Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Employee deductibles outstrip wages

Kaiser Family Foundation, 2018 Employer Health Benefits

Key clinical point: The average employee deductible rose from $735 to $1,573 in the last decade.

Major finding: Deductibles have risen 8 times faster than wages since 2008.

Study details: Kaiser Family Foundation surveyed 4,070 randomly selected nonfederal public and private firms with three or more employees; 2,160 responded to the full survey and 1,910 responded to a single question about offering coverage.

Disclosures: No financial conflicts of interest reported.

Read the article.

Citation:

Kaiser Family Foundation, 2018 Employer Health Benefits

This Week's Must Reads

Intensity modulated radiation therapy may be preferable in children with extremity nonrhabdomyosarcoma soft-tissue sarcomas, Source: Rao A et al. Intl J Rad Oncology*Biology*Physics; Jan. 2019, 38-44. https://doi.org/10.1016/j.ijrobp.2018.09.005

TAO: Nonwhite ethnicity, limb infection predict poor prognosis, Le Joncour A et al. Arthritis Rheumatol. 2018;70(Suppl 10): Abstract 1885

Thrombolysis for acute ischemic stroke safe in GI malignancy, Inohara T et al. Circulation. 2018 Nov 6;138[suppl 1], Abstract A12291

Ten years of anastrozole boosts disease-free survival, Ohtani S et al. SABCS 2018, Abstract GS3-04

Must Reads in Practice Management

Physician burnout linked to EHRs, Gardner R et al. J Am Med Inform Assoc. doi: 10.1093/jamia/ocy145.

Most physicians do not use telemedicine, Kane C et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05077

Health care spending slowed but fewer insured, Martin A et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05085

Open enrollment surge doubles plans selected , Centers for Medicare & Medicaid Services

Residents get less parental leave than faculty physicians, Magudia K et al. JAMA. 2018 Dec 11;320[22)]:2372-4; Varda B et al. JAMA. 2018 Dec 11;320[22]:2374-7