Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for February 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.
Risk Factors ID’d for Site Infection After Orthopedic Surgery in Seniors
THURSDAY, Feb. 28, 2019 (HealthDay News) — Five risk factors are independently associated with surgical site infection among geriatric patients undergoing elective orthopedic surgery, according to a study published online Feb. 20 in the International Wound Journal.
Ultrasound of Calcaneus Efficient for Screening Bone Health
TUESDAY, Feb. 26, 2019 (HealthDay News) — Ultrasonography (US) of the calcaneus is efficient for screening bone health, according to a study published in the March issue of the Journal of the American Osteopathic Association.
2014 to 2017 Saw Improvement in Burnout for U.S. Physicians
MONDAY, Feb. 25, 2019 (HealthDay News) — From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.
National Health Spending Set to Increase 5.5 Percent Annually
FRIDAY, Feb. 22, 2019 (HealthDay News) — National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.
Most Patients Do Not Disclose Complementary Medicine Use
FRIDAY, Feb. 22, 2019 (HealthDay News) — Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.
Operative Treatment Seems Most Effective for Adult Lumbar Scoliosis
FRIDAY, Feb. 22, 2019 (HealthDay News) — In as-treated analyses, surgery is superior to nonoperative care at two years among patients with adult symptomatic lumbar scoliosis, according to a study published in the Feb. 20 issue of The Journal of Bone & Joint Surgery.
Studies Promising for Sensory Feedback for Hand Prostheses
THURSDAY, Feb. 21, 2019 (HealthDay News) — By triggering sensory stimulation, transradial amputees are able to regain proprioception; and a slippage simulation strategy can detect slipping in a patient with hand amputation, according to two small studies published online Feb. 20 in Science Robotics.
Vertical Integration Has Little Impact on Quality Measures
THURSDAY, Feb. 21, 2019 (HealthDay News) — Vertical integration between hospitals and physicians has little impact on quality measures, while increased hospital market concentration is strongly associated with reduced quality in measures of patient satisfaction, according to a study published online Feb. 9 in Medical Care Research and Review.
Risk for Revision Surgery After Shoulder Replacement Varies
THURSDAY, Feb. 21, 2019 (HealthDay News) — The lifetime risk for revision surgery after elective shoulder replacement surgery varies from 2.7 to 23.6 percent, according to a study published online Feb. 20 in The BMJ.
Leg Amputation in ESRD Patients Should Prompt Palliative Care Discussion
THURSDAY, Feb. 21, 2019 (HealthDay News) — Nearly one in 10 patients with end-stage renal disease (ESRD) undergoes lower-extremity amputation in their last year of life, according to a study published online Feb. 19 in the Journal of the American Society of Nephrology.
New Kaiser Permanente Medical School Plans to Waive Tuition
WEDNESDAY, Feb. 20, 2019 (HealthDay News) — A new medical school to be opened by California-based health system Kaiser Permanente will waive tuition for all students in its first five graduating classes.
Experimental Test May Quickly Diagnose Sepsis
WEDNESDAY, Feb. 20, 2019 (HealthDay News) — A blood test that can quickly diagnose dangerous sepsis infections has been developed, according to research published in the Feb. 1 issue of Biosensors and Bioelectronics.
Hospital Prices Growing Faster Than Physician Prices
FRIDAY, Feb. 15, 2019 (HealthDay News) — Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014, according to a report published in the February issue of Health Affairs.
Fewer Older Men Assessed, Treated for Osteoporosis
FRIDAY, Feb. 15, 2019 (HealthDay News) — Fewer older men than women undergo evaluation for or management of osteoporosis, according to a study published online Feb. 12 in the Journal of Investigative Medicine.
Over Half of Hip Replacements Expected to Last 25 Years
FRIDAY, Feb. 15, 2019 (HealthDay News) — In more than half of patients, hip replacements may be expected to last 25 years, while most knee replacements will last 25 years, according to two reviews published in the Feb. 16 issue of The Lancet.
Hip Preservation Appropriateness Guidelines May Be Limited
THURSDAY, Feb. 14, 2019 (HealthDay News) — The American Academy of Orthopaedic Surgeons (AAOS) hip preservation surgery appropriateness classification system is driven almost entirely by age and radiographic hip osteoarthritis (OA) evaluation, according to a study published online Jan. 24 in Arthritis Care & Research.
Rates of Osteonecrosis of the Jaw Low for Denosumab-Treated Women
THURSDAY, Feb. 14, 2019 (HealthDay News) — For denosumab-treated women with postmenopausal osteoporosis, invasive oral procedures and events (OPEs), including dental implants, tooth extraction, natural tooth loss, scaling/root planning, and jaw surgery, are common and associated with osteonecrosis of the jaw (ONJ), although the overall rate of ONJ is low, according to a study published online Feb. 13 in the Journal of Clinical Endocrinology & Metabolism.
Health Care Spending Per Person Increased to $5,641 in 2017
TUESDAY, Feb. 12, 2019 (HealthDay News) — In 2017, health care spending per person reached $5,641, according to the Health Care Cost Institute (HCCI) annual Health Care Cost and Utilization Report.
Many Systematic Reviews Do Not Fully Report Adverse Events
TUESDAY, Feb. 12, 2019 (HealthDay News) — Many systematic review protocols in the International Prospective Register of Systematic Reviews (PROSPERO) do not include adverse event reporting, according to a study published in the April issue of the Journal of Clinical Epidemiology.
Fractures Have Long-Term Impact on Quality of Life for Older Adults
TUESDAY, Feb. 12, 2019 (HealthDay News) — Incident fragility fractures are associated with long-term impacts on health-related quality of life (HRQOL) in older people, according to a study published online Feb. 5 in the Journal of Bone and Mineral Research.
Low Fitness, Obesity Linked to Later Disability Pension
MONDAY, Feb. 11, 2019 (HealthDay News) — Among men, low cardiorespiratory fitness and obesity in adolescence are associated with an increased risk for later receipt of a disability pension, according to a study published online Feb. 12 in the Annals of Internal Medicine.
Women Less Likely to Get Periop Care Before Hip Fracture Surgery
MONDAY, Feb. 11, 2019 (HealthDay News) — Although more women have hip fracture surgery, they are less likely to receive perioperative geriatric care and anesthesia consultations, according to a study published online Feb. 11 in CMAJ, the journal of the Canadian Medical Association.
Johnson & Johnson to Provide Drug Prices in TV Ads
FRIDAY, Feb. 8, 2019 (HealthDay News) — In a drug industry first, Johnson & Johnson will start giving the list prices of its prescription drugs in television ads.
Shoulder Decompression Surgery Not Recommended
THURSDAY, Feb. 7, 2019 (HealthDay News) — For adults with atraumatic shoulder pain for more than three months diagnosed as subacromial pain syndrome (SAPS), subacromial decompression surgery is not recommended, according to a clinical practice guideline published online Feb. 6 in The BMJ.
Radiologists Can Help ID Intimate Partner Violence
TUESDAY, Feb. 5, 2019 (HealthDay News) — Victims of intimate partner violence (IPV) undergo more imaging procedures than age- and sex-matched control patients and are more likely to have obstetric-gynecologic findings and acute fractures, according to a study published online Feb. 5 in Radiology.
Evidence of Therapeutic Efficacy Substantial for Cannabis Use
TUESDAY, Feb. 5, 2019 (HealthDay News) — Most qualifying conditions for which patients are licensed to use cannabis medically have substantial or conclusive evidence of therapeutic efficacy, according to a report published in the February issue of Health Affairs.
After Elbow Surgery, Children May Be Overprescribed Opioids
MONDAY, Feb. 4, 2019 (HealthDay News) — Opioids may be overprescribed to children after orthopedic surgery for supracondylar humerus fractures, according to a study published in the Jan. 16 issue of The Journal of Bone & Joint Surgery.
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