January 30, 2019
Today’s Top Story

Study: Preoperative Malnutrition Could Predict Complications After TJA

A systematic review published online in The Journal of Arthroplasty found that serologic malnutrition may be associated with postoperative complications in total joint arthroplasty (TJA) patients. Researchers reviewed 20 studies pertaining to the effects of malnutrition in total hip and total knee arthroplasty patients. They observed a strong correlation between preoperative serologic malnutrition markers and inferior postoperative outcomes. All 20 studies evaluated albumin as a malnutrition marker; 11 (55 percent) used total lymphocyte count as a marker, and six (30 percent) used transferrin. Eighteen studies (90 percent) associated at least one serological marker with worse outcomes after TJA. Albumin levels less than 3.5 dg/L were indicative of postoperative wound complication.

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Other News

Study Evaluates Long-term Outcomes After Arthroscopic In Situ Repair

A study published online in Arthroscopy found that patients treated with arthroscopic in situ repair for partial-thickness rotator cuff tears had positive long-term results and low revision rates. A total of 62 patients (mean age, 52.4 years) underwent arthroscopic in situ repair to treat injuries involving the supraspinatus tendon. Researchers assessed glenohumeral range of motion measurement, the American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS) score for pain, return to sports and performance achievement level, and postoperative complications. Patients were followed for at least eight years (mean, 10.4 years). Active range of motion, ASES score, and VAS score all significantly improved. Of the 30 patients who played sports preoperatively, 26 returned to sports after surgery, and 24 achieved preinjury levels. No patients required revision surgery. Three cases of postoperative adhesive capsulitis responded favorably to physical therapy.

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Study: Ultrasonography Useful for Diagnosing and Treating Pelvic Fractures

In a prospective study published online in the Journal of Orthopaedic Surgery and Research, researchers found that ultrasonography may help determine stability in—and select a treatment plan for—lateral compression type1 (LC-1) pelvic fractures. An ultrasound revealed that among 22 LC-1 pelvic fracture patients, 10 had a stable fracture. Nine patients underwent surgery, and 13 received conservative treatment. Fracture healing time, fracture-related complication, Majeed score, and overall recovery were comparable between the groups. Sensitivity and specificity of the ultrasonography were 66.67 percent and 76.92 percent, respectively.

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Claims Costs and Policies Determine Insurers’ Participation, Premium Costs

The Government Accountability Office has issued a report on factors associated with insurance issuer exchange participation and changes in premium costs. It states that both were affected by increasing claims costs, as well as state and federal changes and funding. Some issuers said that federal and state policy changes will continue to have an impact on their decisions this year, notably when it comes to premium changes.

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Insurers Speak Out Against CMS’ Part D Changes

The insurance industry raised concerns regarding changes to Medicare Part D plans proposed by the Centers for Medicare & Medicaid Services (CMS). CMS stated the new rule will target the way performance-based pharmacy payment arrangements impact “negotiated prices,” which are the point-of-sale prices pharmacies must report to CMS for Part D drugs. Industry lobbyists believe the changes will increase premiums and reduce benefits.

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AAOS Welcomes the Republic of Korea as 2019 Guest Nation

During the upcoming AAOS 2019 Annual Meeting in Las Vegas, the Republic of Korea will receive the honor of the Guest Nation. Won Yong Shon, MD, PhD, president of the Korean Orthopaedic Association (KOA), will lead the delegation. KOA has grown substantially since its inception in 1956. Established with nine physicians, the organization now has more than 8,000 members and spans 24 subspecialty societies.

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Learn more about the Annual Meeting…


Access the Quality Programs Development Timeline

AAOS is continuously running concurrent quality projects to provide members with relevant, up-to-date clinical practice guidelines (CPGs), appropriate use criteria (AUC), and performance measures. With overlapping project timelines, some taking up to 18 months, the Department of Clinical Quality and Value has created a Quality Programs Development Timeline webpage. This page permits the user to locate the quality product, determine the status at a glance, and view participating societies. It also displays coordinating CPG/AUC project completion timelines.

View the timeline…


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