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January 2020 Briefing - Orthopedics

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

Rate of Recovery, LOS Tied to Outcomes After Hip Fracture Surgery

FRIDAY, Jan. 31, 2020 (HealthDay News) -- For patients receiving inpatient rehabilitation services following hip fracture surgery, the rate of recovery and length of stay (LOS) are associated with mobility and self-care after discharge, according to a study published online Jan. 24 in JAMA Network Open.

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2017 to 2018 Saw Increase in Life Expectancy in the United States

THURSDAY, Jan. 30, 2020 (HealthDay News) -- From 2017 to 2018, there was an increase in life expectancy in the United States and a decrease in age-adjusted death rates, according to a January data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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U.S. Spends More on Health Care, but Has Worse Life Expectancy

THURSDAY, Jan. 30, 2020 (HealthDay News) -- The United States spends substantially more than any other wealthy nation on health care, yet it has a lower life expectancy and a higher suicide rate than other wealthy nations, according to a January data brief released by the Commonwealth Fund.

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Fracture Rate Up in Infants With Prenatal Smoking Exposure

THURSDAY, Jan. 30, 2020 (HealthDay News) -- Prenatal exposure to maternal smoking is associated with an increased fracture rate before age 1, according to a study published online Jan. 29 in The BMJ.

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Many Patients Receive Guideline-Nonconcordant Care for Low Back Pain

THURSDAY, Jan. 30, 2020 (HealthDay News) -- Many patients who develop new low back pain (LBP) receive advanced imaging and opioids without having been prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) or physical therapy (PT), according to a study published in the February issue of Medical Care.

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Gender Gap Persists in Starting Salary for Physicians

TUESDAY, Jan. 28, 2020 (HealthDay News) -- The gender gap in starting salary for physicians persists, although it is unclear which factors account for this gap, according to a report published online Jan. 22 in Health Affairs.

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Virtual Physical Therapy Feasible Following Knee Replacement

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Virtual physical therapy (PT) with telerehabilitation for skilled clinical oversight significantly lowers three-month health care costs after total knee arthroplasty (TKA) while providing similar effectiveness to traditional PT, according to a study published in the Jan. 15 issue of The Journal of Bone & Joint Surgery.

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Wealthy Pay Most to Finance U.S. Health Care

MONDAY, Jan. 27, 2020 (HealthDay News) -- Health care payments in the United States are more regressive than previously thought, according to a study published online Jan. 27 in Health Services Research.

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Outcomes for Spinal Fusion Surgery Worse in Black Patients

FRIDAY, Jan. 24, 2020 (HealthDay News) -- Black patients undergoing lumbar spinal fusion surgery are more likely to have postoperative complications, be readmitted, have longer lengths of stay, and have higher total hospital charges compared with white patients, according to a study published online Jan. 15 in Spine.

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Major Insurers Offer $55 Million to Lower Generic Drug Costs

THURSDAY, Jan. 23, 2020 (HealthDay News) -- A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

The New York Times Article

Fewer Than Half of Clinical Trials Comply With Reporting Laws

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Compliance with the U.S. Food and Drug Administration Amendments Act of 2007 is low, with only 40.9 percent of trials reporting results within one year, according to a study published online Jan. 17 in The Lancet.

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Fast-Track Review of ACA Lawsuit Rejected by U.S. Supreme Court

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- A fast-track review of a lawsuit that threatens the Affordable Care Act was rejected Tuesday by the U.S. Supreme Court.

AP News Article

ACP: Medicare for All Needed to Fix 'Ill' U.S. Health Care System

TUESDAY, Jan. 21, 2020 (HealthDay News) -- The American College of Physicians (ACP) says the U.S. health care system "is ill and needs a bold new prescription" that includes coverage for all Americans and lower costs.

AP News Article
American College of Physicians

New Guidance Issued for Care of Children With Williams Syndrome

TUESDAY, Jan. 21, 2020 (HealthDay News) -- In an American Academy of Pediatrics clinical report, published online Jan. 21 in Pediatrics, recommendations are presented for the management of patients with Williams syndrome (WS).

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Regional Outreach Boosts Female Residency Recruitment

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Outreach to female medical students may improve recruitment into orthopedic surgery resident programs, according to a study recently published in the Journal of Surgical Education.

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CDC: Benzodiazepines Prescribed at 27 Office Visits Per 100 Adults

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Benzodiazepines were prescribed at 27 annual physician office visits per 100 adults during 2014 to 2016, according to a study published online Jan. 17 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Single-Payer System Would Likely Save Money

THURSDAY, Jan. 16, 2020 (HealthDay News) -- There is near consensus across 30 years of economic analysis of single-payer plans that a single-payer system would reduce health expenditures in the United States, according to a review published online Jan. 15 in PLOS Medicine.

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History of Falls Predicts Future Fractures in Postmenopausal Women

THURSDAY, Jan. 16, 2020 (HealthDay News) -- A history of falls, especially injurious falls, predicts subsequent fractures in postmenopausal women, according to a study recently published in Osteoporosis International.

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ACA Tied to Narrowing of Disparities in Access to Care

THURSDAY, Jan. 16, 2020 (HealthDay News) -- The Affordable Care Act has reduced disparities in access to health care among black, Hispanic, and white adults, according to a January data brief released by the Commonwealth Fund.

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Ageism Predicts Significantly Worse Health Outcomes

THURSDAY, Jan. 16, 2020 (HealthDay News) -- Ageism predicts significantly worse health outcomes, according to a review published online Jan. 15 in PLOS ONE.

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Evolution of Approval, Regulation Processes for Drugs Explored

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- The U.S. approval and regulation processes for pharmaceutical agents have evolved during the last four decades, according to a study published in the Jan. 14 issue of the Journal of the American Medical Association.

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Doctor Replacement Ratios Higher in Largest, Hospital-Owned Practices

TUESDAY, Jan. 14, 2020 (HealthDay News) -- From 2009 to 2016, more physicians entering the Medicare program worked at large group or hospital-owned practices than small group or independent practices, according to a research letter published online Jan. 14 in the Annals of Internal Medicine.

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Most Eligible Knees Not Being Replaced in Timely Manner

TUESDAY, Jan. 14, 2020 (HealthDay News) -- Many patients who are eligible for total knee replacement do not have the procedure within two years, according to research published online Jan. 13 in the Journal of Bone & Joint Surgery.

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Physicians Spend >16 Minutes Per Encounter on EHR Use

MONDAY, Jan. 13, 2020 (HealthDay News) -- Physicians spend a considerable amount of time using electronic health records (EHRs) to support care delivery, with wide variation seen in the distribution of time within specialty, according to a study published online Jan. 14 in the Annals of Internal Medicine.

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Burnout in Med Students Tied to Perceived Stress, Phone Behavior

MONDAY, Jan. 13, 2020 (HealthDay News) -- Higher levels of perceived stress, poorer sleep quality, and smartphone addiction contribute to burnout in osteopathic medical students, according to a study published in the January issue of the Journal of the American Osteopathic Association.

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California May Start Producing Its Own Medicines

FRIDAY, Jan. 10, 2020 (HealthDay News) -- A proposal for California to contract generic drug companies to make medications would make the state the first in the country to produce its own medications.

AP News Article

Treatment Guidelines Updated for Hand, Hip, Knee Osteoarthritis

FRIDAY, Jan. 10, 2020 (HealthDay News) -- In the 2019 American College of Rheumatology/Arthritis Foundation Guideline, published online Jan. 6 in Arthritis Care & Research, updated recommendations are presented for the management of hand, hip, and knee osteoarthritis (OA).

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Recruitment Satisfactory for Foreign-Educated Health Providers

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Foreign-educated health professionals (FEHPs) in the United States are overall satisfied with their recruitment experience, according to a study published in the January issue of the American Journal of Nursing.

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Neighborhood Disadvantage Impacts Hospital Quality Ratings

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors (SRFs) in the community, according to a study published online Dec. 30 in Medical Care.

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Rate of Electronic Scooter Injuries Increased From 2014 to 2018

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- From 2014 to 2018, there was an increase in the incidence of electronic scooter (e-scooter) injuries and associated hospital admissions, according to a research letter published online Jan. 8 in JAMA Surgery.

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Large Gap Found in Health Administrative Spending for U.S., Canada

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- There is a large and widening gap in health administrative spending between the United States and Canada, according to a study published online Jan. 7 in the Annals of Internal Medicine.

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Cancer Mortality Continuing to Drop, With Lung Cancer a Driver

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- Cancer mortality is continuing to decline, driven by progress in lung cancer, although mortality reductions have slowed or stopped for some cancers, according to findings included in Cancer Statistics, 2020, the American Cancer Society's latest annual report on cancer incidence, mortality, and survival. The report was published online Jan. 8 in CA: A Cancer Journal for Clinicians.

Cancer Statistics, 2020

Decision Aids May Not Reduce Odds of Hip, Knee Arthroplasty

TUESDAY, Jan. 7, 2020 (HealthDay News) -- Use of decision aids developed for shared decision-making does not appear to reduce the odds of hip and knee arthroplasty in patients with osteoarthritis, according to a study published in the January issue of Health Affairs.

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Price Hikes for Hundreds of Medications

MONDAY, Jan. 6, 2020 (HealthDay News) -- U.S. drug companies have started the new year by raising the prices of hundreds of medications.

CBS News Article

Poll: Older Adults Frequently Use Online Physician Ratings

MONDAY, Jan. 6, 2020 (HealthDay News) -- Older adults commonly use online ratings to choose a doctor, according to a report published online Jan. 6 based on the results of the University of Michigan National Poll on Healthy Aging.

National Poll on Healthy Aging

Ambient Air Pollution Linked to Lower Bone Mineral Content

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Exposure to ambient particulate matter air pollution with an aerodynamic diameter <2.5 µm (PM2.5) and black carbon (BC) is associated with lower bone mineral content (BMC) in adults, according to a study published online Jan. 3 in JAMA Network Open.

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Mental Distress, Depression Prevalent in Adults With Arthritis

THURSDAY, Jan. 2, 2020 (HealthDay News) -- The prevalence of mental distress is 16.8 percent and the prevalence of depression is 32.1 percent among adults with arthritis, according to research published in the Jan. 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Patient Experiences Modestly Worse After Hospital Acquisition

THURSDAY, Jan. 2, 2020 (HealthDay News) -- Modestly worse patient experiences are seen following hospital acquisition by another hospital, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

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