Preop screening for COVID-19 in asymptomatic patients using chest CT, RT-PCR
Editor's Note This study from the Netherlands found that the added value of using chest CT in addition to RT-PCR to screen patients for COVID-19 before surgery was limited. Of 2,093 preoperative patients without COVID-19 symptoms analyzed, 1,224 were screened by CT and RT-PCR and 869 by chest CT only.…
Patient-preference playlists improve pre- and postop experiences
Streaming music apps and access to music through smartphones and similar devices make it easy to provide many different genres of music and modalities that can ease surgical patients’ fears. The use of music in both pre- and postoperative settings has been extensively researched, but less is known about how…
Joint Commission seeks feedback on proposed requirements for spine surgery certification
Editor's Note The Joint Commission on September 23 announced that it is seeking feedback on proposed requirements for its Advanced Certification in Spine Surgery. In collaboration with the American Academy of Orthopaedic Surgeons, the Joint Commission developed the proposed spine surgery related requirements to include: program structure delivery of care…
What does it take to become an ERAS hospital?
Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…
Delays in breast cancer surgery because of COVID-19 do not appear to be life-threatening
Editor's Note A longer time from diagnosis to surgical treatment because of the COVID-19 pandemic did not lower overall survival of women with early-stage breast cancer, this study finds. In this analysis of 379,000 patients, surgical delays of more than 120 days were associated with change to a higher cancer…
Culture, communication, and clinical skills essential for ERAS success
Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…
Preoperative protocols enhance outpatient total joint outcomes
On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…
Panel issues guidelines for safe resumption of elective orthopedic surgery
Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…
Survey finds patient fears may limit return to surgery
Editor's Note As hospitals begin ramping up elective surgical procedures, healthcare leaders face significant challenges, the June 23 Becker’s Hospital Review reports. A market research survey by Lumeon (Boston) found that the top operational concern for healthcare leaders is making sure patients feel safe to schedule and come into hospitals…
ACS releases new resources to help prepare patients for surgery delayed by COVID-19
Editor's Note The American College of Surgeons on June 3 released new resources to help surgeons and hospitals address patients’ concerns about having surgical procedures that were delayed by COVID-19. The document, “Preparing to have surgery during the time of COVID-19,” includes a patient-surgeon discussion guide with suggested questions patients…
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