Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for July 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.
Burnout Symptoms May Up Racial Bias Among Resident Physicians
WEDNESDAY, July 31, 2019 (HealthDay News) -- Symptoms of burnout seem to be associated with greater explicit and implicit racial bias among resident physicians, according to a study published online July 26 in JAMA Network Open.
$70 Million Settlement Reached in Generic Drug Delay Case
TUESDAY, July 30, 2019 (HealthDay News) -- Three drug companies will pay a total of nearly $70 million to California to settle charges of delaying the sale of generic drugs to keep brand-name drug prices high, the state's attorney general said Monday.
National Norms Developed for Assessing Medical School Empathy
TUESDAY, July 30, 2019 (HealthDay News) -- National norms have been developed for assessing empathy among men and women at different levels of medical school education, according to a study published in the August issue of the Journal of the American Osteopathic Association.
Work-Related Injuries Up Suicide and Drug-Related Death
TUESDAY, July 30, 2019 (HealthDay News) -- Workplace injuries severe enough to warrant more than a week away from work may increase the risk for death among workers, according to a study published online July 12 in the American Journal of Industrial Medicine.
Sling, PT May Be OK for Two-Part Proximal Humerus Fractures
FRIDAY, July 26, 2019 (HealthDay News) -- Functional results may be the same for operative and nonoperative treatment of displaced two-part proximal humerus fractures in patients over 60 years of age, according to a study published online July 18 in PLOS Medicine.
Minor Changes in BMD Seen With Tenofovir PrEP in Short Term
THURSDAY, July 25, 2019 (HealthDay News) -- Tenofovir preexposure prophylaxis (PrEP) therapy does not appear to be associated with clinically significant declines in bone mineral density (BMD) in the short term, according to a study published online June 19 in AIDS Research and Human Retroviruses.
Senate Bill Would Reduce Drug Costs for Seniors
TUESDAY, July 23, 2019 (HealthDay News) -- A bill to reduce prescription drug costs for millions of Medicare recipients and lower federal and state health costs has been introduced by two U.S. senators.
Sleep Disorders Up Health Care Visits, Costs for Low Back Pain
MONDAY, July 22, 2019 (HealthDay News) -- The presence of a sleep disorder diagnosis has a significant effect on low back pain (LBP)-related health care visits and costs, independent of pain intensity and disability, according to a study published online July 5 in Spine.
FRAX Score Underestimates Risk for Fracture in Multiple Sclerosis
FRIDAY, July 19, 2019 (HealthDay News) -- Multiple sclerosis (MS) is a risk factor for major fractures independent of the Fracture Risk Assessment tool (FRAX) score, according to a study published in the June issue of the Journal of Bone and Mineral Research.
Safety Practice Violations ID'd in Septic Arthritis Outbreak
THURSDAY, July 18, 2019 (HealthDay News) -- Breaches of recommended infection prevention practices have been identified in an outbreak of septic arthritis cases after intra-articular injections performed in a private outpatient facility, according to a report published online July 17 in Infection Control & Hospital Epidemiology.
About One in 20 Patients Exposed to Preventable Harm
THURSDAY, July 18, 2019 (HealthDay News) -- The pooled prevalence of preventable patient harm is 6 percent across a range of medical settings globally, according to a review published online July 17 in The BMJ.
Tool Uses Spine X-Rays to Assess Response to Osteoporosis Tx
MONDAY, July 15, 2019 (HealthDay News) -- A new measure derived from conventional X-rays and a machine learning algorithm is effective for assessing bone-specific effects of osteoporosis treatment, according to a pilot study published in the July issue of Skeletal Radiology.
Prescribing Fewer Tablets Can Cut Post-ACL Surgery Opioid Use
FRIDAY, July 12, 2019 (HealthDay News) -- For patients undergoing anterior cruciate ligament reconstruction, prescribing fewer tablets is associated with lower postoperative opioid consumption, according to a research letter published in the June 25 issue of the Journal of the American Medical Association.
Serious Misdiagnosis-Related Harms Mostly Due to 'Big Three'
FRIDAY, July 12, 2019 (HealthDay News) -- Vascular events, infections, and cancers account for about three-quarters of serious misdiagnosis-related harms, according to a study published online July 11 in Diagnosis.
Medicare Drug Rebate Plan Withdrawn by Trump Administration
THURSDAY, July 11, 2019 (HealthDay News) -- A plan to let Medicare patients receive rebates that drug companies currently pay to insurers and middlemen has been withdrawn by the Trump administration.
Capping Work Hours in Residency Does Not Impact Outcomes Later
THURSDAY, July 11, 2019 (HealthDay News) -- Exposure of U.S. physicians to work-hour reforms during residency training is not associated with post-training differences in patient mortality, readmissions, or costs of care, according to a study published online July 11 in The BMJ.
Elderly-Onset Rheumatoid Arthritis Ups Bone Erosion Risk
THURSDAY, July 11, 2019 (HealthDay News) -- Elderly-onset rheumatoid arthritis (EORA) is a risk factor for bone erosions, even with clinical disease remission, according to a study published in the June issue of the International Journal of Rheumatic Diseases.
High Social Stress Linked to Greater Bone Loss After Menopause
THURSDAY, July 11, 2019 (HealthDay News) -- High social stress is associated with greater bone loss during six years of follow-up among postmenopausal women, according to a study published online July 9 in the Journal of Epidemiology & Community Health.
Health Care Professionals Exhibit Gender Bias
THURSDAY, July 11, 2019 (HealthDay News) -- Survey results show that health care professionals have implicit and explicit gender bias, according to a study published online July 5 in JAMA Network Open.
Osteoporosis Undertreated in Joint Replacement Patients
WEDNESDAY, July 10, 2019 (HealthDay News) -- Osteoporosis is common in patients undergoing total joint arthroplasty (TJA), yet the condition is often undertreated, according to a study published in the July issue of the Journal of Arthroplasty.
About 12 Percent With Ankle Sprain Fill Opioid Prescriptions
WEDNESDAY, July 10, 2019 (HealthDay News) -- Overall, 11.9 percent of patients diagnosed with an ankle sprain fill an opioid prescription within seven days of diagnosis, according to a research letter published online July 9 in the Annals of Internal Medicine.
EHR System-Generated In-Basket Messages Linked to Burnout
TUESDAY, July 9, 2019 (HealthDay News) -- Receipt of more than the average number of electronic health record (EHR) system-generated in-basket messages is associated with an increased probability of physician burnout, according to a study published in the July 1 issue of Health Affairs.
Rule Requiring Drug Prices in TV Ads Blocked by Judge
TUESDAY, July 9, 2019 (HealthDay News) -- A Trump administration rule to force pharmaceutical companies to disclose the list prices of their drugs in television ads was blocked Monday by a federal judge.
Adults With Cerebral Palsy at Higher Risk for Osteoporosis
TUESDAY, July 9, 2019 (HealthDay News) -- Cerebral palsy (CP) is associated with an increased risk for osteoporosis and osteoarthritis, according to a study published in the August issue of Bone.
Operating Time for Hip, Knee Replacement Overestimated
MONDAY, July 8, 2019 (HealthDay News) -- The Medicare Physician Fee Schedule and most recent Relative Value Scale Update Committee recommendations overestimate the operating time for original and revision hip and knee replacements, according to a study published in the July issue of Health Affairs.
Survey Reveals Gaps in Opioid Rx Patterns of Orthopedic Surgeons
MONDAY, July 8, 2019 (HealthDay News) -- The vast majority of orthopedic surgeons recommend prescribing a nine-day supply of around-the-clock oxycodone doses following commonly performed orthopedic surgeries, according to a study published in the May/June issue of the Journal of Opioid Management.
Tanezumab Improves Scores for Pain, Function in Osteoarthritis
WEDNESDAY, July 3, 2019 (HealthDay News) -- For patients with osteoarthritis (OA) of the knee or hip, tanezumab is associated with significant improvements in pain and physical function versus placebo, according to a study published in the July 2 issue of the Journal of the American Medical Association.
Considerable Number of Patients Receive Surprise Hospital Charges
TUESDAY, July 2, 2019 (HealthDay News) -- Eighteen percent of all emergency department visits and 16 percent of in-network hospital stays have at least one out-of-network charge, according to a report published June 20 by the Kaiser Family Foundation.