MDNews - National

20 6 Contents | MAR/APR 2015 | DEPARTMENTS PRACTICE MANAGEMENT 5 BUSINESS OF MEDICINE 8 DATA VAULT 13 FINANCE 14 PRODUCT SPOTLIGHT 18 THAT'S NEWS 23 THE LINK 24 FEATURES ABUSE-DETERRENT OPIOIDS: A FRAUGHT APPROACH TO AN EPIDEMIC 6 Opioid pain relievers have the potential to lead to addiction, overdose and even death. Pharmaceutical companies are producing abuse-deterrent formulations of opioids — but such medications are not without their own risks, experts say. MINING THE MASSES WITH MEDICAL CROWDSOURCING 16 Digital services are pooling the knowledge of physicians and others to diagnose difficult cases and respond to medication dilemmas. Experts assess the pros and cons of the expanding field of medical crowdsourcing. SPECIAL CLINICAL SECTION: GERIATRICS BETTER OUTCOMES KEY TO EMERGENCE OF GERIATRIC ERs 10 Specialized ERs for patients 65 and older are yielding decreased readmission rates and increased patient satisfaction, prompting rising numbers of hospitals and health systems to adopt the model. IMPROVING DIABETES MANAGEMENT IN LONG-TERM CARE 12 To combat the use of sliding-scale insulin and enhance outcomes in elderly patients with diabetes, a nursing home in South Texas implemented an evidence-based model of coordinated diabetes management. SPECIAL CLINICAL SECTION: MEN'S HEALTH STUDY REVEALS MISSED CHANCES FOR OSTEOPOROSIS DETECTION IN MEN 20 The number of hip fractures in older American men is expected to increase 51.8 percent by 2030, yet men typically do not undergo bone-density screening or receive appropriate medication, such as bisphosphonates, after a fall. Orthopedic surgeons are calling for increased awareness of fragility fractures among older men. CHOLESTEROL CONTROL: A WEAPON AGAINST PROSTATE CANCER RECURRENCE? 22 High cholesterol levels may contribute to prostate cancer recurrence in some men. Researchers speculate that controlling cholesterol levels in prostate cancer survivors may reduce the risk of recurrence after radical prostatectomy. 16 PAGE

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