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The Affordable Care Act's Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period

ACA Marketplaces Expand Coverage for Chronically Ill

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Enrollees have more chronic conditions, health care use versus other privately insured individuals
There has been a large drop in infection-related deaths following kidney transplantation since the 1990s

Large Drop Seen in Infection-Related Post-Transplant Deaths

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Findings among adults undergoing kidney transplantation in Finland 1990 to 2010
Online physician reviews do not reflect patient satisfaction surveys

Online Doc Reviews Don’t Reflect Patient Satisfaction Surveys

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No difference in Press Ganey PSS for physicians with versus those without negative online reviews
There is considerable variation in the quality of free-text patient directions in electronic prescriptions

Variations Identified in Free-Text Directions in E-Prescriptions

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However, more than half of all prescriber's patient directions could be categorized into 25 concepts
Alcohol consumption early in pregnancy may be a risk factor for development of gastroschisis in neonates

Early Alcohol Use in Pregnancy Tied to Gastroschisis

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No association seen with illicit, prescription, or over-the-counter drug use
For surgical inpatients aged ≥54 years

Diabetes, HbA1c Linked to Adverse Outcomes After Surgery

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DM tied to six-month mortality, major complications, ICU admission, mechanical ventilation, LOS
Preoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion

Pre-Op Chronic Opioid Use Ups Poor Outcomes Post Spinal Fusion

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Preoperative opioid use tied to complications, ER visits, readmission, adverse events, increased costs
Perceptions of the organ donation experience vary between relatives who decide to donate their relative's organs and those who do not

Grief Symptoms Similar in Donor vs Non-Donor Decision Families

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Families making decision not to donate relative's organs experience lower quality communication
Implementation of the 2015 American Thyroid Association guidelines on surgery for well-differentiated thyroid carcinoma was associated with a significant decrease in the rates of both up-front total thyroidectomy and completion thyroidectomy

Thyroidectomy Rates Lower After Guideline Implementation

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Up-front total, completion thyroidectomy rates fell after guidelines on thyroid CA surgery implemented

March 2018 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for March 2018. This roundup includes the latest...