Here are what the editors at HealthDay consider to be the most important developments in Surgery for May 2016. 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.
Thigh Muscle Strength Predicts Knee Replacement Risk in Women
TUESDAY, May 31, 2016 (HealthDay News) — For women, but not men, thigh muscle strength predicts the risk of undergoing knee replacement surgery, according to a study published in the May issue of Arthritis & Rheumatology.
AHRQ Communication Toolkit Can Help After Patient Harm Occurs
TUESDAY, May 31, 2016 (HealthDay News) — A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.
ASCO Develops Recommendations for Invasive Cervical Cancer Care
TUESDAY, May 31, 2016 (HealthDay News) — The American Society for Clinical Oncology (ASCO) has developed guidelines for the management and palliative care of women with invasive cervical cancer. The clinical practice guideline was published online May 25 in the Journal of Global Oncology.
Showering Just Days After TKA Does Not Up Infection Risk
FRIDAY, May 27, 2016 (HealthDay News) — Total knee arthroplasty (TKA) patients are usually instructed to wait two weeks after surgery to take a shower to reduce the risk of infection; however, this may not be necessary, according to a study published recently in the Journal of Arthroplasty.
Remaining Uninsured May Be Difficult to Reach Via ACA
FRIDAY, May 27, 2016 (HealthDay News) — Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.
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Recognition of Patient Expertise Can Improve Adherence
FRIDAY, May 27, 2016 (HealthDay News) — Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.
Guidelines Issued for Recommending Metabolic Surgery
WEDNESDAY, May 25, 2016 (HealthDay News) — Weight-loss surgery quickly improves glycemic control in patients with type 2 diabetes, and should be recommended or considered as a treatment for certain obese patients with diabetes, according to a report in the June issue of Diabetes Care.
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Lip Cancer Risk Up for Some Solid Organ Transplant Recipients
TUESDAY, May 24, 2016 (HealthDay News) — For solid organ transplant recipients, azathioprine dose and duration of immunosuppression are associated with increased risk of lip cancer, according to a study published in the June issue of the Journal of the American Academy of Dermatology.
Many Advanced Cancer Patients Lack Info About Their Disease
TUESDAY, May 24, 2016 (HealthDay News) — Many patients with advanced cancer lack basic information about their prognosis or treatment, according to a study published online May 23 in the Journal of Clinical Oncology.
Opioid Prescriptions Drop for First Time in Two Decades
MONDAY, May 23, 2016 (HealthDay News) — In a sign that the opioid epidemic might be waning, new data show that the number of opioid prescriptions has dropped for the first time in 20 years.
Strategies Can Help Streamline Revenue-Related Processes
THURSDAY, May 19, 2016 (HealthDay News) — Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).
Unrealistic Expectations for Many Men With Localized Prostate CA
THURSDAY, May 19, 2016 (HealthDay News) — Men with localized prostate cancer (LPC) often have unrealistic survival expectations, according to a study published in the May/June issue of the Annals of Family Medicine.
Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours
WEDNESDAY, May 18, 2016 (HealthDay News) — Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.
Diabetic Ketoacidosis Can Occur Post Bariatric Surgery in T2DM
WEDNESDAY, May 18, 2016 (HealthDay News) — Diabetic ketoacidosis (DKA) can occur after bariatric surgery in patients with type 2 diabetes, according to a report published online May 10 in Diabetes Care.
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Sexual Harassment Experienced by One-Third of Female Doctors
WEDNESDAY, May 18, 2016 (HealthDay News) — Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.
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Obesity, RYGB Impact Skeletal Muscle Proteome
TUESDAY, May 17, 2016 (HealthDay News) — Obesity and Roux-en-Y gastric bypass (RYGB) affect the skeletal muscle proteome, with changes in protein abundance in skeletal muscle before and after RYGB surgery, according to a study published online May 10 in Diabetes.
CABG Underused in Diabetes With Multivessel Disease
MONDAY, May 16, 2016 (HealthDay News) — About one-third of patients with diabetes mellitus and multivessel coronary artery disease presenting with non-ST-segment elevation myocardial infarction undergo coronary artery bypass graft (CABG) and more undergo percutaneous coronary intervention (PCI), according to a study published online May 10 in Circulation: Cardiovascular Quality and Outcomes.
Caudal Block Linked to Post-Urethroplasty Complications
MONDAY, May 16, 2016 (HealthDay News) — For pediatric patients undergoing urethroplasty, caudal block is associated with surgical complications, according to a study published online May 9 in Anaesthesia.
Oophorectomy Tied to Increased Risk of Colorectal Cancer
FRIDAY, May 13, 2016 (HealthDay News) — Oophorectomy may lead to increased risk of developing colorectal cancer, according to research reported in the June issue of the British Journal of Surgery.
CAM Use May Affect Breast Cancer Patients’ Chemo Decisions
FRIDAY, May 13, 2016 (HealthDay News) — Women with early-stage breast cancer who utilize complementary and alternative medicine (CAM) may delay recommended chemotherapy, according to research published online May 12 in JAMA Oncology.
Bundle of Practices Can Cut Surgical Site Infections
FRIDAY, May 13, 2016 (HealthDay News) — Implementing a bundle of evidence-based practices can reduce 30-day surgical site infection, according to a study published in the June issue of Obstetrics & Gynecology.
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Endometriosis Prevalence <25 Percent in Chronic Pelvic Pain
THURSDAY, May 12, 2016 (HealthDay News) — The prevalence of surgically confirmed endometriosis is less than 25 percent among women undergoing hysterectomy for chronic pelvic pain, according to a study published in the June issue of Obstetrics & Gynecology.
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Pre-Op Gait Speed Indicates Mortality Risk Post Heart Surgery
THURSDAY, May 12, 2016 (HealthDay News) — Patients who aren’t able to walk a short distance at a comfortable pace before cardiac surgery are at greater postoperative risk for death, according to research published online on May 11 in JAMA Cardiology.
Cutting Brand-Name Drug Use Could Save U.S. $73 Billion
TUESDAY, May 10, 2016 (HealthDay News) — Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.
Case: Exertional Compartment Syndrome in Motorcycle Racer
TUESDAY, May 10, 2016 (HealthDay News) — In a case study published online April 14 in BMJ Case Reports, chronic exertional compartment syndrome of both flexor and extensor compartments of the forearm is described in a motorcycle racer, which resolved after fasciotomies.
CDC Establishes New ‘Clean Hands Count’ Campaign
MONDAY, May 9, 2016 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has introduced a new campaign, “Clean Hands Count,” to encourage health care professionals, patients, and patients’ families to keep their hands clean in order to prevent health care-associated infections.
Malignancy Ups Risk of Post-Hysterectomy Readmission
MONDAY, May 9, 2016 (HealthDay News) — Risk factors have been identified for 30-day readmission following hysterectomy, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.
Staging System Developed for Revision Rhinoplasty
FRIDAY, May 6, 2016 (HealthDay News) — A PGS staging system, comprising three major components, has been developed for prognosis in revision rhinoplasty, according to a report published online May 5 in JAMA Facial Plastic Surgery.
Substantial Aggregate Costs of Care for Cervical Cancer
FRIDAY, May 6, 2016 (HealthDay News) — The costs of care for cervical cancer vary by phase of care, and aggregate costs are substantial, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.
Lung Cancer Resection Linked to Longer Survival for Older Patients
THURSDAY, May 5, 2016 (HealthDay News) — Older lung cancer patients are surviving longer when they have lung cancer surgery, according to a study published online May 5 in the Annals of Thoracic Surgery.
Readability of Online Info About Pancreatic Cancer Varies
THURSDAY, May 5, 2016 (HealthDay News) — The readability and accuracy of online information regarding pancreatic cancer varies, according to a study published online May 4 in JAMA Surgery.
No Benefit Found for Perioperative Statin Therapy
THURSDAY, May 5, 2016 (HealthDay News) — Taking statins right before cardiac surgery, once touted as a way to prevent common postoperative complications, has no benefit and may even cause harm, according to a study published in the May 5 issue of the New England Journal of Medicine.
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Review Finds CABG Bests PCI in End-Stage Renal Disease
THURSDAY, May 5, 2016 (HealthDay News) — For patients with end-stage renal disease (ESRD) referred for coronary revascularization, coronary artery bypass grafting (CABG) is associated with a small decrease in long-term mortality compared with percutaneous coronary intervention (PCI), according to a review published in the May 15 issue of The American Journal of Cardiology.
CT-Gross Tumor Volume Predicts Outcome in Larynx Preservation
THURSDAY, May 5, 2016 (HealthDay News) — For patients undergoing larynx preservation, pretreatment computed tomography-gross tumor volume (CT-GTV) is predicative of an increase in time with tracheostomy and percutaneous endoscopic gastrostomy (PEG), according to a study published online April 30 in Head & Neck.
Physician Leadership Training May Help Counteract Burnout
WEDNESDAY, May 4, 2016 (HealthDay News) — Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.
Laparoscopic Antireflux Sx May Provide Added Benefits in GERD
WEDNESDAY, May 4, 2016 (HealthDay News) — Laparoscopic antireflux surgery (LARS) and esomeprazole are both beneficial for patients with chronic gastroesophageal reflux disease (GERD), but surgery may have an edge, according to research published in the May issue of Clinical Gastroenterology and Hepatology.
Price Transparency Tool Doesn’t Cut Health Care Spending
WEDNESDAY, May 4, 2016 (HealthDay News) — Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.
High Risk of Long-Term Complications Seen With ICDs
TUESDAY, May 3, 2016 (HealthDay News) — Implantable cardioverter-defibrillators (ICDs) are associated with a high risk of long-term complications, according to research published online May 3 in the Annals of Internal Medicine.
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Sleeve Gastrectomy Improves Left Ventricular Systolic Function
TUESDAY, May 3, 2016 (HealthDay News) — For men and women, sleeve gastrectomy improves left ventricular (LV) systolic function, according to a study published online April 27 in the Journal of Clinical Ultrasound.
Report: Why Health Care Costs Are Lower in Europe Than U.S.
TUESDAY, May 3, 2016 (HealthDay News) — European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.
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2017 May Offer Fewer Choices for Affordable Care Act Enrollees
MONDAY, May 2, 2016 (HealthDay News) — With the nation’s largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.
Delirium Predicts Function in Elderly After Aortic Valve Surgery
MONDAY, May 2, 2016 (HealthDay News) — Delirium appears to predict reduced functioning in elderly individuals after surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI), according to a study published online April 23 in the Journal of the American Geriatrics Society.
Aneurysmal Bone Cyst Can Present As Subungual Mass
MONDAY, May 2, 2016 (HealthDay News) — In a case report published online April 23 in the Journal of Cutaneous Pathology, a subungual aneurysmal bone cyst is described in a 39-year-old male patient.
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