Surgery/Specialties

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November 2024
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Reassessing colonoscopy surveillance: Early- vs average-onset colorectal cancer

Editor's Note Early-onset colorectal cancer (EO-CRC), diagnosed before age 50, is increasing in incidence worldwide. Despite existing postoperative colonoscopy surveillance strategies, the optimal intervals for EO-CRC patients are unclear due to limited long-term data. This study, titled “Early-onset Colorectal Cancer Patients Do Not Require Shorter Intervals for Post-surgical Surveillance Colonoscopy”…

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By: Tarsilla Moura
June 26, 2024
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Study finds no link between anesthesia dose, postop delirium

Editor's Note Higher doses of anesthesia did not affect risk of postoperative delirium in a study of more than 1,000 heart surgery patients, according to a June 10 United Press International (UPI) article on study findings published in JAMA. The research included 1,140 heart surgery patients, half of whom had…

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By: Matt Danford
June 26, 2024
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Study highlights CMS hospital star rating limitations

Editor's Note CMS hospital star ratings may not be a reliable tool for assessing surgical quality, according to a study published June 18 in JAMA Surgery. Researchers acknowledge that higher ratings are generally associated with improved postoperative outcomes, including fewer complications and lower 30-day mortality rates. However, as reported by…

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By: Matt Danford
June 25, 2024
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Kidney transplant performed on awake patient

Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…

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By: Matt Danford
June 25, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Study results evidence long-term effectiveness of gastric bypass surgery

Editor's Note Roux-en-Y gastric bypass surgery kept type 2 diabetes in remission for up to 15 years and maintained most of the weight loss for up to 20 years in a long-term study, according to a June 12 report in SciTech Daily. Presented the same day at The American Society…

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By: Matt Danford
June 20, 2024
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Study: Surgeons cited for unprofessional behavior more frequently than other specialties

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Editor's Note Surgeons are more likely to be reported for unprofessional behavior than any other category of physician, and pediatric specialists are least likely, according to a study published June 6 in Jama Network Open. Based on data from the Center for Patient and Professional Advocacy's Coworker Observation Reporting System…

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By: Matt Danford
June 20, 2024
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Study: Immunotherapy offers significant benefits for dMMR colorectal cancer

Editor's Note A pair of immunotherapy drugs administered before surgery significantly diminished tumor size without serious safety concerns in patients with mismatch repair-deficient (dMMR) colorectal cancer, according to a study published in the New England Journal of Medicine. Healthline reported the news June 8. Constituting 10-15% of cases, dMMR cancer…

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By: Matt Danford
June 18, 2024
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Study: Female, minority surgeons experience greater distress after adverse events

Editor's Note Surgeons and surgical trainees who are female or from minority racial or ethnic backgrounds report higher levels of negative emotions and self-doubt after adverse events, according to a recent study in JAMA Network Open. According to a June 5 report in MedPage Today, the single-site, mixed-methods study found…

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By: Matt Danford
June 18, 2024
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