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January 2013 Briefing - Otolaryngology

January 2013 Briefing - Otolaryngology

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for January 2013. 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.

Physicians Commonly Report Unsafe Hospital Workloads

TUESDAY, Jan. 29 (HealthDay News) -- Physicians say they often face unsafe hospital workloads, according to a study published online Jan. 28 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1566604 )

Brain Scans Show Doctors Empathize With Patients

TUESDAY, Jan. 29 (HealthDay News) -- Physicians who empathize with a patient in pain and feel relief when the patient receives effective treatment show activity in brain regions associated with pain relief and reward, according to a study published online Jan. 29 in Molecular Psychiatry.

Abstract (http://www.nature.com/mp/journal/vaop/ncurrent/abs/mp2012195a.html )Full Text (subscription or payment may be required) (http://www.nature.com/mp/journal/vaop/ncurrent/full/mp2012195a.html )

Predictors of Dissatisfaction With Midface Rejuvenation ID'd

FRIDAY, Jan. 25 (HealthDay News) -- For patients who undergo midface rejuvenation surgery, the rate of dissatisfaction with outcome is associated with malar hypoplasia and loss of elasticity, according to a study published online Jan. 24 in JAMA Facial Plastic Surgery.

Abstract (http://archfaci.jamanetwork.com/article.aspx?articleid=1558176#Abstract )Full Text (subscription or payment may be required) (http://archfaci.jamanetwork.com/article.aspx?articleid=1558176 )

ACPE Survey Finds Skepticism Relating to Online Doc Ratings

THURSDAY, Jan. 24 (HealthDay News) -- Physicians are skeptical of online ratings, and believe that few patients use them, according to a survey published by the American College of Physician Executives (ACPE).

More Information (http://www.acpe.org/resources/surveys/2013_Doctor_measures_survey.aspx )

Large Teaching Hospitals Face More Readmission Penalties

WEDNESDAY, Jan. 23 (HealthDay News) -- Large hospitals, teaching hospitals, and safety-net hospitals (SNHs) are more likely than other hospitals to be penalized under the Centers for Medicare & Medicaid Services' Hospital Readmissions Reduction Program (HRRP), according to a research letter published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558273 )

Care Transition Initiative Decreases Rehospitalizations

WEDNESDAY, Jan. 23 (HealthDay News) -- Communities instituting quality improvement initiatives for care transitions see significant declines in the rate of 30-day rehospitalizations and hospitalizations, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1558278#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558278 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558260 )

Hearing Loss Linked to Cognitive Impairment in Elderly

MONDAY, Jan. 21 (HealthDay News) -- For older adults, hearing loss is independently associated with incident cognitive impairment; and about 11 percent of those aged 80 or older have dual sensory impairment (DSI), according to two studies published online Jan. 21 in JAMA Internal Medicine.

Abstract - Lin (http://archinte.jamanetwork.com/article.aspx?articleid=1558452#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1558452 )Abstract - Swenor (http://archinte.jamanetwork.com/article.aspx?articleid=1558453 )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1558453 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1558459 )

Efforts Failed to Up Primary Care, Rural Resident Training

FRIDAY, Jan. 18 (HealthDay News) -- The 2005 redistribution of graduate medical education (GME) funds did little to train more residents in primary care and in rural areas, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/1/102.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/1/102.full )

Differences in Care for E-Visits, Office Visits for Sinusitis, UTI

THURSDAY, Jan. 17 (HealthDay News) -- For patients with sinusitis or urinary tract infection (UTI), follow-up is similar following office visits or e-visits, but antibiotics are more likely to be prescribed and preventive care is less likely with e-visits, according to a research letter published in the Jan. 14 issue of JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1392490#qundefined )

Influenza Burden Remains High in Young Children

THURSDAY, Jan. 17 (HealthDay News) -- Although the influenza vaccine is recommended for all children aged 6 months and older, less than 45 percent of young children are fully vaccinated and the health care burden of influenza is considerable, according to a study published online Jan. 6 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/01/02/peds.2012-1255.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/01/02/peds.2012-1255.full.pdf+html )

Even Brief Interruptions Dramatically Increase Errors

WEDNESDAY, Jan. 16 (HealthDay News) -- Even momentary interruptions of two to four seconds can significantly affect a person's ability to accurately complete a task requiring considerable thought, according to research published online Jan. 7 in the Journal of Experimental Psychology: General.

Abstract (http://psycnet.apa.org/psycinfo/2013-00033-001/ )Full Text (subscription or payment may be required) (http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-00033-001 )

Family Docs Are Early Adopters of Electronic Health Records

WEDNESDAY, Jan. 16 (HealthDay News) -- Family practice physicians are adopting electronic health record (EHR) systems at a fast pace, with 68 percent using an EHR system by 2011, and 80 percent expected to be users by 2013, according to research published in the January/February issue of the Annals of Family Medicine.

Abstract (http://annfammed.org/content/11/1/14.abstract )Full Text (http://annfammed.org/content/11/1/14.full )

Mismatched Expectations on Average Duration of Cough

TUESDAY, Jan. 15 (HealthDay News) -- Patients tend to underestimate the average duration of acute cough illness (ACI), according to research published in the January/February issue of the Annals of Family Medicine.

Abstract (http://annfammed.org/content/11/1/5.abstract )Full Text (http://annfammed.org/content/11/1/5.full )

Certain Online Behaviors of Docs Warrant Investigation

MONDAY, Jan. 14 (HealthDay News) -- There is high consensus among state medical boards regarding the likelihood of probable investigations for certain online behaviors, according to a study published in the Jan. 15 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1556363 )

Top Five Issues for Docs and Patients Identified for 2013

MONDAY, Jan. 14 (HealthDay News) -- The top five issues that will impact physicians and patients in 2013 have been identified, according to a report published Dec. 10 by The Physicians Foundation.

More Information (http://www.physiciansfoundation.org/news/the-physicians-foundation-identifies-top-five-issues-to-impact-physicians-a/ )

In Oropharyngeal Cancer, HPV Status Impacts Distant Mets Risk

MONDAY, Jan. 14 (HealthDay News) -- In patients with oropharyngeal cancer (OPC), human papillomavirus (HPV) status and T and N staging categories affect the rate of distant control (DC) and may help identify candidates for treatment deintensification strategies, according to research published online Jan. 7 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/01/07/JCO.2012.44.0164.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/01/07/JCO.2012.44.0164.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/01/07/JCO.2012.46.7746.full.pdf+html )

National U.S. Health Care Spending Relatively Stable

FRIDAY, Jan. 11 (HealthDay News) -- The growth in national U.S. health care spending was relatively stable in 2011, but growth in personal health care spending accelerated, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/1/87.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/1/87.full )

SPIRIT 2013 Clinical Trial Protocol Guidelines Issued

THURSDAY, Jan. 10 (HealthDay News) -- A panel of experts, including trial investigators, trial coordinators, and representatives from ethics and regulatory agencies, has developed the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 guidelines for the minimum content of a clinical trial, according to a statement published online Jan. 8 in the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1556168#Abstract )Full Text (http://annals.org/article.aspx?articleid=1556168 )

Health Care Use Dropped Among All During Recession

TUESDAY, Jan. 8 (HealthDay News) -- Health care use declined significantly among all races and ethnicities during the recession from 2007 to 2009, with the only ethnic disparity being fewer physician visits by Hispanics compared with whites, according to a study published online Jan. 7 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1555816 )

Shared Savings May Promote Care Coordination Entity Use

MONDAY, Jan. 7 (HealthDay News) -- Use of shared savings could encourage individuals who are dually eligible for Medicare and Medicaid to enroll in state-designed care coordination entities (CCEs), according to a perspective piece published online Jan. 2 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214155 )

Association Between Health Care Cost, Quality Inconsistent

THURSDAY, Jan. 3 (HealthDay News) -- The direction of the association between health care cost and quality is unclear, with inconsistent evidence indicating positive, negative, mixed, and indeterminate associations, according to a review published in the Jan. 1 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1487781 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1540566 )

House Joins Senate to Avert Medicare Cuts

WEDNESDAY, Jan. 2 (HealthDay News) -- The House of Representatives settled on an 11th-hour agreement late Tuesday night that has averted the widespread tax increases and spending cuts that would have gone into effect January 1. This agreement occurred 21 hours after the U.S. Senate did its part to steer the country clear of the "fiscal cliff."

More Information (http://www.whitehouse.gov/ )