts Satisfaction
TUESDAY, Nov. 28, 2017 (HealthDay News) — Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.
Essay Adds to Discourse on Impact of Suggestive Jokes
MONDAY, Nov. 27, 2017 (HealthDay News) — Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.
New Workflows Have Potential to Address Provider Burnout
MONDAY, Nov. 27, 2017 (HealthDay News) — New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.
Female Physicians’ Spouses More Likely to Work
WEDNESDAY, Nov. 22, 2017 (HealthDay News) — Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.
High Costs Associated With Physician Burnout, Attrition
TUESDAY, Nov. 21, 2017 (HealthDay News) — Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.
Surgery of Limited Clinical Benefit for Subacromial Shoulder Pain
TUESDAY, Nov. 21, 2017 (HealthDay News) — For patients with subacromial shoulder pain, outcomes are better with arthroscopic subacromial decompression and investigational arthroscopy only, although the difference versus no treatment is not clinically important, according to a study published online Nov. 20 in The Lancet.
Salivary miRNAs Can ID Duration of Concussion Symptoms
MONDAY, Nov. 20, 2017 (HealthDay News) — For children with concussion, salivary microRNAs (miRNAs) can accurately identify the duration of symptoms, according to a study published online Nov. 20 in JAMA Pediatrics.
Fat Distribution May Influence Bone Strength in Adolescence
MONDAY, Nov. 20, 2017 (HealthDay News) — Visceral adipose tissue (VAT) in girls and central adiposity in boys play a role in the acquisition of bone strength during adolescence, according to a study published online Oct. 30 in the Journal of Bone and Mineral Research.
Simple Checklist Can Identify Useful Clinical Practice Guidelines
FRIDAY, Nov. 17, 2017 (HealthDay News) — A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.
Many Health Care Providers Work While Sick
FRIDAY, Nov. 17, 2017 (HealthDay News) — More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.
Force Analysis May Help Distinguish Surgeon Skill Level
FRIDAY, Nov. 17, 2017 (HealthDay News) — Force-sensing bipolar forceps and force analysis may help differentiate surgeon skill level, according to a study published online Nov. 15 in JAMA Surgery.
Docs’ Preparedness Influences Exercise Recommendations
FRIDAY, Nov. 17, 2017 (HealthDay News) — Primary care providers who feel prepared are more likely to recommend physical activity to patients with disabilities, according to a study published online Nov. 16 in Preventing Chronic Disease.
High Levels of Burnout, Stress for U.S. Surgical Residents
THURSDAY, Nov. 16, 2017 (HealthDay News) — Surgical residents have high levels of burnout, which is associated with high stress, depression, and suicidal ideation, according to a study published online in the Journal of the American College of Surgeons.
Health Care Experts in Favor of Patient Contribution to Notes
WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Health care experts are supportive of OurNotes, an intervention in which patients and families co-produce medical notes with clinicians, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.
Sport Sampling in Children Tied to More Exercise in Adolescence
WEDNESDAY, Nov. 15, 2017 (HealthDay News) — Sport sampling in childhood may be associated with higher physical activity (PA) levels during adolescence, according to a study published online Nov. 13 in Pediatrics.
Inhaled Corticosteroids Not Linked to Fracture in Children
TUESDAY, Nov. 14, 2017 (HealthDay News) — Inhaled corticosteroids are not associated with increased odds of fracture in the pediatric asthma population, according to a study published online Nov. 13 in JAMA Pediatrics.
Doctors Have Extra Two Weeks to Preview Performance Data
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services’ Physician Compare online resource, according to a report published by the American Academy of Family Physicians.
Increases in U.S. Health Spending Tied to Health Service Price
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.
In ER, Combination of Ibuprofen, Acetaminophen Relieves Pain
WEDNESDAY, Nov. 8, 2017 (HealthDay News) — For patients presenting to the emergency department with acute extremity pain, the combination of ibuprofen and acetaminophen does not differ in terms of pain reduction from three different opioid and acetaminophen combination analgesics, according to a study published online Nov. 7 in the Journal of the American Medical Association.
Exercise, Intervention Combos Associated With Lower Fall Risk
TUESDAY, Nov. 7, 2017 (HealthDay News) — For older adults, exercise alone and combinations of interventions are associated with reduced risk of injurious falls, according to a review published online Nov. 6 in the Journal of the American Medical Association.
USPSTF Posts Osteoporosis Screening Recommendations
TUESDAY, Nov. 7, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) draft recommendation statement and draft evidence review on Screening for Osteoporosis to Prevent Osteoporotic Fractures have been posted for public comment through Dec. 4, 2017.
Draft Recommendation Statement
Draft Evidence Review
Driving Impairment Warnings Often Not Given With Rx Meds
THURSDAY, Nov. 2, 2017 (HealthDay News) — Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.
CMS Launches Initiative to Examine Impact of Regulations
WEDNESDAY, Nov. 1, 2017 (HealthDay News) — The Centers for Medicare & Medicaid Services (CMS) has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients, according to an article published in Modern Healthcare.
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