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July 2013 Briefing - Orthopedics

July 2013 Briefing - Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for July 2013. 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.

After Hip Replacement, Aspirin Cost-Effective for VTE Prophylaxis

WEDNESDAY, July 31 (HealthDay News) -- Aspirin is a cost-effective choice for prophylaxis of venous thromboembolism (VTE) following total hip arthroplasty, but the choice of aspirin versus low-molecular-weight heparin (LMWH) for patients younger than 80 years undergoing total knee arthroplasty is unclear, according to research published in the July 17 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1705132 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1705132 )

Health 'Mutual Accountability' Pilot Program Launching

WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.

More Information (https://www.i2e.org/news/medencentive-selected-for-pilot-program/ )

Risk Factors for Lumbar Spine Fx ID'd in U.S. Military Cohort

TUESDAY, July 30 (HealthDay News) -- The overall incidence rate of lumbar fractures was 0.38 per 1,000 person-years from 2001 to 2010 among a U.S. military cohort, according to a study published in the June issue of the Journal of Spinal Disorders & Techniques.

Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2013/06000/Lumbar_Spine_Fractures_Within_a_Complete_American.6.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2013/06000/Lumbar_Spine_Fractures_Within_a_Complete_American.6.aspx )

Reversal of Medical Practices Common Over Past Decade

TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.

Abstract (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/abstract )Full Text (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/fulltext )Editorial (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900403-5/fulltext )

Spondylolisthesis Sx Improves Pediatric Health Related-QOL

TUESDAY, July 30 (HealthDay News) -- In pediatric patients with high-grade spondylolisthesis, health-related quality of life (HRQOL) improves significantly after surgery, especially in patients with low baseline HRQOL scores, according to a study published in the July issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00125-3/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00125-3/fulltext )

Back Pain Management Relying on Guideline Discordant Care

TUESDAY, July 30 (HealthDay News) -- Management of back pain is increasingly relying on guideline discordant care, including narcotic use, advanced imaging, and referrals to physicians, according to research published online July 29 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1722522#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1722522 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1722504 )

College Football Players May Be at Risk for Hypertension

TUESDAY, July 30 (HealthDay News) -- Similar to professional athletes who play American-style football (ASF), players at the collegiate level may be at increased risk for clinically important increases in blood pressure (BP) and the development of hypertension, according to research published in the July 30 issue of Circulation.

Abstract (http://circ.ahajournals.org/content/128/5/524.abstract )Full Text (http://circ.ahajournals.org/content/128/5/524.full )Editorial (http://circ.ahajournals.org/content/128/5/477.full )

After Cervical Disc Surgery Pro Athletes Can Return to Sports

MONDAY, July 29 (HealthDay News) -- Professional athletes may return to full contact sports following a single-level anterior cervical discectomy and fusion (ACDF), according to research published in the July issue of Neurosurgery.

Full Text (http://journals.lww.com/neurosurgery/Fulltext/2013/07000/Outcomes_After_Anterior_Cervical_Discectomy_and.13.aspx )

Arthritis Physical Activity Plans Must Consider Work, Life

FRIDAY, July 26 (HealthDay News) -- Physical activity (PA) interventions for working adults with arthritis may be improved by taking into account the demands of an individual's multiple roles, including the complex relationship between work, health, and other life responsibilities, according to a study published in the July issue of Arthritis Care & Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/acr.21957/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/acr.21957/full )

Review Defines New Fracture Risk Factors Post-Vertebroplasty

THURSDAY, July 25 (HealthDay News) -- Patients with low bone mineral density (BMD), low body mass index (BMI), and intradiscal cement leakage are at risk for new osteoporotic vertebral compression fractures (VCFs) after vertebroplasty, according to a review published in the June issue of the Journal of Spinal Disorders & Techniques.

Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2013/06000/Risk_Factors_for_New_Osteoporotic_Vertebral.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2013/06000/Risk_Factors_for_New_Osteoporotic_Vertebral.15.aspx )

IOM Confirms Geographic Variation in Health Spending

THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.

More Information (http://www.iom.edu/Reports/2013/Variation-in-Health-Care-Spending-Target-Decision-Making-Not-Geography.aspx )

Docs Need to Follow Patients' Lead, Embrace Social Media

WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130722/business/130729980/7/ )

U.S. Physicians Not Supportive of Changes in Payment Models

TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1719740#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1719740 )

Pros and Cons of Electronic Cigarette Regulation Discussed

TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.

Editorial 1 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70160-7/fulltext )Editorial 2 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70124-3/fulltext )

Consensus Statement Describes Role of Team Physicians

TUESDAY, July 23 (HealthDay News) -- Team physicians have medical and administrative duties and responsibilities to athletes, according to a consensus statement published in the August issue of Medicine & Science in Sports & Exercise.

Full Text (http://www.acsm.org/docs/other-documents/team_physician_consensus_statement___2013_update-24.pdf )

Incidence of Cardiac Events in Lumbar Spine Surgery ID'd

MONDAY, July 22 (HealthDay News) -- The overall incidence of cardiac complications is 6.7 per 1,000 lumbar spine surgical procedures, and complications are more frequent with lumbar fusion versus decompression, according to a study published in the July 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07150/Incidence_and_Mortality_of_Cardiac_Events_in.22.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07150/Incidence_and_Mortality_of_Cardiac_Events_in.22.aspx )

Premiums Expected to Be About 20 Percent Lower in 2014

MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130718a.html )

Tablets Help Physicians Keep Up With Medical Research

MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Chemoprophylaxis Found to Be Safe After Spine Trauma Surgery

FRIDAY, July 19 (HealthDay News) -- Thromboembolic chemoprophylaxis seems to be safe and efficacious in at-risk trauma patients having spinal stabilization surgery, according to a retrospective review published in the July 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07150/Safety_of_Thromboembolic_Chemoprophylaxis_in.21.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07150/Safety_of_Thromboembolic_Chemoprophylaxis_in.21.aspx )

Missed Diagnoses, Med Errors Most Common Malpractice Claims

FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.

Full Text (http://bmjopen.bmj.com/content/3/7/e002929.full )

Pre-Op Anemia Tied to Adverse Outcomes in Elective Spine Sx

FRIDAY, July 19 (HealthDay News) -- Preoperative anemia is significantly associated with adverse perioperative and postoperative outcomes following elective spine surgery, according to a study published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/Preoperative_Anemia_and_Perioperative_Outcomes_in.22.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/Preoperative_Anemia_and_Perioperative_Outcomes_in.22.aspx )

Top Challenges for Docs Include Financial Management

FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Medicaid Insurance Linked to Post-Spine Sx Complications

THURSDAY, July 18 (HealthDay News) -- Spine surgery patients who are covered by Medicaid have a significantly increased likelihood of complications compared with privately insured patients, according to a study published in the July 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Fulltext/2013/07150/Medicaid_Status_Is_Associated_With_Higher.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Fulltext/2013/07150/Medicaid_Status_Is_Associated_With_Higher.15.aspx )

Epidural During/Post Spine Surgery Gives Better Outcomes

WEDNESDAY, July 17 (HealthDay News) -- In patients undergoing reconstructive spine surgery, combined epidural and general anesthesia results in better pain control and other outcomes compared with general anesthesia plus narcotics, according to a study published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/Effects_of_Continuous_Epidural_Anesthesia_and.21.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/Effects_of_Continuous_Epidural_Anesthesia_and.21.aspx )

Financial Incentives Can Drive Health IT Adoption

WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1221.abstract?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1221.full )

Redesign of Medical Education Needed for Chronic Disease Era

TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1713510 )

CMS Medicare Physician Fee Schedule Could Benefit Docs

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.

More Information (http://www.aafp.org/news-now/government-medicine/20130710feeschedule2014.html )

Improvements Made to CMS Online Directory of Physicians

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

More Information (http://www.amednews.com/article/20130708/government/130709925/4/ )Physician Compare (http://www.medicare.gov/physiciancompare/search.html?AspxAutoDetectCookieSupport=1 )

EHRs May Slow Growth in Ambulatory Health Care Costs

MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709804 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709807 )

More Job Opportunities Available for Physicians

MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709921/1/ )

AMI Up With Stress-Induced Hyperglycemia After Hip Fx

MONDAY, July 15 (HealthDay News) -- For patients after hip fracture, stress-induced hyperglycemia is associated with an increased risk of acute myocardial infarction (AMI), according to a study published online July 11 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/07/09/dc13-0119.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/07/09/dc13-0119.full.pdf+html )

CMS Proposes New Rule for Outpatient Payment Policies

MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2013-Fact-Sheets-Items/2013-07-08-3.html )

Pilates, Cycling Achieve Similar Benefits for Low Back Pain

MONDAY, July 15 (HealthDay News) -- Over the long-term, Pilates has the same benefits as stationary cycling for patients with low back pain, according to a study published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/Pilates_Exercise_or_Stationary_Cycling_for_Chronic.14.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/Pilates_Exercise_or_Stationary_Cycling_for_Chronic.14.aspx )

Lower Extremity Amputations Fall in Medicare Patients

FRIDAY, July 12 (HealthDay News) -- During the past decade, the use of lower extremity amputations (LEAs), particularly proximal amputations, in Medicare patients has declined markedly, and the use of orthopedic treatments for diabetic foot ulcer (DFU) has increased sharply, according to research published in the July issue of Foot & Ankle International.

Abstract (http://fai.sagepub.com/content/34/7/923.abstract )Full Text (subscription or payment may be required) (http://fai.sagepub.com/content/34/7/923.full )

Physicians Frustrated by Third-Party Interference

FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.

More Information (http://www.physicianspractice.com/blog/doctors-voice-biggest-frustrations-practicing-medicine )

Phone Call OK Instead of Visit for Routine Post-Op Follow-Up

FRIDAY, July 12 (HealthDay News) -- A telephone visit can be safely substituted for the standard clinic visit as postoperative follow-up for certain types of ambulatory surgery, and most patients report a high degree of satisfaction, according to research published online on July 10 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1710512 #Abstract )Full Text (http://archsurg.jamanetwork.com/article.aspx?articleid=1710512 )Editorial (http://archsurg.jamanetwork.com/article.aspx?articleid=1710510 )

AMA Offers Guidance for Improving EHR Effectiveness

FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).

More Information (http://www.amednews.com/article/20130701/house/130709957/7/ )

Smoker Status Not Linked to Poor Outcome in Spine Surgery

FRIDAY, July 12 (HealthDay News) -- Smoking, by itself, is not associated with adverse outcomes in elective spinal surgery, but current smokers with more than 60 pack-years are more likely to die within 30 days of surgery than never smokers, according to research published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/Effect_of_Smoking_on_the_Perioperative_Outcomes_of.16.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/Effect_of_Smoking_on_the_Perioperative_Outcomes_of.16.aspx )

Health Searches May Be Leaked to Third Parties

THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1710119 )

Grants of $150 Million for Community Health Centers

THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130710a.html )

U.S. Adults Value Health Care Provider Skill Evaluation

THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.

More Information (http://www.nbcrna.com/about-us/announcements/Pages/Press-Release-Public-Survey-on-Healthcare-Providers.aspx )

Full, Limited Range of Motion Extension Exercise Benefit LBP

THURSDAY, July 11 (HealthDay News) -- A 12-week training program with isolated lumbar extension resistance training with either full range of motion (FullROM) or limited ROM (LimROM) increases full ROM lumbar extension strength and improves perceived pain and disability in patients with chronic low back pain, according to a study published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/A_Randomized_Controlled_Trial_of_Limited_Range_of.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/A_Randomized_Controlled_Trial_of_Limited_Range_of.2.aspx )

Docs Don't Often Talk to Patients About Dietary Supplements

THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.

Abstract (http://www.pec-journal.com/article/S0738-3991(13)00049-9/abstract )Full Text (subscription or payment may be required) (http://www.pec-journal.com/article/S0738-3991(13)00049-9/fulltext )

One in Five U.S. Adults Will Have Trouble Paying Medical Bills

THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709932/6/ )

Red Cross Issues Emergency Call for Blood Donors

THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.

More Information (http://www.redcross.org/news/article/Red-Cross-Issues-Emergency-Call-for-Blood-and-Platelet-Donors )

Quality Metrics Play Small Role in Physician Compensation

THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374705 )

In 2010, Blood Transfusion Most Frequent Hospital Procedure

THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).

More Information (http://www.hcup-us.ahrq.gov/reports/statbriefs/sb149.pdf )

Improvement Needed in Drug Post-Marketing Studies

WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1710442 )

Improvements Noted in U.S. Health From 1990 to 2010

WEDNESDAY, July 10 (HealthDay News) -- From 1990 to 2010, considerable progress has been made in improving health in the United States, according to a report published online July 10 in the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1710486 )Editorial (http://jama.jamanetwork.com/article.aspx?articleid=1710485 )

Health Insurance Marketplaces Not Required to Verify Claims

WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.

More Information (https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-16271.pdf )

Tablets More Useful Than Smartphones for Docs Using EHRs

WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.

More Information (http://www.americanehr.com/about/News/13-06-12/Survey-of-Physicians-Suggests-Tablets-More-Useful-Than-Smartphones.aspx )

Patients Overestimate Spine Surgeons' Compensation

WEDNESDAY, July 10 (HealthDay News) -- Patients overestimate both what they think spinal surgeons should be reimbursed and the actual amount that Medicare reimburses, according to a study published in the July 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/07010/Patient_Perceptions_of_Physician_Reimbursement_for.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/07010/Patient_Perceptions_of_Physician_Reimbursement_for.15.aspx )

Digital Divide Plagues Underserved Areas

TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/full )

Adoption of Electronic Health Records Is Progressing

TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.

More Information (http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf406758 )

Rural Program Affects Choice of Surgical Practice

TUESDAY, July 9 (HealthDay News) -- Surgical residents who complete a rural surgery rotation are much more likely to enter general surgery practice and practice in a rural area, even if they had initially planned to specialize, according to research published online July 3 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1703094 #Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1703094 )

Correlates of Care Seeking ID'd for Those With Low Back Pain

TUESDAY, July 9 (HealthDay News) -- Not all patients with low back pain (LBP) seek medical care, with female sex, LBP frequency, limitations in activities of daily living, and fear-avoidance beliefs contributing to increased odds of seeking care, according to a study published in the May 20 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05200/Association_Between_Beliefs_and_Care_Seeking.8.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05200/Association_Between_Beliefs_and_Care_Seeking.8.aspx )

Early Predictors of Disability After Spine Trauma Identified

MONDAY, July 8 (HealthDay News) -- The presence of hypotension, hyperglycemia, and moderate or severe traumatic brain injury early after spine trauma are independent predictors of functional disability at one year, according to a review published in the May 20 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05200/Early_Predictors_of_Functional_Disability_After.6.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05200/Early_Predictors_of_Functional_Disability_After.6.aspx )

Practices Are Not Ready for Implementation of ICD-10

MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374754 )

Obama Administration: ACA's Employer Mandate Delayed

WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.

More Information (http://content.govdelivery.com/accounts/USTREAS/bulletins/81ec04?mkt_tok=3RkMMJWWfF9wsRojuazOZKXonjHpfsX56esqUaSzlMI%2F0ER3fOvrPUfGjI4HTMdhI%2BSLDwEYGJlv6SgFT7nNMbh23rgNWRE%3D )

More Than 40 Percent of Docs Report Work Dissatisfaction

WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.

More Information (http://www.jacksonhealthcare.com/media/191888/2013physiciantrends-void_ebk0513.pdf )

Docs Impact Comparative Effectiveness Research Opinion

TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.

Full Text (http://orion.luc.edu/~ddoherty/documents/Doctors_Know_Best.pdf )

Patients, Spinal Surgeons Differ in Expectations of Sx Outcomes

TUESDAY, July 2 (HealthDay News) -- For patients and spinal surgeons, there are frequently wide discrepancies in the expectations of the outcomes of surgery, according to a study published in the May 20 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05200/A_Comparison_of_Patient_and_Surgeon_Preoperative.11.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05200/A_Comparison_of_Patient_and_Surgeon_Preoperative.11.aspx )