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Understanding wheelchair use in older adults from the National Health and Aging Trends Study
CONCLUSIONS: Current wheelchair users reported more physical difficulties and were much less likely to go outside. This lower outdoor mobility could be due to physical difficulties or potential barriers in physical and socio-cultural environments. In addition, older adults who do not use wheelchairs showed increasing physical problems over time (including balance or coordination problems). Clinicians should consider older wheelchair users' health and physical limitations when prescribing wheelchairs.PMID:37734645 | DOI:10.1016/j.apmr.2023.09.006
Source: Health Physics - September 21, 2023 Category: Physics Authors: Qiong Nie Laura A Rice Jacob J Sosnoff Sa Shen Wendy A Rogers Source Type: research
Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed
There are a lot of rules and regulations in place in the world of healthcare. These are put into place in order to protect patients and organizations. However, the world of healthcare is constantly changing and evolving as we come up with new ideas and solutions. Have the regulations done the same though? Or are there areas that are missing regulations? Or are there areas in healthcare where past regulations are now too restrictive and are holding us back?
In search of answers to these questions, we reached out to our incredibly beautiful Healthcare IT Today Community to see what areas they would add, remove, or update re...
Source: EMR and HIPAA - September 19, 2023 Category: Information Technology Authors: Grayson Miller Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC Regulations 1upHealth 4medica Amanda Heidemann Andrea Mazzoccoli Andrew Norden MD Bill Charnetski Cheryl Cheng Commur Source Type: blogs
Receipt of PT, Chiropractic Care Reportedly Low for Comorbid Chronic LBP, Opioid Use Disorder
WEDNESDAY, Sept. 13, 2023 -- For Medicare beneficiaries with chronic low back pain (CLBP) and opioid use disorder (OUD), receipt of physical therapy (PT) and chiropractic care is low overall and lower for racial and ethnic minority groups, according...
Source: Drugs.com - Pharma News - September 13, 2023 Category: Pharmaceuticals Source Type: news
Here's Another Racial-Ethnic Disparity in Back Pain Care
(MedPage Today) -- Among Medicare beneficiaries with chronic low back pain and opioid use disorder (OUD), white patients were dramatically more likely to have received nonpharmacologic treatments such as physical therapy or chiropractic care than...
Source: MedPage Today Public Health - September 12, 2023 Category: American Health Source Type: news
Tell Medicare Not to Limit Intracept
New criteria would require psych eval and create other hurdles for those suffering from Modic changes.
Source: Student Doctor Network - September 9, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Association of Race/Ethnicity, Persistent Poverty, and Opioid Access Among Patients with Gastrointestinal Cancer Near the End of Life
CONCLUSIONS: Race/ethnicity-based disparities in EOL pain management persist with SDoH-based variations in EOL opioid use. In particular, PP impacted EOL opioid access and utilization.PMID:37667099 | DOI:10.1245/s10434-023-14218-4
Source: Ann Oncol - September 4, 2023 Category: Cancer & Oncology Authors: Muhammad Musaab Munir Selamawit Woldesenbet Yutaka Endo Aslam Ejaz Jordan M Cloyd Samilia Obeng-Gyasi Mary Dillhoff Brittany Waterman Jillian Gustin Timothy M Pawlik Source Type: research
Bonus Features – September 3, 2023 – 60% of cybersecurity incidents impact patient care, the average medical device has six or more security vulnerabilities, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
News and Research
ONC renewed its contract for The Sequoia Project to be the Recognized Coordinating Entity for TEFCA implementation. That process will involve working with seven current Qualified Health Information Network can...
Source: EMR and HIPAA - September 3, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT AION Biosystems Akshay Sharma Alexander Group American Telemedicine Association Asimily ATA Atropos Health BeMe Health Carenet Health Claroty Cognizant Craig Hovda Digital Medicine Society eClinicalWorks eCW E Source Type: blogs
Signal detection of adverse events associated with gabapentinoid use for chronic pain
CONCLUSIONS: Our study identified expected and unexpected ADE signals in GABA users. Neurological signals likely related to indications for GABA use. Signals for immunity, mental/behavior, and skin disorders were found in the FDA adverse event reporting system database. Unexpected signals of stroke and cancer require further confirmatory analyses to verify.PMID:37640024 | DOI:10.1002/pds.5685
Source: Cancer Control - August 28, 2023 Category: Cancer & Oncology Authors: Yong-Fang Kuo Efstathia Polychronopoulou Mukaila A Raji Source Type: research
The Prevalence of Cognitive Impairment among Medicare Beneficiaries Who Use Outpatient Physical Therapy
CONCLUSION: One in five older adults who use outpatient physical therapy services have cognitive impairment. Further, cognitive impairment is more common in older physical therapy patients who report worse physical function and less physical activity.IMPACT: Physical therapists should consider cognitive screening for vulnerable older adults to inform tailoring of clinical practice towards a patient's ability to remember and process rehabilitation recommendations.PMID:37615482 | DOI:10.1093/ptj/pzad115
Source: Health Physics - August 24, 2023 Category: Physics Authors: Matthew J Miller Irena Cenzer Deborah E Barnes Amy S Kelley Kenneth E Covinsky Source Type: research
The Impact of High- Versus Low-Dose Home Rehabilitation for Functional Independence After Hip or Knee Replacement
Surgical pain is predominantly treated with prescription opioids, rather than nonpharmacologic treatments1 like occupational therapy and/or physical therapy (OT/PT).2 Evidence on the effectiveness of nonpharmacologic treatments is limited because national surgical registries lack data on OT/PT.3 This evidence gap has limited the inclusion of OT/PT in postoperative protocols4 and opioid prescribing guidelines5,6 for total hip arthroplasty (THA) and total knee arthroplasty (TKA). We hypothesized that a higher dose of OT/PT would increase the likelihood of overcoming pain and achieving functional independence among Medicare b...
Source: Journal of the American Medical Directors Association - August 8, 2023 Category: Health Management Authors: Kevin T. Pritchard, Jacques Baillargeon, Jordan Westra, Chih-Ying Li, Tracy Mroz, Timothy A. Reistetter, Wei-Chen Lee, Mukaila A. Raji, Yong-Fang Kuo Tags: Research Letters Source Type: research
Concurrent Gabapentin and Opioid Use and Risk of Mortality in Medicare Recipients with Non-Cancer Pain
Clin Pharmacol Ther. 2023 Aug 7. doi: 10.1002/cpt.3019. Online ahead of print.ABSTRACTGabapentin is prescribed for pain and is perceived as safe generally. However, gabapentin can cause respiratory depression, exacerbated by concomitant central nervous system depressants (e.g., opioids), a concern for vulnerable populations. We compared mortality rates among new users of either gabapentin or duloxetine with or without concurrent opioids in the 20% Medicare sample. We conducted a new-user design retrospective cohort study, in Medicare enrollees ages 65-89 with non-cancer chronic pain and no severe illness who filled prescri...
Source: Cancer Control - August 7, 2023 Category: Cancer & Oncology Authors: Meghan A Corriere Laura L Daniel Alyson L Dickson Puran Nepal Kathi Hall W Dale Plummer William D Dupont Katherine T Murray C Michael Stein Wayne A Ray Cecilia P Chung Source Type: research
