Total contact casting successful but underused in reducing amputations | Expert: Diabetic foot infections not on the decline | Depression might raise risk for postsurgical infection
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September 10, 2014
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Wound Care Update
Total contact casting successful but underused in reducing amputations
Research published in the journal Advances in Skin & Wound Care found that patients who did not have total contact casting to offload diabetic foot ulcers had significantly more amputations. The study examined a wound-care registry of 11,784 patients with over 25,000 diabetic foot ulcers. "Total contact casting is vastly underutilized in DFU wound care settings, suggesting that there is a gap in practice for adequate off-loading," wrote the authors. McKnight's Long-Term Care News (9/1)
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Expert: Diabetic foot infections not on the decline
Reports that diabetic foot infections have declined are misleading, according to a presenter at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Changing the definition of diabetes resulted in an increase in the total number of Americans considered to have the disease, thus reducing the percentage of those with foot infections, which is a late-stage complication in more severe cases, said Bryson Duhon, clinical assistant professor of pharmacy at the University of Texas at Austin. MedPage Today (free registration) (9/9)
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Depression might raise risk for postsurgical infection
Patients suffering from depression before cardiothoracic surgery were much more likely to contract postoperative sternal wound infections, potentially leading to longer lengths of stay, readmission and reoperation, according to a study presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Medscape (free registration) (9/8)
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Research, Technology & Innovation
Scientists ID molecules that promote healing of diabetic wounds
Chemical mediators called maresin-Ls produced by leukocytes and platelets restore reparative functions to macrophages impaired by diabetes and help suppress chronic inflammation, encouraging wounds to heal, researchers report in the journal Chemistry & Biology. The finding could lead to new treatments for diabetes-related wounds, the lead researcher said. Healio (free registration)/O&P Business News (9/8)
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Health Policy & Regulation
CMS to host call on averting pay cuts related to quality programs
The CMS will conduct a call to inform eligible professionals and group practices of ways to avoid negative payment adjustments under the 2016 Physician Quality Reporting System, meet EHR Incentive Program quality measures and prevent pay cuts under the 2016 Value-Based Modifier program. The call will be held Sept. 17. Health Industry Washington Watch blog (9/5)
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HHS issues final rule for stage 2 meaningful use
HHS released a final rule that permits eligible physicians and health care facilities to attest to stage 2 of meaningful use using 2011 certified EHR technology or 2011 plus 2014 technology, but next year they must use 2014 technology. Healthcare IT News (9/2), Medscape (free registration) (9/5)
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I must govern the clock -- not be governed by it."
-- Golda Meir,
former Israeli prime minister
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