October 2019 Briefing - Orthopedics

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

Common Sites of Bone Erosion in Rheumatoid Arthritis ID'd on US

THURSDAY, Oct. 31, 2019 (HealthDay News) -- Joint recesses with bone erosion are more likely to exhibit greater severity of joint inflammation on ultrasound (US) examination, according to a study published online Oct. 25 in the Journal of Clinical Ultrasound.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Health, United States, 2018

Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) -- A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

CNN Article

Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) -- Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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Physical Activity May Lower Postmenopausal Fracture Risk

MONDAY, Oct. 28, 2019 (HealthDay News) -- For postmenopausal women, physical activity is associated with reduced risks for total fracture and hip fracture, according to a study published online Oct. 25 in JAMA Network Open.

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No Link Found Between Teen Contact Sports, Later Mental Health Issues

FRIDAY, Oct. 25, 2019 (HealthDay News) -- Adolescents who play contact sports, including football, are not at increased risk for subsequent cognitive impairment, depression, or suicidal thoughts in early adulthood, according to a study published online Sept. 26 in the Orthopaedic Journal of Sports Medicine.

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Google Searches for CBD Up Substantially

THURSDAY, Oct. 24, 2019 (HealthDay News) -- Interest in cannabidiol (CBD) across the United States has increased considerably and is accelerating, according to a research letter published online Oct. 23 in JAMA Network Open.

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Knee, Hip Arthritis Increase Risk for Social Isolation in Elderly

THURSDAY, Oct. 24, 2019 (HealthDay News) -- Osteoarthritis of the hip and/or knee increases the risk for social isolation in older, community-dwelling individuals, according to a study recently published in the Journal of the American Geriatrics Society.

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Poor Health Literacy Tied to More Hardships Among Cancer Survivors

WEDNESDAY, Oct. 23, 2019 (HealthDay News) -- Health insurance literacy may be an important intervention for addressing financial problems associated with cancer, according to a study published online Oct. 21 in JNCI Cancer Spectrum.

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Limited English Proficiency May Worsen Chronic Disease Outcome

WEDNESDAY, Oct. 23, 2019 (HealthDay News) -- In predominantly English-speaking settings, patients with limited English proficiency (LEP) and chronic conditions have higher rates of emergency department revisits and hospital readmissions than patients with English proficiency (EP), according to a research letter published in the Oct. 22/29 issue of the Journal of the American Medical Association.

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Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

TUESDAY, Oct. 22, 2019 (HealthDay News) -- Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids, according to a study recently published in BMJ Open.

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More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) -- There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

AP News Article

NATA: Single-Sport Focus Not Good for Children

FRIDAY, Oct. 18, 2019 (HealthDay News) -- Parents should try to keep their children from focusing on a single sport for as long as possible to reduce their risk for injuries and other problems, the National Athletic Trainers' Association (NATA) says.

The New York Times Article
More Information: NATA

Physical Therapy, Lifestyle Advice Underused in Knee OA

FRIDAY, Oct. 18, 2019 (HealthDay News) -- For patients with knee osteoarthritis (KOA), physical therapy (PT) and lifestyle counseling seem to be underutilized, while medication use has increased, according to a study published online Oct. 8 in Arthritis Care & Research.

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Experimental Growth Factor May Aid Knee Osteoarthritis

THURSDAY, Oct. 17, 2019 (HealthDay News) -- An experimental growth factor therapy, sprifermin, may prevent a worsening of osteoarthritis by increasing the thickness of cartilage in the knee, according to a study published in the Oct. 8 issue of the Journal of the American Medical Association.

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Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden, according to a study published online Sept. 4 in JAMA Network Open.

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Pulmonary Embolism Risk Elevated for More Than Six Weeks Postop

TUESDAY, Oct. 15, 2019 (HealthDay News) -- The postoperative risk for pulmonary embolism extends more than six weeks for six types of surgery, according to a study published online Oct. 9 in JAMA Surgery.

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Patient Portal Use Has Positive Impact on Preventive Health Behaviors

FRIDAY, Oct. 11, 2019 (HealthDay News) -- Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.

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Recommendations Developed for Preventing Secondary Fractures

FRIDAY, Oct. 11, 2019 (HealthDay News) -- Clinical recommendations for the prevention of secondary fractures among older adults with hip or vertebral fracture have been issued by a multi-stakeholder coalition assembled by the American Society for Bone and Mineral Research and published online Sept. 20 in the Journal of Bone and Mineral Research.

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Statins Tied to Osteoporosis in Dose-Dependent Manner

THURSDAY, Oct. 10, 2019 (HealthDay News) -- There is a dose-dependent relationship between diagnosis of osteoporosis and statin treatment, according to a study published online Sept. 26 in Annals of the Rheumatic Diseases.

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Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

AP News Article

2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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Review: E-Stim Devices May Increase Spinal Fusion Rates

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Electrical stimulation technologies (ESTs) appear to be effective for increasing spinal fusion, according to a review of preclinical and clinical literature published online Oct. 8 in the Journal of Neurosurgery: Spine.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) -- The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) -- In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Medicaid Pays 75 Percent of What Medicare Pays for Spine Surgeries

FRIDAY, Oct. 4, 2019 (HealthDay News) -- There are large disparities between Medicaid and Medicare reimbursement rates for eight spine procedures, according to a study published online Sept. 26 in Spine.

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Factors Predict Low BMD in Pediatric Blood Cancer Survivors

THURSDAY, Oct. 3, 2019 (HealthDay News) -- Low bone mineral density (BMD) is common in childhood leukemia and lymphoma survivors, according to a study published online Sept. 19 in Cancer.

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Risk Calculator Can Help Predict Postmenopausal Morbidity

THURSDAY, Oct. 3, 2019 (HealthDay News) -- A new risk prediction calculator can make health risk predictions for several outcomes simultaneously in postmenopausal women, according to a study published online Sept. 16 in Menopause.

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Urinary Catheters Not Needed for Joint Replacement Surgery

WEDNESDAY, Oct. 2, 2019 (HealthDay News) -- Patients undergoing joint replacement under epidural anesthesia have no increased risk for postoperative adverse genitourinary (GU) complications by skipping preoperative indwelling urinary catheters, according to a study published in the October issue of the Journal of Arthroplasty.

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Medicare Spends More Than $6 Billion on Secondary Fractures

WEDNESDAY, Oct. 2, 2019 (HealthDay News) -- Medicare could save billions of dollars if secondary fractures could be prevented with improved osteoporosis screening, according to a new National Osteoporosis Foundation report conducted by Milliman.

Research Report: Medicare Cost of Osteoporotic Fractures

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