A national pilot program evaluated the implementation of geriatric surgery standards in eight hospitals with variable sizes and resources, finding high levels of compliance. The study highlights the scalability and feasibility of the program, which aims to optimize care for older adults in a wide range of hospital settings.
The US military medical system is not ready to handle major conflicts with near-peer adversaries, who possess similar military capabilities. Prolonged field care training and strong patient data are crucial to address the challenges of evacuating wounded soldiers and providing specialized surgical care.
The COVID-19 pandemic had a significant impact on cancer care, with variances in new diagnoses and disrupted care reported in the National Cancer Database. The study highlights the need for future research to understand the lasting effects of the pandemic on chronic diseases such as cancer.
Research outlines actionable steps to address longstanding health disparities in breast cancer screening and treatment options. Surgeons can drive change by maintaining awareness of existing disparities and providing additional resources to patients.
A new way to identify higher-risk groups of older surgical patients can help surgeons make better care decisions and compare hospital performance. The new definitions label fewer patients as multimorbid and specify high-risk comorbidity combinations, which contribute to patient risk.
The study analyzed data from 151 hospitals that participated in an ISCR protocol for colorectal surgery to determine if they improved or worsened in complying with ERP process measures over an 18-month period. Key findings suggest a significant opportunity to improve compliance and patient outcomes, but inadequate resources and limited...
Leading medical organizations have formed a coalition to combat the growing problem of firearm violence in the US. The Healthcare Coalition for Firearm Injury Prevention aims to promote education, advocacy, and community-centered approaches to reduce firearm-related injuries.
A new study found that preoperative surgeon intuition is an independent predictor of 30-day postoperative complications, but its predictive power is not as strong as a standardized risk calculator. The study suggests that the information gathered by the calculator is better at predicting outcomes than surgeons' gut feelings.
Researchers found better survival rates at all points in time for pediatric patients with more serious heart disease, thanks to improved immunosuppression therapies, techniques, and postoperative care. A multidisciplinary team approach also contributed to the better outcomes.
Patients living in Southern states with expanded Medicaid were more likely to receive early treatment for invasive breast cancer. Despite this, the proportion of patients undergoing treatments actually decreased across all states.
A study found that standardizing evaluation processes and expanding telehealth use can significantly improve access to kidney transplants for African Americans. The interventions also led to increased organ acceptance rates, but post-transplant survival outcomes were not statistically significant.
A large study on chronic pancreatitis patients who underwent surgery found that about two-thirds survive for 10 years, but over a quarter struggle with persistent opioid use. Long-term follow-up revealed significant psychosocial issues, including substance abuse, narcotics abuse, and end-stage liver disease.
A recent study found that patients who met with surgeons for first-time surgery consultations via telemedicine were satisfied with the quality of communication, comparable to in-person visits. The study suggests that either method is appropriate, depending on what the surgeon and patient prefer.
The Children's Surgery Verification Quality Improvement Program, introduced by the American College of Surgeons, improved efficiency in treating children with traumatic injuries. The program reduced surgical wait times and hospital stays by over a day and decreased narcotics use in pediatric patients with femur fractures.
A comprehensive analysis of quality improvement initiatives in operating rooms reveals that sustainability interventions can significantly reduce costs and decrease carbon footprint. The study identified effective strategies such as powering down lights and equipment, reducing waste, and implementing recycling programs.
Researchers identified key risk factors for intimate partner violence in pregnant women, including head injuries, multiple contusions, and certain injury patterns. The study highlights the importance of screening for IPV in pregnant trauma patients to prevent poor outcomes such as premature birth and low birth weight.
A national quality improvement project led by the American College of Surgeons restored cancer screenings to pre-pandemic levels and increased additional screening tests. The initiative helped accredited programs increase screening rates by implementing evidence-based interventions and achieved a minimum of 10% growth in screening.
A recent study found that microRNA-145 can identify breast cancer patients at lower risk of recurrence and those who may need additional therapy. The biomarker was measured in patients' blood samples during chemotherapy and predicted long-term oncological outcomes.
The study provides guidelines for healthcare facilities to respond effectively to mass shooting incidents. The clinicians identified the importance of modified triage plans, prioritizing patients based on anatomical considerations, and clear communication with emergency responders. By implementing these strategies, hospitals can better...
Patients with stage II/III esophageal cancer who received delayed surgery had a relative survival rate that was almost half that of patients who underwent early surgery. Early-stage cancer patients did not experience significant differences in survival rates between those who received immediate versus delayed surgery.
Researchers developed a procedure-specific risk calculator to encourage changes in patient behaviors before surgery. The machine learning models accurately predicted which patients were most likely to experience complications or hernia recurrence after ventral hernia repair.
A new analysis of cases in the National Cancer Database finds that younger patients (less than 50 years old) with acute appendicitis are at increased risk of developing cancer of the appendix. The study suggests that patients under 40 may want to undergo surgery to rule out cancer.
A single-center study found that trauma patients were less likely to be vaccinated against COVID-19, even as vaccines became more widely available. The study suggests that trauma centers can play a crucial role in introducing the vaccination conversation with high-risk patients.
Trauma centers in the US are increasingly screening and intervening for patients with alcohol and substance abuse issues, as well as post-traumatic stress disorder (PTSD) and suicidal ideation. A survey found that over 95% of trauma centers screen and intervene for high-risk patients, leading to significant reductions in re-entry rates.
A quality improvement initiative at 10 US children's hospitals has led to an almost 80% reduction in opioid prescribing for children after appendectomy, without harming patient outcomes. The study used a standardized prescribing protocol and ACS NSQIP Pediatric data to minimize opioid prescriptions.
A study found that telemedicine increased access to surgical care, but disparities persisted among low-income and older Americans. Virtual consultations were more common among white patients than Latinx and Hispanic patients, while Black patients were more likely to use video conferencing.
A study by Temple University Hospital found that virtual single-visit screenings are just as effective as in-person screenings, especially for African American patients. The telemedicine approach helped preserve access to lung cancer screening during the pandemic, despite a 75% decline in overall screenings.
A new study found that surgery benefits men with Stage IV breast cancer, particularly those responsive to systemic therapy. Trimodal therapy, including surgery and radiation, shows improved 5-year overall survival rates compared to systemic therapy alone.
A new study found that a decline in hospital stays after surgery may be associated with an increase in post-discharge complications. Researchers recommend implementing a coordinated system to better identify and manage these complications, including improved patient education and enhanced communication between healthcare providers.
A recent study found that COVID-19 lockdowns led to significant increases in bicycle-related injuries and gun-related injuries across four US cities. Trauma cases at Level I trauma centers showed a 100% rise in bicycle-related trauma rates and a 23.5% increase in gunshot wounds.
A nationwide pause of most elective operations led to significant financial losses for hospitals, with one study estimating a 42% loss of net revenue. Hospitals lost $1.53 billion from missed pediatric procedures, with a median time to recovery of one year.
Using qualitative terms to describe risks associated with treatments for appendicitis led to a wide range of interpretations among patients. In contrast, giving risk percentages or ranges improved communication and reduced variance in interpretation.
Patients with stroke symptoms can be quickly assessed for traumatic injuries without delaying brain imaging and treatment. The novel STRAUMA activation enables rapid evaluation of both stroke and trauma to facilitate timely administration of life-saving interventions.
A survey of adults shows low colonoscopy rates during the pandemic, but home-based fecal occult blood testing increased by 30% among respondents. The study highlights the need for tailored screening options to address patient concerns and improve colorectal cancer screening rates.
Two studies investigate the factors associated with cancer centers offering telehealth services, revealing regional disparities and socio-economic influences. Researchers aim to increase access to care for patients who may be underserved or lack technology to participate in remote visits.
A mixed-methods analysis found that most surgical patients prefer virtual follow-up care for its convenience, which does not compromise patient satisfaction. The study highlights the potential benefits of virtual visits in improving access to care and reducing barriers for patients.
The American College of Surgeons proposes four strategies to address the root causes of violence, including investing in at-risk communities and advocating for policy changes. Trauma Informed Care is a key feature of these strategies, aiming to foster empowerment and partnership with patients.
The American College of Surgeons surveyed its members on firearm safety, with strong consensus for policy initiatives and safe storage. Most respondents support preventing people with serious mental illness from buying firearms and cracking down on illegal sales.
A new simulation platform, Advanced Modular Manikin (AMM), has been developed to realistically simulate multiple trauma scenarios, providing physiologic responses and feedback. Trauma team members preferred the integrated AMM platform for its realism and feedback, leading to higher team experience ratings.
The ACS Quality Verification Program utilizes data surveillance, standardized processes, and systems to identify quality improvement issues and improve surgical patient care. The program's 12 standards provide a framework for hospitals to implement robust surgical quality improvement initiatives.
Increased tourniquet use in Los Angeles County has improved patient survival and reduced the need for blood transfusions. The study found that patients with prehospital tourniquets had lower mortality rates, fewer delayed amputations, and lessened blood transfusion requirements.
A new study identifies risk factors for readmission to a different hospital for cancer patients who received surgical removals, associated with a 50% increased odds of dying. Risk factors include living far away from the original hospital and being older or white, highlighting the need for better care coordination.
A new study from the University of Arizona Department of Surgery found that pancreatic cancer patients who undergo chemotherapy followed by resection live an average of 19.75 months, compared to 10.12 months for those who received only chemotherapy. The researchers suggest that surgery can improve survival even in difficult cases.
A new study published in the Journal of the American College of Surgeons found that patients undergoing elective esophagectomy, gastrectomy, or pancreatectomy for malignancies at top-ranked hospitals had significantly lower in-hospital death rates compared to those at unranked hospitals. The average annual case volume for these high-ri...
A new guideline for reducing opioid use post-surgery has led to a high pain management satisfaction rate of over 90%, with 83% of patients properly disposing of unused pills. The guideline takes into account individual patients' perception of pain, setting expectations and prescribing non-opioid analgesics to minimize opioid use.
Funding for surgeon scientists has increased by 40% in terms of both numbers and amounts since 2010, despite overall NIH funding decreases and an increase in demand for clinical productivity. Basic science research has also remained stable, with 70% of grants focused on basic science.
A new study found that elderly patients with locally advanced esophageal and esophagogastric junction cancer can achieve similar outcomes as younger patients when receiving recommended multimodal therapy. The therapy regimen includes initial chemoradiotherapy followed by surgical resection.
A study of 186,779 discharged patients found that trauma surgeons' communication has a significant effect on overall satisfaction. Physician communication ranked as the number two factor for trauma and emergency surgery patients, with a 12% boost in satisfaction.
A study found that older cancer patients residing in areas with high social vulnerability are less likely to achieve textbook outcomes following surgery. The research used the Social Vulnerability Index (SVI) to analyze the impact of socioeconomic challenges on health outcomes.
The study found that a multimodal pain regimen (MMPR) reduced opioid exposure and pain scores in trauma patients. The MMPR, which includes generic medications such as acetaminophen and tramadol, was shown to be an effective alternative to traditional opioid treatments.