Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for August 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.
Medical Bills in Collections Decrease With Patient Age
FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs.
No Meaningful Increase in Physician Compensation Last Year
THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.
PT Better After Hip Surgery Than Opioids in Younger Adults
WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Physical therapy management is associated with better outcomes for young patients undergoing arthroscopic hip surgery, compared to primary or exclusive opioid treatment, according to a study recently published in Physical Therapy.
Marketplace Premiums Increase More With Monopolist Insurers
WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs.
Medical Practices Should Address Negative Online Reviews
TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice.
Artificial Intelligence Holds Promise in Medicine
TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive.
Alcohol Is Leading Risk Factor for Global Disease Burden
TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet.
Experts Address Loss of the National Guideline Clearinghouse
TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine.
Most Research Participants Not Concerned About Data Sharing
MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine.
AMA Adopts Policy Promoting Health Equity As a Goal
FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire.
Decline in Hospital-Acquired Conditions Continues
FRIDAY, Aug. 24, 2018 (HealthDay News) — The rate of hospital-acquired conditions (HACs) continued its decline from 2014 to 2016, according to the Agency for Healthcare Research and Quality (AHRQ) National Scorecard on Hospital-Acquired Conditions.
Lower Post-Op Mortality With Hip Fx Surgery on Day of Admission
FRIDAY, Aug. 24, 2018 (HealthDay News) — Postoperative mortality is lower for medically stable older patients who undergo surgery for hip fracture on the day of admission or the following day, according to a study published in the Aug. 7 issue of CMAJ, the journal of the Canadian Medical Association.
Most Surgical Residents Want Financial Education
THURSDAY, Aug. 23, 2018 (HealthDay News) — Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons.
Small Practices Also at Risk for Data Breaches
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics.
Strategy Outlined for Shooter Incident in Health Care Facility
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine.
National Provider Identifiers Are Vulnerable to Theft
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice.
Advantages for HDHP Enrollees in Large Versus Small Firms
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs.
Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Twelve weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) is more effective than ET alone over a one-year period for adolescents with chronic low back pain (LBP), according to a study published in the July issue of PAIN.
Doctors Often Not Discussing Risk Factors With Patients
TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.
Pennsylvania Case Could Affect Evidence for Malpractice Defense
TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire.
Young, Growing Athletes at High Risk for ACL Injuries
TUESDAY, Aug. 21, 2018 (HealthDay News) — Young, growing athletes are at high risk for anterior cruciate ligament (ACL) injuries, according to a report published by Penn State Health News.
NYU Becomes First Medical School to Cover All Tuition
MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.
Experts Offer Tips for Provider Appeal of Denied Medical Claims
MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics.
Cognitive Disability Most Prevalent Type in Young Adults
MONDAY, Aug. 20, 2018 (HealthDay News) — Cognitive disability is the most prevalent disability type among young adults, while middle-aged and older adults have the highest prevalence of mobility disability, according to a report published in the Aug. 17 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Comments Open on End of NIH Review for Gene Therapy Studies
FRIDAY, Aug. 17, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.
AP News Article
NIH Statement
Comment on Regulations
Residents’ Sleep Deteriorates During Training
FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine.
Practice Names, Logos Should Be Carefully Designed
THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice.
NIH Panel Will No Longer Review Gene Therapy Experiments
THURSDAY, Aug. 16, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine.
Steps Provided for Discharging Patient From Practice
THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice.
Patient Portals Don’t Appear to Have Much Traction
THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics.
Opioid Dependence More Common Before Spine Surgery
THURSDAY, Aug. 16, 2018 (HealthDay News) — Opioid dependence is more likely to occur in patients with degenerative spondylolisthesis (DS) before surgery than afterward, according to a study recently published in the Journal of Neurosurgery: Spine.
ACA Coverage Gains Include Workers Without Insurance
THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs.
6 Factors Related to Inclusion in Health Care Workplace ID’d
TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open.
Four Pros to Integrating EHR, Practice Management Software
MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice.
Abstract/Full text
Sedation Level Doesn’t Impact Delirium Risk After Hip Fx Repair
MONDAY, Aug. 13, 2018 (HealthDay News) — For older patients undergoing hip fracture repair, the level of sedation does not impact delirium risk overall, according to a study published online Aug. 8 in JAMA Surgery.
Childbearing Surgical Residents Often Feel Career Dissatisfaction
FRIDAY, Aug. 10, 2018 (HealthDay News) — More than half of women who have a baby during surgical residency express some type of career dissatisfaction, according to a study published online Aug. 1 in JAMA Surgery.
AMA Adopts Policy on Augmented Intelligence
FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire.
AMA Adopts Policy to Advance Gender Equity in Medicine
THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire.
Revision Rates for Arthritis-Related Hip Replacement Down
THURSDAY, Aug. 9, 2018 (HealthDay News) — Use of cross-linked polyethylene (XLPE) has significantly reduced the revision rate following total hip arthroplasty (THA) for osteoarthritis, according to a study published in the Aug. 1 issue of the Journal of Bone & Joint Surgery.
Cyber Insurance Recommended for All Physician Practices
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics.
One-Third of Canadian Patients Get Hip Fx Repair Within 24 Hours
WEDNESDAY, Aug. 8, 2018 (HealthDay News)– Only one-third of Canadian patients received hip fracture repair surgery within the desired 24 hours, according to a Canadian study published in the June 11 issue of CMAJ, the journal of the Canadian Medical Association.
Steps Taken to Increase Use of Electronic Tools in Medicine
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).
AMA Proposes Policy Opposing Medicaid ‘Lockout’ Provisions
TUESDAY, Aug. 7, 2018 (HealthDay News) — A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA’s annual meeting in Chicago, according to an article published in the association’s AMA Wire.
Fewer Cervical Spine Injuries Seen With Motorcycle Helmet Use
MONDAY, Aug. 6, 2018 (HealthDay News) — Cervical spine injuries occur less frequently among motorcycle crash victims who were wearing a helmet versus those not wearing a helmet at the time of injury, according to a study published in the June issue of the Journal of Neurosurgery: Spine.
Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers
FRIDAY, Aug. 3, 2018 (HealthDay News) — Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine.
Variation in Specialty Drug Coverage Across Health Plans
FRIDAY, Aug. 3, 2018 (HealthDay News) — There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs.
Groups Urge CMS to Reconsider Suspending Risk Adjustment
FRIDAY, Aug. 3, 2018 (HealthDay News) — In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act’s risk-adjustment program.
Health Affairs Announces Launch of New Three-Year Initiative
THURSDAY, Aug. 2, 2018 (HealthDay News) — A council on health care spending and value has been established by the journal Health Affairs.
Three Financial Metrics Can Improve Practice Performance
THURSDAY, Aug. 2, 2018 (HealthDay News) — By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics.
New Short-Term Health Plans Have Large Coverage Gaps
THURSDAY, Aug. 2, 2018 (HealthDay News) — There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration, and are described by critics as “junk insurance.”
Obesity Worsens Skilled Nursing Facility Outcomes After Hip Fx
THURSDAY, Aug. 2, 2018 (HealthDay News) — Obesity is associated with worse outcomes in skilled nursing facility (SNF) residents receiving post-acute care for hip fracture, according to a study published in the June issue of the Journal of the American Geriatrics Society.
How Doctors Receive Feedback Is Key for Antimicrobial Programs
THURSDAY, Aug. 2, 2018 (HealthDay News) — Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging, according to a study published online June 7 in Infection Control & Hospital Epidemiology.
National Guideline Clearinghouse Offline Due to Funding Cuts
WEDNESDAY, Aug. 1, 2018 (HealthDay News) — The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites were taken down on July 16 when funding for these federal databases ended, according to an announcement by the Agency for Healthcare Research and Quality (AHRQ).
Steps Can Be Taken by Doctors to Minimize Risk of Lawsuits
WEDNESDAY, Aug. 1, 2018 (HealthDay News) — Targeted steps can be taken to minimize future risks of lawsuits, according to an article published in Physicians Practice.
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