Study: bariatric surgery effective for pediatric weight loss, but may adversely affect bone health
Editor's Note What researchers say is the first systematic review and meta-analysis to report on bone health outcomes from pediatric bariatric surgery shows the procedure is highly effective at achieving weight loss amid a childhood obesity crisis of epidemic proportions. However, the surgery also could put patients at greater risk…
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…
New Joint Commission requirements for total hip, knee replacements focus on opioids, diabetes
Editor's Note The Joint Commission has released revised requirements for the advanced disease-specific care certification for total hip and total knee replacement (THKR). The requirements, which are designed to align with the updated AAOS clinical practice guidelines, go into effect July 1, 2024 and focus largely on addressing opioids and…
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…
AI screening identifies patients’ risky preoperative alcohol use
Editor's Note: A recent study suggests artificial intelligence (AI) can be valuable for identifying patients who consumed risky amounts of of alcohol prior to surgery. Findings appeared in the journal Alcohol, Clinical and Experimental Research on January 8. For the study, researchers extracted 3 years of text-based clinical records from…
AI tool determines postoperative mortality risk
Editor's Note A new artificial intelligence (AI) tool developed by researchers at the Smidt Heart Institute at Cedars-Sinai could help doctors better understand which patients are at greatest risk of dying following surgery, according to a December 15 report in Newswise. Based on findings originally published in the Lancet Digital…
Risk factors, complications associated with mortality after outpatient surgery
Editor's Note This study by researchers at the University of Colorado School of Medicine, Aurora, examines preoperative risk factors, operative variables, and postoperative complications associated with 30-day mortality after outpatient surgery. A total of 2,822,789 patients in the American College of Surgeons National Surgical Quality Improvement Program database were included…
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