Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for September 2014. 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.
Spinal Cord Stimulation Feasible for Diabetic Neuropathy
TUESDAY, Sept. 30, 2014 (HealthDay News) -- For patients with painful diabetic peripheral neuropathy (PDPN), spinal cord stimulation (SCS) is a successful treatment, according to a study published online Sept. 11 in Diabetes Care.
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American Academy of Neurology Issues Opioid Guidelines
TUESDAY, Sept. 30, 2014 (HealthDay News) -- The risks of opioids outweigh their benefits for treating chronic noncancer pain such as chronic headaches, low back pain, and fibromyalgia, according to a new statement from the American Academy of Neurology (AAN).
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'Just-in-Time' Methodology Can Reduce Patient Waiting Times
MONDAY, Sept. 29, 2014 (HealthDay News) -- Having trainee physicians review cases prior to clinic hours can reduce patient waiting times, flow times, and clinic session times, according to a study published online Sept. 16 in Pain Medicine. The management process studied was first popularized by Toyota in Japan.
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AMA Launches Three Programs for Physician Wellness
MONDAY, Sept. 29, 2014 (HealthDay News) -- Physicians' personal health is a global concern and three initiatives are being developed to encourage positive change, according to a report from the American Medical Association (AMA).
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Daytime Cholecystectomy May Be Better for Acute Cholecystitis
MONDAY, Sept. 29, 2014 (HealthDay News) -- Patients who require cholecystectomy for acute cholecystitis are more likely to have a minimally invasive procedure if they have the surgery during daytime rather than at night, according to a study published online Sept. 20 in the American Journal of Surgery.
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Untreated Sleep Apnea May Raise Risk of Surgical Complications
FRIDAY, Sept. 26, 2014 (HealthDay News) -- Screening and treating patients for obstructive sleep apnea before they have surgery may reduce their risk of cardiovascular complications by more than half, according to a study published in the October issue of Anesthesiology.
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Experiences Trump Things, Even Before Purchase
FRIDAY, Sept. 26, 2014 (HealthDay News) -- People derive value from the anticipation of purchasing something, and this anticipation tends to be greater for an experiential purchase than for a material purchase, according to a study published online Aug. 21 in Psychological Science.
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Can Media Multitasking Alter Your Brain?
THURSDAY, Sept. 25, 2014 (HealthDay News) -- Multitasking with smartphones, laptop computers, and other media devices could change the structure of your brain, according to a study published online Sept. 24 in PLOS ONE.
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NSAIDs Tied to Risk of Venous Thromboembolism
THURSDAY, Sept. 25, 2014 (HealthDay News) -- Use of nonsteroidal anti-inflammatory drugs (NSAIDs) may increase risk of venous thromboembolism (VTE), according to new research published online Sept. 24 in Rheumatology.
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Blood Test Might Predict Speed of Recovery From Surgery
THURSDAY, Sept. 25, 2014 (HealthDay News) -- Measuring the activity of subsets of white blood cells immediately after surgery might reveal which patients are likely to recover quickly and those who won't, a preliminary study suggests. The report was published in the Sept. 24 issue of Science Translational Medicine.
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Most Doctors Are Over-Extended or at Full Capacity
WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Most physicians report being over-extended or at full capacity, according to a survey conducted by Merritt Hawkins for The Physicians Foundation.
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Report Identifies Game Changers for U.S. Health Care
WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Imagine if doctors and hospitals got paid for providing better care, not more care, and patients had better data for making informed health choices. A new report suggests that's the direction the U.S. health system is headed.
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FDA Warns Doctors of Danger From 'Fake' Drugs
TUESDAY, Sept. 23, 2014 (HealthDay News) -- The number of "rogue" wholesale distributors selling fake or unapproved prescription drugs is growing, so doctors need to be vigilant when purchasing medicines, the U.S. Food and Drug Administration warned Tuesday.
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NIH Adds $10M to Encourage Gender Balance in Clinical Trials
TUESDAY, Sept. 23, 2014 (HealthDay News) -- The U.S. National Institutes of Health is investing $10 million in additional funding in scientific trials to encourage researchers to consider gender in their preclinical and clinical studies.
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Systemwide Changes Needed to Restrain Health Care Spending
FRIDAY, Sept. 19, 2014 (HealthDay News) -- Systemwide changes are necessary to prevent excessive health care spending, and so are tools to help consumers make better, more informed medical choices, according to a white paper published in June by Vitals.
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Presence of Peers Ups Health Workers' Hand Hygiene
FRIDAY, Sept. 19, 2014 (HealthDay News) -- The presence of other health care workers improves hand hygiene adherence, according to a study published in the October issue of Infection Control and Hospital Epidemiology.
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Strategies Can Help Docs Lower Their Tax Burden
THURSDAY, Sept. 18, 2014 (HealthDay News) -- Strategies are presented to help physicians lower their tax burden in an article published Sept. 2 in Medical Economics.
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CDC: Almost Everyone Needs a Flu Shot
THURSDAY, Sept. 18, 2014 (HealthDay News) -- Less than half of all Americans got a flu shot last year, so U.S. health officials on Thursday urged that everyone 6 months and older get vaccinated for the coming flu season. "It's really unfortunate that half of Americans are not getting the protection from flu they could get," said Thomas Frieden, M.D., director of the U.S. Centers for Disease Control and Prevention, during a morning news conference.
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Internists Report Considerable EMR-Linked Time Loss
WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Use of electronic medical record (EMR) systems is associated with considerable loss of free time per clinic day, according to a research letter published online Sept. 8 in JAMA Internal Medicine.
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Doctors Promoting Transparency With Patients
WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Efforts to increase transparency among doctors are underway, according to an article published in The Boston Globe.
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Who's My Doctor
CDC: Opioid-Related Deaths Quadrupled in Past Decade
TUESDAY, Sept. 16, 2014 (HealthDay News) -- The number of Americans dying from accidental overdoses of opioid analgesics jumped significantly from 1999 to 2011, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
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Over a Quarter of Hospital Orders Classified As Defensive
TUESDAY, Sept. 16, 2014 (HealthDay News) -- More than one-quarter of hospital medicine services were rated by ordering physicians as at least a partially defensive order, according to a research letter published online Sept. 15 in JAMA Internal Medicine.
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New Role of Patient As Consumer Requires Market Changes
FRIDAY, Sept. 12, 2014 (HealthDay News) -- The new consumer retail market in U.S. health care is necessary and will benefit consumers, and as consumers take on more costs of care, access to information to help them make informed decisions is crucial, according to a recent white paper published by Vitals.
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Errata Frequently Seen in Medical Literature
MONDAY, Sept. 15, 2014 (HealthDay News) -- Errata, including those that may materially change the interpretation of data, are frequent in medical publications, according to a study published in the August issue of The American Journal of Medicine.
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Physician Describes Impact of Malpractice Suit
THURSDAY, Sept. 11, 2014 (HealthDay News) -- A family doctor who was involved in a malpractice suit describes the impact on her practice of medicine in an article published online in the September/October issue of the Annals of Family Medicine.
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Reanalyses of RCTs Can Lead to Different Conclusions
WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- More than one-third of the small number of reanalyses of randomized clinical trials (RCTs) have implied conclusions different from those of the original articles, according to a study published online Sept. 9 in the Journal of the American Medical Association.
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Editorial
For Some, Health Insurance More Costly Than Uninsured Penalty
TUESDAY, Sept. 9, 2014 (HealthDay News) -- For some young people in the United States, the cost of paying a penalty for not buying health insurance will be lower than the lowest-cost insurance, according to a study published online Sept. 9 in the Annals of Internal Medicine.
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Health Care Spending Expected to Rise in 2014 Through 2023
MONDAY, Sept. 8, 2014 (HealthDay News) -- While health spending growth was slow in 2013, health spending is expected to increase in 2014 and remain higher through 2023, according to a study published online Sept. 3 in Health Affairs.
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Peri-Op Melatonin Doesn't Cut Post-Op Delirium in Elderly
MONDAY, Sept. 8, 2014 (HealthDay News) -- For elderly patients undergoing acute surgery for hip fracture, perioperative melatonin does not reduce the incidence of delirium, according to a study published online Sept. 2 in CMAJ, the Journal of the Canadian Medical Association.
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Pediatricians Have Important Role in Preoperative Process
THURSDAY, Sept. 4, 2014 (HealthDay News) -- Pediatricians have an important part in preparing surgical patients and their families for procedures, according to a policy statement published online Aug. 25 in Pediatrics.
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Malnutrition Ups Risk of Elective Spine Surgery Complications
WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- Preoperative hypoalbuminemia, as a marker for malnutrition, is an independent risk factor for postoperative complications after elective spine surgery for degenerative and deformity causes, according to a study published in the Aug. 15 issue of Spine.
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