Here are what the editors at HealthDay consider to be the most important developments in Cosmetic 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.
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 )
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 )
Study Examines Botox Dose Disparity in Aesthetic Face Tx
FRIDAY, Feb. 22 (HealthDay News) -- For patients undergoing onabotulinum toxin A injections, the difference in doses given to achieve desired results in the muscles of the upper and lower face results from variable amounts of paralysis needed to achieve the desired aesthetic effects, according to a study published online Feb. 21 in JAMA Facial Plastic Surgery.
Abstract (http://archfaci.jamanetwork.com/article.aspx?articleid=1655116#Abstract )Full Text (subscription or payment may be required) (http://archfaci.jamanetwork.com/article.aspx?articleid=1655116 )
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 Approves New Silicone Gel-Filled Breast Implant
THURSDAY, Feb. 21 (HealthDay News) -- The Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implant has been approved by the U.S. Food and Drug Administration for breast augmentation in women aged 22 years or older and for reconstruction in women of all ages.
More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm340447.htm )
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 )
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 )
Mycobacterial Infection Seen After Laser Resurfacing
MONDAY, Feb. 18 (HealthDay News) -- Nontuberculous mycobacterial infection can occur after fractionated carbon dioxide (CO2) laser resurfacing, according to a case series published in the March issue of Emerging Infectious Diseases.
Full Text (http://wwwnc.cdc.gov/eid/article/19/3/12-0880_article.htm )
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 )
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 )
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 )
Mohs Surgery OK in Seniors Aged 90 Years or Older
FRIDAY, Feb. 8 (HealthDay News) -- Mohs micrographic surgery (MMS) is safe in seniors aged 90 years or older, according to a study published in the February issue of the Journal of the American Academy of Dermatology.
Abstract (http://www.jaad.org/article/S0190-9622(12)01143-7/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(12)01143-7/fulltext )
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 )
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 )
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 )