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February 2013 Briefing - Surgery

February 2013 Briefing - Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for February 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.

Hyperbaric Oxygen No Benefit for Diabetic Foot Ulcers

THURSDAY, Feb. 28 (HealthDay News) -- For patients with diabetic foot ulcers, use of hyperbaric oxygen (HBO) is not associated with improved healing or with a decrease in the likelihood of amputation, according to a study published online Feb. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-2160.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/02/14/dc12-2160.full.pdf+html )

Glycemic Control Not Linked to Adverse Outcomes After TKA

THURSDAY, Feb. 28 (HealthDay News) -- For patients undergoing total knee arthroplasty, diabetes (with or without poor glycemic control) is not associated with adverse surgical outcomes, according to research published online Feb. 27 in The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1566977 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1566977 )Editorial (http://jbjs.org/article.aspx?articleid=1566981 )

CMS Issues Final Rule on Physician Sunshine Act

THURSDAY, Feb. 28 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) have issued a final rule requiring drug and device manufacturers and group purchasing organizations (GPOs) to report payment or gifts of more than $10 to physicians, hospitals, and other providers, and necessitating manufacturers and GPOs to report ownership or investment interests held by physicians or their family members.

More Information (http://www.gpo.gov/fdsys/pkg/FR-2013-02-08/pdf/2013-02572.pdf )

Bariatric Surgery Outcomes No Better at Centers of Excellence

TUESDAY, Feb. 26 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) policy restricting coverage of bariatric surgery to hospitals designated as centers of excellence (COEs) has not been associated with an improvement in bariatric surgery outcomes, according to a study published in the Feb. 27 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1656253#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1656253 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1656235 )

List of Five Unnecessary Vascular Tests Released

TUESDAY, Feb. 26 (HealthDay News) -- The Society for Vascular Medicine (SVM) has published "Five Things Physicians and Patients Should Question" in vascular medicine, a list of five tests and procedures that are commonly used but can be unnecessary or even harmful.

More Information (http://www.vascularmed.org/choosing/SVMCWList.pdf )

Preparation Underway for Implementation of ACA in 2014

TUESDAY, Feb. 26 (HealthDay News) -- As the implementation of the Affordable Care Act (ACA) nears, states are preparing for some of its provisions, including expanded access to Medicaid and the Children's Health Insurance Program (CHIP) and the use of information technology, according to a report issued by the Kaiser Family Foundation.

More Information (http://www.kff.org/medicaid/2013medicaid50statesurvey.cfm )

Spine Surgery Readmission Rates May Be Overestimated

MONDAY, Feb. 25 (HealthDay News) -- For patients admitted for spine surgery, the readmission rate may be overestimated when calculated based on administrative data sets, according to a study published in the February issue of the Journal of Neurosurgery: Spine.

Abstract (http://thejns.org/doi/full/10.3171/2012.10.SPINE12559#abstract )Full Text (http://thejns.org/doi/full/10.3171/2012.10.SPINE12559 )Editorial (http://thejns.org/doi/full/10.3171/2012.9.SPINE12856 )

Bariatric Surgery Does Not Appear to Cut Health Care Costs

MONDAY, Feb. 25 (HealthDay News) -- Bariatric surgery does not appear to reduce health care costs over a six-year period, according to an analysis published online Feb. 20 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1653574#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1653574 )Editorial (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1653577 )

Mental Health and Substance Use Disorder Benefits Expanded

FRIDAY, Feb. 22 (HealthDay News) -- In a final rule, which will make purchasing health coverage easier for consumers, mental health and substance use benefits will be expanded to 62 million Americans, according to a report published Feb. 20 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/02/20130220a.html )

CMS Proposes Payment and Policy Updates for 2014

THURSDAY, Feb. 21 (HealthDay News) -- Payment and policy updates have been proposed for 2014, according to the Centers for Medicare and Medicaid Services (CMS) Advanced Notice and draft Call Letter published Feb. 15.

More Information (http://www.cms.gov/apps/media/press/release.asp?Counter=4540&intNumPerPage=10&checkDa%20te=&checkKey=&srchType=1&numDays=3500&sr )

FDA: Codeine After Surgery Puts Children At Risk

THURSDAY, Feb. 21 (HealthDay News) -- Even when given in recommended amounts, codeine can be dangerous, perhaps deadly, in children, according to the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm315497.htm )

Higher Risk of Hip Implant Failure for Women Than Men

THURSDAY, Feb. 21 (HealthDay News) -- After adjustment, implant failure is more likely for women than men who undergo total hip arthroplasty (THA), according to a study published online Feb. 18 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1653996#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1653996 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1653990 )

ASPS: Plastic Surgery Procedures Increasing in U.S.

THURSDAY, Feb. 21 (HealthDay News) -- Plastic surgery is increasing in the United States, with 14.6 million cosmetic plastic procedures carried out in 2012, up 5 percent since 2011, according to a report published by the American Society of Plastic Surgeons (ASPS).

More Information (http://www.plasticsurgery.org/News-and-Resources/2012-Plastic-Surgery-Statistics.html )

Report Discusses Impact of ACGME 2011 Requirements

THURSDAY, Feb. 21 (HealthDay News) -- Although many residency program directors approve of individual components within the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements introduced in 2011, less than half express overall approval, according to a perspective piece published in the Feb. 21 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214483 )

Faster Adoption of Electronic Health Records Needed

WEDNESDAY, Feb. 20 (HealthDay News) -- The adoption of electronic health records (EHRs) by health providers for Medicare is increasing, but not quickly enough to avoid penalties in 2015, according to a letter published in the Feb. 21 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMc1213481 )

Opioids Involved in Most Medical Overdose Deaths

WEDNESDAY, Feb. 20 (HealthDay News) -- Opioid analgesics are involved in the majority of pharmaceutical-related overdose deaths, frequently involving drugs prescribed for mental health conditions, according to a research letter published in the Feb. 20 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1653518 )

Compound Localizes Recurrent Brain Tumor During Surgery

WEDNESDAY, Feb. 20 (HealthDay News) -- A fluorescent compound can help localize the spread of recurrent glioblastoma multiforme during surgery, according to a case report published online Feb. 19 in the Journal of Neurosurgery.

Abstract (http://thejns.org/doi/full/10.3171/2013.1.JNS121537#abstract )Full Text (http://thejns.org/doi/full/10.3171/2013.1.JNS121537 )

Robot-Assisted Hysterectomy Use Up From 2007 to 2010

TUESDAY, Feb. 19 (HealthDay News) -- The use of robotically-assisted and laparoscopic hysterectomy increased from 2007 to 2010; and despite similar complication rates, robotic procedures result in considerably higher costs than laparoscopic hysterectomy, according to a study published in the Feb. 20 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1653522#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1653522 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1653509 )

CMS: Unnecessary Medicare Regulations to Be Reformed

TUESDAY, Feb. 19 (HealthDay News) -- Medicare regulations which are unnecessary, obsolete, or excessively burdensome on hospital or health care providers will be reformed, according to a rule proposed by the Centers for Medicare & Medicaid Services (CMS) in response to the President's instructions in Executive Order 13563.

Proposed Rule (http://www.gpo.gov/fdsys/pkg/FR-2013-02-07/html/2013-02421.htm )Press Release (http://www.hhs.gov/news/press/2013pres/02/20130204d.html )

Multimodality Approach Needed to Reengineer Health Care

TUESDAY, Feb. 19 (HealthDay News) -- A multimodality approach focusing on reengineering the U.S. health care system may provide a way to improve quality and reduce costs, according to a viewpoint published in the Feb. 20 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1653532 )

Artificial Intelligence Can Improve Patient Care

TUESDAY, Feb. 19 (HealthDay News) -- Use of an artificial intelligence (AI) framework can improve patient outcomes at one-third of the costs of the current standard of care, according to a study published online Jan. 2 in Artificial Intelligence in Medicine.

Abstract (http://www.aiimjournal.com/article/S0933-3657(12)00151-0/abstract )Full Text (subscription or payment may be required) (http://www.aiimjournal.com/article/S0933-3657(12)00151-0/fulltext )

Health Care-Associated Infections Decreased in 2011

FRIDAY, Feb. 15 (HealthDay News) -- In 2011, decreases were noted for some health care-associated infections (HAIs), according to a report prepared by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/hai/pdfs/SIR/SIR-Report_02_07_2013.pdf )

General Anesthesia Ups Knee Replacement Complications

FRIDAY, Feb. 15 (HealthDay News) -- For patients undergoing total knee arthroplasty, use of general anesthesia is associated with a significant increase in complications compared with spinal anesthesia, according to a study published in the Feb. 6 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1485661 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1485661 )

Anterior Cruciate Ligament Surgery Not Needed for All Skiers

THURSDAY, Feb. 14 (HealthDay News) -- For recreational alpine skiers who have an anterior cruciate ligament (ACL) injury, evaluation at six to 12 weeks post-injury can identify patients who can be treated successfully without surgery, according to research published in Knee Surgery, Sports Traumatology, Arthroscopy.

Abstract (http://link.springer.com/article/10.1007%2Fs00167-012-2324-8 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007%2Fs00167-012-2324-8 )

IOM Urges International Action to Eradicate Fake Drugs

THURSDAY, Feb. 14 (HealthDay News) -- Falsified and substandard medications pose public health problems around the world, and international action should be taken to combat the phenomenon, according to a report published Feb. 13 by the Institute of Medicine (IOM).

More Information (http://www.iom.edu/Reports/2013/Countering-the-Problem-of-Falsified-and-Substandard-Drugs.aspx )

Psychological, Sexual Impact of Female Breadwinners Explored

THURSDAY, Feb. 14 (HealthDay News) -- For couples in which the wife earns more than the husband, there may be psychological and sexual implications, according to a study published in the March issue of the Personality and Social Psychology Bulletin.

Abstract (http://psp.sagepub.com/content/39/3/359.abstract )Full Text (subscription or payment may be required) (http://psp.sagepub.com/content/39/3/359.full )

Oregon Experiment Will Provide Insight Into ACO-Based Reform

WEDNESDAY, Feb. 13 (HealthDay News) -- The outcome of the Oregon experiment, an ambitious program centered on a model of an accountable care organization (ACO), will offer important lessons for the wider implementation of ACOs as cost-saving mechanisms, according to a perspective piece published online Feb. 13 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214141?query=featured_home )

Health Insurance Exchanges Are Top Priority on U.S. Agenda

WEDNESDAY, Feb. 13 (HealthDay News) -- The public's health care agenda places creation of a health insurance exchange or marketplace as a top priority, according to a report published by the Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health.

More Information (http://www.kff.org/kaiserpolls/8405.cfm )

Obtaining Price Estimate for Hip Arthroplasty Found Difficult

TUESDAY, Feb. 12 (HealthDay News) -- Obtaining a price estimate for a total hip arthroplasty (THA) procedure from U.S. hospitals is difficult, and there is considerable variation in the prices, according to a study published online Feb. 11 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1569848#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1569848 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1569849 )

Increasing Patient Activation Tied to Lower Health Care Costs

MONDAY, Feb. 11 (HealthDay News) -- Patient activation is associated with improved outcomes and lower health care costs, according to a review published in the February issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/2/207.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/2/207.full )

Electroacupuncture Reduces Duration of Post-Op Ileus

FRIDAY, Feb. 8 (HealthDay News) -- Electroacupuncture reduces the duration of postoperative ileus and shortens hospital stay for patients treated with laparoscopic surgery for colorectal cancer, according to research published in the February issue of Gastroenterology.

Abstract (http://www.gastrojournal.org/article/S0016-5085(12)01609-5/abstract )Full Text (http://www.gastrojournal.org/article/S0016-5085(12)01609-5/fulltext )

Incidence of Noncarotid Vascular Peri-Op Stroke 0.6 Percent

FRIDAY, Feb. 8 (HealthDay News) -- The overall incidence of perioperative stroke is 0.6 percent within 30 days of noncarotid vascular surgery, and is associated with increased 30-day all-cause mortality and increased median surgical length of stay, according to a study published in the February issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/116/2/424.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/116/2/424.full )

Final HIPAA Omnibus Rule Goes Into Effect March 26

FRIDAY, Feb. 8 (HealthDay News) -- The final omnibus rule, which makes changes to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, goes into effect March 26, and physicians must be in compliance by Sept. 23.

More Information (https://west.exch021.serverdata.net/owa/redir.aspx?C=2BpJN5QLtEmB-5Woq0l-bNrw6TmX2c8I7hgPmbx20P3Mfgjo9nB4RSWE9wgEPgrSDXzoR0FnkQ4.&URL=http%3a%2f%2fwww.gpo.gov%2ffdsys%2fpkg%2fFR-2013-01-25%2fpdf%2f2013-01073.pdf )

Anesthesia Assistance Used in 8.7 Percent of Colonoscopies

FRIDAY, Feb. 8 (HealthDay News) -- Anesthesia assistance is used in 8.7 percent of outpatient colonoscopies, with wide regional variation, but its use does not affect patient risk or outcomes, according to research published in the February issue of Gastroenterology.

Abstract (http://www.gastrojournal.org/article/S0016-5085(12)01596-X/abstract )Full Text (http://www.gastrojournal.org/article/S0016-5085(12)01596-X/fulltext )

Less Benefit for Obese With Lumbar Disc Herniation Tx

THURSDAY, Feb. 7 (HealthDay News) -- Obese patients derive less benefit from both operative and non-operative lumbar disc herniation treatment, according to a study published in the Jan. 2 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1391018 )Full Text (subscription or payment may be required) ( http://jbjs.org/article.aspx?articleid=1391018 )Editorial (http://jbjs.org/article.aspx?articleid=1391021 )

One Hospital Night OK for Robotic Partial Nephrectomy

THURSDAY, Feb. 7 (HealthDay News) -- Regardless of surgical complexity, most patients undergoing robotic partial nephrectomy (RPN) can be discharged in one day, according to a study published in the February issue of Urology.

Abstract (http://www.goldjournal.net/article/S0090-4295(12)01151-X/abstract )Full Text (subscription or payment may be required) (http://www.goldjournal.net/article/S0090-4295(12)01151-X/fulltext )

Risk Factors ID'd for Cervical Spinal Surgery Complications

THURSDAY, Feb. 7 (HealthDay News) -- Risk factors have been identified for medical complications following cervical spine surgery, with cardiac and pulmonary complications correlating with death within two years, according to research published in the Feb. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/02010/Risk_Factors_for_Medical_Complication_After.6.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/02010/Risk_Factors_for_Medical_Complication_After.6.aspx )

Minimally Invasive, Open Hemilaminectomy Equivalent

WEDNESDAY, Feb. 6 (HealthDay News) -- Minimally invasive (MIS) and open multilevel hemilaminectomy are similar with respect to cost and improved quality of life measures for the treatment of degenerative lumbar spinal stenosis, according to a study published in the February issue of the Journal of Spinal Disorders & Techniques.

Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2013/02000/Cost_utility_Analysis_of_Minimally_Invasive_Versus.7.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2013/02000/Cost_utility_Analysis_of_Minimally_Invasive_Versus.7.aspx )

Factors Affecting Weight Loss After Abdominoplasty Identified

WEDNESDAY, Feb. 6 (HealthDay News) -- For patients undergoing abdominoplasty, weight loss is associated with having a preoperative body mass index ≥24.5 kg/m² and is attributed to increased satiety in most patients, according to a study published in the February issue of Plastic and Reconstructive Surgery.

Full Text (http://journals.lww.com/plasreconsurg/Fulltext/2013/02000/Weight_Reduction_following_Abdominoplasty___A.36.aspx )

Physicians' Pay for Existing Patients Dropped in 2012

TUESDAY, Feb. 5 (HealthDay News) -- Physicians' pay for existing patients dropped considerably in 2012, according to the results of the Fee Schedule Survey published Jan. 31 in Physicians Practice.

More Information (http://www.physicianspractice.com/fee-schedule-survey/2012-fee-schedule-survey-data )

Cancer Mortality Decreasing for African-American Men, Women

TUESDAY, Feb. 5 (HealthDay News) -- Although African-Americans experienced decreases in cancer death rates from 2000 to 2009, the five-year survival rates are still lower than for whites, according to research published online Feb. 5 in CA: A Cancer Journal for Clinicians.

Abstract (http://onlinelibrary.wiley.com/doi/10.3322/caac.21173/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.3322/caac.21173/full )

Pre-Op Physiatry Consultation Reduces Spinal Surgery Rates

TUESDAY, Feb. 5 (HealthDay News) -- Requiring patients interested in spinal surgery to first see a rehabilitation physician reduces the number of spinal surgeries, reduces costs, and leaves patients largely satisfied, according to a study published in the Feb. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/02010/The_Effect_of_Required_Physiatrist_Consultation_on.21.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/02010/The_Effect_of_Required_Physiatrist_Consultation_on.21.aspx )

Alternative PSA Screening Strategies Could Reduce Harm

TUESDAY, Feb. 5 (HealthDay News) -- Compared with standard screening, alternative prostate-specific antigen (PSA) screening strategies could maintain good prostate cancer detection rates while reducing overdiagnoses and unnecessary biopsies, according to research published in the Feb. 5 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1567368 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1567370 )

Breast CA Diagnostic Errors Major Cause of Malpractice Suits

MONDAY, Feb. 4 (HealthDay News) -- The most common reason for medical malpractice suits against radiologists in the United States is diagnostic errors, particularly breast cancer and non-vertebral and spinal fractures, according to research published in the February issue of Radiology.

Abstract (http://radiology.rsna.org/content/266/2/548.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/266/2/548.full )

FSMB: Approaches Explored for Expediting Multi-State Licenses

MONDAY, Feb. 4 (HealthDay News) -- New approaches are being explored for streamlining physician multi-state licensure to accommodate the use of telemedicine in the delivery of health care, according to a report from a meeting held from Jan. 16 to 17 by the Federation of State Medical Boards (FSMB).

More Information (http://www.fsmb.org/pdf/nr-licensure-meeting.pdf )

More Complications for Inpatient Lumbar Discectomy

MONDAY, Feb. 4 (HealthDay News) -- Patients undergoing inpatient lumbar discectomy have significantly higher overall complication rates than those treated as outpatients, according to a study published in the Feb. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/02010/Outpatient_Surgery_Reduces_Short_Term.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/02010/Outpatient_Surgery_Reduces_Short_Term.12.aspx )

Low Complication Rate for Nipple-Sparing Mastectomy

FRIDAY, Feb. 1 (HealthDay News) -- Nipple-sparing mastectomy with microsurgical breast reconstruction can be safely performed for select patients, according to a study published in the February issue of Plastic and Reconstructive Surgery.

Abstract (http://journals.lww.com/plasreconsurg/Fulltext/2013/02000/Microsurgical_Breast_Reconstruction_for.3.aspx )Full Text (http://journals.lww.com/plasreconsurg/Fulltext/2013/02000/Microsurgical_Breast_Reconstruction_for.3.aspx )

Tourniquet Use Beneficial in Total Knee Arthroplasty

FRIDAY, Feb. 1 (HealthDay News) -- Although associated with slightly more postoperative pain, the use of a tourniquet during a total knee arthroplasty procedure reduces blood loss, postoperative inflammation, and muscle damage without affecting postoperative recovery, according to research published in the Dec. 19 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1473741 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1473741 )

July Residency Influx Doesn't Impact Spinal Surgery Outcomes

FRIDAY, Feb. 1 (HealthDay News) -- The July influx of new residents has a minimal effect on peri-procedural outcomes for patients undergoing spinal surgery, according to a study published online Jan. 29 in the Journal of Neurosurgery: Spine.

Abstract (http://thejns.org/doi/full/10.3171/2012.12.SPINE12300#abstract )Full Text (http://thejns.org/doi/full/10.3171/2012.12.SPINE12300 )

Knowing Cost of Imaging Tests Doesn't Cut Utilization

FRIDAY, Feb. 1 (HealthDay News) -- Physicians do not order fewer imaging tests if they are aware of the costs, according to a study published online Jan. 2 in the Journal of the American College of Radiology.

Abstract (http://www.jacr.org/article/S1546-1440(12)00347-X/abstract )Full Text (subscription or payment may be required) (http://www.jacr.org/article/S1546-1440(12)00347-X/fulltext )