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June 2019 Briefing – Orthopedics

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

Outcomes Improved After ACL Repair With Three Tendon Graft Types

THURSDAY, June 27, 2019 (HealthDay News) — Patients who received patellar tendon, hamstring tendon, or “double-bundle” hamstring tendon grafts for anterior cruciate ligament (ACL) repair had no significant difference in quality of life at five years postsurgery, according to a study published in the June 5 issue of The Journal of Bone & Joint Surgery.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) — After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) — Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Triclosan Exposure May Lower Bone Mineral Density in Women

WEDNESDAY, June 26, 2019 (HealthDay News) — Urinary triclosan (TCS) concentration is negatively associated with bone mineral density (BMD) and positively associated with osteoporosis, according to a study published online June 25 in the Journal of Clinical Endocrinology & Metabolism.

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Cancer Survivors Have High Prevalence of Chronic Pain

TUESDAY, June 25, 2019 (HealthDay News) — Cancer survivors have a high prevalence of chronic pain, according to a research letter published online June 20 in JAMA Oncology.

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Antacid Use in First Year of Life Tied to Later Fracture Risk

MONDAY, June 24, 2019 (HealthDay News) — Infants who are given acid suppression therapy (AST) in their first year of life are more likely to subsequently break a bone, according to a study published online June 7 in Pediatrics.

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Many Patients Excluded From Knee Cartilage Research Studies

FRIDAY, June 21, 2019 (HealthDay News) — Common conditions are keeping many patients from participating in knee cartilage research studies, according to a review published online May 30 in npj Regenerative Medicine.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) — The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) — Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Elderly Women May Still Benefit From Osteoporosis Treatment

THURSDAY, June 20, 2019 (HealthDay News) — Late-life women with osteoporosis, including those with comorbidities, may still be drug treatment candidates to prevent future hip fracture, according to a study published online June 17 in JAMA Internal Medicine.

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Surgeons’ Unprofessional Behavior Tied to Higher Complication Risk

WEDNESDAY, June 19, 2019 (HealthDay News) — Patients whose surgeons have higher numbers of coworker reports about unprofessional behavior may be at increased risk for postsurgical complications, according to a study published online June 19 in JAMA Surgery.

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Patterns of Inpatient Opioid Use Linked to Long-Term Use

TUESDAY, June 18, 2019 (HealthDay News) — Specific patterns of opioid administration to opioid-naive inpatients are associated with risk for long-term use after discharge, according to a study published online June 18 in the Annals of Internal Medicine.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) — Three large drug makers have launched a legal challenge against the Trump administration’s rule requiring the prices of drugs to be included in television ads.

The New York Times Article

High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) — Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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Head, Facial Injuries From Motorized Scooters on the Rise

FRIDAY, June 14, 2019 (HealthDay News) — Facial and head injuries from electric scooter accidents have tripled during the past decade, according to a study published online May 20 in the American Journal of Otolaryngology.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) — Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Microbes Tied to Pedicle Screw Loosening, Spinal Implant Failure

WEDNESDAY, June 12, 2019 (HealthDay News) — Low-virulent microorganisms frequently detected on pedicle screws may be an important cause of spinal implant loosening and failure in patients without signs of infection, according to a study recently published in the Journal of Neurosurgery: Spine.

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Number of Cancer Survivors Set to Top 22 Million by 2030

TUESDAY, June 11, 2019 (HealthDay News) — The number of cancer survivors is projected to increase to more than 22.1 million by Jan. 1, 2030, based on growth and aging of the population alone, according to a study published online June 11 in CA: A Cancer Journal for Clinicians.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) — Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Antibiotic Prophylaxis Before Dental Work Often Unnecessary

FRIDAY, June 7, 2019 (HealthDay News) — Antibiotic prophylaxis before dental procedures is unnecessary more than 80 percent of the time, according to a study published online May 31 in JAMA Network Open.

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Opioid Safety Initiative Can Decrease Opioid Prescriptions

FRIDAY, June 7, 2019 (HealthDay News) — The Opioid Safety Initiative has been effective for decreasing opioid prescriptions among patients undergoing total knee arthroplasty, according to a study published online May 30 in Anesthesiology.

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Gastric Bypass Tied to Higher Fracture Risk Versus Gastric Band

THURSDAY, June 6, 2019 (HealthDay News) — There is a 73 percent increased risk for nonvertebral fracture after Roux-en-Y gastric bypass (RYGB) versus adjustable gastric banding (AGB), according to a study published online May 15 in JAMA Surgery.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) — A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) — Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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2000 to 2016 Saw Mortality From Falls Increase for Seniors

TUESDAY, June 4, 2019 (HealthDay News) — From 2000 to 2016, an increase was observed in mortality from falls for seniors; however, a home-based exercise program can reduce subsequent falls among older adults, according to research published in the June 4 issue of the Journal of the American Medical Association.

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AI Model Based on Deep Learning Detects ACL Tears on Knee MRI

TUESDAY, June 6, 2019 (HealthDay News) — An artifical intelligence system based on deep learning is feasible for detecting full-thickness anterior cruciate ligament (ACL) tears within the knee joint on magnetic resonance (MR) images, according to a study published online May 8 in Radiology: Artificial Intelligence.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) — Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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Gout Linked to Increased Risk for Venous Thromboembolism

MONDAY, June 3, 2019 (HealthDay News) — Gout is associated with an increased risk for venous thromboembolism, according to a study published in the June 3 issue of CMAJ, the journal of the Canadian Medical Association.

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