Here are what the editors at HealthDay consider to be the most important developments in Surgery for January 2017. 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.
Quality Improvement Initiative Can Cut NTSV Cesarean Rate
MONDAY, Jan. 30, 2017 (HealthDay News) — Quality improvement initiatives, including provider education and feedback, can reduce the nulliparous term singleton vertex (NTSV) cesarean delivery rate, according to a study published in the February issue of The Joint Commission Journal on Quality and Patient Safety.
Review: Intentional Weight Loss Improves Daytime Sleepiness
FRIDAY, Jan. 27, 2017 (HealthDay News) — For overweight or obese adults, intentional weight loss is associated with improvement in daytime sleepiness, according to a review published online Jan. 24 in Obesity Reviews.
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HT to Preserve Fertility Doesn’t Appreciably Affect Survival
FRIDAY, Jan. 27, 2017 (HealthDay News) — For young patients with endometrial cancer, survival does not appear to be significantly impacted by hormone therapy (HT) before surgery to preserve fertility, according to a study published online Dec. 27 in Cancer.
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Anxiety, Depression May Up Mortality Risk for Some Cancers
THURSDAY, Jan. 26, 2017 (HealthDay News) — Anxiety and depression may increase the risk of death from certain cancers, according to research published online Jan. 25 in The BMJ.
Most PCPs Oppose Complete Repeal of the Affordable Care Act
THURSDAY, Jan. 26, 2017 (HealthDay News) — A majority of primary care doctors oppose full repeal of the Affordable Care Act, according to a perspective piece published online Jan. 25 in the New England Journal of Medicine.
Chemo May Be Overused in Younger Patients With Colon CA
WEDNESDAY, Jan. 25, 2017 (HealthDay News) — Young and middle-aged colon cancer patients may be getting chemotherapy more often than is warranted, according to a study published online Jan. 25 in JAMA Surgery.
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Overall Cancer Mortality Rate Down in the United States
WEDNESDAY, Jan. 25, 2017 (HealthDay News) — While cancer mortality rates have dropped 20 percent overall in the United States since 1980, high mortality rates persist in pockets throughout the country, according to a report published in the Jan. 24/31 issue of the Journal of the American Medical Association.
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‘Opt Out’ Doesn’t Increase Access to Anesthesia Care
WEDNESDAY, Jan. 25, 2017 (HealthDay News) — The “opt out” rule, which allows U.S. states to opt out of the regulations requiring physician supervision of nurse anesthetists has not increased access to anesthesia care for certain common procedures, according to a study published online Jan. 19 in Anesthesiology.
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Meta-Analysis: Caprini Score IDs Benefit of VTE Prophylaxis
WEDNESDAY, Jan. 25, 2017 (HealthDay News) — Perioperative venous thromboembolism (VTE) prophylaxis is beneficial only for surgical patients with Caprini scores of ≥7, according to a meta-analysis published online Jan. 23 in the Annals of Surgery.
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Gene May ID Patients Needing Higher Doses of Methadone
TUESDAY, Jan. 24, 2017 (HealthDay News) — A genetic variant associated with opioid addiction may lead to personalized treatment for the condition, according to research published online Jan. 24 in Molecular Psychiatry.
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ACA Has Increased Coverage, Access for Chronically Ill Patients
TUESDAY, Jan. 24, 2017 (HealthDay News) — Millions of Americans with a chronic illness gained health insurance coverage after the Affordable Care Act went into effect in 2010, according to a study published online Jan. 24 in the Annals of Internal Medicine.
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Catheter Safeguards at Hospitals Cut Bloodstream Infection Rates
TUESDAY, Jan. 24, 2017 (HealthDay News) — Improved catheter safety measures in hospitals significantly reduce bloodstream infections and health care costs, according to a review published recently in JAMA Internal Medicine.
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In T2DM, Bariatric Surgery Ups Splanchnic Vascular Responses
TUESDAY, Jan. 24, 2017 (HealthDay News) — For obese patients with type 2 diabetes (T2D), bariatric surgery is associated with improved splanchnic vascular responses, according to a study published online Jan. 17 in Diabetes.
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Many Advanced NSCLC Patients Not Getting Helpful Treatment
MONDAY, Jan. 23, 2017 (HealthDay News) — Many U.S. patients with late-stage non-small-cell lung cancer (NSCLC) do not receive treatments that could prolong their lives, according to a study published online Jan. 18 in the Journal of Thoracic Oncology.
Cervical Cancer Mortality Higher Among Older, Black Women
MONDAY, Jan. 23, 2017 (HealthDay News) — The number of women who die from cervical cancer in the United States may be higher than previously believed, and the risk is greatest among older and black women, according to a study published online Jan. 23 in Cancer.
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Nadir Platelet Counts Tied to AKI in Pediatric Open-Heart Surgery
MONDAY, Jan. 23, 2017 (HealthDay News) — For pediatric patients undergoing cardiopulmonary bypass (CPB), postoperative nadir platelet counts are associated with the severity of acute kidney injury (AKI), according to a review published online Jan. 18 in Pediatric Anesthesia.
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Intervention Reduces Fear of Recurrence in Breast CA Survivors
MONDAY, Jan. 23, 2017 (HealthDay News) — For breast cancer survivors, the Attention and Interpretation Modification for Fear of Breast Cancer Recurrence (AIM-FBCR) intervention shows promise for reducing fear of cancer recurrence (FCR), according to a study published online Jan. 5 in Cancer.
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Obesity Underrepresented in Medical Licensing Exams
FRIDAY, Jan. 20, 2017 (HealthDay News) — The most important concepts of obesity prevention and treatment are not adequately represented on the U.S. Medical Licensing Examination (USMLE) Step examinations, according to a study published recently in Teaching and Learning in Medicine.
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Report Highlights National Cardiovascular Trends in 2014
FRIDAY, Jan. 20, 2017 (HealthDay News) — Cardiovascular trends have been reported using data from four American College of Cardiology National Cardiovascular Data Registries (NCDR). The report was published recently in the Journal of the American College of Cardiology.
Soft Robotic Sleeve Can Replicate Heart’s Natural Rhythm
THURSDAY, Jan. 19, 2017 (HealthDay News) — Scientists are reporting some early success with a soft robotic device aimed at treating advanced heart failure. The findings have been published in the Jan. 18 issue of Science Translational Medicine.
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CpG Island Methylator Phenotype Prognostic After CRC Surgery
THURSDAY, Jan. 19, 2017 (HealthDay News) — For patients undergoing colorectal cancer (CRC) surgery, CpG island methylator phenotype (CIMP) status predicts survival, according to research published online Jan. 14 in the Journal of Gastroenterology and Hepatology.
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Body Dysmorphic Disorder Often Missed by Plastic Surgeons
WEDNESDAY, Jan. 18, 2017 (HealthDay News) — Nearly one in 10 patients seeking facial plastic surgery suffers from body dysmorphic disorder (BDD), but doctors often don’t spot the problem, according to research published online recently in JAMA Facial Plastic Surgery.
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Recommendations Developed for Small Renal Mass Management
WEDNESDAY, Jan. 18, 2017 (HealthDay News) — In a clinical practice guideline published online Jan. 16 in the Journal of Clinical Oncology, recommendations are presented for the management of patients with small renal masses (SRMs).
Autologous Urethral Sling No Benefit After Prostatectomy
WEDNESDAY, Jan. 18, 2017 (HealthDay News) — Placement of a retropubic urethral sling fashioned from autologous vas deferens during robotic assisted radical prostatectomy does not improve recovery of continence, according to a study published in the February issue of The Journal of Urology.
Bariatric Sx May Help Prevent Incident Diabetic Retinopathy
WEDNESDAY, Jan. 18, 2017 (HealthDay News) — There are fewer cases of incident diabetic retinopathy among obese patients with type 2 diabetes undergoing bariatric surgery compared with medical treatment, according to a review and meta-analysis published online Jan. 13 in Obesity Reviews.
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Current Guidelines for Pediatric Tonsillectomies Questioned
TUESDAY, Jan. 17, 2017 (HealthDay News) — 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.
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Physician Excess Charges Create Financial Burden for Patients
TUESDAY, Jan. 17, 2017 (HealthDay News) — Many doctors bill their private-paying patients two, three, even six times more than what Medicare pays for the same services, according to a research letter published in the Jan. 17 issue of the Journal of the American Medical Association.
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Risk of Post-Op Infections Up in Overweight, Obese Children
MONDAY, Jan. 16, 2017 (HealthDay News) — Overweight and obese children seem to be more likely than others to develop postoperative surgical site infections, according to a study published recently in Surgical Infections.
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fMRI May Be Better Way to Map Brain Prior to Epilepsy Surgery
THURSDAY, Jan. 12, 2017 (HealthDay News) — Magnetic resonance imaging (MRI) might help doctors protect critical areas of the brain before surgery to treat epilepsy, according to new guidelines published online Jan. 11 in Neurology.
Post-Op Incentive Spirometry Not Beneficial After Bariatric Surgery
WEDNESDAY, Jan. 11, 2017 (HealthDay News) — For patients undergoing bariatric surgery, postoperative incentive spirometry (IS) does not affect postoperative hypoxemia, arterial oxygen saturation, or postoperative pulmonary complications, according to a study published online Jan. 11 in JAMA Surgery.
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Postacute Care Setting Drives Spending on Care After Surgery
WEDNESDAY, Jan. 11, 2017 (HealthDay News) — Spending on care after surgery is mainly driven by postacute care setting, according to a study published in the January issue of Health Affairs.
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Migraineurs May Face Higher Risk of Stroke After Surgery
WEDNESDAY, Jan. 11, 2017 (HealthDay News) — Migraine sufferers may face a slightly higher risk of stroke after an operation, according to research published online Jan. 10 in The BMJ.
Complications in One-Third Undergoing Total Laryngectomy
WEDNESDAY, Jan. 11, 2017 (HealthDay News) — About one-third of patients undergoing total laryngectomy (TL) have complications and 13.9 percent are readmitted within 30 days, according to a study published online Dec. 27 in Cancer.
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Decline in MRSA Infection Rates in Veterans Affairs Facilities
TUESDAY, Jan. 10, 2017 (HealthDay News) — Methicillin-resistant Staphylococcus aureus (MRSA) rates decreased through September 2015 in Veterans Affairs facilities, according to a study published in the January issue of the American Journal of Infection Control.
Delayed Chemo After Surgery Still Beneficial in Lung Cancer
FRIDAY, Jan. 6, 2017 (HealthDay News) — Chemotherapy that’s been delayed due to slow recovery from non-small-cell lung cancer (NSCLC) surgical resection can still provide real benefit to patients, according to a study published online Jan. 5 in JAMA Oncology.
Very Obese Teens Benefit From Gastric Bypass Over Long Term
FRIDAY, Jan. 6, 2017 (HealthDay News) — Weight-loss surgery helps severely obese teens maintain weight loss over the long term; however, some young people may need additional surgery to manage complications associated with their rapid post-surgery weight loss, and some may also develop nutritional deficiencies, according to two studies published online Jan. 5 in The Lancet Diabetes & Endocrinology.
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Recs Provided for Transcatheter Aortic Valve Replacement
FRIDAY, Jan. 6, 2017 (HealthDay News) — In a clinical expert consensus report published online Jan. 4 in the Journal of the American College of Cardiology, a series of practice point-of-care checklists help provide guidance on the use of transcatheter aortic valve replacement (TAVR).
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Chemo Benefits Patients After Nephroureterectomy in UTUC
FRIDAY, Jan. 6, 2017 (HealthDay News) — For patients undergoing radical nephroureterectomy (RNU) for pT3/T4 and/or pN+ upper tract urothelial carcinoma (UTUC), adjuvant chemotherapy (AC) use is associated with an overall survival benefit, according to a study published online Jan. 3 in the Journal of Clinical Oncology.
Laparoscopy Can Prevent Futile Primary Cytoreductive Surgery
THURSDAY, Jan. 5, 2017 (HealthDay News) — Diagnostic laparoscopy reduces the number of futile laparotomies in women with suspected advanced-stage ovarian cancer, according to a study published online Dec. 28 in the Journal of Clinical Oncology.
Artificial Larynx Implant Feasible After Total Laryngectomy
THURSDAY, Jan. 5, 2017 (HealthDay News) — An artificial larynx has provided long-term relief for a throat cancer patient in France who had a total laryngectomy, according to a letter to the editor published in the Jan. 5 issue of the New England Journal of Medicine.
Gunshot Violence Transmitted Through Social Networks
TUESDAY, Jan. 3, 2017 (HealthDay News) — Social contagion accounts for a considerable proportion of gunshot violence episodes, according to a study published online Jan. 3 in JAMA Internal Medicine.
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