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American Society of Anesthesiologists, Oct. 19-23

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ANESTHESIOLOGY 2019 The annual meeting of the American Society of Anesthesiologists was held from Oct. 19 to 23 in Orlando, Florida, and attracted...
One in five patients received opioid prescriptions for management of pain following cardiac implantable electronic device procedures

One in Five Receive Opioid Rx After Cardiac Implant Procedure

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80 percent had never taken opioids before, but nearly one in 10 sought a refill
One-third of children undergoing tonsillectomies can do so without using opioids to manage pain

ASA: Opioid-Free Pediatric Tonsillectomy Feasible

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Majority of children opioid-free intraoperatively do not need opioids postoperatively
Colorectal surgery patients treated as part of an enhanced recovery after surgery (ERAS) program have less pain and use nearly half as many opioids as pre-ERAS patients

ASA: Enhanced Recovery Program Cuts Opioid Use After Colorectal Surgery

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Findings show colorectal surgical patients can better manage pain with fewer opioids
There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act

More Choices, Lower Premiums for ACA Consumers Next Year

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20 more insurers will be participating in 2020, expanding consumer choice in many states
Opioids are commonly not needed but are overprescribed at discharge among women who undergo cesarean deliveries (CDs)

ASA: Unnecessary Opioids Often Prescribed After C-Section

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Change in computerized order sets reduces use of oxycodone to treat pain after cesarean delivery
Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden

Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

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About 75 percent of patients in U.S. and Canada fill opioid prescriptions versus 11 percent in Sweden
Medicare graduate medical education payments increased significantly from 2000 to 2015

2000 to 2015 Saw Increase in Medicare GME Payments

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Increase mainly due to indirect payments, primarily inpatient costs rather than resident-to-bed ratio
Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

Medicare Fraud-Prevention Rules to Be Revised

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Current rules make it difficult for hospitals and doctors to work together, officials say
In the published literature

Burnout Linked to Poor Quality Care in Published Literature

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But effect size may be smaller than reported, especially for objective quality measures