Second Look—Clinical News and Views

Pediatric sports- and recreation-related injuries
Data in the Journal of Pediatric Orthopaedics (December) suggest that, contrary to current perception, the incidence of pediatric sports- and recreation-related (SRR) injuries may not have increased in the United States during the last 10 years. Based on data from 2000, 2005, and 2010 on patients 8 to 14 years of age from the National Electronic Injury Surveillance System, musculoskeletal injuries decreased by 10.8 percent in 2005 and by 12.4 percent in 2010 for the top eight SRR activities in children. During the same time span, sports-specific injuries decreased in six of the SRR activities, with maximal decreases in bicycling (38.1 percent), roller sports (20.8 percent), and trampolines (17.5 percent). Football and soccer injuries increased by 22.8 percent and 10.8 percent, respectively.

BMI and cLBP
Findings published in Spine (Dec. 1) suggest no significant relationship between body mass index (BMI) and self-reported pain and disability among patients treated with exercise for chronic low back pain (cLBP). The retrospective, multicenter study of 128 patients with cLBP, who underwent 8 weeks of exercise-based treatment found no baseline relationships between BMI and self-reported pain or disability and no relationship between baseline BMI or changes in BMI with exercise-related changes in pain and disability, respectively. Overall, BMI was not a predictor of exercise-based pain and disability changes.

Tired physicians and risk of complications
A Canadian study in the Journal of the American Medical Association (JAMA) (Nov. 6) finds no significant increase in complications among physicians who operated the night before elective surgery and those who did not. The population-based, matched, retrospective cohort study of 94,183 laparoscopic cholecystectomy procedures between 2004 and 2011 found no significant association in conversion rates to open operations between surgeons when they operated the night before, compared with when they did not. No association was found between the risk of iatrogenic injuries or death and whether the surgeon operated the night before.

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