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May 2017 Briefing – Otolaryngology

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for May 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.

ENT Applicant Perspectives Shed Light on Residency Process

WEDNESDAY, May 31, 2017 (HealthDay News) — Residency applicants provide a unique perspective on the current state of the match, revealing potential opportunities for system-wide improvement, according to a study published online May 25 in JAMA Otolaryngology-Head & Neck Surgery.

Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) — Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) — Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) — A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) — The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

Streptococcal Throat Infection Linked to Mental Disorders

FRIDAY, May 26, 2017 (HealthDay News) — Individuals with streptococcal throat infection have increased risks of mental disorders, especially obsessive-compulsive disorder (OCD) and tics, according to a study published online May 24 in JAMA Psychiatry.

Reduction in Post-Op Delirium With mHELP Program

FRIDAY, May 26, 2017 (HealthDay News) — For older patients undergoing abdominal surgery, participating in a modified Hospital Elder Life Program (mHELP) is associated with a reduced risk of postoperative delirium and with shorter length of stay, according to a study published online May 24 in JAMA Surgery.

Peri-Op IV Acetaminophen May Reduce Post-Op Pain in Sinus Sx

THURSDAY, May 25, 2017 (HealthDay News) — Perioperative intravenous acetaminophen (IVAPAP) may be beneficial for reducing immediate postoperative pain after endoscopic sinus surgery (ESS), although the results are inconclusive, according to a study published online May 25 in JAMA Otolaryngology-Head & Neck Surgery.

New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) — A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) — Different paths to perspective of another’s experience are associated with varying effect on helpers’ health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

Nine of Ten Practices Surveyed Have Dismissed Patients

MONDAY, May 22, 2017 (HealthDay News) — The majority of medical practices have dismissed patients, according to a research letter published online May 15 in JAMA Internal Medicine.

Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) — Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) — Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

Acute MI Risk Significantly Up Following Respiratory Infection

WEDNESDAY, May 17, 2017 (HealthDay News) — The risk of acute myocardial infarction (AMI) increases sharply after a respiratory infection, according to a study published in the May issue of the Internal Medicine Journal.

CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) — The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) — Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

HRT May Increase Risk of Postmenopausal Hearing Loss

MONDAY, May 15, 2017 (HealthDay News) — Hearing loss is linked to several factors associated with menopause, according to research published online May 8 in Menopause.

Chronic Rhinosinusitis Linked to Increased Risk for Cholesteatoma

MONDAY, May 15, 2017 (HealthDay News) — Chronic rhinosinusitis (CRS) is associated with increased risk for cholesteatoma, according to a study published online May 11 in JAMA Otolaryngology-Head & Neck Surgery.

Many Seniors With Nonbacterial Acute URI Prescribed Antibiotics

MONDAY, May 15, 2017 (HealthDay News) — A considerable proportion of elderly patients with a nonbacterial acute upper respiratory tract infection (AURI) are prescribed antibiotics, according to research published online May 9 in the Annals of Internal Medicine.

Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) — Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

Enhanced Recovery After Surgery Program Ups Outcomes

FRIDAY, May 12, 2017 (HealthDay News) — An enhanced recovery after surgery (ERAS) program is associated with improved outcomes for patients undergoing elective colorectal resection and emergency hip fracture repair, according to a study published online May 10 in JAMA Surgery.

Practice Prices Linked to Some Measures of Care Coordination

THURSDAY, May 11, 2017 (HealthDay News) — High-price practices have higher scores on certain measures of care coordination and management, but the overall relationship between higher prices and quality and efficiency of care is weak, according to a report published in the May issue of Health Affairs.

Outpatient Wait Times Are Longer for Medicaid Recipients

THURSDAY, May 11, 2017 (HealthDay News) — Medicaid patients have slightly longer waits at medical appointments than those with private insurance, according to a report published in the May issue of Health Affairs.

Position Paper Addresses Non-Allergic Rhinitis

WEDNESDAY, May 10, 2017 (HealthDay News) — An overview of the current consensus on phenotypes of non-allergic rhinitis (NAR), recommendations for diagnosis, and a treatment algorithm are presented in a position paper published online May 5 in Allergy.

Increases in Rates of Insured Don’t Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) — Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) — From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

Cotton Swab-Related Ear Injuries Continue to Be Seen in the ER

WEDNESDAY, May 10, 2017 (HealthDay News) — Thousands of children visit U.S. emergency departments every year for ear injuries caused by cotton swabs, according to a study published online May 1 in The Journal of Pediatrics.

Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) — An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) — A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

Internet-Based Vestibular Rehab Beneficial for Dizziness

TUESDAY, May 9, 2017 (HealthDay News) — Internet-based vestibular rehabilitation reduces dizziness for adults aged 50 years or older, according to a study published in the May/June issue of the Annals of Family Medicine.

More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) — More women than men leave the practice of medicine, according to an article published in Medical Economics.

More Side Effects With CRT Plus Metformin in Head, Neck Cancer

FRIDAY, May 5, 2017 (HealthDay News) — Patients with advanced head and neck cancer undergoing chemoradiotherapy (CRT) and receiving metformin experience more side effects than patients not on metformin, according to research published online April 27 in Head & Neck.

Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) — Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) — The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) — About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Hearing Tests May Miss Common Form of Hearing Loss

TUESDAY, May 2, 2017 (HealthDay News) — Commonly used hearing tests often fail to detect a prevalent form of inner ear damage, according to an experimental study published online recently in Frontiers in Neuroscience.

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