Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for January 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.
Deal Could Trade Tort Reform for Additional Health Reform
FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.
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Aspirin Linked to Reduced Growth of Ear Tumors
FRIDAY, Jan. 31, 2014 (HealthDay News) -- Patients with sporadic vestibular schwannoma (sVS), which can cause hearing loss, are half as likely to have tumor growth if they take aspirin, according to research published in the February issue of Otology & Neurotology.
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Low Morbidity/Mortality Rates for Adult Tonsillectomy in U.S.
FRIDAY, Jan. 31, 2014 (HealthDay News) -- Adult tonsillectomy appears to be safe, with low rates seen for mortality and morbidity, according to a study published online Jan. 30 in JAMA Otolaryngology-Head & Neck Surgery.
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Inappropriate Use of Antibiotics in ERs Remains High for Adults
THURSDAY, Jan. 30, 2014 (HealthDay News) -- For patients presenting to the emergency department with acute respiratory tract infections (ARTI), inappropriate utilization of antibiotics has decreased for children, but not for adults, according to a study published online Dec. 16 in Antimicrobial Agents and Chemotherapy.
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Improving Infection Control Could Mean No More White Coats
THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.
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Docs Prefer Tablets Over Smartphones for Reading Articles
THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.
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Report Reveals Payment Methods for Physicians
THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.
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Practices Must Engage Vendors for ICD-10 Updates Now
WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Practice owners need to communicate with system vendors to coordinate International Classification of Diseases, 10th Revision (ICD-10) updates, according to an article published Dec. 25 in Medical Economics.
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Businesses Urge Change to ACA's Insurance Mandate
WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.
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Handwashing Appears Best in Prevention of Common Cold
WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- The evidence relating to prevention and treatment of the common cold is frequently poor, but best evidence for prevention supports physical methods such as handwashing and possibly use of zinc supplements, according to a review published online Jan. 27 in CMAJ, the journal of the Canadian Medical Association.
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Insurance Eligibility Headaches Expected With ACA
TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.
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Framework Established to Promote Safety of Care
TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.
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Hearing Loss Linked to Accelerated Brain Atrophy
TUESDAY, Jan. 28, 2014 (HealthDay News) -- Older individuals with hearing problems have accelerated brain atrophy, particularly in the right temporal lobe, according to a study published online Jan. 9 in NeuroImage.
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FDA Panel Considers First Pill for Ragweed Allergy
TUESDAY, Jan. 28, 2014 (HealthDay News) -- There may be good news coming in the form of a pill for the millions of Americans who suffer from ragweed allergy. On Tuesday, the U.S. Food and Drug Administration's Allergenic Products Advisory Committee will consider whether to recommend approval of the first pill to prevent this annual scourge.
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Older Sibling Sensitivity Affects Younger Child's Vocabulary
MONDAY, Jan. 27, 2014 (HealthDay News) -- Children exposed to large sibships who have an older sibling that exhibits high cognitive sensitivity are less likely to show low vocabulary skills, according to a study published online Jan. 27 in Pediatrics.
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Top Ten Physician Challenges of 2014 Discussed
MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.
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Writing a Blog Can Up a Doc's Visibility
FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.
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Medical Staff Performance Goals Should Be Clear, Attainable
THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.
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Legitimacy of Publishing Pharma-Funded Research Queried
WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.
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Some Medical Schools Offering Accelerated Training
WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.
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Pediatric AOM Costs Health Care System ~$2.88 Billion Annually
TUESDAY, Jan. 21, 2014 (HealthDay News) -- Pediatric acute otitis media (AOM) is associated with increased health care utilization and costs, adding approximately $2.88 billion in health care expense annually, according to a study published in the January issue of The Laryngoscope.
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ACA Impact on Primary Practice May Depend on Location
TUESDAY, Jan. 21, 2014 (HealthDay News) -- The impact of Medicaid expansion under the Affordable Care Act (ACA) on physicians' primary care practices will vary geographically, according to an article published Dec. 25 in Medical Economics.
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More Federal Funding of Health Centers Mitigates Access Issues
TUESDAY, Jan. 21, 2014 (HealthDay News) -- Since 2000, increased federal funding for community health centers has helped low-income adults get access to primary care and dental care, according to a study published online Dec. 18 in Health Services Research.
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Researchers Examine FDA Decision Making Processes
TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.
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Medication Synchronization Program Ups Adherence
TUESDAY, Jan. 21, 2014 (HealthDay News) -- A community pharmacy-based medication synchronization program can improve medication adherence, according to a study conducted by the National Community Pharmacists Association (NCPA).
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Survey IDs Factors Influencing Physician Job Satisfaction
TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.
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Doctor Urges Colleagues to Disclose Conflicts of Interest
MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.
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Considerable Variation in Quality of Care for Tonsillectomy
MONDAY, Jan. 20, 2014 (HealthDay News) -- Considerable variation is observed across hospitals in the quality of care for routine tonsillectomy among children, according to a study published online Jan. 20 in Pediatrics.
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State Insurance Marketplaces Boost Outreach Efforts
THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.
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Reliable Emotion Words ID'd to Assess Patient Experience
THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.
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Survey Results Identify Drivers of Doctor Engagement
THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.
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NCPA: Access to Controlled Substances Often Delayed
THURSDAY, Jan. 16, 2014 (HealthDay News) -- Most pharmacists report experiencing multiple delays or issues with their controlled substance orders, according to the results of the National Community Pharmacists Association (NCPA) Controlled Substances Access Survey.
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FDA Warns Against Rx With High Levels of Acetaminophen
WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is recommending that physicians stop prescribing and dispensing prescription combination drug products containing more than 325 mg of acetaminophen per tablet, according to a safety alert issued by the agency.
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More Than Two Million People Have Signed Up for ACA Coverage
TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.
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Wednesday Is Deadline for Feb. 1 Coverage Under ACA
TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.
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Intensity-Modulated Radiation Ups Head/Neck Cancer Survival
MONDAY, Jan. 13, 2014 (HealthDay News) -- Patients with head and neck cancers treated with intensity-modulated radiation therapy (IMRT) experience significant improvements in cause-specific survival (CSS) compared with patients treated with non-IMRT techniques, according to a study published online Jan. 13 in Cancer.
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CMS: New Rule Proposed for Contract Year 2015
MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).
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Survey: Fees, Reimbursement Top Physician Worries
FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.
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EHR Use Linked to Doc-Reported Enhanced Patient Care
FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.
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CMS: Low Growth for National Health Expenditures in 2012
FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.
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Female Conveners Up Number of Women at Scientific Symposia
FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.
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ACP Introduces Free 'High Value Care' Case Studies
FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.
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Implantable Device Improves Moderate-to-Severe Sleep Apnea
WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- An upper-airway stimulation device significantly reduces the severity of obstructive sleep apnea in patients who cannot receive continuous positive airway pressure (CPAP) treatment, according to a study published in the Jan. 9 issue of the New England Journal of Medicine.
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Surgical Management of Pediatric Otitis Media Reviewed
WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- A systematic review of the comparative efficacy of surgical treatments for otitis media with effusion (OME) in children has been published online Jan. 6 in Pediatrics.
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Administrative Demands Hurt Patient-Doctor Relationship
WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Administrative demands on doctors, particularly primary care physicians, threaten the patient-doctor relationship, according to an article published Dec. 10 in Medical Economics.
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Smoking Rates Still Low for Most Health Care Professionals
WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.
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U.S. Cancer Death Rates Decreasing Steadily
TUESDAY, Jan. 7, 2014 (HealthDay News) -- Cancer death rates have been decreasing steadily for the past two decades, with the magnitude of the decrease varying with age, race, and sex, according to a report published online Jan. 7 in CA: A Cancer Journal for Clinicians.
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AMA Urges Med Students to Be Agents of Health Care Change
TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).
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Post-Op Health Care Costs Up for Former, Current Smokers
TUESDAY, Jan. 7, 2014 (HealthDay News) -- Health care costs in the year following discharge for an inpatient surgical procedure are increased for former and current smokers, compared with never smokers, although there are no differences with smoking status in costs for the index hospitalization, according to a study published online Jan. 1 in JAMA Surgery.
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Non-White Physicians Provide Disproportionate Minority Care
MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.
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CDC Addresses Burden, Threat of Antibiotic Resistance
MONDAY, Jan. 6, 2014 (HealthDay News) -- The burden and threats posed by antibiotic resistance infections are discussed in a report published by the U.S. Centers for Disease Control and Prevention.
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AMA Details Top Five Federal Issues for 2014
MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).
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Over 100 New Accountable Care Organizations Formed
FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.
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Surgery First Found to Improve Oral Cancer Outcomes
FRIDAY, Jan. 3, 2014 (HealthDay News) -- For patients with oral cavity squamous cell carcinoma (OCSCC), outcomes are improved with surgery first, according to a study published online Dec. 26 in JAMA Otolaryngology-Head & Neck Surgery.
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Impact of Transitions in Doctors' Careers Discussed
THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.
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Worsening of Shortage of Residency Slots Feared
THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.
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CDC: Updated Guidance for HBV Vaccination for Health Workers
THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Docs Have Until Jan. 31 to Change Medicare Status
THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).
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