Surgery

Latest Issue of OR Manager
January 2025

Commentary: Studies show how surgeon decisions follow the money

Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

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By: Matt Danford
January 30, 2025
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Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin

Editor's Note The first study to directly compare kidney-related adverse outcomes between perioperative use of gabapentin and pregabalin shows that the former drug carries a higher risk, Renal and Urology News reported January 21. Published in Frontiers in Medicine, the study involved a trial emulation of 1,280 propensity-matched surgical patients…

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By: Matt Danford
January 29, 2025
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Study: Sleep surgery reduces motor vehicle accident risk in OSA patients

Editor's Note Sleep surgery outperforms continuous positive airway pressure (CPAP) therapy in reducing of motor vehicle accidents (MVA) risk among patients with obstructive sleep apnea (OSA), particularly those with poor CPAP adherence or severe disease, according to research published January 21 by the American Academy of Otolaryngology-Head and Neck Surgery.…

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By: Matt Danford
January 28, 2025
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Study links high surgeon stress, positive patient outcomes

Editor's Note Optimizing surgeon stress could enhance surgical performance and patient outcomes, according to a large cohort study published January 15 in JAMA Surgery. Researchers focused particularly on physiological markers of surgeon stress during the first 5 minutes of a procedure, revealing a significant inverse relationship with major patient complications.…

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By: Matt Danford
January 22, 2025
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Study: Dry eye risks complicate cataract surgery recovery

Editor's Note A meta-analysis reveals that cataract surgery often leads to temporary tear film instability, with symptoms potentially lasting up to three months, according to a January 16 article in Medscape. However, the impact on other dry eye measures remains unclear due to inconsistent findings across studies. Researchers analyzed 20…

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By: Matt Danford
January 17, 2025
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Study: Adjusting Caprini score may improve perioperative VTE risk prediction for Blacks, Latinos

Editor's Note A study presented at the ASH Annual Meeting 2024 found that the current Caprini score, a widely used model for assessing perioperative venous thromboembolism (VTE) risk, underestimates risk in Black patients while overestimating it in Latino patients. Hematology Advisor reported the news January 6. According to the article,…

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By: Matt Danford
January 14, 2025
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Study: GLP-1 drugs reduce surgical complications in diabetes patients

Editor's Note GLP-1 drugs may improve surgical outcomes without increasing risks for diabetic patients, according to a January 7 article in Medical Xpress. The article covers a study published in the Annals of Surgery finding that GLP-1 receptor agonists, such as semaglutide and tirzepatide, significantly reduced certain surgical complications in…

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By: Matt Danford
January 9, 2025
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Study: Esophagectomy outcomes worse at private equity hospitals

Editor's Note A study published in JAMA Surgery revealed that hospitals owned by private equity firms had significantly worse outcomes for esophagectomy patients compared to non-acquired hospitals. As detailed in a January 2 report on the findings in MedPage Today, the analysis of over 9,000 cases highlights disparities in 30-day…

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By: Matt Danford
January 7, 2025
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First ACS cancer report highlights neoadjuvant therapy expansion, improvements

Editor's Note A significant increase in the use of neoadjuvant systemic cancer therapies is among the most notable findings from the first annual cancer report from The American College of Surgeons (ACS) National Cancer Database (NCDB). The report also emphasizes the value of early detection, innovative therapies, and robust datasets…

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By: Matt Danford
January 2, 2025
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Why active implants demand proactive management

What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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By: Mary A. Marvin, APRN-BC and Jill Teubel, MSN, RN
January 1, 2025
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