Editor's Note Ongoing hospital closures are driving up travel times and out-of-pocket costs for rural Americans who need surgery, according to a February 12 report in HealthDay. Citing two recent studies published in Annals of Surgery and JAMA, respectively, the article details how rural hospital closures have forced more patients…

Read More

Editor's Note Nurse-led preoperative visits significantly reduce patient anxiety by providing structured education, emotional support, and greater trust between patients and caregivers, according to a review published January 21 in the Journal of PeriAnesthesia Nursing. Encompassing 13 studies on nurse-led preoperative visits published between 2000 and 2023, the review found…

Read More

Editor's Note A study presented at the 2024 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting has revealed a significant correlation between financial conflicts of interest and favorable research outcomes in robotic bariatric surgery, General Surgery News January 18 reports. The article noted this concerning trend: authors who…

Read More

Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

Read More

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…

Read More

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…

Read More

Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

Read More

Editor's Note A new machine learning model using photoplethysmogram (PPG) data more accurately assesses pain during and after surgery compared to existing commercial methods, according to research published January 24 in Nature’s npj Digital Medicine. Analyzing data from 242 patients, researchers developed an XGBoost-based model to assess intraoperative and postoperative…

Read More

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…

Read More

Editor’s Note At the Society of Thoracic Surgeons (STS) annual meeting, experts urged cardiac surgeons to become more engaged in tricuspid valve treatment before transcatheter options gain too much traction according to a January 26 report in MedPage Today. With new transcatheter devices gaining FDA approval and the Centers for…

Read More