Here are what the editors at HealthDay consider to be the most important developments in Surgery for December 2016. 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.
No Effect for BUP TAP Catheter on Chronic Pain After Breast Recon
FRIDAY, Dec. 30, 2016 (HealthDay News) — For patients undergoing autologous breast reconstruction, the incidence of chronic postsurgical pain (CPSP) does not differ for patients receiving transversus abdominis plane (TAP) catheters delivering bupivacaine or saline bolus, according to a study published online Dec. 20 in Pain Practice.
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Increase in HPV Prevalence Seen After Renal Transplant in Women
THURSDAY, Dec. 29, 2016 (HealthDay News) — An increase in human papillomavirus (HPV) prevalence after renal transplantation (RT) may result from reactivation of latent HPV infections in women, according to a study published online Dec. 23 in the American Journal of Transplantation.
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Reoperation Risk for Nonpalpable Breast Lesions Higher for DCIS
THURSDAY, Dec. 29, 2016 (HealthDay News) — For women undergoing wire-guided breast conserving surgery (BCS) for nonpalpable breast lesions, the risk of reoperation is higher for those with ductal carcinoma in situ (DCIS) than those with invasive breast cancer (IBC), according to a study published online Dec. 21 in JAMA Surgery.
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Critical Illness Events Linked to Worse Outcomes on Same Ward
WEDNESDAY, Dec. 28, 2016 (HealthDay News) — A critical illness event is associated with an increased risk of cardiac arrest or intensive care unit (ICU) transfer for patients on the same ward, according to a research letter published in the Dec. 27 issue of the Journal of the American Medical Association.
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Gastric Bypass Associated With Reduced Risk of Psoriasis
WEDNESDAY, Dec. 28, 2016 (HealthDay News) — Gastric bypass, but not gastric banding, is associated with reduced risk of psoriasis, progression to severe psoriasis, and psoriatic arthritis, according to a study published online Dec. 21 in JAMA Surgery.
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Personal Health Care Spending Continues to Soar in the U.S.
TUESDAY, Dec. 27, 2016 (HealthDay News) — From 1996 to 2013 there were considerable increases in personal health care spending in the United States, with the highest amounts for diabetes, ischemic heart disease, and low back and neck pain, according to a study published in the Dec. 27 issue of the Journal of the American Medical Association.
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Confocal Microscopy Aids Surgical Removal of Tumors From Eyelid
TUESDAY, Dec. 27, 2016 (HealthDay News) — Imaging using fluorescence confocal microscopy (FCM) analysis in the reflectance mode and with an “en face” scanning can control tumor margins of eyelid basal cell carcinoma (BCC) to optimize surgical management, according to a study published online Dec. 19 in Clinical & Experimental Ophthalmology.
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Research for Post-Craniotomy Analgesia Uneven in Quality
FRIDAY, Dec. 23, 2016 (HealthDay News) — Studies reporting pharmacological and adjuvant analgesic modalities for post-craniotomy pain control have significant divergence in their research methods, according to a review published online Dec. 20 in Pain Practice.
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Early Surgery Ups Mortality Risk for Some Endometrial CA Patients
FRIDAY, Dec. 23, 2016 (HealthDay News) — For patients diagnosed with endometrial cancer, surgery within the first two weeks of diagnosis is associated with increased risk of mortality, according to a study published online Dec. 8 in the American Journal of Obstetrics & Gynecology.
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ASCO Updates Guideline for SNB in Early-Stage Breast Cancer
THURSDAY, Dec. 22, 2016 (HealthDay News) — Recommendations for use of sentinel node biopsy (SNB) in early-stage breast cancer are unchanged from 2014, according to a clinical practice guideline update published online Dec. 12 in the Journal of Clinical Oncology.
Mesenchymal Stem Cells Show Promise for Torn Meniscus
THURSDAY, Dec. 22, 2016 (HealthDay News) — Undifferentiated autologous mesenchymal stem cells (MSCs) seeded onto a collagen scaffold (MSC/collagen-scaffold) shows promise for patients with torn meniscus, according to a study published online Dec. 15 in Stem Cells Translational Medicine.
Surgeon Input on Contralateral Prophylactic Mastectomy Needed
WEDNESDAY, Dec. 21, 2016 (HealthDay News) — Many patients with newly diagnosed unilateral breast cancer consider contralateral prophylactic mastectomy (CPM), according to a study published online Dec. 21 in JAMA Surgery.
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New Guideline Addresses Male Urethral Stricture
WEDNESDAY, Dec. 21, 2016 (HealthDay News) — A new guideline by the American Urological Association, published in the January issue of The Journal of Urology, provides a clinical framework for the diagnosis and treatment of male urethral stricture.
Health Care Provider Burnout Negatively Affects Quality, Safety
TUESDAY, Dec. 20, 2016 (HealthDay News) — Health care provider burnout is negatively associated with quality and safety of health care, according to a meta-analysis published recently in the Journal of General Internal Medicine.
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Case Volume Impacts Re-Op Rates After Penile Prosthesis Sx
TUESDAY, Dec. 20, 2016 (HealthDay News) — Surgeon volume is associated with the likelihood of reoperation after inflatable penile prosthesis surgery, with the trend driven by reoperations for infection, according to a study published in the January issue of The Journal of Urology.
Endoscopic Sleeve Gastroplasty Offers Option for Select Patients
TUESDAY, Dec. 20, 2016 (HealthDay News) — The minimally invasive procedure endoscopic sleeve gastroplasty (ESG) delays gastric emptying, induces early satiation, and successfully results in weight loss, according to a study published in the January issue of Clinical Gastroenterology and Hepatology.
Review Deems En Bloc Ligation of Renal Hilum Safe
MONDAY, Dec. 19, 2016 (HealthDay News) — En bloc renal hilar vascular staple ligation is as safe as conventional renal pedicle dissection and isolated staple ligation of the renal artery and vein, according to a review published in the January issue of The Journal of Urology.
DEA Announces Critical Changes in Registration Renewal Process
MONDAY, Dec. 19, 2016 (HealthDay News) — The Drug Enforcement Administration (DEA) has announced critical changes in its registration renewal process, according to a report published by the American Academy of Family Physicians.
Preoperative Foley Cath Predicts TURP, TULIP Failure in Older Men
MONDAY, Dec. 19, 2016 (HealthDay News) — Poor functional status and having a Foley catheter preoperatively are associated with the risk of failure of transurethral resection of the prostate (TURP) or transurethral laser incision of the prostate (TULIP) for treatment of bladder outlet obstruction, according to a study published online Dec. 5 in the Journal of the American Geriatrics Society.
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BRCA Testing, Not Mastectomies, Up After Angelina Jolie Editorial
FRIDAY, Dec. 16, 2016 (HealthDay News) — After actress Angelina Jolie’s 2013 New York Times editorial that announced her preventive double mastectomy, there was an increase in the number of women who were tested for the BRCA genes but no corresponding increase in mastectomy rates, according to research published in the Christmas 2016 issue of the The BMJ.
Old Age Should Not Exclude Deceased Organ Donation
FRIDAY, Dec. 16, 2016 (HealthDay News) — Healthy kidneys from elderly donors are often rejected, but even kidneys from donors 80 and older can function for years after transplantation, according to a study published online Dec. 15 in the Clinical Journal of the American Society of Nephrology.
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Microsurgical Head and Neck Reconstruction Is Cost-Effective
THURSDAY, Dec. 15, 2016 (HealthDay News) — For patients with squamous cell carcinoma (SCC), microsurgical head and neck reconstruction is cost-effective compared with locoregional flaps, according to a study published online Nov. 29 in Head & Neck.
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FDA Issues New Safety Info on Use of Anesthesia
THURSDAY, Dec. 15, 2016 (HealthDay News) — Repeated or lengthy use — longer than three hours — of general anesthetic and sedation drugs may harm the developing brains of fetuses and children younger than 3 years old, the U.S. Food and Drug Administration warned Wednesday.
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Attrition Prevalence 18 Percent for General Surgery Residents
THURSDAY, Dec. 15, 2016 (HealthDay News) — The estimated prevalence of attrition is 18 percent among general surgery residents, according to a review published online Dec. 14 in JAMA Surgery.
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FDA OKs Autologous Cellularized Scaffold for Knee Cartilage Repair
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Maci (autologous cultured chondrocytes on porcine collagen membrane) has been approved by the U.S. Food and Drug Administration to repair symptomatic, full-thickness cartilage defects of the knee in adult patients.
Addiction Consultation Valuable for Liver Transplant Patients
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Liver transplantation (LT) patients should undergo addiction consultation to accurately detect alcohol consumption, according to a study published online Dec. 9 in Alcoholism: Clinical & Experimental Research.
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Universal Group B Streptococci Screening Not Cost-Effective
TUESDAY, Dec. 13, 2016 (HealthDay News) — For women with a singleton pregnancy planning a repeat cesarean delivery, universal group B streptococci (GBS) screening is not cost-effective, according to a study published in the January issue of Obstetrics & Gynecology.
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Drones Deemed Safe for Blood Transportation
MONDAY, Dec. 12, 2016 (HealthDay News) — Blood products don’t seem to suffer damage when transported by drones, according to a study published online Nov. 11 in Transfusion.
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Anesthesiologist Reaction Time Increased After Night Call
MONDAY, Dec. 12, 2016 (HealthDay News) — For anesthesiologists, reaction time increases after a night call, with greater increases seen in correlation with reliance on avoidance as a coping mechanism, according to a study published online Nov. 30 in Pediatric Anesthesia.
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Fecal Microbiota Transplant Cost-Effective for Preventing CDI
MONDAY, Dec. 12, 2016 (HealthDay News) — Use of fecal microbiota transplantation (FMT) is cost-effective for recurrent Clostridium difficile infection (CDI), according to a study published in the December issue of the Journal of Gastroenterology and Hepatology.
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Learning Interventions Can Improve Med Student Well-Being
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Specific learning interventions may improve emotional well-being among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Number of Cancer Cases, Deaths Up Globally
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Cancer cases rose 33 percent worldwide in the past 10 years, according to a report published online Dec. 3 in JAMA Oncology.
Prevalence of Disability 2.7 Percent at U.S. Medical Schools
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — The prevalence of disability is 2.7 percent among medical students at U.S. allopathic medical schools, according to a research letter published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue of medical education.
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Dynamic Tool Ups Surgeon Awareness in Hysterectomy
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — A dynamic quality assessment tool could potentially improve surgeon performance and outcomes in laparoscopic hysterectomy, according to a study published in the December issue of the American Journal of Obstetrics and Gynecology.
Bariatric Surgery Effective, Cost-Effective in Obese With NASH
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — For patients with nonalcoholic steatohepatitis (NASH), bariatric surgery is effective and cost-effective for obese patients, while for overweight patients, cost-effectiveness is limited to those with F3 fibrosis, according to a study published online Nov. 23 in Hepatology.
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Patient Mortality Up With End-of-Rotation Team Transition
TUESDAY, Dec. 6, 2016 (HealthDay News) — Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early mortality, according to research published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Depression, Suicide Ideation Prevalent in Medical Students
TUESDAY, Dec. 6, 2016 (HealthDay News) — The prevalences of depression or depressive symptoms and suicide ideation are 27.2 and 11.1 percent, respectively, among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Post-Op Readmission Linked to Delays in Functional Recovery
TUESDAY, Dec. 6, 2016 (HealthDay News) — For older adults, readmission after elective surgery is associated with delays in functional recovery, according to a study published online Nov. 29 in the Journal of the American Geriatrics Society.
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Social Media Rarely Used by Plastic Surgeons
TUESDAY, Dec. 6, 2016 (HealthDay News) — Social media posting about plastic surgery is dominated by the public, with few posts from plastic surgeons, according to a study published in the December issue of Plastic and Reconstructive Surgery.
Thromboprophylaxis Not Effective After Knee Arthroplasty, Casting
MONDAY, Dec. 5, 2016 (HealthDay News) — The use of thromboprophylaxis seems not to prevent venous thromboembolism after knee arthroplasty or casting of the lower leg, according to a study published online Dec. 3 in The New England Journal of Medicine.
Multimodal Breast Cancer Tx May Up Cytokines, Comorbidities
MONDAY, Dec. 5, 2016 (HealthDay News) — Breast cancer survivors who undergo multimodal treatment have higher cytokines and comorbidities than controls without cancer, according to a study published online Nov. 28 in the Journal of Clinical Oncology.
CDC: Fewer U.S. Families Struggling to Pay Medical Bills
THURSDAY, Dec. 1, 2016 (HealthDay News) — The number of people in families having problems paying medical bills fell by nearly 13 million from 2011 through the first six months of 2016, according to a report published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
Frailty Screening Initiative Cuts Mortality After Surgery
THURSDAY, Dec. 1, 2016 (HealthDay News) — For patients undergoing elective surgery, implementation of the Frailty Screening Initiative (FSI) is associated with a reduction in mortality, according to a study published online Nov. 30 in JAMA Surgery.
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