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| Today’s Top Story
Study: Impact of Anxiety and Depression on In-hospital TJA Complications
A study published in the Oct. 15 issue of the Journal of the AAOS ® found that anxiety and depression are major risk factors for postoperative anemia and in-hospital complications in total joint arthroplasty (TJA). The National Inpatient Sample database was queried for all TJA cases between 2006 and 2015, and then divided based on concomitant diagnoses of depression, anxiety, depression and anxiety, or neither depression nor anxiety (control). The relative incidence of anxiety and depression increased over time. All three subgroups with these comorbidities also demonstrated greater total charges and length of stay versus controls.
Read the abstract… |
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| In Other News
Study: Intra-articular Steroids during Knee Arthroscopy May Increase Infection Risk
A retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy found that intra-articular steroid injections during knee arthroscopy led to a 4.3-fold risk of subsequent infection. However, the researchers noted, incidence of infection is still rare. The researchers reviewed 6,889 cases from a single center, including 2,416 patients (35.1 percent) who received a steroid injection Of 10 cases of postoperative infection (0.15 percent), seven occurred in patients who received steroids. Infection occurred at a median of 18 days. Age, BMI, smoking status, or incidence of diabetes were similar between patients with or without infection.
Read the abstract… |
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| Study: Double-pulley Remplissage in Military Service Members with Shoulder Instability
A study published online in Arthroscopy reported significant improvement after double-pulley remplissage with anterior labral repair for traumatic shoulder instability with glenoid bone loss among active-duty military service members. Twenty-four patients were followed for a minimum of four years. Regarding American Shoulder and Elbow Surgeons scores, Single Assessment Numeric Evaluation scores, and Rowe Instability scores, 91.7 percent, 83.3 percent, and 95.8 percent of patients, respectively, exceeded the minimal clinically important difference in scores postoperatively. Twenty-two patients remained on active-duty status, and recurrent dislocation occurred in 4.2 percent of patients.
Read the abstract… |
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| Study: Tiered Guidelines Reduce Opioid Prescribing after Pediatric Orthopaedic Procedures
A single-center study published online in the Journal of Pediatric Orthopaedics found that tiered opioid guidelines significantly decreased prescriptions after pediatric orthopaedic procedures. In total, 258 patients treated before the 2018 implementation of the four-tier guidelines were compared to a post-guideline cohort of 212 patients. The median oral morphine equivalents prescribed significantly decreased from the pre- to post-guidelines period (97.5 versus 37.5, respectively), and the rate of no opioids prescribed increased from 13 percent to 23 percent. Tier four procedures were associated with reduced prescriptions compared to the pre-guideline period; however, this tier had greater 30-day refills (28.8 percent) compared to pre-guideline levels (10.2 percent).
Read the abstract… |
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| Bipartisan Prior Authorization Reform Bill Introduced in the Senate
Today, Senators Roger Marshall, MD (R-Kans.), Krysten Sinema (D-Ariz.), and John Thune (R-S.D.) introduced the Improving Seniors’ Timely Access to Care Act, bipartisan legislation that would improve timely access to quality care for seniors under Medicare Advantage. Specifically, the bill would modernize the way Medicare Advantage plans and healthcare providers use prior authorization. The bill has been endorsed by AAOS as well as more than 320 national and state organizations representing patients, healthcare providers, medical device manufacturers, and health information technology companies across the country.
Read the press release…
Learn more about AAOS advocacy efforts on this issue… |
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| AAOS Now
Basic Science and the Meniscus: Where Are We Now?
This article was featured in Monday’s issue of AAOS Headline News Now but included the wrong description. The following description is the correct version: The understanding of the role of meniscus function in knee preservation continues to evolve, and the armamentaria for cartilage preservation in the knee continues to grow. In this article, Fred R.T. Nelson, MD, FAAOS, and Alan M. Reznik, MD, MBA, FAAOS, discuss the latest additions to the knowledge base of the meniscal structure, function, repair, and healing. “Ongoing research is elucidating signal changes within the meniscus, stresses at the roots, healing potential within the synovial environment, and the ability of molecules to move in and out of the damaged tissue,” the authors write.
Read more… |
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| Your AAOS
New Podcast Episodes: Impact of Medicare Pay Cuts; Plus, Why Launch a Professional Development Podcast?
The October episodes of The Bone Beat Orthopaedic Podcast Channel aired earlier this month. In the latest “AAOS Advocacy Podcast” episode, a healthcare economist discusses the potential for an up to 10 percent reduction in Medicare reimbursements beginning in 2022 and the effects these cuts will have on physician practices and patient care amidst our nation’s growing healthcare expenditures. This month’s “AAOS Career Podcast” episode explains how an idea to address orthopaedic residents’ educational needs became an innovative platform for sharing small, digestible professional development lessons for any orthopaedic surgeon.
Listen to the episode on Medicare Pay Cuts…
Listen to the episode on Professional Development… |
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