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July 2020 Briefing - Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for July 2020. 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.

Telemedicine Use Explodes During COVID-19 Pandemic

FRIDAY, July 31, 2020 (HealthDay News) -- The emergence of telemedicine has accelerated during the coronavirus pandemic. HD Live! sat down with Rujuta Saksena, M.D., an oncologist at Overlook Medical Center in Summit, New Jersey, and Ateev Mehrotra, M.D., associate professor of health care policy at Harvard Medical School in Boston, to discuss the future of telemedicine and its impact on health care.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) -- For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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Most Gynecologic Cancer Therapy Not Tied to Higher COVID-19 Risk

THURSDAY, July 30, 2020 (HealthDay News) -- For gynecologic oncology patients with COVID-19, the case fatality rate is 14.0 percent, and chemotherapy and recent major surgery do not predict COVID-19 severity or mortality, according to a study published online July 30 in Cancer.

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Fibroid-Related QOL Better With Myomectomy for Uterine Fibroids

THURSDAY, July 30, 2020 (HealthDay News) -- For women with symptomatic uterine fibroids, fibroid-related quality of life at two years is better for those undergoing myomectomy than those undergoing uterine-artery embolization, according to a study published in the July 30 issue of the New England Journal of Medicine.

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More Diabetic Foot Amputations Seen During COVID-19 Lockdown

WEDNESDAY, July 29, 2020 (HealthDay News) -- Patients with diabetes admitted to a tertiary care center for diabetic foot ulceration (DFU) during the COVID-19 lockdown in Italy had a more than threefold risk for amputation versus patients seen in 2019, according to a study published online July 23 in Diabetes Care.

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Smoking Ups Risk for Unruptured Intracranial Aneurysm in Women

WEDNESDAY, July 29, 2020 (HealthDay News) -- Women aged 30 to 60 years with a positive smoking history and underlying hypertension have an increased risk for having an unruptured intracranial aneurysm (UIA), according to a study published online July 28 in the Journal of Neurology, Neurosurgery & Psychiatry.

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HIV+ Donor to HIV+ Recipient Feasible for Kidney Transplant

TUESDAY, July 28, 2020 (HealthDay News) -- HIV-positive donor to HIV-positive recipient (HIV D+/R+) kidney transplantation (KT) is feasible, according to a study published online July 23 in the American Journal of Transplantation.

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Thorough Risk Assessment Essential Prior to Noncardiac Surgery

MONDAY, July 27, 2020 (HealthDay News) -- Comprehensive preoperative assessment of cardiovascular risk with history and physical examination is essential prior to noncardiac surgery, according to a review published in the July 21 issue of the Journal of the American Medical Association.

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Obesity Diagnoses Up Among Hospitalized Patients in the U.S.

MONDAY, July 27, 2020 (HealthDay News) -- There was an increase in obesity diagnoses in hospitalized patients and bariatric surgeries among those diagnosed with obesity from 2011 to 2014, according to a study published online July 5 in Clinical Obesity.

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Spine Surgery Patients Prescribed the Most Postoperative Narcotics

MONDAY, July 27, 2020 (HealthDay News) -- Spine surgery patients are prescribed the most narcotics in the three months following surgery, and patient-reported pain at hospital discharge is associated with increased narcotic use in this period, according to a study published in the July 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.

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CDC Guidance Issued for Testing, Management of HCP Exposed to Hep C

FRIDAY, July 24, 2020 (HealthDay News) -- In a U.S. Centers for Disease Control and Prevention guidance report, published in the July 24 issue of Morbidity and Mortality Weekly Report, recommendations are presented for testing and clinical management of health care personnel (HCP) exposed to the hepatitis C virus (HCV).

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Heart Transplant Volumes Decreased in COVID-19 Era

FRIDAY, July 24, 2020 (HealthDay News) -- In the COVID-19 era, there has been a decrease in heart transplant (HT) volumes, according to a study published online July 22 in JAMA Cardiology.

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Financial Health of Hospitals 'Dire' Due to COVID-19

THURSDAY, July 23, 2020 (HealthDay News) -- COVID-19 continues to cause financial peril for U.S. hospitals, according to a report released by the American Hospital Association (AHA).

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Whole-Body CTs Save Time for Trauma Patients in Emergency Dept

THURSDAY, July 23, 2020 (HealthDay News) -- Whole-body computed tomography (WBCT) for trauma patients may save time in the emergency department, but is not associated with other improved outcomes, according to a review published in the August 1 issue of the European Journal of Radiology.

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Elective Services in Pulmonary, Sleep Medicine to Resume During COVID-19

WEDNESDAY, July 22, 2020 (HealthDay News) -- In a guidance document issued by an American Thoracic Society-led international task force, published online July 14 in the Annals of the American Thoracic Society, recommendations are presented for the resumption of elective in-person clinical services in pulmonary and sleep medicine.

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Cord Blood Transplants May Treat Nonmalignant Genetic Disorders

WEDNESDAY, July 22, 2020 (HealthDay News) -- For children born with various nonmalignant disorders, a reduced-intensity conditioning (RIC) regimen and single-unit unrelated umbilical cord blood (UCB) transplant results in high survival and low rates of graft failure, according to a study published online July 7 in Blood Advances.

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Risk for Postop Complications, Mortality Up for Black Children

TUESDAY, July 21, 2020 (HealthDay News) -- The risk for postoperative complications and mortality is increased among apparently healthy African-American (AA) versus white children, according to a study published online July 20 in Pediatrics.

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Surgical Delay Worsens Survival for Some Gastrointestinal Cancers

MONDAY, July 20, 2020 (HealthDay News) -- Surgical delay is associated with an increased risk in some gastrointestinal malignancies, and understanding the impact on outcomes may assist surgeons in triaging patients whose surgeries were delayed due to the COVID-19 pandemic, according to research published online June 30 in the Journal of Gastrointestinal Surgery.

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Guidance Issued for Elective Orthopedic Surgery During COVID-19

MONDAY, July 20, 2020 (HealthDay News) -- In new guidelines from the International Consensus Group, published in the July 15 issue of The Journal of Bone & Joint Surgery, recommendations are presented for the reintroduction of elective orthopedic surgery during the COVID-19 pandemic.

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Physical Distancing Interventions Cut Incidence of COVID-19

THURSDAY, July 16, 2020 (HealthDay News) -- Physical distancing interventions are associated with a reduced incidence of COVID-19 globally, according to a study published online July 15 in The BMJ.

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Global Population Anticipated to Peak in 2064

WEDNESDAY, July 15, 2020 (HealthDay News) -- The global population is anticipated to peak in 2064 and then decline to year 2100, according to a study published online July 14 in The Lancet.

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Delirium Episode Tied to Long-Term Cognitive Decline

WEDNESDAY, July 15, 2020 (HealthDay News) -- An episode of delirium is significantly associated with long-term cognitive decline in both surgical and nonsurgical patients, according to a meta-analysis published online July 13 in JAMA Neurology.

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Layoffs Cost 5.4 Million Americans Their Health Insurance

TUESDAY, July 14, 2020 (HealthDay News) -- About 5.4 million Americans lost their health insurance after being laid off between February and May due to the COVID-19 pandemic, a new study shows.

The New York Times Article

Surgery in Older Adults Does Not Up Risk for Alzheimer Disease

TUESDAY, July, 13, 2020 (HealthDay News) -- Older adults who have surgery with general anesthesia may experience a modest cortical thinning in the brain, but it does not appear to be tied to Alzheimer disease, according to a study recently published in the British Journal of Anaesthesia.

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Commercially Viable Mobile Lung Screening Program Feasible

TUESDAY, July 14, 2020 (HealthDay News) -- Developing a commercially viable and financially sound mobile program for lung screening is feasible, according to a study published online July 14 in the Annals of Thoracic Surgery.

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Electronic Health Records Fail to Detect Many Medication Errors

THURSDAY, July 9, 2020 (HealthDay News) -- There is wide variation in the safety performance of electronic health record (EHR) systems used in U.S. hospitals, according to a study recently published in JAMA Network Open.

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Odds of Surgery Lower for Black Patients With Esophageal Cancer

THURSDAY, July 9, 2020 (HealthDay News) -- Black patients with esophageal cancer have a reduced likelihood of receiving surgery, and patients not undergoing surgery have higher mortality, according to a study published online June 4 in the Journal of Gastrointestinal Surgery.

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Most Women Unaware of Breast Implant-Related Lymphoma

MONDAY, July 6, 2020 (HealthDay News) -- Only a minority of American women have heard of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and understand its association with breast implants, according to a study published in the July issue of Plastic and Reconstructive Surgery.

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Incidence of Abusive Head Trauma in Infants May Be Up During Lockdown

MONDAY, July 6, 2020 (HealthDay News) -- From March 23 to April 23, 2020, there was a very large increase in the incidence of abusive head trauma (AHT) seen in very young children, according to a research letter published online July 2 in the Archives of Disease in Childhood.

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Low Physical Function May Up Bone Loss After Hip Fracture

THURSDAY, July 2, 2020 (HealthDay News) -- Older patients with low physical function and lower lean body mass (LBM) may be at risk for greater decline in tibia bone properties during the first year after hip fracture, according to a study published online June 9 in BMC Musculoskeletal Disorders.

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Medical Management Alone Better for Brain AV Malformations

THURSDAY, July 2, 2020 (HealthDay News) -- Among patients with unruptured brain arteriovenous malformation, medical management alone is superior to its combination with interventional therapy for prevention of death or symptomatic stroke in the long term, according to a study published in the July 1 issue of The Lancet Neurology.

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