Editor's Note A Nielsen survey of 5,000 healthcare recipients found that 15% (aged 18 to 65) communicate with providers through e-mails, 21% schedule appointments online, and 9% get text reminders, the Washington Post reports. Among those who do not communicate electronically, 36% were interested in online appointment scheduling, and 34%…
Editor's Note Informational brochures help patients discuss anesthesia options with their anesthesia providers, finds a study presented at the Anesthesiology 2015 annual meeting in San Diego. In the study, 67 patients were given brochures during a preoperative clinic visit that explained the different types of anesthesia, risks, and benefits, and…
Editor's Note Total knee replacement followed by nonsurgical treatment is more effective than nonsurgical treatment alone in providing pain relief and improving function and quality of life, this study finds. However, clinically relevant improvements were seen in both groups, and the surgical patients had a higher number of serious adverse…
Editor's Note Bariatric surgery along with 2 years of low-level lifestyle interventions resulted in more type 2 diabetes remissions than lifestyle interventions alone at 3-years followup, this study finds. Participants were randomized to either intensive lifestyle weight loss interventions for 1 year followed by low-level lifestyle interventions for 2 years…
Editor's Note Patient factors explain a large proportion of hospital variation in postoperative patient-reported outcomes, underscoring the importance of risk adjustment, this study finds. Some variation across hospitals remained unexplained, however, suggesting that patient-reported outcomes may be a viable indicator of hospital performance, the authors conclude. There is a growing…
Editor's Note A study presented at the Congress of Neurological Surgeons annual meeting found that performing spine procedures in ambulatory surgery centers (ASCs) can reduce costs while sustaining patient satisfaction scores, Spine Surgery Today reports. Of 1,000 spine procedures performed in an ASC, eight patients had to be transferred to…
Editor's Note In this pilot study of 50 surgical patients from Vanderbilt University Medical Center, Nashville, the majority preferred online postoperative visits to in-person visits. Online visits were accepted by patients and surgeons, took less time, and effectively identified patients who required further care.
Editor's Note Development of an anesthesia enhanced recovery pathway (ERP) at Johns Hopkins Hospital, Baltimore, resulted in a 45% reduction in length of stay in colorectal surgery patients. In addition, patient satisfaction scores improved from the 37th percentile to the 97th percentile. The goals of the ERP were achieving superior…
Editor's Note Patients who listened to music before, during, or after surgical procedures had less postoperative pain and anxiety and higher patient satisfaction, in this study. Choice of music and timing of delivery made little difference. Music was effective even when patients were under general anesthesia.
Editor's Note A central issue discussed at the US House Committee on Ways and Means on July 28 was the Critical Access Hospital (CAH) Relief Act, HR 169, which is supported by the American College of Surgeons (ACS). Currently, for CAHs to receive Medicare Part A reimbursement, physicians must certify…