Study: Weight Loss Associated with Less Progression of Changes in Knee Articular Cartilage

22Aug
2017

Systematic Review: Benefits and Harms of Osteoporosis Medications in Patients With Chronic Kidney Disease

22Aug
2017

Opinion: When surgery is just a stitch-up

22Aug
2017

When surgery is just a stitch-up – The Guardian (RT @Onisillos  see Tweet)

Related article: Use of placebo controls in the evaluation of surgery: systematic review – The BMJ (free)

“With evidence mounting that many minor operations owe their success to the placebo effect, is it time to call a halt to some routine procedures?”

 

When Sports Injuries Lead to Arthritis in Joints

21Aug
2017

Should Potential Risk of Chronic Traumatic Encephalopathy Be Discussed with Young Athletes?

17Aug
2017

Benefits and safety of gabapentinoids in chronic low back pain

16Aug
2017

Ibuprofen versus placebo effect on acute kidney injury in ultramarathons

15Aug
2017

Advances in the diagnosis and management of neck pain

15Aug
2017

Guideline on the diagnosis and treatment of primary idiopathic clubfoot

11Aug
2017

Antibiotic prophylaxis is not indicated prior to dental procedures for prevention of periprosthetic joint infections

10Aug
2017

Surgical Guidelines for Perioperative Management of Older Adults

10Aug
2017

Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status

10Aug
2017

The best running stride? The one that comes naturally

9Aug
2017

Hip Pain and Mobility Deficits-Hip Osteoarthritis

9Aug
2017

A comprehensive guide to the new science of treating lower back pain

4Aug
2017

A comprehensive guide to the new science of treating lower back pain – VOX (free)

“Mainstream medicine has failed people with chronic back pain”

 

Are high heels bad for your health?

3Aug
2017

Atypical fracture with long-term bisphosphonate therapy is associated with altered cortical composition and reduced fracture resistance

3Aug
2017

Effectiveness of oral glucosamine for knee and hip osteoarthritis

3Aug
2017

Neck Pain: Updated Clinical Practice Guideline

3Aug
2017

First-time patellar dislocation guidelines

3Aug
2017

Low back, Cervical and Thoracic Spine Disorders Guidelines

1Aug
2017

New National Guideline Clearinghouse (NGC) Summaries in Low back, Cervical and Thoracic Spine Disorders with focus on occupational health.

Low Back Disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

Cervical and thoracic spine disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)

 

Treatment Outcomes for Patients with Failed Back Surgery

1Aug
2017

Online education, pain coaching and advice by video conference can reduce knee pain

28Jul
2017

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis

28Jul
2017

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis – The Lancet (link to abstract – $ for full-text)

Diclofenac 150 mg/day is the most effective NSAID available at present (are the cardiac and renal risks worth it?) and Paracetamol does not seem to work for this condition.

 

Low back pain and sciatica in over 16s – NICE Quality Standard

28Jul
2017

Indirect decompression in spinal surgery

28Jul
2017

Is cyclobenzaprine useful for pain?

25Jul
2017

Is cyclobenzaprine useful for pain? – Therapeutics Initiative (free)

“…cyclobenzaprine is a long-acting sedative, not a muscle relaxant, and questioning whether any potential benefits are worth the side effects”. (from TI Newsletter). “If prescribed, a dose of 5 mg at bedtime should be tried first.  Evidence suggests titration based on response and tolerability to a maximum dose of 15 mg/day, for no longer than one week”.

 

The Evolving Story of Overlapping Surgery

23Jul
2017

Viewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)

Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)

This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.

 

Implant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach

23Jul
2017

Implant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach: An Analysis of 21,860 Total Hip Arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013) – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)

Commentary: Implant survival for minimally invasive vs. open hip surgery: 4 key notes – Spine Review (free)

Source: EvidenceAlerts (free resource to find articles of interest in all specialties)

“There were no significant differences among the surgical approaches with regard to the 2 and 5-year survival rates or RR of revision due to any cause”

 

Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update

22Jul
2017

Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update. Comparative Effectiveness Review – Agency for Healthcare Research and Quality (free report and summary)

See also: Executive summary (free PDF)

Source: ACP Journal Wise ($ resource to find articles of interest)

Comprehensive review on the evidence regarding thromboembolism prophylaxis in major orthopedic surgery.

 

Association of delay of urgent or emergency surgery with mortality and use of health care resources

10Jul
2017

Basic radiological assessment of synovial diseases

7Jul
2017

Arthroscopic surgery for degenerative knee arthritis and meniscal tears

5Jul
2017

What I Wish I’d Known About My Knees – The New York Times (10 articles per month are free)

Related guideline: Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline – The BMJ (free)

“There’s little evidence to support many of the procedures people undergo in the hopes of avoiding a knee replacement”. (RT @NYTHealth see Tweet)

 

Delirium Prevention Strategies for Elderly Adults with Hip Fracture

30Jun
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26Jun
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

 

Effectiveness of conservative interventions in adults with shoulder impingement

23Jun
2017

Yoga, Physical Therapy, or Education for Chronic Low Back Pain

21Jun
2017

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20Jun
2017

Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

19Jun
2017

EULAR/EFORT recommendations for the management of fragility fractures

19Jun
2017

Should you wait before having surgery for an ACL tear?

11Jun
2017

Practice Guidelines for Preoperative Fasting

9Jun
2017

Prevention and Treatment of Glucocorticoid-Induced Osteoporosis

9Jun
2017

Practice guidelines for pharmacists: The management of osteoarthritis

4Jun
2017

Adolescent Idiopathic Scoliosis: Screening – U.S. Preventive Services Task Force

31May
2017

Intra-articular triamcinolone not effective for knee osteoarthritis

17May
2017

Hip fracture guideline

15May
2017

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

12May
2017

New Osteoporosis Guidelines from ACP

9May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

UK guideline for the prevention and treatment of osteoporosis

1May
2017

After Knee or Hip Replacement, No Place Like Home

27Apr
2017

After 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

20Apr
2017

Preventing Sports Injury and Illness: Key Resources for Family Physicians

19Apr
2017

Preventing Sports Injury and Illness: Key Resources for Family Physicians – American Family Physician (free)

Selection 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

12Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR 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

31Mar
2017

Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative – The BMJ (free)

See 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

27Mar
2017

Going 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

23Mar
2017

Trial 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

23Mar
2017
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