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As you know, COA delivers COA Dispatch direct to your inbox each Tuesday, briefing you on the latest industry news that impacts your practice. But we know you are busy and may have missed an important article or two. To that end, here's your monthly recap of the top five stories your peers accessed this month. For more articles, or to see what's trending now, visit the COA Dispatch news portal. To unsubscribe from this monthly recap, click here.

No evidence supporting newer joint replacement devices
Recent improvements in joint replacement devices may not be worth the risk, according to a systematic review published online in the BMJ. The authors found no evidence to recommend 5 newer designs over their more established counterparts, and some of the newer devices came with a higher likelihood of revision surgery. In the systematic review, Dr. Nieuwenhuijse and colleagues considered 5 devices that were purported to be improvements over previous technology.
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Knee surgery: No benefit for those with mild osteoarthritis
Arthroscopic surgery for middle-aged patients with degenerative meniscal tears and mild or no osteoarthritis provided no benefit when compared with nonoperative management, according to a new systematic review and meta-analysis. The review included seven randomized controlled trials that compared arthroscopic meniscal debridement with nonoperative or sham treatments.
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Website allows Canadians to check up on hospitals
Montreal Gazette
Canadians can now easily see which hospitals have the highest death rates, the lowest infection rates, and how their regions compare with the national average in health measures like obesity and heart attacks. The Canadian Institute of Health Information (CIHI) unveiled a website with the mountain of data it has been collecting on the health of Canadians. Users can browse the performance of hospitals and see statistics for their cities, regions, provinces and territories, as well as national averages.
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Montfort Hospital struggles to deal with increase in Quebec patients
CBC News
Ottawa's Montfort Hospital is handing out pamphlets to Quebec patients to help them assess whether they really need to be there. The move comes as the number of patients crossing the river to go to the Montfort's emergency room increases. "It [puts] pressure on our department, and we're dealing with that particular pressure," said Dr. Bernard Leduc, the hospital's president.
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Soins à domicile: près de 800 000 Canadiens insatisfaits
La Presse
Une nouvelle étude de Statistique Canada révèle que les besoins de plusieurs Canadiens en matière de soins de santé à domicile pour des maladies chroniques, en raison de leur vieillissement ou de leurs handicaps ne sont pas entièrement comblés. Une enquête réalisée en 2012 indique que 792 000 Canadiens âgés de 15 ans ou plus nécessitant des soins à domicile soulignaient que leurs besoins n'étaient comblés qu'en partie, voire pas du tout.
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