Editor's Note A survey of health system executives published January 4 by VMG Health finds that an increasing number are planning to expand into joint ventures with ambulatory surgery centers as they look to move more services from inpatient to outpatient facilities. The survey included 141 health system executives, including…

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Editor's Note Researchers conducted the largest randomized study to date on use of the sedative midazolam in older patients, a drug sometimes used to calm patients prior to surgery. The results were published in JAMA Surgery on December 20. Highlights include: The study involved nine German hospitals and included more…

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Editor's Note This study from the University of Michigan, Ann Arbor, finds that Medicare patients having common surgical procedures in health professional shortage area hospitals obtain safe care without evidence of higher expenditures. A total of 842,787 Medicare patients undergoing appendectomy, cholecystectomy, colectomy, or hernia repair between 2014 and 2018…

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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.…

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Editor's Note The American College of Surgeons (ACS), on July 10, announced the first five hospitals verified under its Emergency General Surgery Verification Program (ACS EGS-VP). EGS-VP is a surgical quality program created by ACS and the American Association for the Surgery of Trauma to help hospitals align resources and…

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Editor's Note This study from the University of Texas Southwestern, Dallas, finds that nonoperative management of acute appendicitis was associated with reduced complications in older but not younger patients. Included in the analysis was data from the Agency for Healthcare Research and Quality’s National Inpatient Sample on 474,845 patients with…

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Editor's Note This study from the Mayo Clinic finds that despite calls for the expansion of outpatient surgery to mitigate the growing backlog of surgical cases during COVID-19, the transition of general surgery procedures from inpatient to outpatient settings occurred in only a small subset of procedures. This cohort study…

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Editor's Note This study by researchers from the California VA Palo Alto Health System and Stanford School of Medicine compares trends in the use of robotic surgery for common general surgical procedures among Veterans Health Administration (VHA), community practice, and academic healthcare centers between January 1, 2013, and December 31,…

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Editor's Note In this study from the University of Pennsylvania, Philadelphia, researchers find that Black Medicare patients were less likely to receive surgical consultations than White Medicare patients after being admitted from the emergency department (ED) with an emergency general surgery condition. Of 1,686,940 Medicare patients included in the analysis,…

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Editor's Note The Agency for Healthcare Research and Quality (AHRQ) has released new statistics on inpatient stays with OR procedures by patient race and ethnicity from the 2019 National Inpatient Sample. Among the findings: Nonmaternal (ie, men and women of any age) hospitalizations with OR procedures in Black and White…

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