Today’s Top Story
Pan-drug resistant E. coli strain found in United States.
The journal Antimicrobial Agents and Chemotherapy reports that a strain of Escherichia coli that is resistant to all known antibiotics has been discovered in a patient in the United States. The E. coli strain contains the mcr-1 gene, which confers resistance to colistin—considered by some experts to be an antibiotic of last resort.
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Read the complete study…
In related news, a study published online in the journal Clinical Infectious Diseases reviewed data on 4,184 U.S. hospitals from the 2014 National Healthcare Safety Network Annual Hospital Survey, and found that only 39 percent reported having an antibiotic stewardship program that met all seven core elements of the U.S. Centers for Disease Control and Prevention Core Elements for Hospital Antibiotic Stewardship Programs.
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Other News
Study: Do age and sex affect outcomes of hip arthroscopy for FAI?
A study published in the May 18 issue of The Journal of Bone & Joint Surgery examines age and sex factors that may affect outcomes of hip arthroscopy for femoroacetabular impingement (FAI). The authors conducted a prospective study of 150 patients who were treated with hip arthroscopy for FAI by a single surgeon. At minimum 2-year follow-up, they found that across six patient categories based on sex and age, all groups demonstrated significant improvements in the Hip Outcome Score Activities of Daily Living Subscale, Hip Outcome Score Sport-Specific Subscale, and modified Harris hip score. However, patients older than 45 years of age scored significantly worse on all outcomes compared with patients younger than 30 years of age and patients 30 to 45 years of age. Overall, female patients older than 45 years of age demonstrated the lowest outcome scores. In the age group of 45 years or younger, female patients performed as well as male patients in terms of hip clinical outcome scores.
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Study: Radial extracorporeal shock wave therapy may be effective treatment for CTS.
Findings from a study published in the June issue of the Journal of Orthopaedic Research suggest that radial extracorporeal shock wave therapy (rESWT) may be effective for the treatment of carpal tunnel syndrome (CTS). The research team conducted a prospective, randomized, controlled, double-blinded study of 34 patients (40 wrists) treated with either three sessions of rESWT and nightly splinting, or sham rESWT with nightly splinting. At 1-, 4-, 8-, and 12-week follow-ups, they found significantly greater improvement in the intervention group according to Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores, cross-sectional area (CSA) of the median nerve, sensory nerve conduction velocity of the median nerve, and finger pinch strength, with the exception of BCTQ severity at week 12 and CSA at weeks 1 and 4.
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Study: Low daily intake of fruit and vegetables may increase risk of hip fracture among older individuals.
According to data published online in the Journal of Bone and Mineral Research, a reduced daily intake of fruits and vegetables may be linked to increased hip fracture risk compared to a moderate daily intake. The researchers conducted a prospective study of 142,018 individuals aged 60 years or older and found that an intake of ≤1 servings/day of fruit and vegetables combined was associated with a 39 percent increase in hip fracture risk compared to a moderate intake (>3 and ≤5 servings/day). However, intake of >5 servings/day was not associated with lower risk in comparison to the same reference. The researchers note that overall, the association between fruit and vegetable intake and fracture risk was more evident among women.
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California.
July 1, 2016 is the deadline for physicians in California to register for the Controlled Substance Utilization Review and Evaluation System (CURES). Under state law, all individuals practicing in California who possess both a state regulatory board license authorized to prescribe, dispense, furnish or order controlled substances and a Drug Enforcement Administration Controlled Substance Registration Certificate must register to use CURES.
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Register for CURES…
June AAOS Now is online now and in your mailbox soon!
AAOS members will soon receive the print edition of the June issue of AAOS Now, but the online edition is already available on the AAOS Now website. This month’s issue includes an article on a proposed physician reimbursement framework called for under the Medicare Access and CHIP Reauthorization Act (MACRA), a look at the experiences of several team physicians, an examination of gainsharing payment opportunities, and much more!
Read more…
Read “CMS Releases MACRA Proposed Rule”…
Read “Making of a Team Physician”…
Read “The Death and Rebirth of Gainsharing: Payment Opportunities for the Orthopaedic Surgeon”…
Call for volunteers: Council on Advocacy.
July 1 is the last day to submit your application for chair of the Council on Advocacy. The Council on Advocacy oversees and evaluates the legislative, regulatory, and health policy programs and initiatives of the American Association of Orthopaedic Surgeons (AAOS), as well as the Political Action Committee of the AAOS. Applicants for this position must be active fellows with experience in the AAOS committee and council structure and an understanding of the major legislative and regulatory healthcare issues of concern to the orthopaedic community.
Learn more and submit your application…(member login required)
Former AAOS President Robert W. Bucholz, MD, passes.
Robert W. Bucholz, MD, the 72nd president of the AAOS (2004-2005) passed away Friday, May 20, 2016. “He was a wonderful Academy President,” said AAOS Chief Executive Officer Karen Hackett, FACHE, CAE. “I very much enjoyed working with him. He will be missed.” Colleagues wishing to honor Dr. Bucholz may consider a contribution to the Bob Bucholz Scholarship Fund at the Colorado Outdoor Education Center/Sanborn Western Camps, P.O. Box 167, Old Stage Road, Florissant, Col., 80816.
