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July 2020 Briefing – Orthopedics

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

Telemedicine Use Explodes During COVID-19 Pandemic

FRIDAY, July 31, 2020 (HealthDay News) — The emergence of telemedicine has accelerated during the coronavirus pandemic. HD Live! sat down with Rujuta Saksena, M.D., an oncologist at Overlook Medical Center in Summit, New Jersey, and Ateev Mehrotra, M.D., associate professor of health care policy at Harvard Medical School in Boston, to discuss the future of telemedicine and its impact on health care.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) — For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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Second BMD Measurement Not Beneficial for Identifying Hip Fracture

FRIDAY, July 31, 2020 (HealthDay News) — A second bone mineral density (BMD) assessment about three years after initial measurement does not improve discrimination beyond baseline BMD value alone for women who do and do not experience subsequent hip fracture or major osteoporotic fracture, according to a study published online July 27 in JAMA Internal Medicine.

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Incidence of Hip Fracture Decreased From 1970 to 2010

TUESDAY, July 28, 2020 (HealthDay News) — The incidence of hip fracture decreased from 1970 to 2010, with reductions in smoking and heavy drinking coincident with this decrease, according to a study published online July 27 in JAMA Internal Medicine.

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Vertebral Fractures Up With Long-Term Delay of Denosumab

TUESDAY, July 28, 2020 (HealthDay News) — Compared with on-time dosing, delay of denosumab by more than 16 weeks is associated with an increased risk for vertebral fractures, according to a study published online July 28 in the Annals of Internal Medicine.

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Thorough Risk Assessment Essential Prior to Noncardiac Surgery

MONDAY, July 27, 2020 (HealthDay News) — Comprehensive preoperative assessment of cardiovascular risk with history and physical examination is essential prior to noncardiac surgery, according to a review published in the July 21 issue of the Journal of the American Medical Association.

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Spine Surgery Patients Prescribed the Most Postoperative Narcotics

MONDAY, July 27, 2020 (HealthDay News) — Spine surgery patients are prescribed the most narcotics in the three months following surgery, and patient-reported pain at hospital discharge is associated with increased narcotic use in this period, according to a study published in the July 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.

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CDC Guidance Issued for Testing, Management of HCP Exposed to Hep C

FRIDAY, July 24, 2020 (HealthDay News) — In a U.S. Centers for Disease Control and Prevention guidance report, published in the July 24 issue of Morbidity and Mortality Weekly Report, recommendations are presented for testing and clinical management of health care personnel (HCP) exposed to the hepatitis C virus (HCV).

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Financial Health of Hospitals ‘Dire’ Due to COVID-19

THURSDAY, July 23, 2020 (HealthDay News) — COVID-19 continues to cause financial peril for U.S. hospitals, according to a report released by the American Hospital Association (AHA).

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Whole-Body CTs Save Time for Trauma Patients in Emergency Dept

THURSDAY, July 23, 2020 (HealthDay News) — Whole-body computed tomography (WBCT) for trauma patients may save time in the emergency department, but is not associated with other improved outcomes, according to a review published in the August 1 issue of the European Journal of Radiology.

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Guidance Issued for Elective Orthopedic Surgery During COVID-19

MONDAY, July 20, 2020 (HealthDay News) — In new guidelines from the International Consensus Group, published in the July 15 issue of The Journal of Bone & Joint Surgery, recommendations are presented for the reintroduction of elective orthopedic surgery during the COVID-19 pandemic.

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Physical Distancing Interventions Cut Incidence of COVID-19

THURSDAY, July 16, 2020 (HealthDay News) — Physical distancing interventions are associated with a reduced incidence of COVID-19 globally, according to a study published online July 15 in The BMJ.

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Global Population Anticipated to Peak in 2064

WEDNESDAY, July 15, 2020 (HealthDay News) — The global population is anticipated to peak in 2064 and then decline to year 2100, according to a study published online July 14 in The Lancet.

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Cardiac CT Can Derive Thoracic Bone Mineral Density, Fracture Risk

WEDNESDAY, July 15, 2020 (HealthDay News) — Cardiac computed tomography (CT) can identify individuals with low bone mineral density (BMD) and increased fracture risk, according to a study published online July 14 in Radiology.

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Layoffs Cost 5.4 Million Americans Their Health Insurance

TUESDAY, July 14, 2020 (HealthDay News) — About 5.4 million Americans lost their health insurance after being laid off between February and May due to the COVID-19 pandemic, a new study shows.

The New York Times Article

Fetal, Early-Life Exposures May Impact Young Adult Bone Health

FRIDAY, July 10, 2020 (HealthDay News) — Factors during gestation and infancy may impact bone health in young adulthood, according to a study published online July 8 in the Journal of Bone and Mineral Research.

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More Than One in Four Seniors Reported Falling in Past Year

FRIDAY, July 10, 2020 (HealthDay News) — In 2018, 27.5 percent of older adults reported falling at least once in the previous year, with 10.2 percent reporting an injury from a fall, according to research published in the July 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Electronic Health Records Fail to Detect Many Medication Errors

THURSDAY, July 9, 2020 (HealthDay News) — There is wide variation in the safety performance of electronic health record (EHR) systems used in U.S. hospitals, according to a study recently published in JAMA Network Open.

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Physically Demanding Jobs May Raise Risk for Knee Osteoarthritis

THURSDAY, July 9, 2020 (HealthDay News) — The odds of knee osteoarthritis (OA) are increased in association with heavy physically demanding occupations and occupational activities, according to a review published online July 7 in Arthritis Care & Research.

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Multifactor Program Does Not Cut Serious Fall Injuries in Elderly

THURSDAY, July 9, 2020 (HealthDay News) — A nurse-administered multifactorial intervention does not result in a significantly lower rate of first adjudicated serious fall injury among older adults at increased risk for fall injuries, according to a study published in the July 9 issue of the New England Journal of Medicine.

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Dairy Does Not Protect Against Bone Loss During Menopause Transition

WEDNESDAY, July 8, 2020 (HealthDay News) — Dairy intake is not associated with improvements in bone mineral density or risk for fractures in women transitioning to menopause, according to a study recently published in Menopause.

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Low Physical Function May Up Bone Loss After Hip Fracture

THURSDAY, July 2, 2020 (HealthDay News) — Older patients with low physical function and lower lean body mass (LBM) may be at risk for greater decline in tibia bone properties during the first year after hip fracture, according to a study published online June 9 in BMC Musculoskeletal Disorders.

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