Surgery

Latest Issue of OR Manager
February 2025

60 ACS NSQIP hospitals achieve meritorious outcomes

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 28 recognized 60 of 603 participating hospitals for achieving meritorious outcomes in surgical patient care in 2015. The recognition program commends a select group of hospitals for achieving a meritorious composite score that is…

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By: Judy Mathias
October 31, 2016
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New tool predicts ICU readmission for surgical patients

Editor's Note Researchers from the University of Utah School of Medicine, Salt Lake City, have developed a risk prediction tool, called a “nomogram,” that uses a scoring system to determine a patient’s risk for returning to the surgical ICU within 72 hours after discharge. The study was presented October 20…

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By: Judy Mathias
October 20, 2016
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Status of surgery mentorship programs in the US

Editor's Note Only half of departments of surgery in the US have established mentorship programs, and most are informal, unstructured, and do not involve all of the key stakeholders, this study finds. Of 155 chairs of departments of surgery surveyed 76 responded, for a 49% response rate. A total of…

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By: Judy Mathias
October 20, 2016
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Variation in Medicare expenditures for surgical complications

Editor's Note In this study, substantial variation was observed across hospitals in Medicare episode payments for patients rescued from surgical complications, and higher payments were not associated with improved clinical performance. Medicare payments for patients rescued at the highest-cost hospitals were two- to threefold higher than the lowest-cost hospitals for…

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By: Judy Mathias
October 6, 2016
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ACS NSQIP develops pediatric surgical risk calculator

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has developed a pediatric surgical risk calculator based on 181,353 cases covering 382 CPT codes across all specialties. It was found to have excellent discrimination for mortality, morbidity, and seven additional complications. The calculator can be…

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By: Judy Mathias
October 4, 2016
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Surgical ICU patients benefit from early mobilization

Editor's Note Surgical ICU patients who were assigned to an early mobilization program were discharged sooner from the ICU and the hospital and needed less help after discharge, compared with those who had standard care, this study finds. The analysis included 104 patients assigned to early mobilization and 96 who…

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By: Judy Mathias
October 4, 2016
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Postoperative outcomes significantly improve in VA hospitals

Editor's Note Postoperative outcomes in the Veterans Affairs (VA) health system have consistently improved for the past 15 years, this study finds. In this analysis of nearly 705,000 patients undergoing noncardiac surgical procedures at 143 hospitals, absolute rates and likelihood of complications, mortality, and failure to rescue significantly decreased 40%…

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By: Judy Mathias
September 26, 2016
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Survey: Cardiothoracic surgeons love their jobs

Editor's Note Despite significant challenges in their careers, cardiothoracic surgeons report a very high level of job satisfaction in a survey published online September 13 in The Annals of Thoracic Surgery, the Society of Thoracic Surgeons reports. The 63-question survey was administered to more than 4,300 members of the Society…

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By: Judy Mathias
September 13, 2016
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New STS website provides resources for surgical patients

Editor's Note The Society of Thoracic Surgeons (STS) on September 8 announced the launch of its new patient website that offers resources for individuals facing heart, lung, and esophageal surgery. The site allows patients and their families to research their conditions and gather information on treatment options and recovery.  …

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By: Judy Mathias
September 8, 2016
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Long-term durability of weight loss with bariatric surgery in veterans

Editor's Note Bariatric surgical patients in the Veterans Administration health care system lost substantially more weight than nonsurgical patients and sustained most of the weight loss in the long term, this study finds. Roux-en-Y gastric bypass (RYGB) induced significantly more weight loss than sleeve gastrectomy (SG) or adjustable gastric banding…

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By: Judy Mathias
August 31, 2016
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