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November 2016 Briefing – Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 2016. This roundup includes the latest...
For patients undergoing elective surgery

Frailty Screening Initiative Cuts Mortality After Surgery

Implementation of FSI reduces mortality, with greatest improvement seen among frail patients
Transcatheter aortic valve replacement is associated with global improvement in cognitive status

Improved Cognitive Status Seen Following TAVR

More pronounced improvement in patients with baseline cognitive impairment
For hepatitis C virus (HCV) patients with decompensated cirrhosis who are eligible for liver transplant

Optimal MELD Threshold for HCV Tx Pre-Liver Transplant 23 to 27

Treating HCV before liver transplant increased life expectancy if MELD was ≤27
Medical bills for older U.S. cancer patients can cost one-quarter of their income or more if they have Medicare without supplemental insurance

Out-of-Pocket Cancer Costs High for Patients With Medicare Only

Without supplemental insurance, out-of-pocket costs average 25 percent of annual earnings
Patients who've recently undergone surgery -- especially those with cancer or autoimmune diseases -- experience slightly higher risks of developing Guillain-Barré syndrome soon afterward

Link Found Between Surgery and Development of Guillain-Barré

History of autoimmune disease or malignancy may predispose some patients
A decision aid can increase the rate of total knee replacement surgery among black patients with knee osteoarthritis

Decision Aid Ups Rate of Knee Replacement Surgery for Blacks

However, rates of recommendation for surgery did not differ significantly
Despite weight regain

Long-Term Improvement in Insulin Sensitivity After RYGB

Despite weight regain, long-term improvement seen in insulin sensitivity and adipose phenotypes
Application of the Lean Six Sigma methodology can reduce the risk of health care-associated infections among patients undergoing surgical procedures

Lean Six Methodology Can Cut Health Care-Linked Infections

Reduction in risk of health care-associated infection among patients undergoing surgical procedures
Use of a computerized physician order entry system can improve compliance with antimicrobial restriction policies

Computer Order Entry System Ups Antimicrobial Policy Compliance

After introduction of system, improvement seen in surveillance, compliance, approvals