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

Machine Learning System Makes More Alerts for Med Errors

TUESDAY, Dec. 31, 2019 (HealthDay News) — A machine learning system can generate clinically valid alerts for medication errors that might be missed with existing clinical decision support (CDS) systems, according to a study published in the January issue of The Joint Commission Journal on Quality and Patient Safety.

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MIV-711 No Better Than Placebo for Pain Relief in Knee OA

TUESDAY, Dec. 31, 2019 (HealthDay News) — A novel cathepsin K inhibitor, MIV-711, is no more effective than placebo for reducing pain in patients with symptomatic, radiographic knee osteoarthritis, according to a study published online Dec. 31 in the Annals of Internal Medicine.

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Prescribing Practices Can Mitigate Opioid Overdose Risk for Teens

FRIDAY, Dec. 27, 2019 (HealthDay News) — Older teens may have similar risk factors for prescription opioid overdose as adults, according to a study published online Dec. 16 in JAMA Pediatrics.

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Many Hospitals Fail to Provide Instructions for Patient Portals

THURSDAY, Dec. 26, 2019 (HealthDay News) — Many hospital patient portals fail to educate patients fully and set expectations for secure messaging, according to a study recently published in the Journal of General Internal Medicine.

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Patient Share of Out-of-Network Costs Rising

TUESDAY, Dec. 24, 2019 (HealthDay News) — The out-of-pocket costs for out-of-network (OON) care grew rapidly for privately insured Americans from 2012 to 2017, according to a study published in the December issue of the American Journal of Managed Care.

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Enrollment in Affordable Care Act Holds Steady for Third Straight Year

MONDAY, Dec. 23, 2019 (HealthDay News) — Enrollment in Affordable Care Act coverage for next year has surpassed 8 million, a sign that many Americans still turn to the government health insurance program to help pay for their medical care.

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Vitamin D Supplementation Alone May Not Reduce Fracture Risk

FRIDAY, Dec. 20, 2019 (HealthDay News) — Supplementation with vitamin D alone does not appear to reduce the risk for fracture, according to a review published online Dec. 20 in JAMA Network Open.

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Private Care Program for U.S. Vets Gets $8.9 Billion in Budget Deal

THURSDAY, Dec. 19, 2019 (HealthDay News) — A controversial program meant to get more U.S. veterans to use private health care received $8.9 billion as part of a government spending bill approved by the House.

AP News Article

Variability in Lumbar Fusion Surgery Driven by Patient Factors

THURSDAY, Dec. 19, 2019 (HealthDay News) — Variations across hospitals and surgeons in patient-reported outcomes following elective lumbar fusion surgery are mainly driven by differences in patient populations undergoing surgery, according to a study published online Dec. 4 in Spine.

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FDA to Allow States to Import Prescription Drugs From Other Countries

WEDNESDAY, Dec. 18, 2019 (HealthDay News) — Federal health officials have unveiled plans to allow prescription drug imports from Canada and other foreign nations.

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Cannabis Use Disorder May Up Risk of Perioperative Heart Attack

WEDNESDAY, Dec. 18, 2019 (HealthDay News) — Active cannabis use disorder is associated with an increased perioperative risk of myocardial infarction, according to a study published in the December issue of Anesthesiology.

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Obesity, Smoking Do Not Impact Long-Term Healing of Wrist Fractures

WEDNESDAY, Dec. 18, 2019 (HealthDay News) — Excellent clinical and radiographic outcomes can be achieved with surgery for displaced wrist fractures in patients who are obese and in those who smoke, according to a study published in the December issue of the Journal of Hand Surgery.

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Spine Surgery Safely Performed in Some Very Elderly Patients

WEDNESDAY, Dec. 18, 2019 (HealthDay News) — In a carefully defined cohort of patients aged 80 years and older undergoing spine surgery, perioperative complications occurred in 20 percent, according to a study published online Dec. 17 in the Journal of Neurosurgery: Spine.

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Frailty May Worsen Outcomes in Traumatic Spinal Cord Injury

TUESDAY, Dec. 17, 2019 (HealthDay News) — Frailty is an important predictor of worse outcome after traumatic spinal cord injury (tSCI) in patients <75 years of age, according to a study recently published in the Journal of Neurotrauma.

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Outcomes Worse for Rural Residents With Chronic Conditions

MONDAY, Dec. 16, 2019 (HealthDay News) — Rural Medicare beneficiaries with complex chronic conditions have higher preventable hospitalization and mortality rates than their urban peers, which is partially explained by reduced access to specialists, according to a report published in the December issue of Health Affairs, a theme issue on rural health.

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Hahn Confirmed as New FDA Chief

FRIDAY, Dec. 13, 2019 (HealthDay News) — Stephen Hahn, M.D., was confirmed as commissioner of the U.S. Food and Drug Administration in a 72-18 Senate vote on Thursday.

The New York Times Article

Mental Health Disorders May Affect Hip Arthroscopy Outcomes

FRIDAY, Dec. 13, 2019 (HealthDay News) — For patients with femoroacetabular impingement (FAI) undergoing hip arthroscopy, those with psychological impairment are less likely to achieve a favorable outcome, according to a review published online Dec. 12 in the American Journal of Sports Medicine.

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Trampoline-Related Pediatric Fractures Increased 2008 Through 2017

WEDNESDAY, Dec. 11, 2019 (HealthDay News) — From 2008 to 2017, there was an increase in the incidence of trampoline-related pediatric fractures, with a significant increase in the odds of a fracture occurring at a place of recreation or sport, according to a study published online Dec. 11 in Pediatrics.

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U.S. Primary Care Doctors Face Challenges in Coordinating Care

TUESDAY, Dec. 10, 2019 (HealthDay News) — Physicians from the United States and other high-income countries report difficulties with care coordination, with a substantial proportion of U.S. physicians not receiving timely notification or the information needed from specialists or other sites of care, according to a study published online Dec. 10 in Health Affairs.

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Strength Training Tied to Less Weight Loss-Induced Bone Loss

TUESDAY, Dec. 10, 2019 (HealthDay News) — Both resistance and combined aerobic and resistance exercise are associated with less weight loss-induced bone loss than aerobic exercise alone, according to a study published online Dec. 4 in the Journal of Bone and Mineral Research.

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U.S. Health Care Spending Up 4.6 Percent in 2018

TUESDAY, Dec. 10, 2019 (HealthDay News) — In 2018, U.S. health care spending increased 4.6 percent, a faster rate than that seen in 2017, according to a report published online Dec. 5 in Health Affairs.

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2016 to 2019 Saw Increase in Medical Students With Disabilities

MONDAY, Dec. 9, 2019 (HealthDay News) — From 2016 to 2019, there was an increase in the proportion of medical students reporting disabilities, according to a research letter published in the Nov. 26 issue of the Journal of the American Medical Association.

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Half of U.S. Physicians Recommend Complementary Health Approaches

MONDAY, Dec. 9, 2019 (HealthDay News) — More than half of office-based physicians recommend complementary health approaches (CHAs) to their patients, according to a study published online Dec. 2 in the Journal of Alternative and Complementary Medicine.

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Rural Population Underrepresented Among Medical Students

FRIDAY, Dec. 6, 2019 (HealthDay News) — In 2017, less than 5 percent of all incoming medical students were rural students, according to a study published in the December issue of Health Affairs, a theme issue on rural health.

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Retail Prescription Drug Prices Fall for First Time in 45 Years

FRIDAY, Dec. 6, 2019 (HealthDay News) — Retail prescription drug prices in the United States fell by 1 percent last year, a new government report shows.

AP News Article

Services Affected by Rural Hospitals Joining Health Systems

WEDNESDAY, Dec. 4, 2019 (HealthDay News) — While affiliating with health systems may boost a rural hospital’s financial viability, the affiliation is often associated with reductions in critical services, according to a study published in the December issue of Health Affairs, a theme issue on rural health.

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Adults Not Living in Metro Areas Have Reduced Access to Care

WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Adults not living in metropolitan statistical areas (MSAs) are more likely to have reduced access to or use of health care services, according to a study published online Dec. 4 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Deep Learning Models Can Help Interpret Chest Radiographs

WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Deep learning models can be used for interpretation of chest radiographs, according to a study published online Dec. 3 in Radiology.

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About One in Three in ED for Low Back Pain Receive Imaging

WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Imaging is obtained for about one in three patients with emergency department visits for low back pain, according to a study published online Nov. 19 in the American Journal of Roentgenology.

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Physician Depressive Symptoms Tied to Higher Risk for Medical Errors

WEDNESDAY, Dec. 4, 2019 (HealthDay News) — Physicians showing depressive symptoms are at higher risk for medical errors, according to a review published Nov. 27 in JAMA Network Open.

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Implant Survival Poor for Converted ‘Partial’ Knee Replacements

TUESDAY, Dec. 3, 2019 (HealthDay News) — Total knee arthroplasty (TKA) converted from medial unicompartmental (or “partial”) knee arthroplasty (UKA) has a risk for revision that is threefold higher than that for primary TKA, according to a study published online Nov. 20 in The Journal of Bone & Joint Surgery.

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Fracture Risk Increased in Adults With Atopic Eczema

MONDAY, Dec. 2, 2019 (HealthDay News) — Patients with atopic eczema have an increased risk for fracture, especially major osteoporotic fractures, according to a study published online Nov. 19 in the Journal of Allergy and Clinical Immunology.

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