Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for November 2012. 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.
Removal of Consultation Fees Increased Spending on Doc Visits
WEDNESDAY, Nov. 28 (HealthDay News) -- The 2010 Medicare elimination of consultation payments (mainly billed by specialists) led to a net increase in spending on physician office visits, according to a study published online Nov. 26 in the Archives of Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1399863#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1399863 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1399861 )
Political Leaders Face Voter Opposition to Medicare Cuts
WEDNESDAY, Nov. 28 (HealthDay News) -- The majority of those who voted for President Obama in the 2012 election favor implementing the Affordable Care Act (ACA), while those who voted for Republican officeholders are likely to oppose parts or all of the implementation of the ACA; both sides oppose cuts to Medicare as a means to balance the budget, according to an analysis of newly released polls published as a Special Report online Nov. 28 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMsr1213905?query=featured_home )
State Cost of Affordable Care Act's Medicaid Expansion Modest
WEDNESDAY, Nov. 28 (HealthDay News) -- Implementation of the Affordable Care Act's (ACA) Medicaid expansion will likely result in modest state costs by 2022, but will gain health care coverage for more than 20 million uninsured Americans, according to report published by the Kaiser Family Foundation.
More Information (http://www.kff.org/medicaid/kcmu112612nr.cfm )
Doc Earnings Growth Lags Behind Other Health Professionals
TUESDAY, Nov. 27 (HealthDay News) -- Compared with other health professionals, in the last 15 years there has been considerably less growth in the earnings of physicians in the United States, according to a research letter published in the Nov. 28 issue the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1456053 )
Obama Administration Moving Forward With Health Care Law
WEDNESDAY, Nov. 21 (HealthDay News) -- Three rules have been proposed by the Obama administration to further facilitate implementation of the Affordable Care Act, according to a Nov. 20 press release from the U.S. Centers for Medicare & Medicaid Services.
More Information (http://www.cms.gov/apps/media/press/release.asp?Counter=4478&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date )
New Surgical Concept Described for Nasal Tip Recontouring
WEDNESDAY, Nov. 21 (HealthDay News) -- A series of cases have demonstrated how maneuvers typically reserved for the open rhinoplasty approach can be combined with minimally invasive endonasal rhinoplasty techniques for effective nasal tip recontouring, according to research published online Nov. 19 in the Archives of Facial Plastic Surgery.
Abstract (http://archfaci.jamanetwork.com/article.aspx?articleid=1391949#Abstract )Full Text (http://archfaci.jamanetwork.com/article.aspx?articleid=1391949 )
Safety-Net Hospital Care Good for Head, Neck Cancer
WEDNESDAY, Nov. 21 (HealthDay News) -- Providing safety-net hospital care to head and neck cancer patients is not associated with an increase in complications or costs, according to a study published in the November issue of the Archives of Otolaryngology -- Head & Neck Surgery.
Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1392516#Abstract )Full Text (http://archotol.jamanetwork.com/article.aspx?articleid=1392516 )
~40% of Post-Op Complications Occur After Discharge
TUESDAY, Nov. 20 (HealthDay News) -- For patients undergoing surgery, about 40 percent of complications occur post-discharge (PD) and are associated with higher rates of reoperation and death, according to research published in the November issue of the Archives of Surgery.
Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1392155#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1392155 )Editorial (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1392144 )
Mental Illness, Job Stress Both Factors in Physician Suicides
FRIDAY, Nov. 16 (HealthDay News) -- The presence of mental illness or job problems may make physicians more vulnerable to suicide than non-physicians, according to a study published online Nov. 5 in General Hospital Psychiatry.
Abstract (http://www.ghpjournal.com/article/S0163-8343(12)00268-X/abstract )Full Text (subscription or payment may be required) (http://www.ghpjournal.com/article/S0163-8343(12)00268-X/fulltext )
Hearing Impairment More Prevalent in Diabetes
FRIDAY, Nov. 16 (HealthDay News) -- Hearing impairment is approximately twice as prevalent in people with diabetes compared with individuals who do not have diabetes, according to research published online Nov. 12 in the Journal of Clinical Endocrinology & Metabolism.
Abstract (http://jcem.endojournals.org/content/early/2012/11/08/jc.2012-2119.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2012/11/08/jc.2012-2119.full.pdf+html )
Social Network Profile May Harm Medical Applicants
MONDAY, Nov. 12 (HealthDay News) -- Social networking profiles may harm an applicant's chances of admission to medical school or a residency program, according to a study published online Nov. 8 in the Postgraduate Medical Journal.
Abstract (http://pmj.bmj.com/content/early/2012/10/31/postgradmedj-2012-131283 )Full Text (subscription or payment may be required) (http://pmj.bmj.com/content/early/2012/10/31/postgradmedj-2012-131283.full )
Conical Fiber Tips Best for Cutting Efficacy in Oral Surgery
THURSDAY, Nov. 8 (HealthDay News) -- For oral surgery, conical shaped fiber tips improve the quality and efficacy of diode laser cutting, according to a study published online Nov. 5 in Lasers in Surgery and Medicine.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22091/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22091/full )
Steroids Up Probability of Facial Nerve Recovery in Bell's Palsy
THURSDAY, Nov. 8 (HealthDay News) -- Updated guidelines recommend steroids for patients with new-onset Bell's palsy, which increases the probability of recovery of facial nerve function, while the addition of antivirals is associated with a modest benefit, according to evidence-based guidelines published online Nov. 7 in Neurology.
Abstract (http://www.neurology.org/content/early/2012/11/07/WNL.0b013e318275978c.abstract )Full Text (http://www.neurology.org/content/early/2012/11/07/WNL.0b013e318275978c.full.pdf+html )
Salivary Gland Ultrasonography Improves Sjögren's Diagnosis
FRIDAY, Nov. 2 (HealthDay News) -- The addition of salivary-gland ultrasonography (SGUS) to American-European Consensus Group (AECG) classification criteria improves the accuracy of diagnosis of primary Sjögren's syndrome (pSS), according to a study published online Oct. 25 in Arthritis & Rheumatism.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.37698/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.37698/pdf )