Here are what the editors at HealthDay consider to be the most important developments in Surgery for August 2015. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
AMA: Ruling Makes It Easier for Insurers to Terminate Doctors
FRIDAY, Aug. 28, 2015 (HealthDay News) — The outcome of a recent case regarding the termination of physicians by an insurance company following a dispute over the necessity of medical services provided has serious implications for physicians and their patients, according to a report published by the American Medical Association (AMA).
Periop Bridging Unnecessary for Most A-Fib Patients on Warfarin
THURSDAY, Aug. 27, 2015 (HealthDay News) — For most atrial fibrillation patients taking warfarin who require temporary interruption for a procedure, perioperative bridging with heparin is unnecessary, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.
Sleep Deprived Surgeons Appear to Be Self-Regulating Well
THURSDAY, Aug. 27, 2015 (HealthDay News) — The risk of death, hospital readmission, or complications following surgery is no more likely if the surgeon worked a midnight shift before a daytime operation, according to a study published in the Aug. 27 issue of the New England Journal of Medicine.
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Lower RASDS Complications for Higher Hospital, Surgeon Volume
WEDNESDAY, Aug. 26, 2015 (HealthDay News) — Perioperative complication rates are lower with increased hospital and surgeon volume for revision adult spinal deformity surgery (RASDS), according to research published in the Sept. 1 issue of The Spine Journal.
Too Few Blacks, Hispanics Pursuing Careers As Physicians
TUESDAY, Aug. 25, 2015 (HealthDay News) — Too few members of certain minority groups are pursuing careers in U.S. medicine, resulting in a serious lack of diversity among general practitioners and specialists, according to a research letter published online Aug. 24 in JAMA Internal Medicine.
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Music Reduces Anxiety Score in Breast Cancer Surgery Patients
TUESDAY, Aug. 25, 2015 (HealthDay News) — Live and recorded perioperative music therapy reduces anxiety in patients undergoing surgery for potential or known breast cancer, according to a study published online Aug. 17 in the Journal of Clinical Oncology.
Veterans Have Poor Oral, Throat Cancer Outcomes
MONDAY, Aug. 24, 2015 (HealthDay News) — In veterans, oropharyngeal squamous cell carcinoma (SCC) is associated with traditional carcinogens and poor clinical outcomes, according to a study published in the September issue of Head & Neck.
Ureteric Injury Risk With Hysterectomy Up 2001 to 2010
MONDAY, Aug. 24, 2015 (HealthDay News) — In 2001 to 2010, 0.5 percent of women experienced ureteric injury in the year after a hysterectomy, with lower rates for benign versus malignant conditions and rates of injury increasing between 2001 and 2010, according to a study published online Aug. 18 in BJOG: An International Journal of Obstetrics and Gynaecology.
Weight Loss Benefits NASH, No Matter How It’s Done
MONDAY, Aug. 24, 2015 (HealthDay News) — Weight loss can improve nonalcoholic steatohepatitis (NASH) in obese or overweight people, whether excess pounds are shed through lifestyle changes or weight-loss surgery, according to research published in the August issue of Gastroenterology.
Transplant Recipients Have Increased Melanoma Risk
FRIDAY, Aug. 21, 2015 (HealthDay News) — Organ transplant recipients have an increased risk of invasive melanoma, especially for regional-stage tumors, according to a study published online Aug. 13 in the Journal of Investigative Dermatology.
Patient, Family Advisors Can Play Key Role in Practices
FRIDAY, Aug. 21, 2015 (HealthDay News) — Practices can employ patient and family advisors in order to help them focus on patient-centered care needs, according to a report published by the American Medical Association (AMA).
Breast CA Mortality Rate 3.3% for Women Diagnosed With DCIS
THURSDAY, Aug. 20, 2015 (HealthDay News) — Only 3 percent of women diagnosed with ductal carcinoma in situ (DCIS) will die of breast cancer within 20 years, and more aggressive treatment does not improve that high survival rate, according to a study published online Aug. 20 in JAMA Oncology.
Report Highlights Ways to Improve Physician Resilience
THURSDAY, Aug. 20, 2015 (HealthDay News) — Strategies can be adopted for improving physician resilience and the ability to handle the challenges presented by patient care, according to a report published by the American Medical Association (AMA).
Two-Thirds of Acute AAA Occur in Those Aged 75 Years and Older
THURSDAY, Aug. 20, 2015 (HealthDay News) — Two-thirds of acute abdominal aortic aneurysm (AAA) events occur in those aged ≥75 years, with most events in men younger than 75 years occurring in smokers, according to a study published online Aug. 19 in the Journal of the American Heart Association.
Most Patients Undergo Follow-Up After Pediatric Pyeloplasty
WEDNESDAY, Aug. 19, 2015 (HealthDay News) — Most patients are followed up after pediatric pyeloplasty, with ultrasound being the most common imaging modality, according to a study published in the September issue of The Journal of Urology.
Improved Outcomes With Early Mitral Regurgitation Surgery
MONDAY, Aug. 17, 2015 (HealthDay News) — Excess postoperative mortality and morbidity is seen with use of guideline-based indications for mitral regurgitation surgery versus early surgery, according to a study published in the July issue of the Journal of Thoracic and Cardiovascular Surgery.
Post-Hysterectomy Cystoscopy May Lead to False-Positive Result
MONDAY, Aug. 17, 2015 (HealthDay News) — For patients with a pre-existing unknown nonfunctional kidney, cystoscopy to confirm ureteral patency after hysterectomy may lead to an incorrect assumption of a ureteral injury, according to a case report published in the September issue of Obstetrics & Gynecology.
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Child CA Survivors Face Risk of Bowel Obstruction Requiring Sx
FRIDAY, Aug. 14, 2015 (HealthDay News) — Survivors of childhood cancer have an increased long-term risk of intestinal obstruction requiring surgery (IOS), according to a study published online Aug. 10 in the Journal of Clinical Oncology.
Review: Music Beneficial During Postoperative Period
THURSDAY, Aug. 13, 2015 (HealthDay News) — For patients undergoing surgical procedures, music is associated with reductions in postoperative pain, anxiety, and analgesia use, according to a review published online Aug. 12 in The Lancet.
More Physicians Reporting Dissatisfaction With EHR Systems
THURSDAY, Aug. 13, 2015 (HealthDay News) — More physicians report being dissatisfied or very dissatisfied with their electronic health record (EHR) system, compared with five years ago, according to a report published by the AmericanEHR Partners and the American Medical Association.
Exposure to Rude Behavior Harms NICU Team Performance
THURSDAY, Aug. 13, 2015 (HealthDay News) — Exposure to rudeness has adverse consequences on the diagnostic and procedural performance of neonatal intensive care unit (NICU) team members, according to a study published online Aug. 10 in Pediatrics.
Prophylactic Azithromycin Benefit Lasts After Lung Transplant
THURSDAY, Aug. 13, 2015 (HealthDay News) — For patients undergoing lung transplantation (LTx), prophylactic azithromycin is associated with reduced risk of chronic lung allograft dysfunction (CLAD), according to a study published online Aug. 4 in the American Journal of Transplantation.
Referral for Transplant Eval Limited Among Dialysis Patients
WEDNESDAY, Aug. 12, 2015 (HealthDay News) — Few new end-stage renal disease (ESRD) patients are referred for kidney transplant evaluation within one year of starting treatment, although referral practices vary considerably, according to a study published in the Aug. 11 issue of the Journal of the American Medical Association.
HAC Reduction Program Penalty Kicks in for FY2015
TUESDAY, Aug. 11, 2015 (HealthDay News) — The latest Centers for Medicare & Medicaid Services (CMS) effort to reduce hospital-acquired conditions (HACs) is the HAC Reduction Program, according to an Aug. 6 health policy brief published in Health Affairs.
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Globe Injury Reported While Wearing Protective Eye Goggles
TUESDAY, Aug. 11, 2015 (HealthDay News) — A case of globe rupture has been described in a motocross rider who was wearing specifically designed protective eye goggles. The case report was published in the July issue of Clinical and Experimental Ophthalmology.
In-Person Staff Meetings Are Valuable for Health Care Teams
MONDAY, Aug. 10, 2015 (HealthDay News) — In-person staff meetings, which are not too short or too long and are held frequently, are valuable for health care team operation, according to an article published in Medical Economics.
Limited Resection Generally Not Equivalent in Stage IA NSCLC
FRIDAY, Aug. 7, 2015 (HealthDay News) — For older patients with invasive, stage IA non-small-cell lung cancer, limited resection is generally not equivalent to lobectomy, according to a study published online Aug. 3 in the Journal of Clinical Oncology.
Many Hospitals Being Penalized for 30-Day Readmissions
FRIDAY, Aug. 7, 2015 (HealthDay News) — About half of the nation’s hospitals are being penalized by Medicare for having patients return within a month of discharge, losing a combined $420 million, according to a report published by Kaiser Health.
Bariatric Surgery Benefits May Fade With Time
THURSDAY, Aug. 6, 2015 (HealthDay News) — Although weight-loss surgery may produce initial dramatic weight loss and improve type 2 diabetes, a new study suggests that in the long run, many people regain weight and see their diabetes return. The report was published online Aug. 5 in JAMA Surgery.
Bariatric Surgery May Lower Tolerance for Alcohol
WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Patients who undergo Roux-en-Y gastric bypass surgery are far less able to process alcohol after their procedure, a small, new study suggests. The research was reported online Aug. 5 in JAMA Surgery.
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CDC: Action Needed to Better Control Drug-Resistant Infections
WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Almost $8 billion in hospital bills could be avoided over five years by halting the spread of antibiotic-resistant bacteria, according to the Vital Signs report published Aug. 4 in the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
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No Increased Risk for One-and-Done Breast Reconstruction
WEDNESDAY, Aug. 5, 2015 (HealthDay News) — Single-stage implant breast reconstruction is a less invasive procedure that may offer good aesthetic outcome with no additional oncologic risk in selected patients, according to research published in the August issue of Plastic and Reconstructive Surgery.
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Robotic Sx Feasible for Inferior Vena Cava Thrombectomy
TUESDAY, Aug. 4, 2015 (HealthDay News) — Completely intracorporeal robotic level III inferior vena cava tumor thrombectomy is feasible, according to a report published recently in The Journal of Urology.
Review: Risk of Parasitic Myoma Post Laparoscopic Morcellation
MONDAY, Aug. 3, 2015 (HealthDay News) — For women undergoing laparoscopic morcellation, the subsequent incidence of parasitic myomas is low, but discussion with patients should include this possibility, according to a review published online July 29 in BJOG: An International Journal of Obstetrics & Gynaecology.
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