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September 2016 Briefing - Surgery

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

CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Retrieved Lymph Node Number Affects Prognosis in Gastric CA

FRIDAY, Sept. 30, 2016 (HealthDay News) -- In patients with pathological stage (pStage) II or III gastric cancer, the number of retrieved lymph nodes (RLNs) is an independent poor prognostic factor, according to a study published in the September issue of the Journal of Gastroenterology and Hepatology.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Adjunctive Azithromycin Beneficial in C-Section Patients

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Adding azithromycin to standard antibiotic therapy before a cesarean section reduces infection rates by 50 percent, according to a study published in the Sept. 29 issue of the New England Journal of Medicine.

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Nonsurgical Therapy Increasing for Advanced Oral Cavity SCC

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Use of nonsurgical therapy is increasing for advanced-stage oral cavity squamous cell carcinoma (SCC), although survival is better with surgical therapy, according to a study published online Sept. 19 in Head & Neck.

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Considerable Number of Doctors Attend Patient Funerals

THURSDAY, Sept. 29, 2016 (HealthDay News) -- A considerable proportion of doctors attend patient funerals, including 71 percent of general practitioners (GPs), according to a study published online Sept. 9 in Death Studies.

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Review Links C-Section With Increased Risk of Postpartum VTE

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Cesarean section (CS) is associated with increased risk of postpartum venous thromboembolism (VTE), and the risk is greater following emergency CS versus elective, according to a meta-analysis published in the September issue of CHEST.

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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Review: 5-HT3 Receptor Antagonists Cut Peri-Op Shivering

TUESDAY, Sept. 27, 2016 (HealthDay News) -- 5-HT3 receptor antagonists (5-HT3RAs) seem to be effective for preventing perioperative shivering (POS), according to a review and meta-analysis published online Sept. 15 in the Journal of Clinical Pharmacology.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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Endoscopic Sinus Sx Ups Asthma QOL in Rhinosinusitis + Asthma

MONDAY, Sept. 26, 2016 (HealthDay News) -- Patients with chronic rhinosinusitis (CRS) undergoing endoscopic sinus surgery (ESS) experience improvements in asthma quality-of-life (QOL) and asthma control, according to a study published online Sept. 17 in Allergy.

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9-cis Retinoic Acid Promising for Lymphedema Prevention

MONDAY, Sept. 26, 2016 (HealthDay News) -- Treatment with 9-cis retinoic acid (RA) has potential as a preventative agent for postsurgical lymphedema, according to an experimental study published in the August issue of the Annals of Surgery.

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Greater Drop in Payments at BPCI Hospitals for Joint Replacement

FRIDAY, Sept. 23, 2016 (HealthDay News) -- For lower extremity joint replacement, Medicare payments declined more for episodes provided at Bundled Payments for Care Improvement (BPCI)-participating hospitals, according to a study published online Sept. 19 in the Journal of the American Medical Association.

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Nonmelanoma Skin Cancer Risk Up in Organ Transplant Recipients

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Patients who have an organ transplant may be more likely to develop skin cancer, and that applies to all transplant patients, even those who are nonwhite and dark-skinned, according to research published online Sept. 21 in JAMA Dermatology.

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ASCO/ASTRO/SSO Update Guidelines on Postmastectomy RT

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- New guidelines have been issued by three leading cancer organizations for postmastectomy radiotherapy (PMRT). All three groups published the guidelines online this week in their respective journals: the Journal of Clinical Oncology, Practical Radiation Oncology, and the Annals of Surgical Oncology.

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NIH: More Must Be Done to Fight Antimicrobial Resistance

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Antimicrobial resistance (AMR) remains a major public health threat, and only a multipronged attack can address the problem, according to a report published in the Sept. 20 issue of the Journal of the American Medical Association.

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Art Therapy, Clown Visits Cut Children's Preoperative Anxiety

TUESDAY, Sept. 20, 2016 (HealthDay News) -- An intervention based on art therapy and clown visits can reduce children's anxiety at preoperative separation from parents, according to a study published online Sept. 14 in the Journal of Clinical Nursing.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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Drop in Use of Digital Rectal Examination, PSA Testing

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Following U.S. Preventive Services Task Force (USPSTF) recommendations against routine prostate-specific antigen (PSA) screening, there has been a decrease in utilization of digital rectal examination and PSA testing, according to a study published in the October issue of The Journal of Urology.

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Diabetes Ups Risk of Amputation in Critical Limb Ischemia

TUESDAY, Sept. 20, 2016 (HealthDay News) -- For patients with critical limb ischemia (CLI), those with diabetes mellitus (DM) are at increased risk of major amputation, according to a study published online Sept. 9 in Diabetes Care.

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AAP Says Codeine Not Safe for Children, Urges Restrictions

MONDAY, Sept. 19, 2016 (HealthDay News) -- Codeine is unsafe for children and should no longer be given to them, according to a new report from the American Academy of Pediatrics (AAP) published online Sept. 19 in Pediatrics.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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Tension-Free Vaginal Tape-Obturator Has Lasting Benefit

FRIDAY, Sept. 16, 2016 (HealthDay News) -- The tension-free vaginal tape-obturator procedure is usually still effective at 10 years after the procedure, according to a study published in the October issue of The Journal of Urology.

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Anticoagulation Cuts TEC Rate in Adults After Fontan Surgery

FRIDAY, Sept. 16, 2016 (HealthDay News) -- For adults with atrial arrhythmia after Fontan operation, the risk of thrombotic and embolic complications (TEC) is reduced with anticoagulation therapy, according to research published in the Sept. 20 issue of the Journal of the American College of Cardiology.

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Thirty-Day Readmission Rate 2.8 Percent After Hysterectomy

THURSDAY, Sept. 15, 2016 (HealthDay News) -- For patients undergoing hysterectomy for benign indications, the 30-day readmission rate is 2.8 percent, with most readmissions occurring within 15 days, according to a study published in the October issue of Obstetrics & Gynecology.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Outlook Good for Localized Prostate CA, Despite Tx Chosen

THURSDAY, Sept. 15, 2016 (HealthDay News) -- Mortality rates from localized prostate cancer are roughly the same over several years regardless of choosing watchful waiting or undergoing radiation or prostatectomy, according to research published online Sept. 14 in the New England Journal of Medicine.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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Transition to Public Insurance Ups Post-Heart Transplant Death

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- For patients receiving first-time orthotopic heart transplants, transition from private to public health insurance is associated with increased mortality, according to a study published online Sept. 13 in Circulation: Cardiovascular Quality and Outcomes.

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Infective Endocarditis Incidence 1.1 Percent After TAVR

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- For patients undergoing transcatheter aortic valve replacement (TAVR) the incidence of infective endocarditis is 1.1 percent per person-year, according to a study published in the Sept. 13 issue the Journal of the American Medical Association.

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High Rate of Career Satisfaction for Thoracic Surgeons

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- Cardiothoracic surgeons report a very high level of job satisfaction, according to survey results published online Sept. 13 in the Annals of Thoracic Surgery.

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Similar NSCLC Survival for Surgical, Endosonographic Staging

TUESDAY, Sept. 13, 2016 (HealthDay News) -- For patients with non-small-cell lung cancer (NSCLC), there is no survival difference at five years for surgical staging or endosonographic staging, according to a research letter published in the Sept. 13 issue of the Journal of the American Medical Association.

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New Anticancer Drugs Up Costs and Life Expectancy Considerably

TUESDAY, Sept. 13, 2016 (HealthDay News) -- New anticancer drugs, which increase costs considerably, are associated with large gains in life expectancy, according to research published in the September issue of Health Affairs.

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AAA Progression Tied to Higher Plasma D-Dimer Concentration

FRIDAY, Sept. 9, 2016 (HealthDay News) -- Abdominal aortic aneurysm (AAA) progression is positively associated with increasing plasma D-dimer concentration, according to a study published online Aug. 27 in the Journal of Thrombosis and Haemostasis.

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Lean Processes Can Cut Wait Times at VA Hospitals

FRIDAY, Sept. 9, 2016 (HealthDay News) -- For patients at Veterans Affairs hospitals, implementation of lean practices can reduce wait times and increase operative volume, according to a study published online Sept. 7 in JAMA Surgery.

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PSA Failure Predicts Death in Men With No, Minimal Comorbidity

THURSDAY, Sept. 8, 2016 (HealthDay News) -- Prostate-specific antigen (PSA) failure is associated with increased risk of all-cause mortality for men with intermediate- or high-risk prostate cancer with no or minimal comorbidity, according to a study published online Sept. 6 in the Journal of Clinical Oncology.

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Some Benefits for Decompressive Craniectomy in TBI

THURSDAY, Sept. 8, 2016 (HealthDay News) -- For patients with traumatic brain injury and refractory elevated intracranial hypertension, decompressive craniectomy results in lower mortality than medical care, according to a study published online Sept. 7 in the New England Journal of Medicine.

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Volume of Ascites Positively Associated With Umbilical Hernia

WEDNESDAY, Sept. 7, 2016 (HealthDay News) -- For patients with cirrhosis, volume of ascites is positively associated with umbilical hernia, according to a study published online Aug. 29 in the Journal of Evidence-Based Medicine.

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Smokers More Prone to Relapse After Crohn's Surgery

FRIDAY, Sept. 2, 2016 (HealthDay News) -- Smoking increases the risk that Crohn's disease patients will experience clinical recurrence after bowel surgery, according to research published online Aug. 30 in The Lancet Gastroenterology and Hepatology.

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Rapid Improvement in Insulin Sensitivity With Bariatric Surgery

FRIDAY, Sept. 2, 2016 (HealthDay News) -- For obese patients without diabetes, bariatric surgery improves insulin sensitivity (IS), with more pronounced improvements for Roux-en-Y gastric bypass (RYGB) than for laparoscopic adjustable gastric banding (LAGB), according to a study published online Aug. 29 in Diabetes Care.

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ECP, Second Drainage Device Effective in Refractory Glaucoma

THURSDAY, Sept. 1, 2016 (HealthDay News) -- For patients with refractory glaucoma with failed initial tube shunt, both endoscopic cyclophotocoagulation (ECP) and implantation of a second glaucoma drainage device (GDD-2) are effective as second surgeries, according to a study published online Aug. 28 in Clinical & Experimental Ophthalmology.

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Donor, Recipient Characteristics Impact Transplant Costs

THURSDAY, Sept. 1, 2016 (HealthDay News) -- Kidney donor and recipient characteristics impact transplant costs, according to a study published online Aug. 27 in the American Journal of Transplantation.

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Long-Term Follow-Up Shows Bariatric Patients Keep Weight Off

THURSDAY, Sept. 1, 2016 (HealthDay News) -- Much of the weight lost via bariatric surgery appears to stay off for at least 10 years, according to a study published online Aug. 31 in JAMA Surgery.

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Physician's Briefing
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