Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for April 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.
Gender Differences Seen in Adverse Drug Reactions
FRIDAY, April 26, 2019 (HealthDay News) -- The risk for adverse drug reactions (ADRs) may be higher for women, even when accounting for gender differences in drug use, according to a study published online April 2 in the British Journal of Clinical Pharmacology.
U.K. Study IDs Risk Factors Tied to Knee Replacement Revision
FRIDAY, April 26, 2019 (HealthDay News) -- A new study published online April 17 in Lancet Infectious Diseases identifies risk factors associated with revision for prosthetic joint infection following knee replacement.
FDA Announces New Steps to Reduce Risks Tied to Surgical Staplers
THURSDAY, April 25, 2019 (HealthDay News) -- The U.S. Food and Drug Administration this week announced three new efforts to protect patients from malfunctions, injuries, and deaths associated with the use of surgical staplers for internal use and implantable surgical staples.
Stroke Patients Infrequently Screened, Treated for Bone Loss
THURSDAY, April 25, 2019 (HealthDay News) -- Patients with recent stroke are rarely screened and treated for osteoporosis, according to a study published online April 25 in Stroke.
CDC Provides Clarification of Opioid Prescribing Guideline
WEDNESDAY, April 24, 2019 (HealthDay News) -- Implementation of the U.S. Centers for Disease Control and Prevention opioid prescribing recommendations should be consistent with the guideline's intent, according to a perspective piece published online April 24 in the New England Journal of Medicine.
Risks, Benefits of Long-Term Drug Therapy for Osteoporosis Reviewed
TUESDAY, April 23, 2019 (HealthDay News) -- Long-term osteoporosis drug therapy (ODT) reduces fracture risk in women but may increase risk for rare adverse events, and research gaps surround use of long-term drug therapies for osteoporotic fracture prevention, according to a review and position paper published online April 23 in the Annals of Internal Medicine.
Injection Timing Tied to Risk for Infection in Rotator Cuff Repair
MONDAY, April 22, 2019 (HealthDay News) -- For patients undergoing arthroscopic rotator cuff repair, corticosteroid injections within the previous month are associated with an increased risk for surgical site infection, according to a study published in the April 17 issue of The Journal of Bone & Joint Surgery.
National Hand Hygiene Initiative Successful in Australia
FRIDAY, April 19, 2019 (HealthDay News) -- The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.
Loan Forgiveness, Educational Debt May Affect Practice Patterns
FRIDAY, April 19, 2019 (HealthDay News) -- Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.
Sixty People Charged in Massive Opioid Painkiller Investigation
THURSDAY, April 18, 2019 (HealthDay News) -- Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.
Standardizing Demographics Ups Accuracy of Patient Matching
MONDAY, April 15, 2019 (HealthDay News) -- Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.
Domestic Responsibilities Tied to Physician Mothers' Satisfaction
THURSDAY, April 11, 2019 (HealthDay News) -- For physician mothers in procedural specialties, being responsible for five or more domestic tasks is associated with an increased likelihood of career dissatisfaction, according to a study published online April 10 in JAMA Surgery.
FDA: Patients Should Not Abruptly Stop Taking a Prescribed Opioid
WEDNESDAY, April 10, 2019 (HealthDay News) -- Because of the danger of "serious harm" to patients, the U.S. Food and Drug Administration is advising doctors not to suddenly stop patients from taking opioid painkillers, or drastically lower the dose.
FDA Approves Osteoporosis Tx for High-Risk Postmenopausal Women
TUESDAY, April 9, 2019 (HealthDay News) -- Evenity (romosozumab-aqqg) was approved for the treatment of osteoporosis in postmenopausal women with a high risk for fracture, the U.S. Food and Drug Administration announced.
New, Revised Topics Released in ACR Appropriateness Criteria
TUESDAY, April 9, 2019 (HealthDay News) -- The latest edition of the American College of Radiology (ACR) Appropriateness Criteria has been released and includes 188 diagnostic imaging and interventional radiology topics, with 908 clinical variants covering more than 1,670 clinical scenarios.
Most Osteoporosis Guidelines Do Not Discuss Patient Choices
THURSDAY, April 4, 2019 (HealthDay News) -- Less than 40 percent of osteoporosis clinical practice guidelines include any mention of patients' beliefs, values, or preferences (BVPs), according to a study published online March 11 in Osteoporosis International.
Americans Borrowed $88 Billion in Past Year to Pay for Health Care
TUESDAY, April 2, 2019 (HealthDay News) -- About one in eight Americans borrowed a total of $88 billion in the past year to pay for health care, a new West Health-Gallup survey shows.
Over-the-Counter Meds Save Health Care System Money
TUESDAY, April 2, 2019 (HealthDay News) -- On average, each dollar spent on over-the-counter (OTC) medicines saves the U.S. health care system $7.20, totaling nearly $146 billion in annual savings, according to a report released March 18 by the Consumer Healthcare Products Association (CHPA).
One Hour of Activity/Week Helps Maintain Disability-Free Status
TUESDAY, April 2, 2019 (HealthDay News) -- For adults with lower-extremity joint symptoms, attaining about one hour of moderate-vigorous activity per week is associated with an increased likelihood of maintaining disability-free status over four years, according to a study published online March 19 in the American Journal of Preventive Medicine.
Awake Endoscopic Spinal Fusion Appears to Be Safe, Effective
MONDAY, April 1, 2019 (HealthDay News) -- Awake endoscopic minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) performed without general anesthesia is safe and seems effective for lumbar fusion, according to a study published online April 1 in Neurosurgical Focus.
Doctors Unclear on Legal Obligations in Caring for Patients With Disability
MONDAY, April 1, 2019 (HealthDay News) -- Practicing physicians might not understand their legal responsibilities when caring for people with disability, which may contribute to inequalities in their care, according to a study published online April 1 in Health Affairs.