Tag: Patient outcomes

Health system mega-mergers fall short amid cost, quality concerns

Editor's Note Chasing size through mega-mergers no longer guarantees sustainability for health systems, according to an April 15 article in HealthLeaders. Many of the nation’s largest systems are reporting significant losses, while emerging evidence links consolidation to stagnant or declining care quality and worsening workforce challenges. The article highlights financial…

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By: Matt Danford
April 15, 2025
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Study: Bariatric surgery beats lifestyle changes for patients with cirrhosis, obesity

Editor's Note New research shows bariatric surgery may offer better outcomes and lower overall spending than lifestyle changes for patients with cirrhosis, especially mild cases, Medscape reported April 9. The article focuses on a study published in Jama Surgery detailing both the survival benefits and long-term cost-effectiveness for patients with…

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By: Matt Danford
April 11, 2025
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CMS vision shifts as agency halts funding for state programs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) will no longer approve federal matching funds for designated state health programs (DSHPs) and designated state investment programs (DSIPs) that are not directly related to Medicaid services. According to the April 10 announcement, the decision aims to preserve the core…

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By: Matt Danford
April 11, 2025
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Study: Hospital same‑day knee replacements match ASC outcomes, even in higher‑risk patients

Editor's Note A recent Duke University analysis challenges the long‑held assumption that ambulatory surgery centers (ASCs) inherently deliver superior results for outpatient joint replacement, Orthopedics This Week March 18 reports. In the February 2025 Journal of Arthroplasty, researchers report that same‑day discharge total knee arthroplasty (TKA) performed in a tertiary‑care hospital…

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By: Tarsilla Moura
April 9, 2025
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Study: Preoperative VR reduces ICU sedation, ventilator time

Editor's Note A recent study shows potentially significant promise for preoperative virtual reality (VR) simulation to improve surgical patient outcomes. Published March 1 in the American Journal of Critical Care, the research details how VR reduced ICU sedation and ventilator time for patients undergoing elective cardiothoracic surgery. Although the program…

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By: Matt Danford
April 7, 2025
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Study: Excessive nurse overtime, agency staffing harm patients

JAMA (healthcare publication) Network logo

Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open.   Using data from 70 US hospitals between 2019 and 2022, researchers…

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By: Matt Danford
April 3, 2025
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Study: Early-stage breast cancer surgery may not be necessary after chemo, radiation

Editor's Note Some patients with early-stage breast cancer who achieve a complete response to pre-surgical chemotherapy and radiation may safely avoid surgery, according to a March 27 announcement from The University of Texas MD Anderson Cancer Center. The report details a Phase II trial, published in JAMA Oncology, finding that…

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By: Matt Danford
April 3, 2025
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Novel noninvasive surgical approach shows promise in treating severe OCD

Editor's Note A new noninvasive procedure called magnetic resonance-guided focused ultrasound (MRgFUS) capsulotomy is showing promising results for patients with severe obsessive-compulsive disorder (OCD), Asian Scientist March 26 reports. In a study conducted by researchers in South Korea and published in Molecular Psychiatry, 10 individuals who received MRgFUS capsulotomy at…

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By: Tarsilla Moura
March 28, 2025
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Study: Preop mental health assessment improves postop outcomes for older patients

Editor's Note Preoperative mental health assessment significantly increases the odds of a postoperative “textbook outcome” for older patients, according to research published on March 15 in the journal Surgery. The median age for the patient population analyzed at the time of surgery was 74 years. Focusing on more than 32,500…

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By: Tarsilla Moura
March 28, 2025
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Study: Adenotonsillectomy reduces healthcare use in children with mild sleep-disordered breathing

JAMA (healthcare publication) Network logo

Editor's Note Surgical removal of enlarged tonsils and adenoids significantly decreases medical visits and prescription use in children with mild sleep-disordered breathing (SDB), according to a March 17 study in JAMA Pediatrics. Supported by the National Institutes of Health (NIH), the study found that adenotonsillectomy led to a 32% reduction…

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By: Matt Danford
March 27, 2025
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