Surgery
Cost-utility of ASC vs inpatient anterior cervical discectomy, fusion
Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up. A total of 6,504 patients having 1-to 2-level ACDF…
Association of hospital market competition with high-risk surgical procedure outcomes
Editor's Note This study from the University of Michigan, Ann Arbor, examines the association between hospital market competition and outcomes after high-risk surgical procedures. A total of 2,248,438 Medicare beneficiaries who had 1 of 10 high-risk surgical procedures between 2015 and 2018 were included in the analysis. Compared with low-competition…
Clinical outcomes, costs of robotic vs open ventral hernia repair
Editor's Note This study led by researchers at Good Samaritan Medical Center, Brockton, Massachusetts, and Tufts University School of Medicine, Boston, examines the clinical outcomes and costs of robotic and open ventral hernia repairs. A total of 675 open and 609 robotic ventral hernia repairs were included in the analysis.…
Costs of frailty after major, elective noncardiac surgery
Editor's Note This Canadian study finds a 1.5-fold increase in costs in the year after major, elective noncardiac surgery for patients with preoperative frailty. A total of 171,576 patients (23,219 with preoperative frailty) were included in the analysis. Unadjusted costs were higher for frail patients. After adjusting for confounders, an…
ACS: 19 surgical organizations oppose CMS code G2211
Editor's Note The American College of Surgeons (ACS) announced, on July 26, that it and 18 other surgical organizations sent a letter to the Centers for Medicare & Medicaid Services (CMS), strongly opposing implementation of its code G2211. The G2211 code is an effort by CMS to pay more for…
Military combat surgeon to lead new pandemic preparedness office
Editor's Note Paul Friedrichs, MD, a military combat surgeon and retired Air Force major general, will lead the new Office of Pandemic Preparedness and Response Policy, which will replace the current COVID-19 and monkeypox response teams, and prepare for future pandemics, the July 21 Reuters reports. Dr Friedrichs will be…
First robotic liver transplant in US performed at Barnes-Jewish Hospital
Editor's Note Washington University School of Medicine, on July 12, announced that a team of its surgeons performed the first robotic liver transplant in the US in May at Barnes-Jewish Hospital, St Louis. The patient, a man in his 60s who needed a transplant because of liver cancer and cirrhosis…
FDA: Class I recall of Quidel Triage Cardiac Panels
Editor's Note The Food and Drug Administration (FDA), on July 17, identified the recall by Quidel Cardiovascular Inc of its Quidel Triage Cardiac Panels as Class I, the most serious. The recall was initiated because of reports of inaccurate tests showing lower than expected troponin levels in samples. A falsely…
The Joint Commission/AHA revise requirements for Advanced Certification in Heart Failure program
Editor's Note The Joint Commission, on July 12, announced that it and the American Heart Association (AHA) have revised requirements for the Advanced Certification in Heart Failure program to align with the latest clinical practice guidelines for heart failure, effective January 1, 2024. Requirements for interdisciplinary team members have been…
SSIs in children having nonemergent surgical procedures
Editor's Note This study, led by researchers at Boston Children’s Hospital and the American College of Surgeons, finds that a small number of surgical procedures account for a disproportionate number of surgical site infections (SSIs) in elective pediatric surgery. This multicenter analysis included SSI data from 90 hospitals and 11,689…
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