Family Medicine
Audio Summaries

Changes in Rate and Indications for Remplissage When Performing Arthroscopic Bankart Repair for Anterior Shoulder Instability

The authors aimed to investigate trends in the utilization and indications for remplissage as an adjunct to arthroscopic Bankart repair (ABR) for anterior shoulder instability from 2012 to 2024. They found that the use of remplissage increased 4.5-fold over the study period, with most patients presenting with near-track or on-track lesions, indicating a shift towards broader application of the procedure beyond traditional indications. The study highlights the need for further research to assess whether these changes in practice lead to improved patient outcomes.

Implementation of Dyadic Care to Support Clinical, Administrative, and Service Wraparound Needs for the Opioid-Exposed Mother and Infant

The authors aimed to evaluate the implementation of dyadic care models for opioid-exposed mothers and infants, addressing the lack of practical guidance in this area. Through a comparative analysis of five outpatient programs, they identified commonalities and differences in clinical, administrative, and service wraparound practices, revealing that while dyadic care is consistently defined, its operationalization varies significantly. The study highlights key elements that can enhance the effectiveness of dyadic care despite existing challenges related to funding, coordination, and resource limitations.

Trends in Public Opinion About US Illicit Drug Policy: Results From the 2000 to 2025 Gallup Survey

This study investigates American perceptions of progress in illicit drug policy and the severity of the drug problem from 2000 to 2025, utilizing data from the Gallup Poll Social Survey. The findings reveal that less than half of Americans consistently perceive progress against illicit drugs, with significant partisan differences influencing these perceptions, particularly in the context of political leadership. The authors highlight that increasing political polarization may hinder the development of a unified national drug control strategy.

Medicaid Prior Authorization and Discontinuation of Buprenorphine

The authors investigate how Medicaid's utilization management policies, specifically prior authorization (PA), affect the duration of buprenorphine treatment episodes for opioid use disorder. Their analysis of national prescription claims data reveals that buprenorphine discontinuation rates are high across all Medicaid plans, with a notable decline in treatment continuation observed within the first three months, particularly among managed care organization (MCO) plans with PA. The findings suggest a need for further research into additional insurer policies that may impact treatment adherence.

Self-Directed vs Clinician-Delivered Cognitive Behavioral Therapy for Chronic Pain: A Randomized Clinical Trial

The authors aimed to compare the effectiveness of self-directed cognitive behavioral therapy for chronic pain (CBT-CP) with asynchronous feedback to clinician-delivered CBT-CP in patients with chronic musculoskeletal pain. The study found that self-directed CBT-CP significantly reduced pain interference and improved secondary outcomes at 4 months, with benefits sustained at 12 months, suggesting it may be a more accessible alternative to traditional clinician-delivered therapy.

Co-creation and interprofessional collaborative practice for the local management of osteoporosis: a qualitative study in primary healthcare

The authors aimed to explore the implementation and experiences of an interprofessional collaborative practice (ICP) intervention for managing osteoporosis in primary healthcare. Through workshops and qualitative evaluations involving nurses and physicians, they identified innovative learning processes, perceived benefits for patients, and factors influencing changes in work procedures. The study concluded that a participatory approach effectively enhanced local osteoporosis management by fostering interprofessional collaboration and leveraging local expertise.

Optimising exercise prescription for cancer-related fatigue, lean mass, physical function and muscle strength in women with breast cancer: a systematic review with dose-response network meta-analysis

The authors aimed to systematically review and analyze the dose-response relationship of different exercise modalities—aerobic, resistance, and combined exercise—on cancer-related fatigue, lean mass, physical function, and muscle strength in women with breast cancer during and after treatment. They found that combined exercise was most effective for reducing fatigue and increasing lean mass, while resistance exercise was superior for enhancing physical function and muscle strength, with significant benefits observed at relatively low exercise doses. The study highlights the potential for tailored exercise prescriptions to improve outcomes in this population.

Evaluating movement breaks as a public health strategy to mitigate the harms of prolonged sitting: a large-scale pragmatic intervention

This study investigates the effectiveness and feasibility of implementing brief, regular movement breaks as a public health strategy to counteract the negative effects of prolonged sitting. Conducted with over 19,000 adults, the findings indicate that movement breaks significantly improved psychosocial outcomes, such as reducing fatigue and enhancing positive affect, with hourly breaks providing the optimal balance between feasibility and effectiveness. The results support the potential of movement breaks as a viable intervention to mitigate the harms associated with sedentary behavior.

Morphological Characteristics After Single Versus Recurrent Traumatic Posterior Shoulder Dislocation Events

The authors aimed to quantify and compare the morphological consequences of single versus recurrent traumatic posterior shoulder dislocations, specifically focusing on posterior glenoid bone loss (pGBL), glenoid version, reverse Hill-Sachs lesions, and acromial morphology. Their findings revealed that recurrent dislocations resulted in significantly greater pGBL compared to single dislocations, while no significant differences were observed in glenoid version or reverse Hill-Sachs lesion dimensions. The study highlights the importance of early recognition and intervention to prevent further bone loss in patients at risk of recurrent dislocations.

Racial and Demographic Trends in Abortion Method Selection in Minnesota Among in-State Patients at or under 11 Weeks Gestational Duration, 2021-2024

This study investigates demographic and racial trends in the selection of abortion methods among patients in Minnesota with pregnancies of 11 weeks or less, particularly in the context of expanded access to telehealth medication abortion (TeleMAB). The findings reveal that while TeleMAB is more utilized by older, predominantly white, and rural patients, marginalized groups such as Black and Hispanic patients are more likely to seek in-clinic care, indicating potential access inequities. The authors call for further research to identify structural barriers that may limit access to preferred abortion modalities for these communities.