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October 2019 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for October 2019. This roundup includes the latest...
In Taking Action Against Clinician Burnout

Recommendations Developed to Address Clinician Burnout

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Six goals include creation of positive work and learning environments that prevent, reduce burnout
From 2015 to 2017

Increase Seen in Opioid-, Synthetic Opioid-Involved OD Deaths

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From 2015 to 2017, number of opioid-involved overdose deaths increased for nearly all racial/ethnic groups
Patients undergoing corneal surgery and receiving fewer opioid tablets still have adequate pain control

Pain Control Adequate With Fewer Opioids After Corneal Surgery

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After assessment of postoperative opioid use, patients receive fewer opioid tablets but pain is controlled
Patient outcomes for appendicitis are improved with transition to a shift-based

ACS: Shorter Work Shifts Aid Acute Surgery Outcomes

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12-hour acute care surgery shift model improves patient outcomes, lowers cost versus 24-hour general surgery call
Delaying cholecystectomy for acute cholecystitis for more than 72 hours after admission is associated with an increased length of stay and increased rates of complications and readmission

ACS: Outcomes Worse With Delay in Performing Cholecystectomy

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Poorer outcomes seen if surgery delayed for more than 72 hours after admission for acute cholecystitis
The need for surgical bailout in patients undergoing transcatheter aortic valve replacement is low

Rate of Surgical Bailout Low for TAVR

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Outcomes poor when unplanned conversion to open heart surgery needed during TAVR
For older patients with ductal carcinoma in situ who undergo breast-conserving surgery

No Benefit Seen for SLNB in BCS for DCIS in Older Women

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Long-term outcomes similar with, without sentinel lymph node biopsy in breast-conserving surgery
For individuals with obesity

Bariatric Surgery Linked to Reduced Risk for Skin Cancer

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For individuals with obesity, risk for skin cancer and melanoma significantly reduced with bariatric surgery
Life expectancy has increased slightly in the United States

CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

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Report shows decrease in age-adjusted death rates, increase in age-adjusted death rate from overdose