Editor's Note Women with breast cancer who have nipple-sparing mastectomies have a low rate of cancer recurrence in the first 5 years, this study finds. Of 311 patients with nipple-sparing mastectomies analyzed, 17 developed a recurrence of their cancer at 51 months median follow-up. Estimated disease-free survival was 95.7% at…

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Editor's Note Researchers in the departments of anesthesia and biomedical engineering at Vanderbilt University have created a device that removes alarm sounds while preserving an ICU patient’s ability to hear human and environmental stimuli, notably speech. The in-ear device, which is worn by the patient, eliminates alarm sounds from the…

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Healthcare providers and their patients have benefited from practices borrowed from other industries—for example, the checklists and time-outs used in aviation or the Lean management principles used in manufacturing. Applying lessons learned in the entertainment industry to the hospital setting may seem like a stretch, but Dennis Snow will explore…

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Editor's Note The Department of Veterans Affairs (VA) on May 1 expanded its “Access and Quality in VA Healthcare” tool to include inpatient quality data for all VA medical centers, the May 2 AHA News Now reports. The tool, released last month, shows how VA centers compare with regional and…

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Editor's Note In this study, data show that Veterans Affairs (VA) hospitals have a similar or more favorable quality compared with non-VA hospitals. Data for 129 VA and 4,010 non-VA hospitals were evaluated on 17 outcome measures (9 Agency for Healthcare Research and Quality Patient Safety Indicators [PSIs], 4 mortality…

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Editor's Note Outpatient laparoscopic appendectomy is safe in a public safety net hospital and results in shorter length of stay and decreased healthcare costs, this study finds. A total of 351 patients were enrolled in the study: 173 outpatients and 178 inpatient controls. Of the 173 outpatients, 113 were discharged…

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Editor's Note The combination of femoral and sciatic nerve blocks is the overall best approach to pain management after total knee arthroplasty, finds this meta-analysis. The best five modalities for pain at rest were: femoral/obturator, femoral/sciatic/obturator, lumbar plexus/sciatic, femoral/sciatic, and fascia iliaca compartment blocks. For reducing opioid consumption, the best…

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Editor's Note In this study, music therapy was found to decrease pain in patients recovering from spine surgery, compared to a control group who received standard care. Visual analog scale (VAS) pain levels before and after music therapy decreased by more than one point, from 6.20 to 5.09, while VAS…

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Editor's Note Total hip replacement patients experience meaningful and lasting improvement in quality of life (QOL) through at least 5-years after the procedure, this study finds. The analysis included 188 total hip replacement patients at seven hospitals who were evaluated with a standard quality-of-life assessment, called the “Short Form 36,”…

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Editor's Note Differences in perception of hospital care exist between men and women after total hip replacement (THR), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Using patient satisfaction data from Press Ganey, researchers found that staff…

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