Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…

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Editor's Note Patients who engage in prehabilitation—exercise, diet changes, and social support—before surgery significantly reduce their risk of complications, shorten hospital stays, and improve recovery, according to a new evidence review in The BMJ. As reported January 24 by HealthDay, the analysis of 186 clinical trials involving more than 15,500…

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Editor's Note The first study to directly compare kidney-related adverse outcomes between perioperative use of gabapentin and pregabalin shows that the former drug carries a higher risk, Renal and Urology News reported January 21. Published in Frontiers in Medicine, the study involved a trial emulation of 1,280 propensity-matched surgical patients…

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Editor's Note Research shows combining music with preoperative education not only reduces anxiety, but also enhances recovery outcomes in patients undergoing open cardiac surgery. Published January 21 in the Journal of Perianesthesia Nursing, the randomized controlled study involved 322 patients, evenly randomized into an experimental group (music and preoperative education)…

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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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Editor's Note The first large-scale, randomized pediatric trial of its kind reveals the potential of treating acute, non-perforated appendicitis in children with antibiotics instead of surgery, Medical Xpress reported January 20. Published in The Lancet, the APPY study involved collaboration among 11 children’s hospitals worldwide to compare the effectiveness of…

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Editor's Note A meta-analysis reveals that cataract surgery often leads to temporary tear film instability, with symptoms potentially lasting up to three months, according to a January 16 article in Medscape. However, the impact on other dry eye measures remains unclear due to inconsistent findings across studies. Researchers analyzed 20…

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Editor's Note Nurse staffing rates in hospitals serving a high percentage of Black patients are worse than in hospitals serving fewer Black patients, a disparity that has significant implications for patient outcomes, according to a study from the University of Pennsylvania School of Nursing. Published in the journal Nursing Research…

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Editor's Note A new international study reports low rates of local recurrence, radionecrosis, and leptomeningeal disease in patients receiving neoadjuvant stereotactic radiosurgery (SRS) before brain metastases resection, Medscape Medical News reported January 6. Published in Radiotherapy and Oncology, the analysis included 179 patients with 189 brain metastases treated at nine…

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Editor's Note A study published in JAMA Surgery revealed that hospitals owned by private equity firms had significantly worse outcomes for esophagectomy patients compared to non-acquired hospitals. As detailed in a January 2 report on the findings in MedPage Today, the analysis of over 9,000 cases highlights disparities in 30-day…

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