Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for March 2020. 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.

Doctors, Hospitals, Pharmacies Warned Not to Stockpile Meds

TUESDAY, March 31, 2020 (HealthDay News) — In a joint statement released by the American Medical Association, American Pharmacists Association, and American Society of Health-System Pharmacists, the professional groups “strongly oppose” physicians, pharmacies, and hospitals prophylactically prescribing medications or purchasing excessive amounts or stockpiles of potential treatments for COVID-19.

Joint Statement

U.S. Army Opens Field Hospital in New York City

MONDAY, March 30, 2020 (HealthDay News) — The first U.S. Army field hospital for civilian patients opened in New York City Monday and could be the first of many across the nation as it struggles with the coronavirus pandemic.

CBS News Article
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Higher Risk for Bone Fractures Seen After Bariatric Surgery

MONDAY, March 30, 2020 (HealthDay News) — The risk for bone fracture is increased after gastric bypass surgery, according to a study published online March 3 in the Journal of Internal Medicine.

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PPE Negative for SARS-CoV-2 After Patient Contact

FRIDAY, March 27, 2020 (HealthDay News) — Samples collected from personal protective equipment (PPE) from health care workers (HCWs) caring for patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were negative for SARS-CoV-2, according to research published online March 26 in Infection Control & Hospital Epidemiology.

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Workers at Risk for COVID-19 Exposure Can Access Online Training

THURSDAY, March 26, 2020 (HealthDay News) — The National Institutes of Health has launched a new website with educational resources for hospital employees, emergency first responders, and other workers at risk for exposure to COVID-19.

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Prospective, Randomized Studies of AI Lacking in Medical Imaging

THURSDAY, March 26, 2020 (HealthDay News) — In the field of medical imaging, there are few prospective studies and randomized trials of deep learning, according to a review published online March 25 in The BMJ.

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National Health Spending Expected to Increase Through 2028

WEDNESDAY, March 25, 2020 (HealthDay News) — National health expenditures are projected to increase at an average annual rate of 5.4 percent for 2019 to 2028, representing almost 20 percent of U.S. gross domestic product by 2028, according to a study published online March 24 in Health Affairs.

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Proton Pump Inhibitors May Up Fracture Risk in Children

WEDNESDAY, March 25, 2020 (HealthDay News) — Proton pump inhibitor (PPI) use in children is associated with a small but significant increased risk for any fracture, according to a study published online March 16 in JAMA Pediatrics.

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Serial Interval of COVID-19 Estimated at 3.96 Days

FRIDAY, March 20, 2020 (HealthDay News) — The serial interval of coronavirus 2019 (COVID-19), defined as the time between a primary case and secondary case developing symptoms, is 3.96 days, according to a study published online March 19 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Surgery Superior to Nonoperative Care for Persistent Sciatica

WEDNESDAY, March 18, 2020 (HealthDay News) — Microdiscectomy is superior to nonsurgical care with respect to pain intensity in patients with sciatica lasting more than four months and caused by lumbar disc herniation, according to a study published in the March 19 issue of the New England Journal of Medicine.

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Sociodemographic Disparities Seen for Outpatient Orthopedic Care

WEDNESDAY, March 18, 2020 (HealthDay News) — There are substantial sociodemographic disparities in the use of office-based orthopedic care and emergency department care for common, nonemergent musculoskeletal conditions, according to a study published online Feb. 21 in Clinical Orthopaedics and Related Research.

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Per-Capita Medical Radiation Exposure Down in United States

TUESDAY, March 17, 2020 (HealthDay News) — From 2006 to 2016, there was a decrease in per-capita exposure to medical radiation in the United States, according to a study published online March 17 in Radiology.

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Author Conflicts of Interest May Influence Cannabidiol Conclusions

MONDAY, March 16, 2020 (HealthDay News) — Most articles published between 2014 and 2019 discussing the characteristics, use, and therapeutic effect of cannabidiol (CBD) are supportive, with supportive conclusions in more studies with CBD-related industry funding, according to a research letter published online March 17 in the Annals of Internal Medicine.

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Phone App Helps Cut Pain, Aid Functioning With Osteoarthritis

MONDAY, March 16, 2020 (HealthDay News) — A physical therapy app that offers a self-managed exercise and education program helps to improve pain and physical function for patients with osteoarthritis, according to a study published online March 4 in PLOS ONE.

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Guidance Issued for Interventional Radiologists Treating Frostbite

MONDAY, March 16, 2020 (HealthDay News) — For interventional radiologists, intraarterial (IA) administration and intravenous (IV) administration of tissue plasminogen activator (tPA) are both useful strategies for treating severe frostbite injuries, according to a review and meta-analysis recently published in the American Journal of Roentgenology.

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Decreases Seen in Cancer Incidence, Death Rates

THURSDAY, March 12, 2020 (HealthDay News) — Cancer incidence and death rates have decreased in recent years, according to two studies published online March 12 in Cancer.

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Editorial

Romosozumab Added to Guideline for Management of Osteoporosis

TUESDAY, March 10, 2020 (HealthDay News) — In an Endocrine Society guideline update, published online in the March issue of the Journal of Clinical Endocrinology & Metabolism, recommendations are presented for the use of romosozumab in the pharmacological management of osteoporosis in postmenopausal women.

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Diabetes-Related Lower-Extremity Complications Increasing

TUESDAY, March 10, 2020 (HealthDay News) — Diabetes-related lower-extremity complications (DRLECs) are a large and increasing contributor to the global burden of disability, according to a study published online March 5 in Diabetes Care.

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2018 Health Care Spending Up Due to Higher Prices

MONDAY, March 9, 2020 (HealthDay News) — Average employer-sponsored insurance spending rose to $5,892 per person in 2018, according to the Health Care Cost Institute annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Preventive Care Service May Cut Risk for Recurrent Fractures

MONDAY, March 9, 2020 (HealthDay News) — Hospitals’ implementation of fracture liaison services (FLS) is associated with a reduced risk for recurrent fracture among older patients, according to a study published online Feb. 25 in the Journal of Bone and Mineral Research.

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Female Clinical Chairs Paid Significantly Less Than Men

THURSDAY, March 5, 2020 (HealthDay News) — There are significant sex differences in salaries of clinical department chairs in public medical schools in the United States, according to a research letter published online March 2 in JAMA Internal Medicine.

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Racial/Ethnic Insurance Coverage Disparity Down Since ACA

WEDNESDAY, March 4, 2020 (HealthDay News) — Since the implementation of coverage expansions associated with the Affordable Care Act (ACA), the disparities in insurance coverage related to race and ethnicity have decreased, according to a study published in the March issue of Health Affairs.

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Late Mortality Down for Young Adult, Adolescent Cancer Survivors

WEDNESDAY, March 4, 2020 (HealthDay News) — All-cause and cause-specific mortality have decreased among five-year adolescent and young adult (AYA) cancer survivors overall, but improvements have not been consistent across all cancer types, according to a study published online March 3 in the Journal of the National Cancer Institute.

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Considerable Increase Seen in List, Net Prices of Branded Drugs

WEDNESDAY, March 4, 2020 (HealthDay News) — From 2007 to 2018, there were substantial increases in list and net prices of branded drugs in the United States, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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1996 to 2016 Saw Increases in U.S. Spending on Health Care

TUESDAY, March 3, 2020 (HealthDay News) — From 1996 to 2016, there were considerable increases in U.S. spending on health care, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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2019 Pedestrian Fatalities Hit 30-Year Record High

MONDAY, March 2, 2020 (HealthDay News) — Pedestrian fatalities in 2019 reached the highest number in more than 30 years, according to the annual Spotlight on Highway Safety report released by the Governors Highway Safety Association.

Spotlight on Highway Safety

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