Physicians

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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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Using machine learning for preop prediction of postop mortality, ICU admission

Editor's Note Machine learning can be used to improve surgical risk prediction compared to traditional risk calculators, this study from Singapore finds. The traditional Combined Assessment of Risk Encountered in Surgery and the American Society of Anesthesiologists Physical Status models were compared with machine learning models in the prediction of…

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By: Judy Mathias
April 11, 2019
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Minimally invasive uterine fibroid embolization safe, effective

Editor's Note Minimally invasive embolization can be used to effectively treat uterine fibroids with fewer postoperative complications and a lower need for additional treatments than myomectomy, finds this study presented March 25 at the Society of Interventional Radiology’s 2019 Annual Scientific Meeting in Austin, Texas. Of 950 patients analyzed, half…

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By: Judy Mathias
March 26, 2019
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After 10 years, EHRs don’t live up to promise

Editor's Note The US government claimed that digitization of healthcare records would improve the quality and value of healthcare; however, 10 years after legislation fast-tracked the move to electronic healthcare records (EHRs), even the architects of the effort agree that the $36 billion investment has not delivered as expected, the…

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By: Judy Mathias
March 20, 2019
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Effect of hospital intervention, state legislation on postop opioid prescribing practices

Editor's Note After a hospital-wide intervention and state-wide legislation, this community hospital in Michigan achieved a 60%-70% decrease in postoperative opioid prescriptions and less variation in opioid prescription practices. This retrospective study of opioid naïve adult patients who had one of five general surgical procedures between 2015 and 2017 found…

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By: Judy Mathias
March 18, 2019
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FDA issues letter on risks linked with staplers, implantable staples

Editor's Note The Food and Drug Administration (FDA) on March 8 issued a letter to alert healthcare providers about an increasing number of medical device reports on surgical staplers for internal use and implantable surgical staples. The most common reported problems include opening of the staple line, malformation of staples,…

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By: Judy Mathias
March 11, 2019
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Long-term opioid use in family members linked to persistent postop use in adolescents, young adults

Editor's Note Long-term opioid use among family members was associated with persistent postoperative opioid use in opioid-naïve adolescents and young adults and should be screened for preoperatively, this study finds. Of 346,251 opioid-naïve patients aged 13 to 21 years having common surgical and dental procedures, persistent opioid use occurred in…

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By: Judy Mathias
March 4, 2019
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Association of overlapping surgery with outcomes

Editor's Note In this multicenter study, overlapping surgery was not significantly associated with in-hospital mortality or postoperative complication rates, but it was significantly linked to increased surgery time. Researchers from Stanford University, University of Michigan, University of Pennsylvania, and Harvard, analyzed 66,430 procedures, of which 8,224 were overlapping. Overlapping surgery…

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By: Judy Mathias
February 28, 2019
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Physician well-being and burnout improving, but increased burnout risk remains

Editor's Note Though physician burnout and satisfaction with work-life integration are improving, physicians remain at high risk for burnout, compared to workers in other fields, this study finds. Researchers from the Mayo Clinic, Stanford University, and the American Medical Association surveyed 30,456 US physicians in more than 20 specialties; 5,197…

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By: Judy Mathias
February 26, 2019
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Unnecessary UTI testing cut by 45%

Editor's Note Making a simple change to the electronic system used by physicians to order urine tests can cut by 45% the number of bacterial cultures ordered without compromising the identification of patients who need treatment for urinary tract infections (UTIs), this study finds. In this analysis of 18,954 patients…

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By: Judy Mathias
February 25, 2019
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