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September 2015 Briefing - Surgery

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

Online Follow-Up Feasible for Most Surgery Patients

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Online postoperative care is preferred over in-person care by a majority of patients who have routine, uncomplicated surgery, according to research published online Sept. 22 in the Journal of the American College of Surgeons.

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Abbreviated MRI Protocol Can Exclude Malignancy After Mammo

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- An abbreviated magnetic resonance imaging (MRI) protocol can exclude malignancy in women with suspicious X-ray mammography screening, according to a study published online Sept. 29 in Radiology.

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Negative Spiritual Belief Linked to Worse Health Outcomes

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Any degree of negative spiritual belief is associated with worse health outcomes, regardless of positive spiritual beliefs, according to a study published in the Journal of Spirituality in Mental Health.

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Nomogram Predicts Death, Recurrence With Thyroid Cancer

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- A new nomogram has excellent discriminatory ability and accuracy in predicting 10-year disease-specific death and recurrence for papillary thyroid carcinoma (PTC), according to a study published online Sept. 2 in Head & Neck.

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Early Precut Sphincterotomy Ups Primary Cannulation Rates

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Early use of precut sphincterotomy does not increase the risk of pancreatitis but does increase rates of primary cannulation during endoscopic retrograde cholangiopancreatography (ERCP), according to research published in the October issue of Clinical Gastroenterology and Hepatology.

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Stone Removal Helps Half of Patients With Recurrent UTI

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction, according to a study published in the October issue of The Journal of Urology.

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Surveillance Beats Radical Nephrectomy for Small Masses

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Patients with small renal masses who have a radical nephrectomy are significantly more likely to experience up staging to a more advanced chronic kidney disease stage based on glomerular filtration rate ranges, compared to those undergoing partial nephrectomy, active surveillance, or cryoablation, according to a study published in the October issue of The Journal of Urology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Cholecalciferol May Help Reduce BMD Loss After Bariatric Surgery

MONDAY, Sept. 21, 2015 (HealthDay News) -- An intervention including cholecalciferol, protein supplementation, and physical exercise reduces bone mineral density loss after bariatric surgery, according to a study published online Sept. 9 in the Journal of Bone and Mineral Research.

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Hemorrhage Post Adenotonsillectomy Less Common With OSA

MONDAY, Sept. 21, 2015 (HealthDay News) -- For children undergoing adenotonsillectomy (AT), those with obstructive sleep apnea (OSA) appear to have more respiratory complications, while hemorrhage appears to be more frequent in children without OSA, according to a review published online Sept. 21 in Pediatrics.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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Ipsilateral Breast Event Risk Higher Over Time With DCIS

THURSDAY, Sept. 17, 2015 (HealthDay News) -- The risks of developing an ipsilateral breast event (IBE) and an invasive IBE increased over time for patients with ductal carcinoma in situ (DCIS) who were selected on the basis of favorable clinical and pathologic characteristics for surgical excision without radiation, according to a study published online Sept. 14 in the Journal of Clinical Oncology.

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Panel Develops Criteria for Appropriate Use of PICCs

THURSDAY, Sept. 17, 2015 (HealthDay News) -- An expert panel has developed the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC), according to research published in the Sept. 15 issue of the Annals of Internal Medicine.

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Oncology Care Often Received at Multiple Hospitals

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Many patients receive surgical and medical oncology care from different hospitals, which is associated with higher costs, according to a study published in the Sept. 15 issue of Cancer.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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Mortality Risk Up for Hip Surgery After Fracture Vs Elective THR

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Patients undergoing surgery for hip fracture have a higher risk of mortality and major complications than those receiving an elective total hip replacement, according to research published online Sept. 15 in JAMA.

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Racial Disparities in Analgesia for Children With Appendicitis

TUESDAY, Sept. 14, 2015 (HealthDay News) -- For pediatric patients with appendicitis, racial disparities exist with respect to analgesia administration, according to a study published online Sept. 14 in JAMA Pediatrics.

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Geographic Variation in Costs of Posterolateral Fusion

TUESDAY, Sept. 14, 2015 (HealthDay News) -- There is significant geographic variation in the costs of posterolateral fusion (PLF), total knee arthroplasty (TKA), and TKA with major complications or comorbidities, according to a study published in the Sept. 1 issue of Spine.

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Sleep Quality Up After Endoscopic Sinus Surgery

FRIDAY, Sept. 11, 2015 (HealthDay News) -- After functional endoscopic sinus surgery, patients with chronic rhinosinusitis (CRS) report better quality of life and improved sleep, regardless of whether or not they had a sleep disorder, according to research published online Sept. 10 in JAMA Otolaryngology-Head & Neck Surgery.

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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Vaginal Mesh Surgery Concerns May Be Overstated

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Only one out of every 30 women who receive a synthetic vaginal mesh sling to treat stress urinary incontinence will suffer a complication that requires a second surgery, according to a decade-long follow-up study of nearly 60,000 Canadian women. The findings were published online Sept. 9 in JAMA Surgery.

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Post-Op Delirium Diminishes Recovery in Older Patients

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Patients with delirium following major surgery are more likely to have worse outcomes, including lower quality of life, disability, or even death, according to a study published online Sept. 9 in JAMA Surgery.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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Hysterectomy + Panniculectomy Can Be Safely Performed

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Combined hysterectomy and panniculectomy procedures can be performed safely; however, there is an increased likelihood of longer length of stay with combined procedures compared with hysterectomy alone, according to a study published in the September issue of Plastic and Reconstructive Surgery.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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Dual-Modality DRS-FS Discerns Tumor From Surrounding Tissue

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Dual-modality diffuse reflectance spectroscopy-fluorescence spectroscopy (DRS-FS) can differentiate tumor tissue from surrounding tissue in patients undergoing colorectal cancer resection, according to a study published in the September issue of Lasers in Surgery and Medicine.

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Bariatric Surgery Beats Drug Tx for Metabolic Outcomes in T2DM

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Regardless of weight loss, patients with type 2 diabetes who undergo bariatric surgery have better metabolic outcomes than patients treated with drug therapy, according to a study published in the Sept. 5 issue of The Lancet.

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CHADS2 Best Predictor of Postoperative Mortality Risk

FRIDAY, Sept. 4, 2015 (HealthDay News) -- The CHADS2 atrial fibrillation (AF) risk score is the best predictor of postoperative stroke or death regardless of type of surgery, according to a study published online Aug. 13 in the Journal of Thrombosis and Haemostasis.

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Handholding, Speaking to Patients Reduces Anxiety

FRIDAY, Sept. 4, 2015 (HealthDay News) -- For patients undergoing percutaneous vertebroplasty under local anesthesia, handholding and providing spoken information correlate with reduced patient anxiety, according to a study published online Sept. 1 in the Journal of Clinical Nursing.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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Scope of Lymphadenectomy Not Tied to Esophageal CA Survival

FRIDAY, Sept. 4, 2015 (HealthDay News) -- For patients undergoing esophageal cancer surgery, the extent of lymphadenectomy seems not to influence all-cause or disease-specific survival, according to a study published online Sept. 2 in JAMA Surgery.

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Irreversible Electroporation Promising in Pancreatic Cancer

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Irreversible electroporation (IRE) in pancreatic cancer cells may improve survival rates for some patients, new research suggests. The findings were published in the September issue of the Annals of Surgery.

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Endovascular AAA Repair Improves Survival for Three Years

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Endovascular (EVAR) repair of abdominal aortic aneurysm is associated with a survival advantage for three years, according to a study published online Sept. 2 in JAMA Surgery.

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Total Knee Replacement Procedures Up From 2000 to 2010

THURSDAY, Sept. 3, 2015 (HealthDay News) -- From 2000 to 2010, the rate of total knee replacement increased considerably, with a higher rate for women than men in 2000 and 2010, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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More Male Breast CA Patients Having Both Breasts Removed

THURSDAY, Sept. 3, 2015 (HealthDay News) -- There has been an increase in the number of American men with cancer in one breast who have surgery to remove their cancer-free breast, according to a study published online Sept. 2 in JAMA Surgery.

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Cardiovascular Risk Up After Knee, Hip Replacement

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Patients who have total hip or knee replacement surgery face a greater risk for myocardial infarction (MI) during the first month following the procedure, according to research published online Aug. 31 in Arthritis & Rheumatology.

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