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May 2013 Briefing - Otolaryngology

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

Patients Who Share in Care Decisions May Up Costs of Care

THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.

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Odds of Mortality Up With Elective Surgery on Friday, Weekend

THURSDAY, May 30 (HealthDay News) -- For patients undergoing elective surgery, the odds of death are significantly increased for those who undergo the procedure on Friday or at the weekend, compared with Monday, according to research published online May 28 in BMJ.

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2012 AMA Report Highlights Progress Toward Better Future

THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.

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One-Third of Medical Students Have Implicit Anti-Fat Bias

THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.

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Doc Passengers Assist in Half of In-Flight Medical Emergencies

WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.

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Transparency Key to Improving Value Care for Patients

WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.

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Enrollment in U.S. Medical Colleges Is Increasing

WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).

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HHS: End-of-2013 Targets for EHR Use Already Reached

TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.

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Docs Anticipating Changes Ahead As ACA Progresses

MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.

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Data Support Basing Health Decisions on Both Benefit, Cost

FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.

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About One in Four Uninsured Could Be Excluded From ACA

FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.

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Frequent Heartburn Linked to Cancer of Pharynx and Larynx

THURSDAY, May 23 (HealthDay News) -- Frequent heartburn is associated with a higher risk of cancers of the pharynx and larynx, which may be reduced by the use of antacids, according to a study published online May 23 in Cancer Epidemiology, Biomarkers & Prevention.

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3-D Printed Tracheal Splint Implanted Into Infant

WEDNESDAY, May 22 (HealthDay News) -- A customized bioresorbable tracheal splint manufactured with the use of a three-dimensional printer has been successfully implanted into an infant with localized tracheobronchomalacia, according to a letter published in the May 23 issue of the New England Journal of Medicine.

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Systematic Screening of Med Adherence Will ID Barriers

WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.

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USPSTF: Primary Care Docs Can Promote Dental Health

MONDAY, May 20 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months and apply fluoride varnish to primary teeth for some children aged up to 5, although the evidence is insufficient to weigh the benefits and harms of primary care screening for dental caries. The Recommendation Statement is based on an evidence review published May 21.

Draft Recommendation Statement
Comment on Recommendations

Digital Divide Exists With Physician EHR Adoption

MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.

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Majority Use Cell Phones With Same Ear As Dominant Hand

FRIDAY, May 17 (HealthDay News) -- For most people, the preferred ear for cell phone use correlates with hand dominance, according to a study published in the May issue of JAMA Otolaryngology-Head & Neck Surgery.

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Majority of Surgical Residents Object to Regulated Hours

THURSDAY, May 16 (HealthDay News) -- About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education (ACGME) Common Program requirements, which place restrictions on duty hours, according to research published in the May issue of JAMA Surgery.

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Half of Plastic Surgeons Use Social Media Professionally

TUESDAY, May 14 (HealthDay News) -- Roughly half of plastic surgeons use social media tools to market their practices, according to a study published in the May issue of Plastic and Reconstructive Surgery.

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New FDA Survey to Assess Doc Attitudes on DTC Advertising

MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.

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Excessive Soda Can Mimic Illicit Drug Use Effects on Teeth

MONDAY, May 13 (HealthDay News) -- Manifestation of dental erosion caused by illicit drug use or excessive soda consumption needs to be distinguished from dental caries, according to case studies published in the March/April issue of General Dentistry.

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Most Endoscopic Brow-Lift Patients Satisfied With Result

FRIDAY, May 10 (HealthDay News) -- The majority of patients undergoing endoscopic brow-lift are happy with the outcome and would recommend the procedure, according to research published online May 9 in JAMA Facial Plastic Surgery.

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Poor Service, Bedside Manner Top Patients' Online Complaints

FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.

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User Satisfaction With Electronic Health Records Down

FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.

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HHS Releases Data on Inpatient Charges for Hospital Services

THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.

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Smartphones, Smartphone Apps Increasingly Used by Docs

THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.

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Application for Health Coverage Has Been Simplified, Shortened

WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).

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Parental Saliva on Infant's Pacifier Protects From Allergies

MONDAY, May 6 (HealthDay News) -- Parental sucking of their infant's pacifier is associated with a reduced risk of allergy development, according to a study published online May 6 in Pediatrics.

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Patients Most Annoyed by Long Waits, Unclear Test Results

FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.

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Health Industry Payment Details to Be Publicly Available

THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.

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