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November 2017 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 2017. This roundup includes the latest...
An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors

>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors

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Cigarette smoking accounts for highest proportion of cancer cases (19.0 percent), deaths (28.8 percent)
For stage I non-small-cell lung cancer

Lobectomy Beats SBRT Survival in Early-Stage NSCLC

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Higher cancer mortality for SBRT versus lobectomy; no difference for SBRT, sublobar resection
Urban American Indians and Alaskan Natives with cancer have a significantly higher comorbidity burden

Mortality Up for Some Cancers in Urban-Dwelling Native Americans

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Urban American Indians and Alaskan Natives with cancer have significantly higher comorbidity burden
For obese and overweight individuals

RSNA: Weight Loss Via Exercise Alone Not Protective for Knees

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Lowest rates of increase in cartilage T2 for diet, diet and exercise weight loss groups
On average

Patients Often Uncomfortable With Overlapping Surgeries

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But patients, family members neutral toward surgical procedures involving overlap of noncritical portions
Increased wait time is associated with an increased risk of complications and 30-day mortality among adults undergoing hip fracture surgery

Wait Time Linked to Worse Outcomes in Hip Fracture Surgery

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Patients receiving surgery after 24 hours have higher risk of 30-day mortality, complications
More than 5 percent of all incident cancers in 2012 were attributable to diabetes and high body mass index

Over 5 Percent of Incident Cancer Due to Diabetes, High BMI

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In 2012, 5.6 percent of all incident cancers due to combined effects of diabetes, high BMI
From 2001 to 2014 there was a transition in the site of cataract surgery from hospital outpatient departments to ambulatory surgical centers

Recent Increase in Cataract Sx at Ambulatory Surgical Centers

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Shift in the site of cataract surgery from hospital outpatient departments to ASCs from 2001 to 2014
Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician

Clinician Denial of Patient Requests Impacts Satisfaction

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Worse satisfaction in association with denial of request for referral, pain meds, other meds, lab tests