Study: Intravascular imaging for stent guidance improves outcomes for heart disease patients
Editor's Note Using intravascular imaging to guide stent implantation during percutaneous coronary intervention (PCI) provides significantly better outcomes than angiography, according to findings published February 21 in The Lancet. In a study of 15,964 patients undergoing PCI from 22 trials in hundreds of centers from March 2010 to August 2023,…
Data suggest BMI cutoffs for hernia surgery could be unnecessary
Editor's Note The impact of body mass index (BMI) on hernia recurrence is likely overstated, and symptomatic patients should not be denied abdominal wall reconstruction procedures due to an arbitrary BMI cutoff of 35 kg/m2. This is the conclusion of a study published February 1 in the journal Surgery by…
Study: COVID-19 could elevate risk of surgical mortality, complications
Editor's Note Due to its impact on a variety of organ systems, COVID-19 could elevate perioperative risks even among patients with mild symptoms, according to a study published in the February 2024 issue of Anesthesiology. Focused on patients presenting for elective inpatient surgery between April 2020 and April 2021, the…
Thyroid hormone replacement boosts risk of abdominal surgery complications
Editor's Note: Preoperative thyroid hormone replacement independently predicts operative morbidity and length of stay following major abdominal surgery, according to a January 23 report in the American Journal of Surgery. To determine the association between preoperative thyroid hormone replacement and complications following major abdominal surgery, researchers performed a retrospective case…
Pilot OR achieves faster, safer hip replacements
Editor's Note A hospital system in Canada is pioneering a safer, more efficient approach to anterior hip replacements that could become a model for improving flow and addressing surgical backlogs, Hospital News reported on December 28. Developed by Humber River Health in Toronto, the Hyper-Throughput Operating Room leverages lean processing…
New surgical implant allows Parkinson’s patient to walk again
Editor's Note A patient with Parkinson’s disease was able to walk normally again thanks to a surgical implant of an experimental spinal cord neuroprosthesis. The findings were published in the journal Nature on November 6 under the article title, "A spinal cord neuroprosthesis for locomotor deficits due to Parkinson’s disease." …
Over 7,500 steps per day done preop leads to better outcomes
Editor's Note Active daily habits–specifically getting more than 7,500 steps a day before a surgical procedure–cuts the odds of complications within 90 days after discharge in half, regardless of the complication of a patient’s operation, MedicalXpress October 20 reports. The findings were presented at the American College of Surgeons Clinical…
Association of health professional shortages with surgical outcomes, expenditures
Editor's Note This study from the University of Michigan, Ann Arbor, finds that Medicare patients having common surgical procedures in health professional shortage area hospitals obtain safe care without evidence of higher expenditures. A total of 842,787 Medicare patients undergoing appendectomy, cholecystectomy, colectomy, or hernia repair between 2014 and 2018…
Effect of unmet social health needs on surgical outcomes
Editor's Note This study, led by researchers at the University of Michigan, Ann Arbor, examines opportunities to improve inequitable postoperative outcomes by evaluating unmet social health needs by race, ethnicity, and insurance type. Outcomes included poor health status (self-reported), socioeconomic status (income, education, employment), and unmet social health needs (food,…
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