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No Access to Routine Healthcare Biggest Barrier to HPV Vaccination

BALTIMORE — People with access to routine healthcare were more likely to have received human papillomavirus (HPV) vaccination compared with those who did not have this access, a retrospective analysis of National Health and Nutrition Examination Survey data suggested. Among participants ages 12 to 26, those with health insurance and a routine healthcare provider had […]

Insurance Loss After Pregnancy Tied to Less Postpartum Prescription Contraception

BALTIMORE — Women who lost insurance coverage shortly after pregnancy had lower odds of prescription contraception after giving birth than women with continuous insurance, survey data from nearly 250,000 people showed. Compared with continuous insurance, the likelihood of postpartum prescription contraception was 26% lower with loss of insurance 2 months or more after delivery (adjusted […]

What’s the Best Way to Treat Femur Breaks From Bone Metastases?

BALTIMORE — The use of long-stem hemiarthroplasty (LSHA) did not improve quality-of-life (QoL) or functional outcomes compared to intramedullary nailing (IMN) in treating pathological fractures of the pertrochanteric femur caused by bone metastases, a researcher reported. In the randomized controlled surgical trial, short-term outcomes (3 to 12 months) demonstrated that mean Toronto Extremity Salvage Scores […]

Pediatric Sarcoma Patients Face Late Amputation Risk Decades Later

BALTIMORE — Pediatric patients who underwent limb salvage surgery (LSS) for lower extremity sarcomas had a substantial risk of undergoing late amputation, a researcher reported. In a retrospective analysis of data from the Childhood Cancer Survivor Study (CCSS), the cumulative incidence of late amputation at 20 years after LSS was almost one out of every […]

Antibiotic Could Thwart Costly Sarcoma Surgery Complication

BALTIMORE — Including an antibiotic with strong activity against anaerobic bacteria to standard perioperative prophylaxis following soft-tissue sarcoma (STS) resection was associated with lower wound complication rates, a retrospective study suggested. Overall, major wound complication rates dropped from 27.3% to 15.9% when an antibiotic such as metronidazole was incorporated into perioperative prophylaxis, a 42% relative […]

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