Surgery/Specialties

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Orthopedic implant market to hit $6.2 billion

Editor's Note The global orthopedic implant market is predicted to hit $6.2 billion by 2024, the August 26 Becker’s Spine Review reports. Factors that will impact the market: A growing number of geriatric patients and sports injuries will drive market growth. The cost and unfavorable reimbursements of implants will hinder…

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By: Judy Mathias
August 30, 2016
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Bariatric surgery outcomes in accredited vs nonaccredited centers

Editor's Note In this study, the preponderance of medical evidence supports Center of Excellence accreditation for bariatric surgery centers. This meta-analysis analyzed 13 studies that included more than 1.5 million patients. Among the benefits of accreditation: 10 studies found a substantial benefit for risk-adjusted outcomes 6 studies reported a considerable…

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By: Judy Mathias
August 26, 2016
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Trends in choledocholithiasis management

Editor's Note This study found a marked decline from 1998 to 2013 in surgical (open and laparoscopic) common bile duct exploration (CBDE) for choledocholithiasis (ie, bile duct stones). At the same time, the rate of endoscopic retrograde cholangiopancreatography (ERCP) increased and is becoming the predominant treatment strategy. The percentage of…

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By: Judy Mathias
August 24, 2016
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FDA expands indication for two transcatheter aortic valves

Editor's Note The Food and Drug Administration (FDA) on August 18 approved an expanded indication for the Sapien XT and Sapien 3 transcatheter heart valves for patients with aortic stenosis. The new indication is for patients who are at intermediate risk for death or complications associated with open-heart surgery. Previously,…

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By: Judy Mathias
August 24, 2016
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Benefits of professionalism training for surgical residents

Editor's Note Professionalism education improved surgical resident understanding, awareness, and practice of professionalism in a significant manner in this study. A year-long professionalism curriculum was developed at New York University School of Medicine, New York City, which focused on challenges such as: admitting mistakes effective communication with colleagues at all…

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By: Judy Mathias
August 23, 2016
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Effect of infant anesthesia on IQ scores

Editor's Note In children undergoing staged reconstructive surgery for hypoplastic left heart syndrome, increasing cumulative exposure to volatile anesthetic agents beginning in infancy was associated with worse performance on IQ scores between ages 4 and 5, this study finds. This is the first study to link neurodevelopment outcomes with cardiac…

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By: Judy Mathias
August 22, 2016
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Efficacy of a telephone postop clinic for low-risk patients

Editor's Note Implementation of a telephone postoperative clinic significantly improved utilization of surgeon and facility resources while maintaining patient outcomes, this study finds. Of 200 patients included in the study, 29 had in-person postoperative follow-up and 171 had telephone follow-up. There was no difference in rates of emergency department visits…

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By: Judy Mathias
August 19, 2016
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Discrepancies between intraop frozen section and final pathology reports

Editor's Note Applying a classification tool to identify process and cognitive errors leading to discrepancies between intraoperative frozen section diagnoses and final pathology reports, researchers found that the rate of discrepancies is small and the source of discrepancies varied between organ systems and specific organs. Of 1,042 frozen sections examined,…

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By: Judy Mathias
August 17, 2016
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Implementing a coaching program for practicing surgeons

Editor's Note Several technical and nontechnical skill sets of practicing surgeons were found to be in need of improvement, in this study, which provided support for implementing coaching programs for surgeons on an ongoing basis. A total of 32 surgeons (18 general, 14 gynecologists) from 6 hospitals were assessed; 9…

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By: Judy Mathias
August 12, 2016
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Physician-owned surgical hospitals performed better in VBP program

Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…

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By: Judy Mathias
August 9, 2016
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