Data cast doubt on recommendation to delay weight-loss meds prior to surgery
Editor's Note A recent analysis of insurance claims data suggests weight-loss medications like Ozempic (semaglutide), Trulicity (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists do not increase risks associated with undergoing anesthesia. As reported April 22 in MedPage Today, these finding that contradicts a June 2023 recommendation from the American Society of…
Nurses who left profession cite poor working conditions as primary driver
Editor's Note Poor working conditions are driving many nurses to leave the profession, according to a new study from University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research (CHOPR). The findings were published in JAMA Network Open on April 9. While previous studies have looked at…
Hospitals curtail outpatient care, ramp up staffing in advance of solar eclipse
Editor's Note Monday’s solar eclipse has prompted hospitals in affected areas to implement precautionary measures in advance of an expected influx of visitors as well as potential communication and other difficulties, Becker’s Hospital Review reported April 2. Areas in the path of totality, which stretches from Central Texas to Northeastern…
Study recommends against polyhexanide wound irrigation during open abdominal surgery
Editor's Note Although intraoperative wound irrigation is a common practice worldwide for preventing surgical site infections, a recent study suggests irrigation with polyhexanide solution should not be recommended as standard clinical practice in open clean-contaminated surgical procedures. Published February 21 in Jama Surgery, the study cautions that additional trials are…
Donor hearts denied more often to male, black male transplant candidates
Editor's Note New research shows transplant center teams are more to likely reject offers of donor hearts to black men and men than black women and white women, MedPage Today reported on March 25. “The cumulative probability of a donor heart being accepted by the transplant center team was most…
Study makes case against preoperative urine culture for most surgical procedures
Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…
Diagnosis delays more likely for EDs with fewer pediatric patients
Editor's Note Emergency departments (EDs) that see more young patients tend to deliver more timely diagnoses than those that see fewer young patients, where diagnosis is more likely to be delayed. The findings appeared February 12 study in JAMA pediatrics. The cohort study examined data from January 2015 to December…
Researchers test alternative approach to ranking US heart transplant candidates
Editor's Note The current method for identifying heart transplant candidates with the most urgent need might not be the best one. In a study published February 13 in Jama Network, a candidate risk score incorporating the latest clinical, laboratory, and hemodynamic data out-performed the current treatment-based categorical allocation system. …
Study: Bariatric surgery benefits glycemic control in Type 2 diabetes patients
Editor's Note Bariatric surgery is more effective than lifestyle and medical interventions in glycemic control for Type 2 diabetes patients, according to findings published February 27 in JAMA. The clinical trial involved four health systems and 262 participants, 96 of whom received medical- and lifestyle-focused treatment and 166 of whom…
Nursing workforce expected to fully rebound from pandemic low
Editor's Note Although RN employment dropped significantly during the past few years, updated workforce forecasts with numbers similar to those projected prior to the pandemic indicate that the decline was likely temporary. Jama Health Forum published the data February 16. For the study, researchers pulled data on registered nurses aged…
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