Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for January 2019. 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.
Oral Antibiotics Noninferior to IV for Bone, Joint Infection
THURSDAY, Jan. 31, 2019 (HealthDay News) — For patients being treated for bone or joint infection, oral antibiotics are noninferior to intravenous antibiotics, according to a study published in the Jan. 31 issue of the New England Journal of Medicine.
Patient Attitude Tied to Physical Therapy Outcomes
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Patient expectation and pain self-efficacy are associated with clinical outcomes among patients undergoing physical therapy for shoulder pain, according to a study published online Jan. 24 in the British Journal of Sports Medicine.
More Severe Injuries Sustained at Jump Parks Versus Home Trampolines
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The proportion of fractures/dislocations, lower-extremity fractures, fractures in adults, and surgical interventions is higher for injuries associated with jump parks versus home trampolines, according to a study published in the Jan. 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.
Helmet Use Low Among Standing Electric Scooter Riders
MONDAY, Jan. 28, 2019 (HealthDay News) — Helmet use is low among patients presenting to the emergency department with injuries associated with standing electric scooter use, according to a study published online Jan. 25 in JAMA Network Open.
Evidence Lacking for Benefit of Surgery for Vertebral Fractures
MONDAY, Jan. 28, 2019 (HealthDay News) — Surgical procedures do not appear to provide significant benefit for patients with vertebral fractures (VF), according to a second American Society for Bone and Mineral Research Task Force report published in the January issue of the Journal of Bone and Mineral Research.
Bone Health in Older Adults Not Improved by High-Dose Vitamin D
MONDAY, Jan. 28, 2019 (HealthDay News) — There is little benefit for older adults taking high-dose vitamin D supplements to improve their bone strength and reduce the risk for falls, according to a study published online Jan. 8 in The American Journal of Clinical Nutrition.
Comorbid Neck Injury Up for Women With Concussion
MONDAY, Jan. 28, 2019 (HealthDay News) — Female patients with a concussion-related emergency department visit have an increased risk for comorbid neck injury, according to a study published online Dec. 28 in the Journal of Women’s Health.
Texting Intervention Engages Patients After Joint Arthroplasty
FRIDAY, Jan. 25, 2019 (HealthDay News) — A text-messaging (Short Message Service [SMS]) bot is effective for increasing patient engagement after primary total knee or hip arthroplasty, according to a study published in the Jan. 16 issue of The Journal of Bone & Joint Surgery.
Report IDs Areas Lacking Good Practice in Health Tech Assessment
FRIDAY, Jan. 25, 2019 (HealthDay News) — In a report published in the January issue of Value in Health, an ISPOR–The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).
Three-Week Immobilization Feasible for Some Ankle Fractures
THURSDAY, Jan. 24, 2019 (HealthDay News) — For patients with stable, isolated Weber B-type fibula fractures, a three-week immobilization period is noninferior to a six-week cast, according to a study published online Jan. 23 in The BMJ.
Marketing of Opioids Linked to Increased OD Mortality
WEDNESDAY, Jan. 23, 2019 (HealthDay News) — Marketing of opioids to physicians is associated with increased mortality from opioid overdoses, according to a study published online Jan. 18 in JAMA Network Open.
Medical Cannabis Decisions Being Made by Users, Not Doctors
TUESDAY, Jan. 22, 2019 (HealthDay News) — Many patients use medical cannabis without their mainstream health care provider’s knowledge, and further, they self-adjust their pharmaceutical use in response to cannabis use, according to a study published online Jan. 8 in the Journal of Psychoactive Drugs.
Heberden’s Nodes in Fingers Tied to Knee Osteoarthritis
TUESDAY, Jan. 22, 2019 (HealthDay News) — The presence of Heberden’s nodes (HNs) in finger joints may also indicate structural damage associated with knee osteoarthritis, according to a study published online Jan. 9 in Arthritis & Rheumatology.
Poor Glycemic Control in Type 1 Diabetes Tied to Fracture Risk
TUESDAY, Jan. 22, 2019 (HealthDay News) — Poor glycemic control is associated with an increased risk for fracture in patients with type 1 diabetes mellitus (T1DM) but not in patients with type 2 diabetes mellitus (T2DM), according to a study published online Jan. 16 in the Journal of Clinical Endocrinology & Metabolism.
Wait Times Have Improved in VA Health Care System
FRIDAY, Jan. 18, 2019 (HealthDay News) — From 2014 to 2017, there were improvements in wait times in the Department of Veterans Affairs (VA) health care system, resulting in reduced wait times versus the private sector (PS) in 2017, according to a study published online Jan. 18 in JAMA Network Open.
FDA Down to 5 Weeks of Funding to Review New Drug Applications
THURSDAY, Jan. 17, 2019 (HealthDay News) — Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.
CNN News Article
Hemochromatosis Mutation Linked to Other Morbidity
THURSDAY, Jan. 17, 2019 (HealthDay News) — HFE p.C282Y homozygosity, the most common gene mutation causing hereditary hemochromatosis (type 1), is associated with other morbidity in men and women, according to a study published online Jan. 16 in The BMJ.
Adoption of Advanced Health IT Capabilities Inconsistent
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.
Study Explores Influence of Genetics, Environment in Disease
TUESDAY, Jan. 15, 2019 (HealthDay News) — The influence of heritability and environmental factors has been identified for a large number of phenotypes, according to a study published online Jan. 14 in Nature Genetics.
American College of Physicians Releases 7th Edition of Ethics Manual
TUESDAY, Jan. 15, 2019 (HealthDay News) — Ethical principles are discussed in an updated Ethics Manual, issued by the American College of Physicians (ACP) and published as a supplement to the Jan. 15 issue of the Annals of Internal Medicine.
American College of Physicians Ethics Manual
Editorial (subscription or payment may be required)
One in Five Back Pain Patients Experience Persistent Pain
MONDAY, Jan. 14, 2019 (HealthDay News) — Eighteen percent of patients with back pain experience a persistent trajectory, according to a study published online Jan. 14 in Arthritis Care & Research.
Prices Still Explain High U.S. Health Care Spending
FRIDAY, Jan. 11, 2019 (HealthDay News) — The difference in health spending between the United States and other countries is still explained by health care prices, according to a study published in the January issue of Health Affairs.
Private Equity Acquisition of Physician Practices Discussed
THURSDAY, Jan. 10, 2019 (HealthDay News) — The phenomenon of private equity acquisition of physician practices is discussed in an Ideas and Opinions piece published online Jan. 8 in the Annals of Internal Medicine.
Many Female Health Care Workers Live in Poverty
WEDNESDAY, Jan. 9, 2019 (HealthDay News) — Many U.S. female health care workers, particularly women of color, live in poverty and lack health insurance, according to a study published online Dec. 20 in the American Journal of Public Health.
Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs
WEDNESDAY, Jan. 9, 2019 (HealthDay News) — The costs of oral and injectable brand-name drugs increased from 2008 to 2016, with most of the increase due to existing drugs, while new drugs accounted for cost increases in specialty and generic drugs, according to a study published in the January issue of Health Affairs.
Medical Marketing Has Increased in Past 20 Years
TUESDAY, Jan. 8, 2019 (HealthDay News) — From 1997 through 2016, there was an increase in medical marketing, especially direct-to-consumer (DTC) advertising, according to research published in the Jan. 1/8 issue of the Journal of the American Medical Association.
Costs Higher for Those With Comorbid Noncommunicable Diseases
TUESDAY, Jan. 8, 2019 (HealthDay News) — The costs of having two noncommunicable diseases (NCDs) is generally superadditive, according to a study published online Jan. 8 in PLOS Medicine.
ACA Coverage Gains Could Erode Without Individual Mandate
TUESDAY, Jan. 8, 2019 (HealthDay News) — Eliminating the Affordable Care Act’s individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains, according to a study published in the January issue of Health Affairs.
Cancer Death Rate in U.S. Decreased Continuously From 1991 to 2016
TUESDAY, Jan. 8, 2019 (HealthDay News) — The overall cancer death rate decreased continuously by 27 percent from 1991 to 2016, according to a report published online Jan. 8 in CA: A Cancer Journal for Clinicians.
Early Classification Predicts One-Year Trauma Outcomes
FRIDAY, Jan. 4, 2019 (HealthDay News) — During early recovery, patients with orthopedic trauma can be classified into risk and protective clusters that help to predict 12-month functional and health outcomes, according to a study published online Dec. 19 in JAMA Surgery.
Children Reaching Bone Maturity Earlier
FRIDAY, Jan. 4, 2019 (HealthDay News) — Both initiation and completion of the process of epiphyseal fusion (EF) are occurring earlier in children than they did a century ago, according to a study recently published in Clinical Orthopaedics and Related Research.
Antidepressant Use in Seniors Linked to Risk for Hip Fracture
THURSDAY, Jan. 3, 2019 (HealthDay News) — Among older adults, antidepressant users sustain more hip fractures than nonusers both before and after therapy initiation, according to a study published online Jan. 2 in JAMA Psychiatry.
Comprehensive Care for Joint Replacement Model Cuts Costs
WEDNESDAY, Jan 2, 2019 (HealthDay News) — The Medicare-implemented Comprehensive Care for Joint Replacement (CJR) bundled-payment model reduces spending for hip or knee replacement, according to a study published online Jan. 2 in the New England Journal of Medicine.
No Increased Fracture Risk With Canagliflozin in Type 2 Diabetes
WEDNESDAY, Jan. 2, 2019 (HealthDay News) — Canagliflozin is not associated with increased fracture risk versus glucagon-like peptide-1 (GLP-1) agonists for middle-aged patients with type 2 diabetes, according to a study published online Jan. 1 in the Annals of Internal Medicine.
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