November 2016 Briefing - Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for November 2016. 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.

Link Found Between Surgery and Development of Guillain-Barré

MONDAY, Nov. 28, 2016 (HealthDay News) -- Patients who've recently undergone surgery -- especially those with cancer or autoimmune diseases -- experience slightly higher risks of developing Guillain-Barré syndrome (GBS) soon afterward, according to a study published online Nov. 23 in Neurology: Clinical Practice.

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Decision Aid Ups Rate of Knee Replacement Surgery for Blacks

MONDAY, Nov. 28, 2016 (HealthDay News) -- A decision aid can increase the rate of total knee replacement (TKR) surgery among black patients with knee osteoarthritis (OA), according to a study published online Nov. 23 in JAMA Surgery.

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Rising Rx, ER Prices Pushing U.S. Health Care Spending Up

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.

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Discussing Opioid Risks With Patients Reduces Misuse

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Discussing the risk of long-term opioid use disorder with patients is associated with reduced misuse of opioids, according to research published in the November/December issue of the Annals of Family Medicine.

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Thiazide-Type Diuretic Treatment Tied to Lower Fracture Risk

MONDAY, Nov. 21, 2016 (HealthDay News) -- Thiazide-type diuretic therapy reduces hip and pelvic fracture risk compared with other antihypertensive medication therapy, according to a study published online Nov. 21 in JAMA Internal Medicine.

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Barriers Identified in Current Knee Osteoarthritis Care

FRIDAY, Nov. 18, 2016 (HealthDay News) -- In current knee osteoarthritis care, both personal factors and factors related to health care professionals play a role in treatment nonadherence, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

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Shoulder-Related Issues Common After Thyroid Cancer Surgery

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- Patients with thyroid carcinoma undergoing thyroid surgery often have shoulder-related complaints, according to a study published online Nov. 12 in Head & Neck.

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Findings Support Bisphosphonate Use in Men With Osteoporosis

TUESDAY, Nov. 15, 2016 (HealthDay News) -- Bisphosphonates reduce the risk of vertebral, and possibly nonvertebral, fractures for men with osteoporosis, according to a review and meta-analysis published online Nov. 7 in the Journal of the American Geriatrics Society.

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Novel Diagnostic Method for Concussion Shows Potential

MONDAY, Nov. 14, 2016 (HealthDay News) -- A simple blood test may one day diagnose concussions with more than 90 percent certainty, according to a study published online Oct. 28 in Metabolomics.

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Spinal Manipulation Tx Benefits Older Adults With Neck Pain

MONDAY, Nov. 14, 2016 (HealthDay News) -- For older adults with chronic mechanical neck pain, spinal manipulative therapy (SMT) plus home exercise and advice (HEA) results in better clinical outcomes and lower costs versus supervised rehabilitative exercise (SRE) plus HEA, according to a study published in the November issue of The Spine Journal.

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HR Capabilities Positively Linked to Quality of Patient Care

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.

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High-Frequency Spine Stimulation Offers Superior Pain Relief

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- High-frequency electrical stimulation of the spinal cord may relieve severe chronic back pain more effectively than conventional low-frequency stimulation, according to research published in the November issue of Neurosurgery.

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Meta-Analysis Links Increased BMI, Hand Osteoarthritis

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Increased body mass index may have a moderate effect on hand arthritis, according to a meta-analysis published recently in the International Journal of Rheumatic Diseases.

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Guideline Adapted for Surgical Antimicrobial Prophylaxis

TUESDAY, Nov. 8, 2016 (HealthDay News) -- An adapted clinical practice guideline (CPG), published online Nov. 3 in the Journal of Evaluation in Clinical Practice, has been developed for surgical antimicrobial prophylaxis (SAP), using two validated tools.

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Many States Lack 'Return-to-Learn' Concussion Laws

MONDAY, Nov. 7, 2016 (HealthDay News) -- All U.S. states have "return-to-play" laws designed to protect young athletes who've suffered a concussion, but as of May 2016, only eight states had "return-to-learn" laws aimed at managing children's concussion recovery, according to a review published online Nov. 7 in Pediatrics.

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Five Strategies Can Reduce Risk of Medical Lawsuits

MONDAY, Nov. 7, 2016 (HealthDay News) -- Five strategies can be employed by physicians in order to help reduce the risk of lawsuits, according to an article published in Medical Economics.

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