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In a clinical practice guideline published online Jan. 16 in the Journal of Clinical Oncology

Recommendations Developed for Small Renal Mass Management

Data from 83 studies used to develop guideline for management of patients with small renal masses
Placement of a retropubic urethral sling fashioned from autologous vas deferens during robotic assisted radical prostatectomy does not improve recovery of continence

Autologous Urethral Sling No Benefit After Prostatectomy

No benefit seen in continence for sling placement during robotic assisted radical prostatectomy
There are fewer cases of incident diabetic retinopathy among obese patients with type 2 diabetes undergoing bariatric surgery compared with medical treatment

Bariatric Sx May Help Prevent Incident Diabetic Retinopathy

Among obese with T2DM, fewer incident cases of retinopathy with bariatric surgery than medical tx
Researchers evaluating evidence for tonsillectomy found that more children would receive significant short-term improvement in their daily life if the current guidelines were relaxed. The two reviews were published online Jan. 17 in Pediatrics.

Current Guidelines for Pediatric Tonsillectomies Questioned

Understanding of longer-term outcomes or effects in subpopulations deemed lacking
Many doctors bill their private-paying patients two

Physician Excess Charges Create Financial Burden for Patients

Fees affect uninsured Americans, privately insured patients who use out-of-network physicians
Overweight and obese children seem to be more likely than others to develop postoperative surgical site infections

Risk of Post-Op Infections Up in Overweight, Obese Children

Surgical site infections more common for overweight or obese patients
Magnetic resonance imaging might help doctors protect critical areas of the brain before surgery to treat epilepsy

fMRI May Be Better Way to Map Brain Prior to Epilepsy Surgery

Imaging offers less invasive way to protect regions involved in language and memory, researchers say
About one-third of patients undergoing total laryngectomy have complications and 13.9 percent are readmitted within 30 days

Complications in One-Third Undergoing Total Laryngectomy

Readmission linked to preoperative hypoalbuminemia, post-op wound complications
Spending on care after surgery is mainly driven by postacute care setting

Postacute Care Setting Drives Spending on Care After Surgery

Variation in postacute care spending attenuated after adjustment for postacute care setting
For patients undergoing bariatric surgery

Post-Op Incentive Spirometry Not Beneficial After Bariatric Surgery

No effect on postoperative hypoxemia, arterial oxygen saturation level, or pulmonary complications