Author: Dr Clemens

Uncategorized Published - 7 April, 2021    By - Dr Clemens
Multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful return to work

DG Journal Club AUTHORS: Gabriel Ching Ngai Leung, Prudence Wing Hang Cheung et al. BMC Musculoskelet Disord. 2021 Mar 6; 22(1): 251 BACKGROUND There are no clear indicators for predicting return to work for patients with chronic low back pain (LBP). We aim to report the outcomes of a 14-week multidisciplinary programme targeting patients with […]

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Uncategorized Published - 7 April, 2021    By - Dr Clemens
Study finds increased rates of multiorgan dysfunction in patients discharged from hospital after COVID-19

DG Alerts Individuals discharged from hospital after coronavirus disease 2019 (COVID-19) had increased rates of multiorgan dysfunction compared with a matched control group from the general population, according to a study published in The BMJ. In addition, researchers found that the increase in risk was not confined to the elderly and was not uniform across ethnicities. […]

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Uncategorized Published - 7 April, 2021    By - Dr Clemens
Ketamine Infusion Improves PTSD Symptoms, Chronic Pain in Veterans

By Louise Gagnon DG News A single infusion of ketamine lessened pain and post traumatic stress disorder (PTSD) symptoms in veterans, without persisting dissociative symptoms or side effects, according to a study presented at the Virtual 2021 Annual Meeting of the Anxiety and Depression Association of American (ADAA). Sonalee Joshi, University of Michigan, Ann Arbor, […]

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Uncategorized Published - 7 April, 2021    By - Dr Clemens
A Comparison of Genicular Nerve Blockade With Corticosteroids Using Either Classical Anatomical Targets vs Revised Targets for Pain and Function in Knee Osteoarthritis

DG Journal Club AUTHORS: Loïc Fonkoue, Arnaud Steyaert et al. Pain Med. 2021 Mar 27 OBJECTIVE Compare the effectiveness of genicular nerve blockade (GNB) using classical anatomical targets (CT) versus revised targets (RT) in patients suffering from chronic knee osteoarthritis pain. DESIGN Double-blinded randomized controlled trial. SETTING Pain medicine center of a teaching hospital. METHODS […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Intraoperative Analgesia Reduces Postoperative Pain, Opioid Use After Ambulatory Breast Surgery

Author: Brian Hoyle DG News Local anesthetics reduce opioid requirement and pain scores after lumpectomy and sentinel node biopsy with multimodal analgesia, according to a study presented at the 2021 Virtual Meeting of the Society of Surgical Oncology (SSO). “Multimodal analgesia during ambulatory breast surgery is associated with reduced postoperative opioid use and pain scores, […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
CMS to Hold Claims Pending Congressional Action on Sequester Suspension

Author: Tony Mira F1rstNews As many of our readers may remember, the mandatory sequestration payment reduction of two percent, to be applied to all Medicare Fee-For-Service (FFS) claims, was put on hold by the Coronavirus Aid, Relief, and Economic Security (CARES) Act.  The suspension of these payment cuts ran from May 1 through December 31, […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Regional anesthetics versus analgesia for stopping the persistent post-surgical pain

DG Journal Club AUTHORS: Qingyang Li, Xifeng Zhang et al. Int J Clin Pract. 2021 Mar 20 INTRODUCTION Regional anesthesia might moderate the risk of persistent post-surgical pain, but its effect compared to systemic analgesia is still conflicting. This meta-analysis study was performed to assess the relationship between the efficiency of regional anesthesia versus systemic […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Exploring Factors Associated With Morbidity and Mortality in Patients With Do-Not-Resuscitate Orders

AUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND:  Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Total Knee Replacement Seems Cost-Effective for Morbidly Obese with Knee OA

By Amy Orciari Herman NEJM Journal Watch Total knee replacement appears to be cost-effective for adults with morbid obesity and knee osteoarthritis (OA), an Annals of Internal Medicine study finds. Researchers used a microsimulation model to assess the cost-effectiveness of total knee replacement in adults aged 50-65 or 66 and older with a body-mass index of 40 […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Study shows COVID-19 vaccines generate “robust” immune response in pregnant women, with antibodies transferred to neonates

DG Alerts Coronavirus disease 2019 (COVID-19) mRNA vaccines generated “robust” humoral immunity in pregnant and lactating women, with immunogenicity and reactogenicity similar to that observed in non-pregnant women. In addition, immune transfer to neonates was found to occur via placenta and breastmilk, according to study data published in the American Journal of Obstetrics and Gynecology. These […]

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