FDA: All ED-530XT duodenoscopes by Fujifilm recalled
Editor's Note The Food and Drug Administration (FDA) on July 21 announced the recall by Fujifilm of its ED-530XT duodenoscopes. The recall includes replacement of the ED-530XT forceps elevator mechanism including the o-ring seal, replacement of the distal end cap, and a new operations manual. The FDA cleared the updated…
CDC issues new report on antibiotic use
Editor's Note The Centers for Disease Control and Prevention on July 26 issued a new report titled โAntibiotic Use in the United States, 2017: Progress and Opportunities.โ The report includes information on the current status of antibiotic use in healthcare settings, highlighting programs and resources to support antibiotic stewardship (ie,…
Study: Childhood anesthesia linked to learning disabilities, ADHD
Editor's Note Children with multiple exposures to anesthesia before age 3 are more likely to develop adverse outcomes related to learning and attention, this study finds. Of 116 multiply exposed, 457 singly exposed, and 463 unexposed children included in the analysis, multiple, but not single, anesthesia exposures were associated with…
Mayo Clinic offers surgery fellowship program for journalists
Editor's Note The Mayo Clinic is offering a 5-day surgery fellowship program for journalists, sponsored by the Mayo Foundation for Medical Education and Research. Journalists will see the surgical process from preop to recovery, including time in the operating room, and they will receive an in-depth look at the latest…
Trends in treating total joint patients with OSA
Editor's Note This population-based analysis finds that implementation of obstructive sleep apnea (OSA) interventions in total joint patients is limited, with some current trends virtually in contrast to practice guidelines. Of more than 1 million patients analyzed, anesthetic techniques did not differ by OSA status, and overall, less than 25%…
Joint Commission announces first recipient of Comprehensive Cardiac Center Certification
Editor's Note The Joint Commission on July 19 announced that the University of Kansas Health System, Kansas City, is the first hospital in the nation to achieve its Comprehensive Cardiac Center (CCC) Certification. To achieve certification, hospitals must demonstrate compliance with consensus-based standards, evidence-based clinical practice guidelines for cardiac care,…
Reduction in readmissions not linked to increased mortality
Editor's Note Reductions in readmissions associated with the Affordable Care Act have not had the unintended consequence of increasing mortality after hospital discharge, finds this study. Analysis of more than 5 million Medicare patients hospitalized for heart failure, heart attack, or pneumonia, found that reductions in hospital 30-day readmission rates…
Safety of nipple-sparing mastectomy
Editor's Note Women with breast cancer who have nipple-sparing mastectomies have a low rate of cancer recurrence in the first 5 years, this study finds. Of 311 patients with nipple-sparing mastectomies analyzed, 17 developed a recurrence of their cancer at 51 months median follow-up. Estimated disease-free survival was 95.7% at…
CMS issues 2018 OPPS/ASC proposed payment rule
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 13 issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. CMS is proposing an update of 1.9% for ASCs, which is a combination of a 2.3% inflation update…
CMS proposes paying for outpatient total joints
Editor's Note The Centers for Medicare & Medicaid Services on July 13 issued a proposed rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Among the proposals are that Medicare pay for knee replacement procedures performed in outpatient…