Tag: JAMA

Study: Implicit bias linked to low-value vascular procedures, worse outcomes for Black patients

Editor's Note Reducing the negative influence of implicit bias requires system-level interventions to ensure procedures align with best practices for all patients, according to results of new research on outcomes for vascular surgery patients. Published February 26 in JAMA Surgery, the study showed that implicit racial bias among vascular specialists…

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By: Matt Danford
March 11, 2025
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Study: Weekend effect raises risk of surgical patient mortality, complications

JAMA (healthcare publication) Network logo

Editor's Note A March 4 study in JAMA Network Open underscores the persistence of the “weekend effect,” a surgical care phenomenon in which the risk of postoperative complications, readmissions and mortality rises immediately before the weekend. The research suggests variations in staffing, resource availability, and care coordination may contribute to…

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By: Matt Danford
March 6, 2025
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Study: Prophylactic antibiotics reduce SSIs in pediatric cholecystectomy

Editor's Note A cohort study published February 24 in JAMA Pediatrics found that prophylactic antibiotics reduced the odds of surgical site infections (SSIs) by 72% in children undergoing cholecystectomy for uncomplicated cholelithiasis. However, extended-spectrum antibiotics offered no additional benefit over cefazolin, suggesting that simpler prophylaxis protocols could optimize outcomes while…

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By: Matt Danford
February 26, 2025
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Study: Hospital bed shortage looms as aging population drives demand

JAMA (healthcare publication) Network logo

Editor's Note US hospitals face a growing risk of bed shortages as an aging population drives up hospitalization rates, according to research published February 19 in Jama Network. Leveraging COVID-19-era occupancy data, the study projects national hospital occupancy could reach 85% by 2032 for adult beds and by 2035 for…

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By: Matt Danford
February 25, 2025
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Preoperative SGLT2i use does not raise DKA risk in emergency surgery

Editor’s Note Preoperative use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) does not increase the risk of postoperative diabetic ketoacidosis (DKA) in patients undergoing emergency surgery, according to a study published February 19 in JAMA Surgery. These findings challenge the current FDA recommendation to withhold SGLT2i medications for at least three…

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By: Matt Danford
February 24, 2025
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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 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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Researchers recommend extending colonoscopy screening interval for low-risk patients

Editor's Note Individuals with negative colonoscopy screening (NCS) results face significantly lower long-term risk of colorectal cancer (CRC) incidence and mortality, suggesting the recommended 10-year rescreening interval could be safely extended for low-risk populations, according to a study published in JAMA Oncology. Healio reported on the results January 15. As…

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By: Matt Danford
January 22, 2025
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Survey: Bariatric surgery’s fertility benefits not widely understood

Editor's Note A recent survey from Orlando Health highlights limited awareness of the link between bariatric surgery and improved fertility, with only half of respondents acknowledging its benefits. According to January 16 coverage in Contemporary OB/GYN, the findings underscore a broader knowledge gap among the US population regarding the role…

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By: Matt Danford
January 16, 2025
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Study: Patient care experience declined after private equity hospital acquisitions

JAMA (healthcare publication) Network logo

Editor's Note Patients fared worse in the wake of private equity acquisitions of US hospitals, according to research published January 9 in JAMA Network.  Over a decade-long analysis of 73 acquired hospitals and 293 matched controls, declines became more pronounced in the years following acquisition, researchers wrote. Key findings include:…

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By: Matt Danford
January 10, 2025
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