Surgery/Specialties

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Bariatric surgery vs lifestyle intervention for diabetes treatment

Editor's Note Bariatric surgery along with 2 years of low-level lifestyle interventions resulted in more type 2 diabetes remissions than lifestyle interventions alone at 3-years followup, this study finds. Participants were randomized to either intensive lifestyle weight loss interventions for 1 year followed by low-level lifestyle interventions for 2 years…

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By: Judy Mathias
October 21, 2015
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FDA launches new features for UDI database

Editor's Note The Food and Drug Administration (FDA) in partnership with the National Library of Medicine on October 19 announced the launch of three new features on AccessGUDID, the public portal to data submitted to the FDA’s Global Unique Device Identification Database (GUDID). Two new APIs (application program interface) and…

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By: Judy Mathias
October 21, 2015
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FDA safety alert: Heater-cooler devices linked to infections

Editor's Note The Food and Drug Administration on October 15 issued a safety alert that heater-cooler devices have been associated with Nontuberculous Mycobacteria infections, primarily in patients undergoing cardiothoracic surgical procedures. Devices include: oxygenator heat exchangers cardioplegia heat exchangers warming/cooling blankets. Between January 2010 and August 2015, the FDA received…

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By: Judy Mathias
October 19, 2015
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Differences in 30-day readmission rates after total hips

Editor's Note Researchers found significant differences in the odds of 30-day readmissions after total hip arthroplasties on the basis of race, socioeconomic status, and payer. African American and Hispanic patients had a higher risk of readmissions than white patients. Lower socioeconomic status was linked to higher odds of readmission. Medicare…

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By: Judy Mathias
October 15, 2015
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Same day surgery process for total joints

Editor's Note Thomas King, MD, an orthopedic surgeon at the Knee, Hip & Shoulder Center, Portsmouth, New Hampshire, has developed a process for total knee and hip replacements that allows many patients to leave the same day after surgery. He uses a combination of a minimally invasive technique, regional anesthesia,…

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By: Judy Mathias
October 14, 2015
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Suicide attempts increase after bariatric surgery

Editor's Note Bariatric surgery patients were at a much higher risk of suicide after surgery than before, in this study. Of 8,815 patients included in the study, 111 had 158 self-harm emergencies during follow-up. Overall, self-harm significantly increased postoperatively (3.63/1,000 patient years) compared with preoperatively (2.33/1,000 patient years). Self-harm emergencies…

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By: Judy Mathias
October 12, 2015
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OR leaders discuss hybrid ORs at OR Manager Conference Town Hall

A highlight of this year’s OR Manager Conference in Nashville, Tennessee, was an interactive hybrid OR exhibit with products from 15 companies. During a special Town Hall on Thursday, October 8, members of the Hybrid OR Steering Committee answered questions from conference attendees seeking information about what’s involved in planning…

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By: Judy Mathias
October 8, 2015
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FDA: Class I recall of PROFEMUR modular neck prostheses

Editor's Note The Food and Drug Administration on October 2 categorized the recall of PROFEMUR Neck Varus/Valgus CoCr 8 degree, Part number PHAC 1254, by MicroPort Orthopedics as Class I, the most serious. The company has received reports of unexpected fractures after surgery related to this modular neck. If the…

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By: Judy Mathias
October 5, 2015
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Volume matters for postop hip fracture recovery

Editor's Note Postoperative hip fracture patients are more likely to be successfully discharged home if they are rehabilitated in centers that care for at least 25 hip fracture patients per year, this study finds. Successful discharge was 43.7% for high-volume facilities (> 24 admissions/year) vs 18.8% for low-volume facilities (1-6…

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By: Judy Mathias
October 5, 2015
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Effect of surgeon’s leadership style on OR team behavior

Editor's Note A surgeon’s transformational leadership skills were associated with improved OR team behavior, in this study. Each one-point increase in a surgeon’s transformational score corresponded to three times more information-sharing behaviors and nearly five and a half times more voice behaviors among the team members. With each one-point increase…

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By: Judy Mathias
October 2, 2015
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