Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for May 2019. 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.

Lupus Manifestations Appear to Differ by Race, Ethnicity

FRIDAY, May 31, 2019 (HealthDay News) — Clinical manifestations of systemic lupus erythematosus (SLE) vary by racial and ethnic groups, according to a study published online May 22 in Arthritis Care & Research.

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Experts Develop Standardized Tool for Describing Cell Therapies

THURSDAY, May 30, 2019 (HealthDay News) — A tool has been developed that can improve standardization and transparency when describing cell therapies, according to a report published in the May 15 issue of the The Journal of Bone & Joint Surgery.

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High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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Hip Fracture Linked to Increased Risk for Death in T2DM Patients

WEDNESDAY, May 29, 2019 (HealthDay News) — For patients with type 2 diabetes, hip fracture is associated with an increased risk for death, according to a study published online May 21 in the Journal of Diabetes Investigation.

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More Than 1 in 4 Middle-Aged Men, Women Have Low Bone Mineral Density

WEDNESDAY, May 29, 2019 (HealthDay News) — More than 25 percent of men and women aged 35 to 50 years have low bone mineral density (BMD), according to a study published in the June issue of the Journal of the American Osteopathic Association.

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Global Burden of Serious Health-Related Suffering to Double by 2060

WEDNESDAY, May 29, 2019 (HealthDay News) — The global burden of serious health-related suffering is set to increase 47 percent by 2060, according to a study published online May 22 in The Lancet Global Health.

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FDA Permits Marketing of Test to Detect Periprosthetic Joint Infection

TUESDAY, May 28, 2019 (HealthDay News) — The Synovasure Lateral Flow Test Kit was granted approval for marketing as an aid in detecting periprosthetic joint infection when evaluating patients for revision surgery, the U.S. Food and Drug Administration announced.

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Poverty Ups Risk for Amputation After Knee Replacement

TUESDAY, May 28, 2019 (HealthDay News) — Lower socioeconomic status is associated with an increased risk for above-knee amputation (AKA) after periprosthetic joint infection (PJI) of the knee, according to a study recently published in Clinical Orthopaedics and Related Research.

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U.S. Lawmakers Say WHO Opioid Guidelines Too Lax

THURSDAY, May 23, 2019 (HealthDay News) — The World Health Organization’s pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn, two U.S. lawmakers say.

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Fracture Risk Tool Useful for Women on Aromatase Inhibitors

TUESDAY, May 21, 2019 (HealthDay News) — The FRAX fracture risk tool can stratify fracture risk equally well among women receiving aromatase inhibitor (AI) therapy for breast cancer and nonusers of AI therapy, according to a study published online May 9 in the Journal of Bone and Mineral Research.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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Global Burden of Musculoskeletal Diseases on the Rise

FRIDAY, May 17, 2019 (HealthDay News) — The burden of musculoskeletal (MSK) diseases increased significantly worldwide between 2000 and 2015, according to a study published in the June issue of Annals of the Rheumatic Diseases.

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Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Opioid Quantity Prescribed After Musculoskeletal Injury Tied to Prolonged Use

WEDNESDAY, May 15, 2019 (HealthDay News) — For opioid-naive patients treated for a surgical musculoskeletal injury, the quantity of opioid prescribed, but not opioid type, is associated with prolonged opioid use, according to a study published in the May 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.

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CDC: Racial Disparity Seen With Lupus-Related Deaths

WEDNESDAY, May 15, 2019 (HealthDay News) — Mortality from systemic lupus erythematosus (SLE) is significantly higher among blacks, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Prevalence of Low Back Pain About 26.4 Percent in U.S. Workers

MONDAY, May 13, 2019 (HealthDay News) — The overall prevalence of low back pain (LBP) among U.S. workers is about 26.4 percent, according to a research letter published online May 14 in the Annals of Internal Medicine.

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Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

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In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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CDC: Prevalence of Arthritis 22.8 Percent in U.S. Adults in 2017

WEDNESDAY, May 8, 2019 (HealthDay News) — The prevalence of arthritis was 22.8 percent in U.S. adults in 2017, with statewide variation in prevalence and in the prevalence of severe joint pain and physical inactivity among those with arthritis, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

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Oral Contraceptive Pill May Protect Against ACL Tears

MONDAY, May 6, 2019 (HealthDay News) — Oral contraceptive pill (OCP) use is associated with reduced odds of experiencing an anterior cruciate ligament (ACL) reconstruction, especially for girls aged 15 to 19 years, according to a study recently published online in The Physician and Sportsmedicine.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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Implementing Surgical Safety Checklist Reduces Mortality

FRIDAY, May 3, 2019 (HealthDay News) — There has been a significant reduction in surgical mortality during the last decade in Scotland that is partially attributable to the implementation of the World Health Organization Surgical Safety Checklist, according to a study published online April 16 in the British Journal of Surgery.

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Thiazide Use May Lower Fracture Risk in Patients With Alzheimer Disease

WEDNESDAY, May 1, 2019 (HealthDay News) — Community-dwelling patients with Alzheimer disease (AD) experience a lower risk for fractures, including hip fractures, with thiazide use, according to a study published online April 16 in Osteoporosis International.

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