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Researchers say they've pinpointed the best length of time to wait to perform surgery for rectal cancer after chemotherapy and radiation treatment have been completed. The findings were published online Jan. 20 in the Journal of the American College of Surgeons.

Rectal Cancer Surgery Best at 56 Days Post Chemo/Radiation

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Patients who had procedure eight weeks after chemo and radiation therapy had best survival rates
Physical frailty among older patients who have elective surgery is linked to a greater risk of death one year later

Frailty Ups Mortality Risk After Surgery in Seniors

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Risk for death one year after major surgery significantly higher for frail patients
For patients who have hepatic cirrhosis or have undergone liver transplantation

Pre-Op Fasting Times Often Exceed Guidelines in Cirrhosis

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But eating breakfast on day of procedure is associated with a reduction in fasting time
For patients with rectal cancer

ASCO: New Regimen Effective for Locally Advanced Rectal Cancer

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Similar effectiveness but less toxicity for short-course radiation followed by chemotherapy
For patients with esophageal cancer

ASCO: VTE Is Risk Factor for Recurrence in Esophageal Cancer

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No significant difference in survival with VTE, but odds of recurrence are increased
C-reactive protein on postoperative day 4 after esophagectomy is associated with increased odds of serious infectious complications

ASCO: CRP Predicts Complications After Esophagectomy

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CRP ≥4.0 mg/dL on post-op day 4 predicts serious infectious complications after esophageal cancer sx
As insurers place increasing emphasis on evaluating physicians based on quality measures

Guidelines Provided for Correct Way to Dismiss Patients

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Practices should develop specific policy for provider-patient termination
Physicians facing death are less likely to demand aggressive care

Physicians Choose Less Aggressive Care at End of Life

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Doctors less likely to die in a hospital, have surgery, and to be admitted to the ICU
Patient satisfaction scores are influenced by the design and implementation of patient surveys

Design of Physician Satisfaction Surveys Affects Results

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Author makes recommendations for improving the accuracy and utility of scores
A newly designed Olympus duodenoscope was approved Friday by the U.S. Food and Drug Administration.

FDA Approves Newly Designed Olympus Endoscope

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Manufacturer made changes to reduce risk of bacterial infection