Here are what the editors at HealthDay consider to be the most important developments in Surgery for August 2017. 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.
Minimal Evidence for Electronic Communication Guidelines
THURSDAY, Aug. 31, 2017 (HealthDay News) — Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.
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W-Plasty Closure in Posterior Occipital Hairline Acceptable
THURSDAY, Aug. 31, 2017 (HealthDay News) — For closures in the posterior occipital hairline, cosmetic outcomes are similar for primary W-plasty and traditional straight-line (SL) trichophytic closure techniques, according to a study published online Aug. 24 in JAMA Facial Plastic Surgery.
Proactive Approach Encouraged for Online Patient Reviews
WEDNESDAY, Aug. 30, 2017 (HealthDay News) — Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.
Many U.S. Women Unaware of Minimally Invasive Fibroid Tx
WEDNESDAY, Aug. 30, 2017 (HealthDay News) — Many American women with uterine fibroids don’t know there’s a minimally invasive embolization technique that may be an alternative to a hysterectomy, a new poll finds.
Platelet-Rich Plasma Effective for Chronic Venous Leg Ulcers
TUESDAY, Aug. 29, 2017 (HealthDay News) — For patients with chronic venous leg ulcers, autologous platelet-rich plasma (PRP) is safe and effective, with highly significant improvement in ulcer size compared to conventional treatment, according to a study published online Aug. 19 in the Journal of Cosmetic Dermatology.
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Fatty Acid Remodeling Seen in T2DM Remission Post Bariatric Sx
MONDAY, Aug. 28, 2017 (HealthDay News) — Remission of type 2 diabetes (T2D) following biliopancreatic diversion with duodenal switch (DS) is associated with increased disposal of triglycerides (TG) and acylcarnitine production during lipid overload, according to a study published online Aug. 23 in Diabetes.
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Being Awake for Aneurysm Brain Surgery May Offer Better Results
FRIDAY, Aug. 25, 2017 (HealthDay News) — “Awake” brain surgery may improve treatment of brain aneurysms, according to a study published in the August issue of the Journal of Neurosurgery.
Minimally Invasive Sx Use Up for Paraesophageal Hernia Repair
FRIDAY, Aug. 25, 2017 (HealthDay News) — A minimally invasive surgery (MIS) approach is increasingly being used for paraesophageal hernia (PEH) repair, accounting for almost 80 percent of PEH repairs in 2012, according to a research letter published online Aug. 23 in JAMA Surgery.
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Early Rotator Cuff Surgery Offers Good Long-Term Outcomes
THURSDAY, Aug. 24, 2017 (HealthDay News) — Early surgery for isolated supraspinatus repairs leads to considerable improvement in clinical and radiographic outcomes at 10 years, according to a study published in the Aug. 16 issue of The Journal of Bone & Joint Surgery.
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Increased Risk of MI, Stroke for Patients With Hip Fracture
THURSDAY, Aug. 24, 2017 (HealthDay News) — Patients with hip fracture have an increased risk of myocardial infarction (MI) and stroke, according to a study published online Aug. 21 in the Journal of Bone and Mineral Research.
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Sleep, Caffeine Use May Play Role in Post-Op Pain
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Extended wakefulness prior to surgery significantly enhances postoperative pain behaviors and extends recovery time after surgery, but caffeine may help mitigate this effect, according to an experimental study published online Aug. 3 in SLEEP.
Day-Supply of Opioid Rx Factor in Likelihood of Long-Term Use
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — The days supplied is far more important than the dosage level or even the type of pain being treated in risk of opioid use disorder following opioid prescription, according to a study published recently in The Journal of Pain.
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Demand for Liver Transplant for NASH Set to Continue Rising
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Given population obesity trends, the increase in the demand for liver transplantation (LT) for nonalcoholic steatohepatitis (NASH) noted since 2000 is expected to continue, according to a study published online Aug. 17 in Hepatology.
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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.
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Five Prebariatric Subtypes Identified With Specific Profiles
WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Five prebariatric subtypes have been identified with specific self-control, emotional dysregulation, and disinhibited eating behavior profiles, according to research published online Aug. 16 in the International Journal of Eating Disorders.
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Females Show Better Response to CRT in Esophageal Cancer
TUESDAY, Aug. 22, 2017 (HealthDay News) — For patients with locally advanced esophageal carcinoma who received neoadjuvant chemoradiotherapy (nCRT), female sex is associated with increased likelihood of achieving a complete or nearly complete pathologic response, according to a study published online Aug. 22 in the Annals of Thoracic Surgery.
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Many Parents Would Support Transgender Teen’s Transition
TUESDAY, Aug. 22, 2017 (HealthDay News) — More than half of U.S. adults surveyed would be supportive if they had a teenage child who wanted to transition to the opposite gender, according to a Harris Poll commissioned by the American Osteopathic Association.
Literacy Level an Issue in Laryngectomy-Related Patient Ed
MONDAY, Aug. 21, 2017 (HealthDay News) — Current laryngectomy-related patient education materials are too difficult for an average American adult to understand, according to a study published online Aug. 16 in Head & Neck.
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Hours Worked Impacted by Kids for Female, Not Male Doctors
MONDAY, Aug. 21, 2017 (HealthDay News) — For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.
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Early, Single Non-Ablative Fractional Laser Tx Aids Scarring
MONDAY, Aug. 21, 2017 (HealthDay News) — Early, single non-ablative fractional laser (NAFL) exposure can offer improvement in clinical scar appearance, according to a study published online Aug. 16 in Lasers in Surgery and Medicine.
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Geriatric Consults Remain Rare in Kidney Cancer Care
MONDAY, Aug. 21, 2017 (HealthDay News) — Use of geriatric consultation remains sparse among older patients undergoing surgery for kidney cancer, according to a study published online Aug. 11 in the Journal of the American Geriatrics Society.
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Clinical Feature Model Predicts Colitis Outcomes
MONDAY, Aug. 21, 2017 (HealthDay News) — Clinical features, including response at day seven of hospitalization for the index episode of acute severe colitis (ASC), can predict both colectomy and steroid dependence with reasonable accuracy, according to a study published online Aug. 12 in the Journal of Gastroenterology and Hepatology.
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One-Quarter With Early Breast Cancer Strongly Considers CPM
FRIDAY, Aug. 18, 2017 (HealthDay News) — More than half of newly diagnosed patients with early-stage breast cancer consider contralateral prophylactic mastectomy (CPM), with one-quarter considering it strongly, according to a study published online Aug. 15 in Cancer.
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Worse Survival Seen for Alternative Vs Usual Cancer Rx
FRIDAY, Aug. 18, 2017 (HealthDay News) — Patients who choose alternative medicine over traditional cancer treatments for curable cancers have a higher risk of dying early, according to research published online Aug. 10 in the Journal of the National Cancer Institute.
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Online Nursing Education Can Up Patient Use of VTE Prophylaxis
THURSDAY, Aug. 17, 2017 (HealthDay News) — Online training for nurses has been found to increase hospital patients’ use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.
On-Pump CABG Leads to Higher Rates of Five-Year Survival
THURSDAY, Aug. 17, 2017 (HealthDay News) — Five years after coronary-artery bypass grafting (CABG) surgery, patients whose operation was performed with cardiopulmonary bypass (on pump) lived longer than those whose surgeons performed the procedure without cardiopulmonary bypass (off pump), according to a report published in the Aug. 17 issue of the New England Journal of Medicine.
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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions
THURSDAY, Aug. 17, 2017 (HealthDay News) — Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.
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Few Racial Differences in Peds Anesthesia Meds Administration
THURSDAY, Aug. 17, 2017 (HealthDay News) — There does not appear to be significant racial differences in preoperative or intraoperative medication administration for children undergoing emergency appendectomies, according to a study published online Aug. 10 in Pediatric Anesthesia.
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Electrotherapy, Acupuncture Ease Post Knee Arthroplasty Pain
WEDNESDAY, Aug. 16, 2017 (HealthDay News) — Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty, according to a meta-analysis published online Aug. 16 in JAMA Surgery.
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’07 to ’14 Saw Drop in Proportion Needing Dialysis After TAVI
WEDNESDAY, Aug. 16, 2017 (HealthDay News) — From 2007 to 2014 there was a decrease in the proportion of patients needing dialysis after transcatheter aortic valve implantation (TAVI), according to a study published online Aug. 2 in JACC: Cardiovascular Interventions.
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Studies Used for FDA Approval of Device Changes Often Low Quality
TUESDAY, Aug. 15, 2017 (HealthDay News) — Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.
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Specialist Access No Better With Adoption of Access Standards
TUESDAY, Aug. 15, 2017 (HealthDay News) — Adoption of specialty access standards does not improve access to specialists, according to a study published online Aug. 14 in JAMA Internal Medicine.
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Graft Survival Similar for Kidneys From Octogenarians
TUESDAY, Aug. 15, 2017 (HealthDay News) — Graft survival is similar for recipients of kidneys from >80-year-old donors and donors aged ≤60 years, according to a study published online Aug. 9 in the American Journal of Transplantation.
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Majority of Patients Require Few Opioids After Hernia Repair
TUESDAY, Aug. 15, 2017 (HealthDay News) — The number of opioids prescribed for patients after elective hernia repair can be reduced, according to a study published online Aug. 1 in Surgery.
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Subcutaneous Exendin Treats Post-Bariatric Hypoglycemia
FRIDAY, Aug. 11, 2017 (HealthDay News) — Subcutaneous exendin (SC Ex-9) appears to be safe and effective in treating post-bariatric hypoglycemia (PBH), according to a study published online Aug. 4 in Diabetes, Obesity and Metabolism.
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Marrow Fat May Affect Bone Mass After Roux-en-Y Gastric Bypass
FRIDAY, Aug. 11, 2017 (HealthDay News) — Glucose metabolism and weight are associated with marrow fat behavior, and marrow fat may determine bone mass after Roux-en-Y gastric bypass (RYGB), according to a study published online Aug. 9 in the Journal of Bone and Mineral Research.
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Use of ICU Resources After Cardiac Surgery Upped by Obesity
FRIDAY, Aug. 11, 2017 (HealthDay News) — For patients undergoing cardiac surgery, increasing obesity is associated with increased intensive care unit (ICU) resource utilization, according to a study published online Aug. 9 in the Annals of Thoracic Surgery.
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History of C-Section Ups Risk of Complications in Hysterectomy
THURSDAY, Aug. 10, 2017 (HealthDay News) — For women undergoing hysterectomy, a history of previous cesarean delivery is associated with increased risk of complications, according to a study published online Aug. 9 in JAMA Surgery.
Myocardial Injury Depends on Valve Type in Transfemoral TAVR
WEDNESDAY, Aug. 9, 2017 (HealthDay News) — Myocardial injury occurs frequently following transfemoral (TF) transcatheter aortic valve replacement (TAVR), but does not predict outcome, according to a study published in the Aug. 14 issue of JACC: Cardiovascular Interventions.
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Wound Complication Rate for C-Section Varies With Suture Type
WEDNESDAY, Aug. 9, 2017 (HealthDay News) — For women undergoing cesarean section, closure of the skin with poliglecaprone 25 suture is associated with a reduced rate of wound complications, according to a study published in the September issue of Obstetrics & Gynecology.
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Guidance Provided for Preventing Practice Billing Errors
MONDAY, Aug. 7, 2017 (HealthDay News) — Strategies can help to prevent medical practice billing errors, according to a report published in Medical Economics.
Mortality Down Only for Gastric Bypass Patients With Diabetes
MONDAY, Aug. 7, 2017 (HealthDay News) — Patients undergoing Roux-en-Y gastric bypass (RYGB) with diabetes have reduced mortality compared with matched controls, according to a study published online July 31 in Diabetes Care.
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Factors Unrelated to Allograft Quality Tied to Organ Turndown
MONDAY, Aug. 7, 2017 (HealthDay News) — Characteristics unrelated to allograft quality are associated with later acceptance in the deceased donor kidney match-run, including holiday or weekend procurement and shorter donor stature, according to a study published online July 31 in the American Journal of Transplantation.
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Reconstruction Method in Gastric CA Surgery Affects Bone Density
FRIDAY, Aug. 4, 2017 (HealthDay News) — The reconstruction method may affect postoperative bone mineral density (BMD) loss in gastric cancer, according to a study published online July 31 in the Journal of Gastroenterology and Hepatology.
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More Than Two-Thirds of Post-Op Patients Have Unused Opioids
FRIDAY, Aug. 4, 2017 (HealthDay News) — Postoperative prescription opioids are often unused and improperly disposed of, according to a review published online Aug. 2 in JAMA Surgery.
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ABO Incompatible Dual Graft Living Donor Liver Transplant Viable
THURSDAY, Aug. 3, 2017 (HealthDay News) — Dual-graft (DG) adult living donor liver transplantation (ALDLT) with ABO-incompatible (ABOi) and ABO-compatible (ABOc) graft combination is associated with high rates of graft survival, with no significant difference for ABOi and ABOc grafts, according to research published online July 31 in the American Journal of Transplantation.
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IgG-Degrading Enzyme Allows HLA-Incompatible Transplant
WEDNESDAY, Aug. 2, 2017 (HealthDay News) — The immunoglobulin G (IgG)-degrading enzyme derived from Streptococcus pyogenes (IdeS) reduces or eliminates donor-specific antibodies, allowing human leukocyte antigen (HLA)-incompatible kidney transplantation, according to the combined results of two phase 1-2 studies published in the Aug. 3 issue of the New England Journal of Medicine.
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Revenue Exceeds Expenditures for Many ABMS Member Boards
WEDNESDAY, Aug. 2, 2017 (HealthDay News) — Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.
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Periodontal Disease History Linked to Increased Cancer Risk
TUESDAY, Aug. 1, 2017 (HealthDay News) — Among older women, periodontal disease history is associated with increased total cancer risk, and with increased risk of several specific types of cancer, according to a study published in the Aug. 1 issue of Cancer, Epidemiology, Biomarkers & Prevention.
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U.S. Doctors Still Writing Too Many Opioid Prescriptions
TUESDAY, Aug. 1, 2017 (HealthDay News) — More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published online Aug. 1 in the Annals of Internal Medicine.
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Comprehensive Initiative Has Positive Impact on Opioid Rx
TUESDAY, Aug. 1, 2017 (HealthDay News) — A comprehensive initiative, including creation of prescribing and dispensing policies, monitoring and follow-up processes, and clinical coordination through electronic health record integration, can have a positive impact on opioid prescribing, according to research published online July 14 in the Journal of Evaluation in Clinical Practice.
Laparoscopic Niche Resection May Reduce Related Symptoms
TUESDAY, Aug. 1, 2017 (HealthDay News) — Laparoscopic niche resection is associated with improvement in niche-related symptoms and/or fertility-related problems in women with a large niche (residual myometrium [RM] <3 mm) in the uterine cesarean scar, according to a study published online July 13 in BJOG: An International Journal of Obstetrics and Gynaecology.
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