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August 2020 Briefing - Orthopedics

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

Lung-Specific Risk Factors Linked to Hip Fracture in Smokers

MONDAY, Aug. 31, 2020 (HealthDay News) -- The addition of lung-specific risk factors into fracture risk assessment tools may more accurately predict hip fracture risk in smokers, according to a study published online Aug. 4 in the Journal of Bone and Mineral Research.

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Most Shoulder Replacements Last More Than 10 Years

FRIDAY, Aug. 28, 2020 (HealthDay News) -- About 90 percent of shoulder replacements last for longer than 10 years, and patient-reported outcome measures show sustained benefits, according to a review published online Aug. 26 in The Lancet Rheumatology.

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Recovery Protocol Cuts Opioid Use After Elective Neurosurgery

THURSDAY, Aug. 27, 2020 (HealthDay News) -- Enhanced recovery after surgery (ERAS) protocols can reduce postoperative use of opioids in patients undergoing elective spine and peripheral nerve surgical procedures, according to a study published online Aug. 6 in Pain Medicine.

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Type 2 Diabetes May Negatively Impact Bone Density in Youth

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Type 2 diabetes may negatively impact bone density around the age of peak bone mass, according to a study published online Aug. 10 in Diabetes Care.

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Nonopioid Pain Protocol Feasible After Sports Orthopedic Surgery

FRIDAY, Aug. 21, 2020 (HealthDay News) -- For patients undergoing common orthopedic sports procedures, a multimodal, nonopioid pain protocol featuring little or no use of opioids is feasible for managing postoperative pain, according to a study published in the August issue of Arthroscopy.

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Advisory Panel Rejects Nearly All Proposals for Fetal Tissue Research

THURSDAY, Aug. 20, 2020 (HealthDay News) -- A Trump administration advisory board to evaluate scientific research involving fetal tissue says 13 of 14 proposals should be rejected.

The New York Times Article

Longer Bisphosphonate Use May Up Atypical Femur Fracture Risk

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Longer duration of bisphosphonate use is associated with an increased risk for atypical femur fracture, according to a study published in the Aug. 20 issue of the New England Journal of Medicine.

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Poll: More Older Adults Using Telehealth During Pandemic

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- More older adults have used telehealth to consult with a health care provider during the COVID-19 pandemic compared with that seen in the previous year, according to a report published online Aug. 17 based on the results of the University of Michigan National Poll on Healthy Aging.

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Racial Health Disparities Exist Among Pro Football Players

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Black and other nonwhite athletes report more pain, physical impairment, mood disorders, and cognitive problems than white peers, according to a study published online July 30 in Annals of Epidemiology.

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ACP, AAFP Issue Guidelines for Acute Musculoskeletal Injuries

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended for the treatment of acute pain from non-low back, musculoskeletal injuries, according to a clinical guideline developed by the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) and published online Aug. 18 in the Annals of Internal Medicine.

Clinical Guideline
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Bisphosphonates Safe but May Not Improve Bone Marrow Lesion Volume

FRIDAY, Aug. 14, 2020 (HealthDay News) -- There is no clear benefit of bisphosphonates on bone marrow lesions (BMLs), according to a study published online Aug. 4 in Osteoarthritis and Cartilage.

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Burnout Less Likely for Doctors in Minority Race/Ethnic Groups

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Compared with non-Hispanic White physicians, physicians in minority racial/ethnic groups are less likely to report burnout, according to a study published online Aug. 7 in JAMA Network Open.

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Guidance Helps Doctors Optimize Telemedicine for Seniors

TUESDAY, Aug. 11, 2020 (HealthDay News) -- In an Ideas and Opinions article published online Aug. 11 in the Annals of Internal Medicine, guidance is provided for physicians to optimize telemedicine, which can be challenging for older patients.

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Expanding Medicaid in Holdout States Could Insure 3.9 Million

MONDAY, Aug. 10, 2020 (HealthDay News) -- Expanding Medicaid to all states could reduce the number of uninsured by 28 percent based on pre-COVID-19 data, according to a report released by the Urban Institute and the Robert Wood Johnson Foundation.

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Cast Immobilization Recommended for Scaphoid Fractures

MONDAY, Aug. 10, 2020 (HealthDay News) -- Initial cast immobilization is recommended for adults with scaphoid waist fractures displaced by 2 mm or less, with surgery recommended for confirmed nonunions of fracture, according to a study published in the Aug. 8 issue of The Lancet.

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Life Expectancy 78.60 Years for U.S. Population for 2009-2011

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Life expectancy for 2009 to 2011 was 78.60 years for the total U.S. population, with the highest life expectancy for Hispanic women, according to the Aug. 7 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Longer Bisphosphonate Drug Holiday May Up Fracture Risk

FRIDAY, Aug. 7, 2020 (HealthDay News) -- In patients who have previously suffered a vertebral fracture, a longer bisphosphonate (BP) drug holiday is associated with an increased risk for major osteoporotic fractures (MOFs), according to a study published online in the September issue of Bone.

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CDC: More American Indian, Alaska Natives in Fair, Poor Health

THURSDAY, Aug. 6, 2020 (HealthDay News) -- American Indian and Alaska Native (AIAN) adults are more likely to be in fair or poor health than all U.S. adults, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Diabetes-Related Lower-Limb Amputations Up in Older Adults

THURSDAY, Aug. 6, 2020 (HealthDay News) -- Since 2009, diabetes-related nontraumatic lower-extremity amputation (NLEA) has been increasing among older adults, according to a study published online July 28 in Diabetes Care.

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Health Plans Not Implementing Prior Authorization Reforms

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Physicians say prior authorization (PA) continues to interfere with patient care and can lead to adverse clinical consequences, according to the results of a survey released by the American Medical Association.

Press Release
Physician Survey

Worldwide Burden of Gout Increased From 1990 to 2017

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- From 1990 to 2017, the burden of gout increased across the world, according to a study published online Aug. 5 in Arthritis & Rheumatology.

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President Says Medicare Should Expand Telehealth Services

TUESDAY, Aug. 4, 2020 (HealthDay News) -- President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients, the Associated Press reported.

AP News Article

Most Studies Still Fail to Analyze Data by Sex

TUESDAY, Aug. 4, 2020 (HealthDay News) -- The effect of gender is still largely ignored in scientific studies, according to a study published online June 9 in eLife.

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Cost-Related Rx Nonadherence Highest in Young U.S. Women

MONDAY, Aug. 3, 2020 (HealthDay News) -- Cost-related prescription nonadherence is highest among younger U.S. women compared with individuals living in 10 other high-income countries, according to a report published in the August issue of Health Affairs.

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Canakinumab Explored as Therapy for Large-Joint Osteoarthritis

MONDAY, Aug. 3, 2020 (HealthDay News) -- Inhibition of interleukin-1β (IL-1β) with canakinumab seems to reduce the incidence of total hip replacement/total knee replacement (THR/TKR) compared with placebo, according to an exploratory analysis published online Aug. 4 in the Annals of Internal Medicine.

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38 Percent of Older Adults in U.S. Not Ready for Video Doctor Visits

MONDAY, Aug. 3, 2020 (HealthDay News) -- An estimated 38 percent of all older adults in the United States are not ready for video visits with physicians, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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