The study, involving 1,531 women, found that breast reconstruction following mastectomy for breast cancer yields similar benefits for all age groups, with no significant increase in complication risk. The procedure is generally successful and should not be disqualifying based on age alone.
Researchers developed a nomogram to predict early ICU readmission for surgical patients using seven common variables. The tool helps clinicians identify high-risk patients and prevent unnecessary readmissions by assessing their readiness to leave the SICU.
For patients with suspicious papillary thyroid cancer, lobectomy is associated with better outcomes and lower costs compared to total thyroidectomy. The study used a Markov model to determine the effectiveness of each procedure in terms of quality-adjusted life years.
A new study found that nearly three-fourths of patients who sustain major trauma and receive an opiate prescription discontinue use by one month after hospital discharge. Only a few factors, including older age, lower socioeconomic status, and longer hospital stays, increased the chance for prolonged opiate use.
A study found that nearly 30% of women with breast cancer are not getting the recommended annual mammogram and surveillance imaging. Factors such as younger age, black race, and lack of insurance are associated with underutilization of breast imaging.
Contralateral prophylactic mastectomy (CPM) is being performed at a rate more than double what it was 10 years ago, with fear of recurrence as the leading reason. Studies found that patients are misinformed about CPM being the best treatment for breast cancer, which may be driving its increased popularity.
Studies show that websites for pancreatic cancer treatment differ in their presentation of information. Researchers found that non-profit organizations' websites were more easily understood and recommended by patients. The study suggests that website usability and visuals play a significant role in patient recommendations.
A multicenter study of 1,015 major liver resections found that minimally invasive surgery (MIS) had significantly lower odds of serious morbidity and death in the short term compared to open operations. Risk of complications such as bile leak and readmission were similar between the two procedures.
Obese women who receive bariatric surgery before becoming pregnant have lower rates of cesarean sections and larger babies compared to those who don't. The study found a significant decrease in cesarean deliveries among women who underwent bariatric operations, with only 1% vs 38% in obese women without the procedure.
Trauma centers treating high proportions of uninsured patients would see significant gains in financial margins from Medicaid expansion, according to a nationwide study. The simulation model found nearly three times as many patients would gain health insurance through Medicaid in expansion states than non-expansion states.
A study using wearable activity trackers found that monitoring patients' postoperative functional recovery correlates strongly with reported complications, showing a median of 1,247 steps on day seven compared to preoperative daily steps.
A nationwide study found that infants from families with no health insurance or low income have a higher risk of death from sepsis. Those with severe illness and low birth weight were at the highest risk, with odds ratios as high as 36.1 and 4.8, respectively.
The study found that implementing a telephone postoperative clinic reduced in-person clinic visits by 44% while maintaining satisfactory patient outcomes. The clinic also increased access to care for patients with long travel distances, improving their overall experience.
A new study found that starting blood-thinning medications within 72 hours of hospital arrival significantly reduces the likelihood of life-threatening blood clots in patients with traumatic brain injury. The study also showed no increase in risk of bleeding complications or death.
A Canadian hospital implemented strategies to reduce operating room traffic, which led to a significant decrease in orthopedic surgical site infections. The hospital reduced door openings from 42-70 to 3.2 per case, resulting in a 1.7% decrease in SSIs.
An automated communication system has been shown to improve surgical patient engagement in preventing SSIs, with a high degree of patient acceptance. The system's two-pronged approach reminds patients to follow antibiotic protocols and reports signs of infection, reducing the risk of rehospitalization and treatment costs.
Researchers at Vanderbilt University Medical Center implemented blood utilization practice guidelines, resulting in a 30% reduction in blood transfusions and $2 million savings. The new guidelines also reduced blood wastage by 75%, from 300 to 80 units, improving patient outcomes and optimizing the use of this limited resource.
Patients undergoing bariatric surgery at accredited centers have lower risks of serious complications, including death, and experience lower hospital charges. The American College of Surgeons review study analyzed over 1 million patients and found significant benefits of accreditation.
A new study reveals that only 8% of patients with large, apparently benign polyps have cancer, suggesting advanced endoscopic treatments like EMR and ESD as viable options. This finding could improve patient outcomes, reduce complications, and lower healthcare costs.
A new study found that readmission rates after complex cancer operations are higher in hospitals serving vulnerable populations, such as those with high Medicaid patients or serving as safety nets. The study suggests that payment penalties tied to readmissions may create unintended consequences on financially strained institutions.
A free colonoscopy program for uninsured patients has been shown to detect cancer at an earlier stage and appears to be cost-neutral. The program, which was expanded to all hospitals in Louisville, is being hailed as a model for statewide implementation in Kentucky.
A new study has confirmed the accuracy of the ACS NSQIP Surgical Risk Calculator, which estimates a patient's risk of postoperative complications. The calculator will undergo recalibration to improve its performance, addressing minor distortions in estimating risk for low- and high-risk patients.
The Occupant Transportation Decision Algorithm (OTDA) helps emergency responders and hospitals evaluate a crash victim's need for trauma care by analyzing data from electronic data recorders on board vehicles. The algorithm can aid in triage, reducing overtriage and undertriage rates.
A simple 20-second arm test has been developed to rapidly and accurately identify physiological frailty in older adults, using wearable technology. The test showed high agreement with the gold standard frailty index, making it a valuable tool for surgeons to assess risk of postoperative complications.
A study found that a quality improvement initiative by the Centers for Medicare and Medicaid Services increased the removal of liver transplant candidates from the waiting list. The analysis of nationwide transplant data showed that over 4,300 Americans were delisted between 2007 and 2012 due to deteriorating illness.
The ACS-Military Health System Partnership is developing a pre-deployment course for military surgeons to prepare them for combat and disaster scenarios. The goal is to ensure the military's trauma system remains intact between conflicts, building on the successful Joint Trauma Theater System.
A study found that the number of open cholecystectomies performed by general surgery residents has decreased significantly since laparoscopic cholecystectomy was introduced 30 years ago. This decline is raising concerns about whether surgeons will have enough technical experience to perform traditional open cholecystectomy procedures.
A survey of program directors found that flexible work hour schedules improve the continuity of patient care without compromising patient safety. Directors also believed that flexible duty hours would positively affect patient safety, continuity of care, quality of resident education, and resident well-being.
The Memorial Sloan Kettering Cancer Center fellowship program successfully trains international surgeons to return home and perform cancer operations, addressing a significant gap in low- and middle-income countries.
The study found that trauma surgeons working with geriatricians improved multidisciplinary care for elderly accident victims, leading to reduced short-term mortality rates and ICU readmissions. The program increased referrals for cognitive evaluation and advanced directives, demonstrating the benefits of comprehensive clinical pathways.
A new process of moving donor management out of hospitals to freestanding facilities has been shown to be more efficient and cost-effective. This approach results in a higher number of suitable organs being recovered for transplant, with an average increase of 3.4 organs per donor.
The Critical Care Resuscitation Unit (CCRU) at the University of Maryland Medical Center has seen a significant increase in transfers of critically ill surgical patients, with median arrival times cut by nearly half and median time to surgery reduced by over two-thirds. This faster intake and treatment strategy has led to improved outc...
A new study suggests that patients with resectable pancreatic cancer should receive at least 6 months of adjuvant chemotherapy to reduce distant disease recurrences and improve overall survival. Chemotherapy, but not chemoradiotherapy, significantly reduces the incidence of distant recurrence.
A national multicenter randomized trial found that extending surgical trainees' shifts does not compromise patient safety. The study showed flexible duty hour policies reduced handoffs and increased residents' satisfaction with their training. The findings provide high-level evidence to inform resident duty hour policies.
A new study found that nearly two-thirds of women aged 70 and older with stage I breast cancer who are eligible to safely omit subsequent radiation therapy do not receive it. Despite guidelines recommending against radiation therapy for this group, the study suggests a lack of compliance or poor awareness among healthcare providers.
Researchers found that a 56-day interval after chemoradiotherapy is the best timeframe for overall survival and tumor downstaging. The study analyzed data from nearly 12,000 patients with advanced stage localized rectal cancer.
Expectant mothers treated at trauma centers experience better outcomes than those treated at non-trauma hospitals, with a 40% lower risk of preterm labor. The study also found decreased odds of premature birth, low birth weight, and meconium at delivery among neonates.
Enhanced recovery after surgery (ERAS) programs can save hospitals money by reducing patient lengths of stay and direct variable costs. Implementing ERAS protocols requires significant upfront investments, but the model shows that these costs are more than offset by savings.
A new collaborative best practices guideline has been released for optimal care of older adults before, during, and after surgical operations. The guideline provides expert recommendations for surgeons, anesthesiologists, and allied health care professionals to address postoperative complications and prolonged recovery in older patients.
A systematic review study suggests that nonoperative treatment of appendicitis is probably safe for adults but raises concerns about long-term outcomes. The study found that antibiotics-first treatment was successful in 3 out of 4 patients, but questions remain about quality of life, residual symptoms, and financial considerations.
A new study by the American College of Surgeons found that preoperative use of blood-thinning drugs does not increase major bleeding rates in cancer patients undergoing major operations. The study also revealed a lower risk of developing deep vein thrombosis and pulmonary embolism in patients who received preoperative VTE prophylaxis.
A Journal of the American College of Surgeons study reveals that a hospital's safety culture plays a significant role in delivering high-quality patient care. The study found that 10 out of 12 safety culture factors influenced surgical site infection rates after colon operations.
Patients undergoing oncologic liver operations who participated in an enhanced recovery program returned sooner to their normal life function and adjuvant cancer therapies than patients who were treated with a traditional approach. The study found that 75% of enhanced recovery patients achieved their baseline functional status within 3...
A new study found that patients' recollections of their last colonoscopy are variable, with many unable to recall key details such as the date of their procedure or the presence and number of polyps. The study suggests that doctors can contribute to these issues by not repeating crucial information to patients.
A recent study by the American College of Surgeons found that helmeted bicycle riders are 58% less likely to suffer severe traumatic brain injuries after a crash. The study analyzed data from over 6,200 patients and showed that helmets significantly reduce the risk of head bleeds, facial fractures, and even death.
A new study shows that surgical removal of abdominal metastases can significantly improve overall survival for patients with stage IV melanoma. In this comprehensive study of over 1,600 patients, surgeons found that surgical resection provided a median survival time of 18 months compared to seven months for nonsurgical patients.
Researchers have discovered four unique metabolites in urine samples that can accurately distinguish between malignant and benign adrenal tumors. These biomarkers show high sensitivity (94.7%) and specificity (82.6%) for diagnosing cancer, potentially improving treatment decisions for patients with adrenal incidentalomas.
A new study has identified a minimum surgeon volume threshold of 25 cases per year associated with improved patient outcomes for total thyroidectomy. High-volume surgeons had significantly lower complication rates, with only a 4.2% chance of experiencing complications compared to 6.4% for low-volume surgeons.
Researchers develop new targeted delivery method using silk sponge to reduce chemotherapy's toxic effects on children with neuroblastoma. The approach slows tumor growth and reduces systemic toxicity, offering a promising alternative to traditional chemotherapy.
A new study found that surgical trainees who continue to practice beyond achieving initial proficiency retain information longer and master surgical skills better. The study, presented at the American College of Surgeons Annual Clinical Congress, showed that overlearning can decrease the learning curve and improve overall scores.