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October 2018 Briefing – Surgery

October 2018 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for October 2018. 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.

Greater Weight Loss With Gastric Bypass Than Other Bariatric Sx

WEDNESDAY, Oct. 31, 2018 — Roux-en-Y gastric bypass (RYGB) is associated with greater weight loss at one, three, and five years than sleeve gastrectomy (SG) or adjustable gastric banding (AGB), though it also has the highest rate of 30-day adverse events, according to a study published Oct. 29 in the Annals of Internal Medicine.

Abstract/Full Text
Editorial (subscription or payment may be required)

Discharge Day Does Not Impact Readmission After Cardiac Sx

WEDNESDAY, Oct. 31, 2018 — For cardiac surgical patients, the likelihood of readmission has no association with day of discharge, according to a study published online Oct. 11 in the Annals of Thoracic Surgery.

Abstract/Full Text (subscription or payment may be required)

AMA Announces Initiative to Reinvent Physician Training

TUESDAY, Oct. 30, 2018 — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.

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Accepting Increased-Risk Donor Heart Tied to Higher Survival

TUESDAY, Oct. 30, 2018 — Acceptance of a heart from an increased-risk donor (IRD) is associated with a significant survival benefit, according to a research letter published in the November issue of the Journal of the American College of Cardiology.

Abstract/Full Text (subscription or payment may be required)

Many Hospitals Noncompliant With Record Request Regulations

MONDAY, Oct. 29, 2018 — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.

Abstract/Full Text

Smoking Associated With Head, Neck Surgery Complications

MONDAY, Oct. 29, 2018 — Smoking is associated with increased rates of postoperative wound disruption and subsequent reoperation among patients undergoing free flap reconstruction of the head and neck, according to a study published online Oct. 18 in JAMA Facial Plastic Surgery.

Abstract/Full Text (subscription or payment may be required)

Cardiac Implant Prices Higher in U.S. Than EU Countries

FRIDAY, Oct. 26, 2018 — Cardiac implant prices are two to six times higher in the United States than in Germany, according to a study published in the October issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Trump Administration Announces Plan to Cut Drug Prices

FRIDAY, Oct. 26, 2018 — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.

HHS Study
New York Times Article

Alcohol Disorder Screening in Women Post-RYGB Inadequate

FRIDAY, Oct. 26, 2018 — Assessing the frequency and quantity of alcohol consumption may be inadequate for identifying alcohol-related problems in women who have undergone Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online Oct. 11 in the Annals of Surgery.

Abstract/Full Text (subscription or payment may be required)

Pace of Change Has Accelerated in Alternative Payment Models

THURSDAY, Oct. 25, 2018 — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

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Open Surgery for Early Lung CA Tied to Long-Term Opioid Use

THURSDAY, Oct. 25, 2018 — Surgical invasiveness might play a role in the odds of becoming a long-term opioid user after early-stage lung cancer surgery, according to a research letter published online Sept. 24 in JAMA Oncology.

Abstract/Full Text

Outcomes Studied for Surgical Tx of Stress Urinary Incontinence

THURSDAY, Oct. 25, 2018 — Among women undergoing midurethral mesh sling insertion, the rate of mesh sling removal at nine years is estimated to be 3.3 percent, according to a study published online Oct. 23 in the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)

Almost One in 10 Treated in Hospital for Non-Fatal Injury

WEDNESDAY, Oct. 24, 2018 — In 2013, 9.8 per 100 people were treated in the hospital for a non-fatal injury, with costs estimated at $1.853 trillion, according to a study published online Oct. 8 in Injury Epidemiology.

Abstract/Full Text

Prevalence of Pediatric Metabolic, Bariatric Surgery Examined

WEDNESDAY, Oct. 24, 2018 — From 2005 through 2014, an estimated 14,178 metabolic and bariatric surgery (MBS) procedures were performed among pediatric patients aged 20 years and younger with severe obesity, according to a research letter published online Oct. 22 in JAMA Pediatrics.

Abstract/Full Text (subscription or payment may be required)

White House Unveils New Insurance Option for Small Firms

TUESDAY, Oct. 23, 2018 — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

AP News Article
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Percent Weight Regain Predicts Health Risks Post-Bariatric Surgery

MONDAY, Oct. 22, 2018 — Measuring the percentage of weight regained following the maximum amount of weight lost after Roux-en-Y gastric bypass (RYGB) surgery best predicts a patient’s risk for several serious health problems, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial

Changes in Nomenclature for Perioperative Cognitive Disorders

MONDAY, Oct. 22, 2018 — Recommendations have been developed for nomenclature of cognitive changes associated with anesthesia and surgery; the recommendations were published in the November issue of Anesthesiology.

Abstract/Full Text
Editorial

Physical Therapy an Option for Nonobstructive Meniscal Tears

FRIDAY, Oct. 19, 2018 — Physical therapy (PT) is non-inferior to arthroscopic partial meniscectomy (APM) for patients with nonobstructive meniscal tears, according to a study published in the Oct. 2 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Aspirin, Anticoagulants Similarly Prevent VTE After TKA

FRIDAY, Oct. 19, 2018 — Among patients undergoing total knee arthroplasty (TKA), aspirin alone may provide protection against postoperative venous thromboembolism (VTE) that is similar to that of other anticoagulants, according to a study published online Oct. 17 in JAMA Surgery.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Transcatheter Mitral Valve Repair Benefits Some With Heart Failure

FRIDAY, Oct. 19, 2018 — Transcatheter mitral-valve repair results in a lower rate of hospitalization and lower all-cause mortality than medical therapy alone among patients with heart failure and moderate-to-severe secondary mitral regurgitation who remain symptomatic despite the use of guideline-directed medical therapy, according to a study published online Sept. 23 in the New England Journal of Medicine.

Abstract/Full Text

Clostridium difficile Spores Survive Laundering of Sheets

WEDNESDAY, Oct. 17, 2018 — Clostridium difficile spores are able to survive laundering through a commercial washer extractor, according to a study published online Oct. 16 in Infection Control & Hospital Epidemiology.

Abstract/Full Text

Procurement Requirements Drive Interoperability in Health Care IT

THURSDAY, Oct. 18, 2018 — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.

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Hologram-Guided External Ventricular Drain Insertion Feasible

WEDNESDAY, Oct. 17, 2018 — Hologram-guided external ventricular drain (EVD) insertion yields greater accuracy and no adverse events, according to a study published online Oct. 16 in the Journal of Neurosurgery.

Abstract/Full Text

Treatment Tied to Survival Benefit in Complex Bladder Cancer

WEDNESDAY, Oct. 17, 2018 — Cancer treatment is associated with a clinically meaningful survival benefit in older, medically complex patients with superficial bladder cancer (SBC), according to a study published online Oct. 5 in Cancer.

Abstract/Full Text (subscription or payment may be required)

Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM

TUESDAY, Oct. 15, 2018 — For patients with severe obesity and type 2 diabetes, bariatric surgery is associated with a lower risk for macrovascular outcomes compared with not undergoing surgery, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Gastric Banding, Metformin Similar for Improving Glycemia

TUESDAY, Oct. 16, 2018 — In adults with moderate obesity and either impaired glucose tolerance (IGT) or recently diagnosed mild type 2 diabetes (T2D), gastric banding and metformin are similarly effective for slowing disease progression over a two-year period, according to a study published online Oct. 3 in Diabetes Care.

Abstract/Full Text

Without Medicaid Expansion, Poor Patients Forgo Medical Care

MONDAY, Oct. 15, 2018 — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.

AP News Article

Cataract Surgery Tied to Drop in Cognitive Decline in Seniors

MONDAY, Oct. 15, 2018 — Cataract surgery is associated with a reduction in the rate of cognitive decline among older adults, according to a study published online Oct. 11 in PLOS ONE.

Abstract/Full Text

Ultrasound Can Predict Success of AV Fistula for Hemodialysis

FRIDAY, Oct. 12, 2018 — Detection of arteriovenous fistula (AVF) blood flow, diameter, and depth on ultrasound can predict AVF clinical maturation, according to a study published online Oct. 11 in the Journal of the American Society of Nephrology.

Abstract/Full Text
Editorial (subscription or payment may be required)

Global Rates of Cesarean Section on the Rise Since 2000

FRIDAY, Oct. 12, 2018 — Global cesarean section (CS) rates are increasing, according to one in a series of three papers published online Oct. 11 in The Lancet.

Abstract/Full Text – Boerma (subscription or payment may be required)
Abstract/Full Text – Sandall (subscription or payment may be required)
Abstract/Full Text – Betrán (subscription or payment may be required)
Editorial (subscription or payment may be required)

Poor Outcomes for Hispanic Infants With Congenital Heart Dz

THURSDAY, Oct. 11, 2018 — For live-born infants with hypoplastic left heart syndrome (HLHS) and d-transposition of the great arteries (TGA), Hispanic ethnicity is associated with poor outcome, according to a study published online Oct. 10 in the Journal of the American Heart Association.

Abstract/Full Text

Sleeve Gastrectomy, Gastric Bypass May Be Better for Teens

THURSDAY, Oct. 11, 2018 — Adolescents with severe obesity achieve substantial and sustainable weight loss with sleeve gastrectomy (SG) and gastric bypass procedures but not with gastric banding, according to a study published in the September issue of Surgery for Obesity and Related Diseases.

Abstract/Full Text

Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 — A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

The New York Times Article

Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 — Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

Abstract/Full Text
Editorial

Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 — Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

Abstract/Full Text
Editorial

No Increase in In-Hospital, Post-Discharge Death With HRRP

FRIDAY, Oct. 5, 2018 — Announcement and implementation of the Hospital Readmissions Reduction Program (HRRP) was not associated with increases in in-hospital or post-discharge mortality after acute myocardial infarction (AMI), heart failure, or pneumonia, according to a study published online Sept. 28 in JAMA Network Open.

Abstract/Full Text
Editorial

Clinical Comorbidities Up After Arthroscopic Hip Surgery

FRIDAY, Oct. 5, 2018 — Following elective arthroscopic hip surgery, the rate of seven major clinical comorbidities increases significantly, according to a study published online Sept. 27 in the British Journal of Sports Medicine.

Abstract/Full Text (subscription or payment may be required)

Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 — Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Abstract/Full Text

Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 — A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 — Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Opioid Use Down With ‘Enhanced Recovery After Surgery’ Program

THURSDAY, Oct. 4, 2018 — An “enhanced recovery after surgery” (ERAS) program is associated with a significant reduction in opioid consumption after gynecologic surgery with no increase in pain scores, according to a study published in the August issue of Obstetrics & Gynecology.

Abstract/Full Text (subscription or payment may be required)

Medicare Patient Readmit Rates Higher in Proprietary Hospitals

WEDNESDAY, Oct. 3, 2018 — Among Medicare patients with six major diseases, readmission rates are higher for those receiving care in proprietary hospitals compared with government or nonprofit hospitals, according to a study published online Sept. 18 in PLOS ONE.

Abstract/Full Text

Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 — In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

Abstract/Full Text

Preventable Cardiovascular Events Are Big Economic Burden

TUESDAY, Oct. 2, 2018 — Preventable cardiovascular events place a considerable health and economic burden on the United States, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report.

Abstract/Full Text

For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 — Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Second Opinion at NCI Center Valuable for Breast CA Patients

TUESDAY, Oct. 2, 2018 — Almost 43 percent of patients diagnosed with breast cancer presenting to a National Cancer Institute (NCI)-designated cancer center for a second opinion have a change in diagnosis, according to a study published in the October issue of the Annals of Surgical Oncology.

Abstract/Full Text

Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 — In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

Abstract/Full Text

Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 — The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Hospital Privacy Curtains Become Increasingly Contaminated

MONDAY, Oct. 1, 2018 — Curtains surrounding patient beds become progressively contaminated with bacteria, according to a study published in the September issue of the American Journal of Infection Control.

Abstract/Full Text

Risk of Venous Thromboembolism Recurrence High

MONDAY, Oct. 1, 2018 — The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.

Abstract/Full Text

Anti-Reflux Surgery Promising in Idiopathic Pulmonary Fibrosis

MONDAY, Oct. 1, 2018 — Laparoscopic antireflux surgery is safe and well-tolerated in patients with idiopathic pulmonary fibrosis (IPF) and abnormal acid gastroesophageal reflux (GER), according to a phase 2 study published in the Sept. 1 issue of The Lancet Respiratory Medicine.

Abstract/Full Text
Editorial (subscription or payment may be required)

More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 — From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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Posted: November 2018

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