Surgery

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Intraoperative botulinum toxin injections show promise as a way to reduce the risk for postoperative atrial fibrillation following cardiac surgery

Botox Injections Explored to Cut Postop A-Fib in Cardiac Surgery

Findings of early trials based on epicardial fat pad injections during cardiac surgery
Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017

Most Insured Patients Not Using Online Portals

Socioeconomic disparities exist in use of patient portals; privacy concerns cited for nonuse
An ultrarestrictive opioid prescription protocol can reduce the number of opioids prescribed to patients after gynecologic and abdominal surgery without negative health consequences

Ultrarestrictive Opioid Rx Protocol Cuts Postoperative Opioid Use

UROPP reduces opioids prescribed after gynecologic, abdominal surgery without negative effects
Prescription opioid medications are overprescribed after simple arthroscopic meniscectomy

Opioids Overprescribed After Arthroscopic Meniscectomy

Only 573.5 of 3,765 pills prescribed were consumed by 102 patients undergoing meniscectomy
Subsequent imaging is required for 10 to 15.5 percent of women who undergo mastectomy

Imaging, Biopsy Often Still Needed After Mastectomy

10 to 15.5 percent of women undergo subsequent imaging; 6 to 8 percent undergo biopsy
Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions

Few Physicians Work in Practices That Use Telemedicine

Specialty and larger practice size are correlates of telemedicine use
Many patients intentionally withhold information from clinicians

Many Patients Withhold Information From Clinicians

Reasons for nondisclosure include not wanting to be judged or lectured, being embarrassed
The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology burden

HHS Issues Draft Strategy for Reducing Health IT Burden

Strategy is open for public comment through Jan. 28, 2019

November 2018 Briefing – Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 2018. This roundup includes the latest...
Laryngectomy outcomes appear to be associated with hospital volume for such cases

Higher-Volume Hospitals Have Better Laryngectomy Outcomes

Reduced morbidity associated with a minimum hospital volume threshold of six cases/year