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April 2013 Briefing - Otolaryngology

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

Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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>40 Percent of Parents Give Cough Meds to Young Children

TUESDAY, April 23 (HealthDay News) -- More than 40 percent of parents with children younger than 4 years of age give them cough medicine or multi-symptom cough and cold medicine, despite warning labels that products should not be used for young children, according to a report published by the C.S. Mott Children's Hospital.

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Outcomes No Worse With Home Call for Surgical Interns

MONDAY, April 22 (HealthDay News) -- For surgical interns, being on call from home is not associated with increased rates of postoperative morbidity or mortality, according to a study published in the April issue of JAMA Surgery.

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More Than Two-Thirds of Surgeons Are 'Employed'

FRIDAY, April 19 (HealthDay News) -- There is a substantial shift in practice environment occurring among surgeons in the United States, with more surgeons becoming employees, according to a study published in the April issue of JAMA Surgery.

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Tonsillectomy Pre-Radiation Ups Survival in Early Tonsil CA

FRIDAY, April 19 (HealthDay News) -- For patients with stage I and II primary tonsil carcinoma, radiotherapy after tonsillectomy is associated with improved overall survival (OS) and disease-specific survival (DSS), compared with radiotherapy after biopsy, according to a study published in the April issue of JAMA Otolaryngology-Head & Neck Surgery.

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Racial Disparity in Head and Neck Cancer Outcomes

FRIDAY, April 19 (HealthDay News) -- Among Medicaid beneficiaries diagnosed with head and neck cancer, considerable racial disparities exist in treatment patterns and survival, according to a study published online April 18 in JAMA Otolaryngology-Head & Neck Surgery.

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Patient Satisfaction Poor Indicator of Quality Surgical Care

FRIDAY, April 19 (HealthDay News) -- For surgical patients, satisfaction is not associated with performance on process measures or on overall hospital safety culture scores, according to a study published in the April issue of JAMA Surgery.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Community Benefit Spending Varies for Tax-Exempt Hospitals

WEDNESDAY, April 17 (HealthDay News) -- There is considerable variation in the level of community benefit expenditure by tax-exempt hospitals, according to a study published in the April 18 issue of the New England Journal of Medicine.

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Presenting Fee Data to Docs Cuts Number of Tests Ordered

WEDNESDAY, April 17 (HealthDay News) -- Presenting fee data to providers at the time of laboratory test orders is associated with a small reduction in the number of tests ordered, according to a study published online April 15 in JAMA Internal Medicine.

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Review Addresses Need for 'Sharps' Injury Prevention Efforts

TUESDAY, April 9 (HealthDay News) -- Injuries caused by needles and other sharp instruments are a major occupational hazard for health care providers, particularly surgeons, with significant health risks and cost impact, and there is a need for enhanced preventive efforts, according to a special article published in the April issue of Plastic and Reconstructive Surgery.

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Speech Details Practices to Improve U.S. Health Systems

THURSDAY, April 11 (HealthDay News) -- There are specific steps health care providers and policymakers should take to create high-quality, patient-centered care at lower costs, according to remarks made in an April 9 speech to the National Press Club.

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USPSTF Finds Evidence Is Lacking for Oral Cancer Screens

TUESDAY, April 9 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) finds that there is currently not enough evidence to determine the benefits and harms of primary care screening of all adults for oral cancer, according to report it released April 8.

Draft Recommendation Statement
Comment on Recommendations

Smoking on Waking Increases Risk of Lung and Oral Cancers

MONDAY, April 8 (HealthDay News) -- Smokers who smoked within five minutes after waking have higher levels of tobacco smoke carcinogen and may be at higher risk for lung and oral cancer, according to research published online April 2 in Cancer Epidemiology, Biomarkers and Prevention.

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Tonsillectomy Benefits Adults With Recurrent Pharyngitis

WEDNESDAY, April 3 (HealthDay News) --Adult patients with recurrent pharyngitis who underwent tonsillectomy had fewer symptoms of pharyngitis, thus reducing the number of medical visits and missed days from work or school, according to research published online April 2 in CMAJ, the journal of the Canadian Medical Association.

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Most Partners of U.S. Docs Satisfied in Their Relationships

MONDAY, April 1 (HealthDay News) -- Most spouses/partners of U.S. physicians report being satisfied with their relationships, with satisfaction linked to time spent together each day, according to research published in the March issue of the Mayo Clinic Proceedings.

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