Navigation Links
Annals of Internal Medicine Tip Sheet for Nov. 20, 2007, Issue

1. Physicians Spend Much Time Outside Patient Visits Providing Unreimbursed Care

A new study found that physicians caring for older adults spent nearly eight hours a week on patient care in addition to office visits (Article, p. 693). This time may be spent talking with families or ordering medicines or specialist care. Medicare pays physicians only for face-to-face visits.

At an average of 6.7 minutes of care provided outside of office visits for every 30 minutes seeing a patient, approximately one-fifth of the geriatricians care was provided without pay.

An editorial writer says that the findings for geriatricians are applicable to all adult primary care (Editorial, p. 730). The writer describes two reform proposals that would pay for currently unreimbursed time. If physicians are to improve their care coordination performance, they need time to do the work and must be paid for the work, he says.

2. New Study: Lumbar Supports Reduced Low Back Pain but Not Sick Days

A new randomized controlled trial found that health care workers with existing low back pain given one of four lumbar supports and counseling about healthy work methods had less pain than a control group that received only the counseling (Article, p. 685).

The lumbar-support groups did not have fewer work absences than the control group.

3. Head-to-Head Comparison of Arthritis Drugs Did Not Find a Clear Winner

A systematic review of published literature of drugs for rheumatoid arthritis showed no clinically important differences in efficacy among two major classes of drugs, synthetic disease-modifying antirheumatic drugs (DMARDS) and anti-tumor necrosis factor drugs.

The DMARDs evaluated were methotrexate, leflunomide, and sulfasalazine. The anti-tumor necrosis factor drugs were adalimumab, etanercept, and infliximab.

Researchers found that in patients previously receiving a single drug, combination therapy with DMARDs improved response rates, but available evidence does not indicate which combination strategy is best.

Note: This article is released early online at the Web site of Annals of Internal Medicine It will appear in the Jan. 15, 2008, print edition of the journal.


Contact: Susan Anderson
American College of Physicians

Related medicine news :

1. Annals of Internal Medicine tip sheet for Aug. 21, 2007, issue
2. September/October 2007 Annals of Family Medicine tip sheet
3. Annals of Internal Medicine tip sheet for Oct. 2
4. Pharmaceutical Manufacturing Quality: Optimizing Your Internal Process for FDA Compliance
5. Internal medicine physicians recommend key elements to guide state initiatives
6. Internal radiotherapy better than external for quality of life in endometrial cancer patients
7. Sunrise Provides Status Report on Special Independent Committee Investigation; Provides Updates on Managements Internal Control Review Efforts and on Legal Proceedings
8. Michigan Catholic Conference Launches Massive Internal Stem Cell Education Program
9. Barta joins Conseco as Senior Vice President, Financial Planning & Analysis; Barra named Senior Vice President, Internal Audit; Clarke to head Investor Relations
10. Pharmaceutical Manufacturing Quality: Optimizing Your Internal Process for FDA Compliance
11. Decision-makers seek internal balance, not balanced alternatives
Post Your Comments:
(Date:11/27/2015)... CA (PRWEB) , ... November 27, 2015 , ... According ... at the recent 2015 American Dental Association meeting in Washington D.C. revolved around the ... protect a patient’s overall health. The talk stressed the link between periodontal disease (more ...
(Date:11/27/2015)... ... 2015 , ... A team of Swiss doctors has released a report on ... just posted the findings on the website. Click here to read the details ... mesothelioma patients who were treated with chemotherapy followed by EPP surgery. Among the 106 ...
(Date:11/27/2015)... ... November 27, 2015 , ... ... edition of USA Today in Atlanta, Dallas, New York, Minneapolis, South Florida, with ... digital component is distributed nationally, through a vast social media strategy and across ...
(Date:11/27/2015)... ... 2015 , ... Intellitec Solutions announced today that they have ... as Microsoft’s official group for end users of Dynamics SL ERP software, the ... experts and representatives. Intellitec Solutions’ membership status demonstrates their ongoing commitment to the ...
(Date:11/27/2015)... , ... November 27, 2015 , ... CBD College ... of Allied Health Education Programs (CAAHEP) awarded accreditation to its Diagnostic Medical Sonography program. ... accredited colleges, as only one of twelve colleges and universities in the state of ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 2015 ) ... "2016 Future Horizons and Growth Strategies in ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, ... --> ) has announced ... Horizons and Growth Strategies in the French ...
(Date:11/26/2015)... , November 26, 2015 ... Juntendo universitetssjukhus ser potential att använda SyMRI ... (MR-bilder) för patienter med multipel skleros ... forskningsavtal med SyntheticMR AB för att kunna ... på sjukhuset. Med SyMRI kan man generera ...
(Date:11/26/2015)... November 26, 2015 ... adds "Global Repaglinide Industry ... Report on China Repaglinide Market, 2010-2019" ... data and information to its online ... . --> ...
Breaking Medicine Technology: