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For men with metastatic prostate cancer there is no survival advantage for aggressive therapy over conservative androgen deprivation therapy only

No Benefit for Aggressive Therapy in Metastatic Prostate Cancer

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However, mortality higher with conservative therapy in locally advanced, non-metastatic prostate cancer
The U.S. Food and Drug Administration has approved the world's smallest mechanical heart valve

FDA Approves Mechanical Heart Valve for Newborns

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Masters Series Mechanical Heart Valve now available in smallest size yet
Arthroscopic partial meniscectomy-only procedures make up 66.7 percent of knee arthroscopies performed by low- and high-volume surgeons

Surgeons Often Do Arthroscopic Partial Meniscectomy

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Procedure common despite evidence showing no benefit for patients with degenerative meniscal tears
Participation in sports

AAOS: Participation in Sports Safe After Total Knee Arthroplasty

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Only 3 patients in sports cohort had further operative intervention; no component revisions performed
Direct-acting antiviral prophylaxis is safe and prevents chronic hepatitis C virus (HCV) infection after kidney transplantation from HCV-infected donors to noninfected recipients

Prophylaxis Can Prevent HCV Infection in Kidney Recipients

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With direct-acting antivirals, no adverse events seen when kidneys came from HCV-infected donors
Men have increased incidence of cervical sprains and fractures associated with sports

AAOS: Football Is Leading Cause of Cervical Injury in U.S.

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Incidence of injuries in males was 1.7 and 3.6 times greater than for females for neck sprains, fractures
Despite low-level evidence

AAOS: Stem Cell Tx for Knee OA Costs About $5,000 Per Injection

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High cost, rapidly expanding use despite low-level evidence; mean marketed clinical efficacy of 82.2%
A shared decision support intervention is beneficial for patients considering destination therapy left ventricular assist device placement

Shared Decision-Making Beneficial for Destination Therapy LVAD

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Improves patient decisions; stronger link between stated values, patient-reported treatment choice
The prevalence of hearing loss in preschool children who had heart surgery in infancy may be above 20 percent

High Prevalence of Hearing Loss Seen After Infant Heart Surgery

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Younger gestational age, having a genetic anomaly, longer post-op stay associated with hearing loss

February 2018 Briefing – Surgery

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