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January 2017 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for January 2017. This roundup includes the latest...
Lower body mass index and body fat is associated with increased risk of orthostatic intolerance and predisposition to noncardiac syncope following bariatric surgery

BMI Linked to Risk for Orthostatic Intolerance Post Bariatric Sx

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Increase in OI and propensity for noncardiac syncope following bariatric surgery-linked weight loss
A smartphone app developed as part of a Perioperative Surgical Home program is associated with shorter length of stay after cesarean section

Smartphone App Can Help Cut Length of Stay After C-Section

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Introduction of app would yield 216 percent return on investment during first year of use
Quality improvement initiatives

Quality Improvement Initiative Can Cut NTSV Cesarean Rate

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Over eight years of intervention, decrease in rate of nulliparous term singleton vertex cesarean delivery
For young patients with endometrial cancer

HT to Preserve Fertility Doesn’t Appreciably Affect Survival

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Findings for young women with endometrial cancer
For overweight or obese adults

Review: Intentional Weight Loss Improves Daytime Sleepiness

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Large improvement in daytime sleepiness with surgical weight loss interventions
A majority of primary care doctors oppose full repeal of the Affordable Care Act

Most PCPs Oppose Complete Repeal of the Affordable Care Act

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Though many would support changes, only 15 percent want law completely dismantled
Anxiety and depression may increase the risk of death from certain cancers

Anxiety, Depression May Up Mortality Risk for Some Cancers

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Higher death rates seen for colorectal, esophageal, pancreatic, and prostate cancers, leukemia
Perioperative venous thromboembolism prophylaxis is beneficial only for surgical patients with Caprini scores of ≥7

Meta-Analysis: Caprini Score IDs Benefit of VTE Prophylaxis

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Benefit of perioperative VTE chemoprophylaxis limited to surgical patients with Caprini scores ≥7
The "opt out" rule

‘Opt Out’ Doesn’t Increase Access to Anesthesia Care

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No increase in number of patients traveling outside home zip code, except for total hip arthroplasty