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Tag: Surgery: Misc.

For older patients undergoing hip fracture repair

Sedation Level Doesn’t Impact Delirium Risk After Hip Fx Repair

In subgroup analysis, heavier versus lighter sedation doubled risk of delirium in low comorbid states
A growing partnership between the Military Health System and permanent civilian trauma institutions is being fostered

Military-Civilian Trauma System Partnership Developed

Partnership being fostered that will allow surgeons to retain skills between periods of conflict
The American College of Surgeons hosted a briefing on Capitol Hill to discuss the successes and challenges of combat casualty care in Iraq and Afghanistan by the U.S. military

ACS Briefing Discusses Use of Lessons From Combat Care

Techniques from the battlefield have been used to save civilian lives, including tourniquet to stop bleeds
More than half of women who have a baby during surgical residency express some type of career dissatisfaction

Childbearing Surgical Residents Often Feel Career Dissatisfaction

Perceived pregnancy stigma, no formal maternity leave, altered training tied to dissatisfaction
Use of cross-linked polyethylene has significantly reduced the revision rate following total hip arthroplasty for osteoarthritis

Revision Rates for Arthritis-Related Hip Replacement Down

Use of cross-linked polyethylene bearing surface led to the reduction
Only one-third of Canadian patients received hip fracture repair surgery within the desired 24 hours

One-Third of Canadian Patients Get Hip Fx Repair Within 24 Hours

Hospital factors have a larger impact on delays than physician factors
More severe presentations of complicated appendicitis are associated with worse outcomes and greater resource use among pediatric patients

Resource Use Greater for More Severe Pediatric Appendicitis

Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas
Overtreatment of thyroid cancers is common

Overtreatment of Thyroid Cancers Seems Common

Choice between total thyroidectomy, lobectomy has little effect on risk of thyroid cancer mortality
Ambulatory surgery centers experience increases in patient volume

Surgical Price Transparency Tied to Improved Volume, Revenue

Most centers also reported better patient satisfaction and engagement after initiation of transparency
From 2012 to 2015

Increase in Proportion of TAVR Used From 2012 to 2015

Increase in number of patients overall and aged 65 years and younger receiving TAVR