Home Otolaryngology September 2015 Briefing – Otolaryngology

September 2015 Briefing – Otolaryngology

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for September 2015. 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.

Online Follow-Up Feasible for Most Surgery Patients

WEDNESDAY, Sept. 30, 2015 (HealthDay News) — Online postoperative care is preferred over in-person care by a majority of patients who have routine, uncomplicated surgery, according to research published online Sept. 22 in the Journal of the American College of Surgeons.

Nomogram Predicts Death, Recurrence With Thyroid Cancer

WEDNESDAY, Sept. 30, 2015 (HealthDay News) — A new nomogram has excellent discriminatory ability and accuracy in predicting 10-year disease-specific death and recurrence for papillary thyroid carcinoma (PTC), according to a study published online Sept. 2 in Head & Neck.

Moderate, More Severe Hearing Impairment Linked to Mortality

FRIDAY, Sept. 25, 2015 (HealthDay News) — For older adults with hearing impairment (HI), moderate or more severe impairment is associated with mortality in an age-adjusted model, according to a research letter published online Sept. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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No Specific Findings to ID Recurrence in Head and Neck CA

FRIDAY, Sept. 25, 2015 (HealthDay News) — For patients treated for head and neck squamous cell carcinoma (HNSCC), no definite index of symptoms or signs indicates local recurrence or second primary malignancy, according to a study published online Sept. 2 in Head & Neck.

Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) — Health insurance deductibles have risen more than six times faster than American workers’ average wages since 2010, a Kaiser Family Foundation report says.

IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) — A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) — Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

Hematologic Markers Predict Nasopharyngeal Cancer Survival

TUESDAY, Sept. 22, 2015 (HealthDay News) — Pretreatment neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) may be predictors for survival in nasopharyngeal carcinoma, according to a study published online Sept. 11 in Head & Neck.

Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) — Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

Hemorrhage Post Adenotonsillectomy Less Common With OSA

MONDAY, Sept. 21, 2015 (HealthDay News) — For children undergoing adenotonsillectomy (AT), those with obstructive sleep apnea (OSA) appear to have more respiratory complications, while hemorrhage appears to be more frequent in children without OSA, according to a review published online Sept. 21 in Pediatrics.

Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) — Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) — In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) — Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) — In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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H. pylori Linked to Increased Odds of Laryngeal Carcinoma

TUESDAY, Sept. 15, 2015 (HealthDay News) — Helicobacter pylori (H. pylori) infection is associated with significantly increased odds of laryngeal carcinoma but not pharyngeal cancer, according to a review published online Aug. 28 in Head & Neck.

For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) — Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

Sleep Quality Up After Endoscopic Sinus Surgery

FRIDAY, Sept. 11, 2015 (HealthDay News) — After functional endoscopic sinus surgery, patients with chronic rhinosinusitis (CRS) report better quality of life and improved sleep, regardless of whether or not they had a sleep disorder, according to research published online Sept. 10 in JAMA Otolaryngology-Head & Neck Surgery.

Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) — An online educational program aims to help physicians get back to work and reduce the nation’s physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) — The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Post-Op Delirium Diminishes Recovery in Older Patients

WEDNESDAY, Sept. 9, 2015 (HealthDay News) — Patients with delirium following major surgery are more likely to have worse outcomes, including lower quality of life, disability, or even death, according to a study published online Sept. 9 in JAMA Surgery.

Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) — More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

Accelerated MD Program Doesn’t Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) — An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) — Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) — Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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AAP Recommends Flu Vaccine for All Children, Health Care Workers

TUESDAY, Sept. 8, 2015 (HealthDay News) — All eligible children and health care workers should receive influenza vaccination, according to new policy statements from the American Academy of Pediatrics (AAP). The policy statements were published online Sept. 7 in Pediatrics.

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Metformin Linked to Lower Risk of Head, Neck Cancer

TUESDAY, Sept. 8, 2015 (HealthDay News) — Metformin is associated with a lower risk of developing head and neck cancer in patients with diabetes, according to a study published in the September issue of Head & Neck.

Electrocortical Therapy May Prevent Motion Sickness

TUESDAY, Sept. 8, 2015 (HealthDay News) — A mild electrical current applied to the scalp — transcranial direct current stimulation (tDCS) — can prevent motion sickness, according to a study published online Sept. 4 in Neurology.

Chronic Rhinosinusitis Linked to Increased Risk of Other Diseases

TUESDAY, Sept. 8, 2015 (HealthDay News) — Chronic rhinosinusitis (CRS) is associated with increased risk of other diseases, with different patterns based on CRS phenotype, according to research published online Aug. 31 in Allergy.

Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) — In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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