In this large cohort of Medicare recipients, the safety of opiates was compared; using a reference of hydrocodone, codeine and oxycodone were associated with significant higher 30 day rates of mortality, and tramadol was associated with significantly lower 30 day rates of fractures and safety events requiring hospitalization. Codeine also had higher rates of cardiovascular events than hydrocodone at 180 days. This large cohort suggests that for major safety outcomes, tramadol and hydrocodone are significantly safer than codeine and oxycodone (abstract).
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]