Orthopedics (all articles)
Hip fracture guideline
15 May, 2017 | 19:45h | UTCGuideline: Hip fracture: management – National Institute for Health and Care Excellence (NICE – UK) (free)
Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline
12 May, 2017 | 19:38h | UTCCommentaries: This orthopedic surgery is the world’s most common. But patients rarely benefit, a panel says – STAT News (free) AND Guideline Recommends Against Arthroscopy for Most Cases of Degenerative Knee Disease – Journal Watch (free) AND Arthroscopic Surgery Doesn’t Help With Arthritis Knee Pain – NPR Health News (free)
New Osteoporosis Guidelines from ACP
9 May, 2017 | 18:19h | UTCCommentaries: ACP Updates Guidelines on Treating Low Bone Density, Osteoporosis – Physician’s First Watch (free) AND New ACP Guidelines on the Treatment of Osteoporosis – Medscape (free registration required)
Related guideline: UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis (free)
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017
5 May, 2017 | 20:29h | UTCCenters for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)
UK guideline for the prevention and treatment of osteoporosis
1 May, 2017 | 16:50h | UTCUK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis (free)
After Knee or Hip Replacement, No Place Like Home
27 Apr, 2017 | 16:28h | UTCAfter Knee or Hip Replacement, No Place Like Home – The New York Times (10 articles per month are free)
See also: Time to Rethink Inpatient Rehab After Knee Replacement? – The Rheumatologist (free)
Original article abstract ($ for full-text): Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty: The HIHO Randomized Clinical Trial – JAMA (free)
The NYT commentary talks about the futility of some interventions currently used to postpone surgery and about the benefits of outpatient rehabilitation.
Mortality Trends After Surgical Safety Checklist
20 Apr, 2017 | 14:31h | UTCMortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative – Annals of Surgery (link to abstract – free PDF available)
Sources: Global Health NOW Newsletter (free) AND South Carolina Hospitals Saw Surgery Deaths Drop After Implementing WHO Checklist – AJMC News (free) AND A simple checklist prevents deaths after surgery, a large new study suggests – The Washington Post (a few articles per month are free)
See also: WHO Surgical Safety Checklist – World Health Organization (free) AND A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population – New England Journal of Medicine (free)
Preventing Sports Injury and Illness: Key Resources for Family Physicians
19 Apr, 2017 | 14:18h | UTCSelection of resources for primary care providers to improve their ability to prevent and treat injuries from sports and physical activity.
Management of Osteoarthritis of the Hip
12 Apr, 2017 | 15:55h | UTCManagement of Osteoarthritis of the Hip – American Academy of Orthopedic Surgeons (free PDF)
Source: AAOS releases new clinical practice guideline for osteoarthritis of the hip – Medical Express (free)
American College of Radiology (ACR) Appropriateness Criteria Adds Topics
4 Apr, 2017 | 21:19h | UTCACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)
Browse Appropriateness Criteria Topics (free)
Source: Newswise
This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.
Impact of total knee replacement practice: cost effectiveness analysis
31 Mar, 2017 | 19:01h | UTCSee also: Knee Replacement Should Be Reserved for More Severe Osteoarthritis, Study Suggests – Physician’s First Watch (free)
Total knee replacement for patients with osteoarthritis had minimal effects on quality of life in this study. Severely affected patients seem to benefit the most from the procedure.
Surgeries are being performed with the patient awake
27 Mar, 2017 | 00:59h | UTCGoing Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)
“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.
Pregabalin for Acute and Chronic Sciatica
23 Mar, 2017 | 17:15h | UTCTrial of Pregabalin for Acute and Chronic Sciatica – New England Journal of Medicine (link to abstract – $ required for full-text)
Pregabalin did not reduce pain and was associated with higher incidence of adverse events.
Prosthetic joint infection management
23 Mar, 2017 | 16:57h | UTCComprehensive review with practical algorithm.