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…
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…
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…
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,…
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…
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…
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…
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,…
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…
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…