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Tag: Surgery: Misc.

For patients undergoing common orthopedic sports procedures

Nonopioid Pain Protocol Feasible After Sports Orthopedic Surgery

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45 percent of patients did not require opioids for management of postoperative pain
Single-dose targeted intraoperative radiotherapy during lumpectomy is an effective alternative to external beam radiotherapy

Targeted Intraoperative RT Is Effective Alternative to EBRT

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TARGIT-IORT during lumpectomy noninferior to EBRT for local recurrence in women with early breast cancer
From 2005 to 2016

Mortality Down but Health Care Costs Up From Gun Violence

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Head and neck, vascular, gastrointestinal surgery independently linked to high cost tertile designation
Age at surgery

Factors Tied to Hormone Therapy Use After Oophorectomy ID’d

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Age, education, preventive mastectomy linked to hormone therapy use in BRCA mutation carriers
A considerable proportion of physicians endorse use of thyroid ultrasonography for clinically unsupported reasons

Some Doctors Endorse Thyroid Ultrasonography Unnecessarily

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Some endorse for patient request, abnormal thyroid function test result, positive thyroid antibody test
Preoperative opioid and sedative use are risk factors for morbidity and mortality following colorectal resections

GI Surgical Outcomes Worse With Preop Use of Opioids, Sedatives

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Findings seen in patients undergoing colorectal resection for nontrauma reasons
Contrary to current guidelines

Outcomes Worse With No Surgery for Cholecystitis in Pregnancy

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Most pregnant women managed nonoperatively despite guidelines calling for cholecystectomy
Surgical delays do not seem to be life-threatening for women with ductal carcinoma in situ or with early-stage estrogen receptor-positive breast cancer

Surgical Delays Not Life-Threatening in Early Breast Cancer

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Increased time to surgery linked to elevated odds of pathological upstaging in DCIS, not in invasive cancer
Persistent opioid use is a common concern after cardiac surgery

Persistent Opioid Use Seen in ~10 Percent of Patients After Cardiac Surgery

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Higher opioid dosage prescribed at discharge associated with increased risk for new persistent use
Initial cast immobilization is recommended for adults with scaphoid waist fractures displaced by 2 mm or less

Cast Immobilization Recommended for Scaphoid Fractures

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Below-elbow cast immobilization should be followed by surgery if nonunion of fracture is confirmed