(AUDIO) Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.
(AUDIO) Besides new guidelines on assessment of rheumatoid arthritis, the American College of Rheumatology has updated its 2008 guidelines on treatment. The principal investigator of the guideline update offers highlights in this brief recorded interview.
(AUDIO) The American College of Rheumatology has issued new recommendations for measuring symptoms and outcomes in rheumatoid arthritis. Listen as rheumatologist Salahuddin Kazi MD tells why these assessment measures were chosen and how they will help you manage the condition.
FEATURED SEARCH TERM: hemiarthroplasty
The choice between total hip arthroplasty (THA) and hemiarthroplasty is controversial, although studies show that about 85% of surgeons favor the latter for its simplicity and reduced risk of dislocation. Until now, few people have asked the patients for their preference. Canadian researchers have carried out a rigorous decision analysis among people over 60 at an osteoporosis clinic. Overwhelmingly, patients at risk of hip fracture hold the opposite opinion: They prefer total hip replacement for its reduced pain and better postoperative function. The study is from McMaster University in Ontario.
RESULT: Surgical preferences of patients at risk of hip fractures: hemiarthroplasty versus total hip arthroplasty
BMC Musculoskeletal Disorders | Dec 23, 2011 (FREE FULL TEXT)
That said, there’s a need for better information about outcomes of THA, according to authors of this recent report in JAMA. The picture may not be as rosy as the Canadian patients seem to think, at least not in the US. A survey of Medicare data has encouraging results: Postoperative mortality has fallen over the past two decades. However, a corresponding reduction in postoperative length of stay has been associated with an increase in readmission rates and a reduction in the proportion of patients discharged directly to their homes.
RESULT: Clinical Characteristics and Outcomes of Medicare Patients Undergoing Total Hip Arthroplasty, 1991-2008
JAMA | Apr 20, 2011 (FREE FULL TEXT)
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QUICK QUIZ
True or False? Osteoporosis is the major factor in the increasing prevalence of ankle fractures among patients over the age of 65.
For the correct answer, see Identifying and Managing Ankle Fractures in Older Patients. |
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A 20-year-old woman presented in mid-winter with a mildly painful, swollen, and discolored left toe of a week’s duration. Several small pruritic lesions on the toes of both feet had appeared and resolved over the past few months.
A healthy 40-year-old active-duty male soldier presented with a painless groin mass, which he had noted a few weeks earlier.
A 49-year-old African American man was referred to rheumatology with a positive antinuclear antibodies (ANA) test result, constitutional symptoms, and lymphadenopathy.
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