Navigation Links
Annals of Internal Medicine Tip Sheet for Nov. 20, 2007, Issue
Date:11/19/2007

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 www.annals.org. It will appear in the Jan. 15, 2008, print edition of the journal.


'/>"/>

Contact: Susan Anderson
sanderson@acponline.org
215-351-2653
American College of Physicians
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile technology, ... , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can be ...
(Date:6/24/2016)... ... , ... People across the U.S. are sharpening their pencils and honing their ... in which patients and their families pay tribute to a genetic counselor by nominating ... of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Grove Investment Group (TGIG), has initiated cultivation and processing operations at its production ... and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system of ...
(Date:6/24/2016)... ... , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event ... that have been wounded in battle and their families. Venture Construction Group is a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- According to a new market research ... Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, 8mm, ... Purchase (Retail, Non-Retail) - Trends & Global Forecasts to ... for the forecast period of 2016 to 2021. This ... 2021 from USD 1.65 Billion in 2016, growing at ...
(Date:6/23/2016)... , June 23, 2016  MedSource announced ... as its e-clinical software solution of choice.  This ... best possible value to their clients by offering ... The preferred relationship establishes nowEDC as the EDC ... for MedSource,s full-service clients.  "nowEDC has long been ...
(Date:6/23/2016)... -- In a startling report released today, National Safety Council ... comprehensive, proven plan to eliminate prescription opioid overdoses. Prescription ... are tackling the worst drug crisis in recorded U.S. history, assigned ... Kentucky , New Mexico , ... 28 failing states, three – Michigan , ...
Breaking Medicine Technology: