Editor's Note A simple arm test that uses a wearable technology can rapidly and accurately identify physiological frailty in older adults facing surgery, finds this study. Researchers developed a 20-second upper arm extension test (ie, upper extremity frailty [UEF] system) to assess biomarkers of frailty, such as slowness of motion,…

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Editor's Note Psychological disorders, such as depression and anxiety, were independently associated with higher all cause 30-day readmissions after elective spine surgery in this study. Of 400 patients involved in the study, outcomes data was available for 107. Results showed the rate of readmission was three-fold greater for patients with…

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Editor's Note The Joint Commission on April 27 announced that Thomas Jefferson University Hospital, Philadelphia, is the first hospital in the US to achieve its Advanced Certification for Total Hip and Total Knee Replacement. The certification recognizes that Thomas Jefferson University Hospital is committed to providing safe and efficient care…

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Editor's Note Liver transplant candidates who are the sickest and should be first in line for a donor liver are increasingly being removed from the wait list because they are considered too sick to transplant, finds this study. Between 2007 and 2012, more than 4,300 patients were taken off the…

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Editor's Note Seven emergency general surgery procedures account for about 80% of all admissions, deaths, complications, and inpatient costs, this study finds. The seven procedures are: partial colectomy small bowel resection cholecystectomy operative management of peptic ulcer disease lysis of peritoneal adhesions appendectomy laparotomy. These seven procedures represent the greatest…

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Editor's Note In intermediate-risk patients, outcomes (ie, death from any cause or disabling stroke) of transcatheter aortic-valve replacement (TAVR) were similar to conventional open aortic-valve replacement, this study finds. The study involved 2,032 patients: 1,011 were randomized to TAVR and 1,021 to open surgery. Previous studies have shown that survival rates…

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Editor's Note Hand and arm surgical procedures can be completed safely in the outpatient setting at a freestanding ambulatory surgery center (ASC), this study finds. In this retrospective review of nearly 29,000 cases performed at a freestanding ASC over an 11-year period, there were 58 adverse events, for an overall…

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Editor's Note In this meta-analysis, organ recipients who had cancer before receiving an organ transplant had higher rates of mortality and new cancers than organ recipients who had not had cancer. Organ recipients with previous cancers had a 1.5 times greater risk of dying from any cause, 3 times higher…

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Editor's Note Readmission after emergency general surgery procedures is common and varies widely depending on patient factors and diagnosis categories, this study finds. Of 177,500 emergency general surgery patients, the overall 30-day readmission rate was 5.91%. Predictors of readmission included Charlson Comorbidity Index score of 2 or greater, leaving against medical…

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Total joint replacements have grown rapidly in recent years, thanks to an aging population and advances in surgical techniques and pain management. As a result, many healthcare facilities have added joint and spine procedures to their service lines. Others would like to know how to do this. What’s involved in…

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