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January 2014 Briefing - Surgery

January 2014 Briefing - Surgery

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

Abstract (http://content.healthaffairs.org/content/33/1/53.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/53.full )

Limited Microdiscectomy Effective for Disc Herniation

FRIDAY, Jan. 31, 2014 (HealthDay News) -- In patients with lumbar disc herniation, limited discectomy with removal of the fragment is associated with good long-term outcomes, according to a study published in the February issue of the Journal of Spinal Disorders & Techniques.

Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2014/02000/Limited_Microdiscectomy_for_Lumbar_Disk.7.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2014/02000/Limited_Microdiscectomy_for_Lumbar_Disk.7.aspx )

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.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1814414#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1814414 )

Model Can Predict Spine Surgery Complications

THURSDAY, Jan. 30, 2014 (HealthDay News) -- A new model can predict the risk of medical complications, including major complications, after spine surgery, according to a study published in the Feb. 1 issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)01648-3/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)01648-3/fulltext )

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.

Abstract (http://www.jstor.org/stable/info/10.1086/675066 )Full Text (http://www.jstor.org/stable/full/10.1086/675066 )

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.

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ab3a17c69-7ccb-4795-8fba-e8cec6356875&plckScript=blogScript&plckElementId=blogDest )

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.

More Information (http://www.kantarmedia-healthcare.com/doctors-are-more-likely-to-use-tablets-over-smartphones-to-read-medical-publications )

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.

Full Article (http://consumer.healthday.com/diabetes-information-10/insulin-news-414/businesses-urge-change-to-obamacare-s-insurance-mandate-684325.html )

Diabetes With Obesity Ups Liver Transplant Morbidity

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Morbidity is increased in the early postoperative phase following liver transplant for patients who have obesity with diabetes mellitus, according to research published online Jan. 7 in Liver Transplantation.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lt.23818/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23818/pdf )

Successful Outcomes for Most Failed Rotator Cuff Repairs

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- More than half of patients with failed rotator cuff repair have successful outcomes, and the presence of retear negatively affects clinical outcomes, according to two studies published in the Jan. 15 issue of The Journal of Bone & Joint Surgery.

Abstract - Namdari (http://jbjs.org/article.aspx?articleid=1809955 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1809955 )Abstract - Kim (http://jbjs.org/article.aspx?articleid=1809943 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1809943 )Editorial (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1809961 )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-brace-aca-insurance-eligibility-headaches-january )

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.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314628?query=featured_home )

Low BMI Tied to Better Surgical Scoliosis Curve Correction

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For patients undergoing spinal fusion for adolescent idiopathic scoliosis (AIS), low body mass index (BMI) is associated with greater percent correction of thoracic curves, according to a study published in the Jan. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2014/01150/Low_Body_Mass_Index_in_Adolescent_Idiopathic.12.aspx )Full Text (subscription or payment may be required) ( http://journals.lww.com/spinejournal/Abstract/2014/01150/Low_Body_Mass_Index_in_Adolescent_Idiopathic.12.aspx )

USPSTF: Draft Recommendations Issued for AAA Screening

TUESDAY, Jan. 28, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has issued recommendations for abdominal aortic aneurysm (AAA) screening. This draft recommendation statement is based on an evidence review published online Jan. 28 in the Annals of Internal Medicine.

Draft Recommendation Statement (http://www.uspreventiveservicestaskforce.org/draftrec.htm )Comment on Recommendations (http://www.uspreventiveservicestaskforce.org/tfcomment.htm )Background Review (http://annals.org/article.aspx?articleid=1817257 )

Hormone Therapy Linked to Reduced Arthroplasty Revision

MONDAY, Jan. 27, 2014 (HealthDay News) -- Hormone replacement therapy use (HRT) is associated with a reduction in revision rates for total knee arthroplasty (TKA) and total hip arthroplasty (THA), according to a study published online Jan. 22 in the Annals of the Rheumatic Diseases.

Abstract (http://ard.bmj.com/content/early/2014/01/07/annrheumdis-2013-204043 )Full Text (subscription or payment may be required) (http://ard.bmj.com/content/early/2014/01/07/annrheumdis-2013-204043.full )

Total Knee Arthroplasty Has Economic Benefit for Society

MONDAY, Jan. 27, 2014 (HealthDay News) -- For a 50-year-old working person, the total economic cost to society for treatment of severe knee osteoarthritis is considerably lower with total knee arthroplasty than with nonoperative treatment, according to a study published in the Jan. 15 issue of The Journal of Bone and Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1809945 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1809945 )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/top-10-challenges-facing-physicians-2014 )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/why-writing-blog-may-benefit-physician-s-career )

Volume of Trauma Care Affects Geriatric Trauma Outcomes

FRIDAY, Jan. 24, 2014 (HealthDay News) -- For geriatric trauma patients, larger volumes of geriatric trauma care are associated with improved outcomes, according to a study published online Jan. 22 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1815006#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1815006 )Editorial (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1815005 )

Editorial Discusses Ultrasound in Point-of-Care Diagnostics

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Ultrasound devices represent an important point-of-care diagnostic modality, which is increasingly being used in numerous specialties, according to an editorial published in the December issue of Global Heart.

Full Text (subscription or payment may be required) (http://www.globalheart-journal.com/article/S2211-8160(13)00171-3/fulltext )

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.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/managing-staff-performance-reviews-and-raises )

CDC: Cesarean Section Rate Declining in the United States

THURSDAY, Jan. 23, 2014 (HealthDay News) -- The rate of cesarean sections in a subset of U.S. states increased between 2006 and 2009 and then declined through 2012, according to a report published in the Jan. 23 issue of the U.S. Centers for Disease Control and Prevention's National Vital Statistics Reports.

More Information (http://www.cdc.gov/nchs/data/nvsr/nvsr63/nvsr63_01.pdf )

Reintubation After Cervical Fusion Up With 3+ Levels

THURSDAY, Jan. 23, 2014 (HealthDay News) -- For patients undergoing anterior cervical fusion (ACF), three-or-more-level fusions significantly predict the risk of unplanned reintubation, according to a study published in the Jan. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2014/01150/Incidence,_Outcomes,_and_Mortality_of_Reintubation.9.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2014/01150/Incidence,_Outcomes,_and_Mortality_of_Reintubation.9.aspx )

Results of Safety Efforts for Hospitalized Patients Are Mixed

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Based on Medicare data for 2005 through 2011, adverse-event rates declined for patients hospitalized for some conditions, but not others, according to research published in the Jan. 23 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsa1300991 )

Early Vulvar CA Tx Has Little Impact on Sexuality, Body Image

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Women undergoing treatment for early-stage vulvar cancer generally experience little to no long-term disruption to sexuality or body image, according to a study published online Jan. 17 in the Journal of Advanced Nursing.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jan.12346/full )

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.

Full Text (http://www.bmj.com/content/348/bmj.g171 )

Hypertension Linked to Post-Cervical Fusion Readmission

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The readmission rate following anterior cervical discectomy and fusion (ACDF) is 2.5 percent, and hypertension may increase the likelihood of readmission, according to a study published in the Jan. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2014/01150/Predictors_of_Thirty_Day_Readmission_After.8.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2014/01150/Predictors_of_Thirty_Day_Readmission_After.8.aspx )

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.

More Information (http://www.kaiserhealthnews.org/stories/2014/january/14/medical-schools-shaving-off-a-year-of-training.aspx )

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.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/full )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-will-insurance-exchanges-medicaid-expansion-mean-your-primary-care-pract )

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.

Abstract - Downing (http://jama.jamanetwork.com/article.aspx?articleid=1817794#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817794 )Abstract - Rome (http://jama.jamanetwork.com/article.aspx?articleid=1817796#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817796 )Abstract - Sacks (http://jama.jamanetwork.com/article.aspx?articleid=1817795#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817795 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817770 )

Multiple Medications Increase Odds of Hospital Admission

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of unplanned admission is increased with polypharmacy, but the association is modified by the number of long-term conditions, according to a study published online Jan. 16 in the British Journal of Clinical Pharmacology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/pdf )

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).

More Information (http://www.ncpanet.org/pdf/survey/2014/ncpa-study-results.pdf )

Wait Time to Lumbar Discectomy Linked to Post-Op Pain

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of experiencing worse pain at six months post-surgery is increased with a waiting time of 12 weeks or more for elective surgical lumbar discectomy (ESLD), according to a study published in the Dec. 1 issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00554-8/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00554-8/fulltext )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/delivering-quality-patient-care-key-physician-satisfaction-study-finds )

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.

Full Text (http://www.bmj.com/content/348/bmj.g167 )

Discrepancies Found in Spine Surgeon Financial Disclosures

MONDAY, Jan. 20, 2014 (HealthDay News) -- There are considerable discrepancies between spine surgeons disclosures and payments reported by industry, according to a study published in the Dec. 1 issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430%2813%2900542-1/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430%2813%2900542-1/fulltext )

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.

Abstract (http://pediatrics.aappublications.org/content/early/2014/01/15/peds.2013-1884.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/15/peds.2013-1884.full.pdf+html )

One-Fifth of Hospitalizations in Advanced GI Cancer Avoidable

FRIDAY, Jan. 17, 2014 (HealthDay News) -- For patients with advanced gastrointestinal (GI) cancer, about 20 percent of hospitalizations are potentially avoidable, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.52.4330.abstract )Full Text (http://jco.ascopubs.org/content/early/2014/01/13/JCO.2013.52.4330.full.pdf+html )

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.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/state-health-marketplaces-boost-outreach-683935.html )

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.

Full Text (http://www.sciencedirect.com/science/article/pii/S2213076413000389 )

Massage Enhances Fat Reduction With Cryolipolysis

THURSDAY, Jan. 16, 2013 (HealthDay News) -- Post-treatment manual massage improves the efficacy of cryolipolysis on fat reduction, according to a study published online Dec. 11 in Lasers in Surgery and Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22209/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22209/full )

'Eyeball Test' Is Poor Estimate of Cardiac Surgical Risk

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Compared with subjective physician estimates, statistical risk estimates are more accurate for predicting operative and long-term mortality in patients undergoing cardiac surgery, according to research published online Jan. 14 in Circulation: Cardiovascular Quality and Outcomes.

Abstract (http://circoutcomes.ahajournals.org/content/early/2014/01/13/CIRCOUTCOMES.113.000329.abstract )Full Text (subscription or payment may be required) (http://circoutcomes.ahajournals.org/content/early/2014/01/13/CIRCOUTCOMES.113.000329.full.pdf+html )Editorial (subscription or payment may be required) (http://circoutcomes.ahajournals.org/content/early/2014/01/13/CIRCOUTCOMES.113.000760.full.pdf+html )

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.

More Information (http://www.ncpanet.org/pdf/survey/2014/controlled-substances-access-survey.pdf )

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.

More Information (http://www.cejkasearch.com/news/press-releases/rules-of-engagement-new-survey-reveals-drivers-of-physician-engagement-and-a-disconnect-with-administration/ )

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.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm381650.htm )

Baseline Factors Can Predict Return to Work With Sciatica

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Prognostic factors have been identified to predict return to work (RTW) among patients with sciatica, according to a study published in the Dec. 1 issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)01268-0/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)01268-0/fulltext )

Intensive Monitoring Ups Surgical Treatment of CRC Recurrence

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- For patients who have undergone curative surgery for primary colorectal cancer, intensive monitoring is associated with increased surgical treatment of recurrence compared with minimum follow-up, but does not reduce the number of deaths, according to a study published in the Jan. 15 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1814213#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1814213 )

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.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/deadline-for-feb-1-health-coverage-is-approaching-683814.html )

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.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/more-than-2-million-enroll-in-marketplace-health-plans-683818.html )

Lumbar Spinal Stenosis Surgery Rates Vary by Race

MONDAY, Jan. 13, 2014 (HealthDay News) -- Rates of hospitalization for lumbar spinal stenosis surgery vary significantly by race and ethnic group, according to a study published in the Dec. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/12150/United_States_Hospital_Admissions_for_Lumbar.17.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/12150/United_States_Hospital_Admissions_for_Lumbar.17.aspx )

Hospital Quality Adds to Disparities in Cardiac Surgery

MONDAY, Jan. 13, 2014 (HealthDay News) -- Hospital quality contributes to the racial disparities in outcomes after coronary artery bypass graft (CABG) surgery, according to research published online on Jan. 8 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1813318#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1813318 )Editorial (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1813316 )

Patterns of Shoulder Injuries Vary in High School Sports

MONDAY, Jan. 13, 2014 (HealthDay News) -- Rates and patterns of shoulder injuries vary by sport and gender in high school athletes, according to research published online Jan. 13 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2014/01/07/peds.2013-2279.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/07/peds.2013-2279.full.pdf+html )

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).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2014-Fact-sheets-items/2014-01-06.html )

Survival Improving After Hip and Knee Replacement

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Short-term survival after elective total hip (THR) and total knee replacement (TKR) has greatly improved since the early 1990s, even though comorbidities have increased, according to a study published online Dec. 18 in Arthritis & Rheumatism.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.38232/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.38232/pdf )

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.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/flat-declining-salaries-inflate-physician-worries-over-payments-red-tape )

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.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/full )

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.

Abstract (http://mbio.asm.org/content/5/1/e00846-13 )Full Text (http://mbio.asm.org/content/5/1/e00846-13.full )

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.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2014-Press-releases-items/2014-01-06.html )

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.

More Information (http://hvc.acponline.org )

Transcatheter Valve Implantation Benefits Even Very Elderly

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Transcatheter aortic valve implantation is associated with acceptable clinical outcomes, even among very elderly patients, according to a study published in the January issue of the Annals of Thoracic Surgery.

Abstract (http://www.annalsthoracicsurgery.org/article/S0003-4975(13)01713-X/abstract )Full Text (http://annalsthoracicsurgery.org/article/S0003-4975(13)01713-X/fulltext )

Lowering WBC Criteria Lowers Negative Appendectomy Rate

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Reducing the threshold of leukocytosis as a criterion for appendicitis to 8,000 to 9,000 white blood cells (WBCs) per µL reduces the rates of negative appendectomy, according to a study published online Dec. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/133/1/e39 )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/133/1/e39.full )

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.

Abstract (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-3228.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-3228.full.pdf+html )

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.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812944 )

More Specialists Needed to Meet Needs of Aging Population

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- More specialist providers, including vascular surgeons and cardiologists, are needed to meet the care needs of a growing elderly population, according to research published in the November issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/11/2013.abstract?sid=740cd967-9ecd-4802-8933-f28d7c17c66e )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/11/2013.full )

Workers' Compensation Data Captures Back Pain Experience

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Workers' compensation data can be used to capture a partial understanding of workers' low back pain (LBP) experiences, according to a study published in the Dec. 15 issue of Spine.

Full Text (http://journals.lww.com/spinejournal/Fulltext/2013/12150/Recurrence_of_Work_Related_Low_Back_Pain_and.18.aspx )

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).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a247728ba-e82a-4527-97c6-010eeb7584af&plckScript=blogScript&plckElementId=blogDest#.Usuqmf35E_s )

Dynamic Stabilization, Fusion Achieve Comparable Outcomes

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Pedicle screw-based dynamic stabilization yields similar functional outcomes to instrumented posterior fusion in elderly patients with degenerative scoliosis, with fewer adverse outcomes, according to a study published in the Jan. 1 issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(12)01299-5/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(12)01299-5/fulltext )

Conserving Blood Cuts Transfusions in Aortic Valve Surgery

TUESDAY, Jan. 7, 2014 (HealthDay News) -- A blood conservation strategy (BCS) reduces red blood cell (RBC) transfusions in patients undergoing aortic valve replacement (AVR) without increasing mortality or morbidity, according to research published in the January issue of the Annals of Thoracic Surgery.

Abstract (http://www.annalsthoracicsurgery.org/article/S0003-4975(13)02144-9/abstract )Full Text (subscription or payment may be required) (http://www.annalsthoracicsurgery.org/article/S0003-4975(13)02144-9/fulltext )

Tibial Nerve Decompression Doesn't Cut Cross-Sectional Area

TUESDAY, Jan. 7, 2014 (HealthDay News) -- For patients with painful diabetic polyneuropathy (DPN), surgical decompression of the tibial nerve has no effect on the mean cross-sectional area of the nerve, according to a study published online Dec. 30 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/12/17/dc13-1787.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/12/17/dc13-1787.full.pdf+html )

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.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1793209#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1793209 )

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.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1792913 )

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.

More Information (http://www.cdc.gov/drugresistance/threat-report-2013/index.html )

Unrestricted Hospital Visiting Hours Up Patient Satisfaction

MONDAY, Jan. 6, 2014 (HealthDay News) -- Open visitation improves the patient and family experience and does not cause interference for hospital staff, according to research published in the Journal for Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jhq.12035/full )

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).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ada87eb10-f35f-4894-b57d-b69658bc9ab6&plckScript=blogScript&plckElementId=blogDest )

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.

More Information (http://www.hhs.gov/news/press/2013pres/12/20131223a.html )

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.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1791577#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1791577 )

Combination Protocol Accurately Diagnoses Appendicitis in Kids

FRIDAY, Jan. 3, 2014 (HealthDay News) -- A clinical pathway combining the Samuel's pediatric appendicitis score (PAS) and selective use of ultrasonography (US) has high sensitivity and specificity for diagnosing appendicitis in children, according to a study published online Dec. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/12/24/peds.2013-2208.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/12/24/peds.2013-2208.full.pdf+html )

Most Women Experience Breast Cancer Postoperative Pain

FRIDAY, Jan. 3, 2014 (HealthDay News) -- Most women with unilateral non-metastasized breast cancer treated with breast conserving surgery or mastectomy with axillary surgery experience postoperative pain at 12 months, according to a research letter published in the Jan. 1 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1810368 )

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.

Full Text (subscription or payment may be required) (http://www.bmj.com/content/347/bmj.f7086 )

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.

Full Blog Post (http://www.kevinmd.com/blog/2013/12/fearful-time-medical-students.html )Save GME Website (http://savegme.org/ )

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.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6210a1.htm?s_cid=rr6210a1_w )

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).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a0390d077-20bd-4215-9a2c-78e71583edbd&plckScript=blogScript&plckElementId=blogDest#.UsJswv35E_s )

Positive Outcomes With Improved Hemorrhoidectomy Information

THURSDAY, Jan. 2, 2014 (HealthDay News) -- For patients undergoing day-case hemorrhoidectomy, improved quality of patient information is associated with positive outcomes, according to a study published in the November/December issue of the Journal of Healthcare Quality.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00201.x/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00201.x/full )