Surgery/Specialties

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Cataract surgery shifting from HOPDs to ASCs

Editor's Note Most patients who had cataract surgery from 2001 to 2014 did so at ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), this study finds. In this analysis of 369,320 patients who had 531,325 cataract surgeries, the proportion performed at ASCs increased from 43.6% in 2001 to…

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By: Judy Mathias
December 7, 2017
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Association of patient age at exposure to surgery, anesthesia with mental disorders

Editor's Note Children under age 5 having minor surgery with anesthesia have a small but statistically significant increased risk of a mental disorder, developmental delays, and attention deficit hyperactivity disorder (ADHD), this study finds. A total of 38,493 children with a single exposure to anesthesia before age 5 and 192,465…

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By: Judy Mathias
December 6, 2017
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Seven-year outcomes after bariatric surgery

Editor's Note In this multicenter study of 7-year weight and comorbid health changes after Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB), most participants maintained much of their weight loss with variable fluctuations over the long term, and comorbid health improvements were sustained after RYGB. Of 2,348 participants,…

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By: Judy Mathias
December 6, 2017
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CMS finalizes changes to bundled-payment models

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 30 announced a final rule that cancels the mandatory hip fracture and cardiac bundled-payment models, which were to begin on January 1, 2018, and implements changes to the Comprehensive Care for Joint Replacement (CJR) Model. In the final…

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By: Judy Mathias
November 30, 2017
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Examining surgical outcomes to identify procedures needing additional QI efforts

Editor's Note This analysis of 10 surgical procedures accrued into the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) between 2008 and 2015, identified which procedures improved the most from QI efforts and which needed more. Hepatectomy demonstrated the greatest improvement across the greatest number of outcomes…

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By: Judy Mathias
November 29, 2017
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Study shows large shift in cataract surgery from hospitals to ASCs

Editor's Note National data show a large shift in cataract surgeries from hospitals to less expensive ambulatory surgery centers (ASCs), where care can be delivered faster and closer to home, this study finds. From 2001 to 2014, the proportion of cataract surgeries performed at ASCs increased steadily from 43.6% to…

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By: Judy Mathias
November 27, 2017
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FDA approves first implanted lens that can be adjusted after cataract surgery

  Editor's Note The Food and Drug Administration (FDA) on November 22 announced the approval of RxSight Inc’s (Pasadena, California) Light Adjustable Lens and Light Delivery Device. This is the first system that allows ophthalmologists to make small adjustments to the implanted lens’ power after cataract surgery to improve visual…

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By: Judy Mathias
November 27, 2017
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Study: Restrictive vs liberal blood transfusion outcomes in cardiac surgery patients

Editor's Note A restrictive blood transfusion strategy (HGB <7.5 g/dL) was equivalent to a liberal strategy (HGB <9.5 g/dL in the OR or ICU and HGB<8.5 g/dL in the non-ICU ward) with regard to mortality and major disability in cardiac surgery patients who had a moderate-to-high risk of death, this…

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By: Judy Mathias
November 16, 2017
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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Landmark study may affect stroke treatment guidelines

Editor's Note Guidelines for stroke treatment currently recommend clot removal within 6 hours of onset. However, a new study led by researchers from Emory University School of Medicine, Atlanta, finds that clot removal up to 24 hours leads to significantly reduced disability. This international multi-center study randomly assigned 206 stroke…

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By: Judy Mathias
November 13, 2017
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