Surgery/Specialties

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March 2025
Home Surgery/Specialties

New 10-point checklist aims to streamline patient selection for outpatient joint replacement

Editor's Note As joint replacement (JR) procedures increasingly move from the hospital setting to ambulatory surgical centers (ASCs), selecting the right candidates for these outpatient procedures becomes crucial. To support this transition, study authors Madhav Chowdhry, MD, and Edward J. McPherson, MD, developed a comprehensive, evidence-based checklist called Checklist Outpatient-Joint…

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By: Tarsilla Moura
November 13, 2024
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Study: Delaying elective surgery after myocardial infarction reduces complications in older patients

Editor's Note Older adults face a significantly higher risk of complications including stroke and recurrent heart attacks if they undergo elective noncardiac surgeries soon after myocardial infarction, according to a University of Rochester study published October 30 in JAMA Surgery.  According to a University announcement, current guidelines from the American…

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By: Matt Danford
November 11, 2024
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Global study dispels benefits of blood pressure management during non-cardiac surgery

Editor's Note A new global clinical trial indicates targeting higher blood pressure during non-cardiac surgeries is no better than current standard approach in preventing acute kidney injury, according to a November 5 report from London Health Sciences Centre. With 300 million non-cardiac surgeries performed worldwide every year, risk of kidney…

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By: Matt Danford
November 11, 2024
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New guidance: Preoperative GLP-1s safe for surgical patients

Editor's Note Joint guidance from key US medical associations advises that most patients on GLP-1 weight-loss medications, such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro), may safely continue these drugs before surgery, HealthDay News reported October 31. Concerns had emerged about potential risks associated with these medications due to their…

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By: Matt Danford
November 7, 2024
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Study: Beta-blockers could increase postoperative stroke risk

Editor's Note Research presented at the American Society of Anesthesiologists (ASA) annual meeting has found that beta-blocker use is associated with an increased risk of postoperative stroke, particularly among Black and Hispanic patients undergoing noncardiac surgeries, Medpage Today reported October 20. According to the article, the retrospective study analyzed the…

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By: Matt Danford
November 7, 2024
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Music therapy reduces opioid use, anxiety in surgical patients

Editor's Note Music-based interventions administered preoperatively, intraoperatively, and postoperatively can significantly reduce postoperative opioid use and improve mood in patients undergoing same-day surgeries, according to research published October 15 in the Journal of Clinical Medicine. The single-center, prospective, randomized controlled trial evaluated 75 patients aged 18 to 80 who received…

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By: Matt Danford
November 7, 2024
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Study: Poor sleep before surgery boosts risk of postoperative delirium

Editor's Note Poor sleep quality in the month leading up to surgery could increase the risk of postoperative delirium, according to research presented at the Anesthesiology 2024 annual meeting, hosted by the American Society of Anesthesiologists (ASA). An October 15 report in NewsWise has the details. According to the article,…

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By: Matt Danford
November 6, 2024
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Task force aims to reduce discarded organs, boost transplants

Editor's Note The Organ Procurement and Transplant Network (OPTN) is launching a national effort to reduce discard rates of donated organs, according to an October 23 announcement from the University of Michigan. OPTN oversees organ distribution for transplant procedures in the US. According to the report, the organization aims to…

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By: Matt Danford
November 5, 2024
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Trump vs. Harris: Key differences in healthcare proposals for Medicaid, Medicare, private insurance, abortion

Editor's Note When it comes to the 2024 presidential election, “Neither candidate addresses a return to the fundamental tenet of healthcare: the patient-physician relationship,” reads the closing line of an “election guide” from Richard Menger MD MPA. In the preceding paragraph, Menger also argues that both candidates also neglect issues…

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By: Matt Danford
November 4, 2024
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Study: Stool tests show promise in reducing colonoscopies for post-polypectomy colorectal cancer surveillance

Editor's Note Stool-based testing strategies could significantly reduce the number of colonoscopies required for post-polypectomy colorectal cancer (CRC) surveillance while maintaining equivalent long-term outcomes in cancer incidence and mortality, according to research published August 30 in Gastroenterology. Conducted in the Netherlands, the cross-sectional observational study compared three stool tests—multitarget stool…

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By: Matt Danford
November 1, 2024
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