September 2019, Volume XXXIIi, No 6
Understanding regenerative medicine
An effective treatment for orthopedic degeneration
Regenerative medicine holds great promise in treating pain caused by orthopedic degeneration, a family of conditions that has previously been treatable only with corticosteroid injections or costly joint replacement.
September 2019, Volume XXXIIi, No 6
cover story One
Understanding regenerative medicine: An effective treatment for orthopedic degeneration
By Nate Crider, MD, FAAPMR
Regenerative medicine holds great promise in treating pain caused by orthopedic degeneration, a family of conditions that has previously been treatable only with corticosteroid injections or costly joint replacement. Unfortunately, rapid changes in the field and a lack of clearly defined protocols and definitions has led to confusion about what regenerative medicine is and what it can do for patients.
cover story two
A changing role of pharmacy: Collaborating on multiple fronts
By Sarah Derr, PharmD
Millions of Americans lack adequate access to primary health care, and many are not able to see their clinician on a regular basis due to multiple factors, which may include lack of insurance coverage; social determinants of health that limit transportation, mobility, or flexibility in work schedules; and strained financial resources.
Legislation
Insulin pricing: A crisis and an opportunity
By Sen. Scott Jensen, MD
A day of reckoning has arrived for Minnesotans. Across the state this question is being asked repeatedly: “Who bears the costs of chronic medical problems able to be successfully treated with life-sustaining expensive medications?” Insulin has become the center point in this discussion regarding the inadequacies in our current health care system.
Aspirin for primary prevention: The message has not changed
By Russell V. Luepker, MD, MS; Jeremy R. Van’t Hof, MD; and Niki C. Oldenburg, DrPH, MPH
The safety and appropriateness of taking aspirin to prevent a heart attack or stroke has been the subject of debate in recent months. Should aspirin be taken to prevent a first heart attack or stroke? How does one balance the risk reduction for myocardial infarction (MI) or stroke with the risk of bleeding on aspirin?
Weight Control
Bariatric surgery: High ROI for severe forms of obesity
By Jonathan C. Gipson, MD, FACS
Bariatric surgery within a multispecialty-supported program represents one of the biggest returns on investment (ROI) that health care providers can achieve today.
Recognizing childhood and adolescent hypertension: A new clinical decision support tool
By Elyse Kharbanda, MD, MPH, and Heidi Ekstrom, MA
Starting at age three and continuing through adolescence, at least once per year it is recommended that children and adolescents have their blood pressure measured during a primary care visit. For those at increased risk for hypertension, based on family history, obesity, or presence of other medical conditions, blood pressure should be measured at every clinical encounter..
Administration
Posting the cost of health care: Complicated compliance issues
Minnesota providers should review their practices now to ensure compliance with new pricing transparency requirements that took effect on July 1, 2019. The Minnesota Legislature approved amendments to Minnesota Statutes 62J.81 in the 2018 legislative session; Gov. Mark Dayton signed the bill on May 19, 2018.
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