Globalepolicy.org is a free to access global medical news service for the consumer, professional and researcher.
Our adviser: Drugs Infromation online
Background: A treatment algorithm and screening examination have been developed to guide patient management and prospectively determine potential for highly active individuals to succeed with nonoperative care after anterior cruciate ligament rupture.
Objective: To prospectively characterize and classify the entire population of highly active individuals over a 10-year period and provide final outcomes for individuals who elected nonoperative care.
Methods: Inclusion criteria included presentation within 7 months of the index injury and an International Knee Documentation Committee level I or II activity level before injury. Concomitant injury, unresolved impairments, and a screening examination were used as criteria to guide management and classify individuals as noncopers (poor potential) or potential copers (good potential) for nonoperative care.
Results: A total of 832 highly active patients with subacute anterior cruciate ligament tears were seen over the 10-year period; 315 had concomitant injuries, 87 had unresolved impairments, and 85 did not participate in the classification algorithm. The remaining 345 patients (216 men, 129 women) participated in the screening examination a mean of 6 weeks after the index injury. There were 199 subjects classified as noncopers and 146 as potential copers. Sixty-three of 88 potential copers successfully returned to preinjury activities without surgery, with 25 of these patients not undergoing anterior cruciate ligament reconstruction at the time of follow-up.
Conclusion: The classification algorithm is an effective tool for prospectively identifying individuals early after anterior cruciate ligament injury who want to pursue nonoperative care or must delay surgical intervention and have good potential to do so.
NAVIGATION
|
17
Dec |
MRI Improves Understanding Of How Doctors Make DiagnosesCategory: Primary Care / General Practice | Leave a Comment |
Doctors use similar brain mechanisms to make diagnoses and to name objects, according to a study published in the online journal PLoS ONE and led by Marcio Melo of the University of Sao Paulo in Brazil. Doctors often make diagnoses within their first moments of interaction with a patient…
|
24
Nov |
Massachusetts Makes Drug And Medical Device Company Payments PublicCategory: Primary Care / General Practice | Leave a Comment |
The Boston Globe: “Massachusetts health officials published online yesterday the most comprehensive state database in the country listing payments drug companies and medical device makers have made to doctors, nurses, pharmacists, hospitals, and other health care providers. The report lists $35.7 million in payments from hundreds of companies for the six months between July 1 and Dec…
|
24
Nov |
Massachusetts Makes Drug And Medical Device Company Payments PublicCategory: Primary Care / General Practice | Leave a Comment |
The Boston Globe: “Massachusetts health officials published online yesterday the most comprehensive state database in the country listing payments drug companies and medical device makers have made to doctors, nurses, pharmacists, hospitals, and other health care providers. The report lists $35.7 million in payments from hundreds of companies for the six months between July 1 and Dec…
|
24
Nov |
Massachusetts Makes Drug And Medical Device Company Payments PublicCategory: Primary Care / General Practice | Leave a Comment |
The Boston Globe: “Massachusetts health officials published online yesterday the most comprehensive state database in the country listing payments drug companies and medical device makers have made to doctors, nurses, pharmacists, hospitals, and other health care providers. The report lists $35.7 million in payments from hundreds of companies for the six months between July 1 and Dec…
The Boston Globe reports on Dr. Martin Samuels, a Harvard Medical School neurologist, who started “a new company that he says will provide continuing medical education to doctors across the country - without funding from the pharmaceutical industry. … The venture is the latest development in an escalating national debate over the system for educating physicians…
|
3
Sep |
Conference To Focus On Sustainable Health Care TransformationCategory: Primary Care / General Practice | Leave a Comment |
CPM Resource Center (CPMRC), an Elsevier company and leader in assisting healthcare organizations improve practice at the point of care, has announced that its 19th International Conference will take place Jan. 19-22, 2011, at the Hyatt Regency Embarcadero in San Francisco…
|
14
Jul |
Mass. Lawmakers May Strip Ban On Medical-Industry GiftsCategory: Primary Care / General Practice | Leave a Comment |
Massachusetts lawmakers may repeal a two-year old law requiring medical firms to disclose gifts to doctors, The Associated Press/Boston Herald reports. “Health care advocates say such a move could put a quick halt to efforts to rein in health care costs and increase transparency in the industry. Those pushing for repeal say the law has made it harder to attract those businesses to the state…
|
5
Jul |
More Than 2B Worldwide Lack Access To Adequate Surgical Services, Study FindsCategory: Primary Care / General Practice | Leave a Comment |
“More than 2 billion people worldwide do not have adequate access to surgical services, and low-income countries in particular have low levels of surgical care,” according to a study published online Thursday in the Lancet, HealthDay News/Modern Medicine reports (7/1)…
|
2
Jul |
Medical School Association Suggests Clinical Conflict-Of-Interest PoliciesCategory: Primary Care / General Practice | Leave a Comment |
The Association of American Medical Colleges has asked academic medical institutions to adopt conflict-of-interest policies for clinical care similar to those they apply to medical research, Modern Healthcare reports. This is the latest in a series of three conflict-of-interest guidances by the association…
|
28
Jun |
Mass. Bill Would Lift Gift Ban; Workers Rally In Md., Minn.Category: Primary Care / General Practice | Leave a Comment |
Boston Globe: “A two-year-old state ban on gifts in the medical and pharmaceutical industries would be repealed under an economic development bill that the House budget committee began polling its members on yesterday. The ban, which prohibits drug firms from giving gifts and meals to health care professionals, has cut back on local business profits, a summary of the bill states…