Research on surgical treatment and outcomes. Covers fat-disorder surgery, survival after hip fracture, prostate-cancer care, and bariatric surgery.
After 7 to 12 years of follow-up, bariatric surgery outperformed medical/lifestyle intervention in achieving superior glycemic control with reduced medication use and higher rates of diabetes remission. Individuals who underwent bariatric surgery had better long-term management of their type 2 diabetes.
The study found that bariatric surgery improved blood sugar control and reduced diabetes medication use more effectively than medical and lifestyle modifications. Bariatric surgery also led to superior cholesterol and triglyceride levels, which can contribute to fewer heart attacks and strokes.
A study compared traditional logistic regression models and machine learning algorithms to predict the best surgical technique for patients with submucosal tumors. The traditional regression approach was found to outperform ML algorithms, with morphology ranking as the highest contributor to prediction accuracy.
A new AI system is being developed to provide real-time feedback and instruction for surgical trainees, addressing the need for constant supervision in laparoscopic surgery. The system uses computer vision model to detect the student's actions and provides immediate assessment and training direction.
Researchers successfully performed robot-assisted remote radical distal gastrectomy for stage T2N0M0 gastric cancer using 5G communication technology. The procedure demonstrated minimal intraoperative delays and no packet loss, highlighting the potential of 5G to advance remote surgical procedures.
A UK study published in Anaesthesia found that black children are at a significantly higher risk of postoperative complications following emergency appendicitis surgery, with a four-fold greater risk compared to white children. The study also identified other risk factors for complications, including pre-existing medical conditions and...
A new study in tens of thousands of people with obesity shows the impact of different weight management treatments on achieving a 5% weight loss. Effective treatment options include nutrition counseling, medically supervised meal replacements, anti-obesity medications, and bariatric surgery.
Researchers developed a wireless device powered by light that can be implanted to regulate cardiovascular or neural activity in the body. The ultralight membrane is thinner than a human hair and contains no moving parts, offering a minimally invasive surgery alternative.
Researchers found that pulse oximeters underestimate blood pumping and overestimate resistance, affecting treatment decisions. Direct blood oxygen measurement is crucial for accurate guidance, especially for Black patients already at higher risk.
Researchers developed a portable, droplet-based millifluidic device to monitor patients in the critical first days after surgery. The device measures drainage fluid's alpha-amylase activity in real time, reducing test duration from six hours to two minutes.
Researchers found that 86 patients experienced severe residual paresthesia after spinal surgery, leading to lower satisfaction rates. Patients with pre-surgical pain were more likely to have persistent paresthesia, highlighting the need for treatment strategies for this condition.
A new screening tool has been developed to catch endometrial cancer cases earlier, saving lives. The partnership between Pennington Biomedical's Metamor Institute and the LSU School of Medicine has already screened over 2,000 women and found abnormal bleeding in many cases.
A study of over 250 patients with Cushing's disease and nonfunctioning pituitary adenomas found that those who achieved remission were more likely to develop new-onset autoimmune disease within three years. Higher prevalence of adrenal insufficiency may have contributed to this development.
Weight loss treatments such as nutrition counseling and bariatric surgery increased the patient-level probability of achieving significant weight loss. Current treatment utilization rates are insufficient to impact the population level, highlighting a need for improved access.
A new study has found that routinely changing surgical gloves and instruments is cost-effective and safer, reducing surgical site infections (SSIs) by 13% in seven low- and middle-income countries. The economic evaluation, funded by the UK's National Institute for Health and Care Research, compared the costs and SSIs associated with ro...
A new study suggests that including socioeconomic status in the calculation of Medicare readmission penalties would reduce penalty amounts for 38% of safety-net hospitals compared to 17% of non-safety net hospitals. This adjustment could help alleviate financial pressure on these hospitals, which often care for sicker patients with lim...
Researchers found that bariatric surgery led to improved cognition and overall well-being two years after the procedure. The study revealed changes in blood vessel efficiency and cortical thickness of the temporal cortex, offering new treatment options for patients with obesity and dementia.
A randomized clinical trial of 1,680 patients with acute ischemic stroke due to large-vessel occlusion found no significant improvement in disability with adjunctive methylprednisolone. The study suggests that methylprednisolone may not be effective as an adjunct therapy after endovascular thrombectomy for this patient population.
A machine learning study of 22,000 surgical cases found that models can inform individual prognosis and aid in decision-making to reduce ineffective spine care. The findings suggest that these models may improve outcomes for patients undergoing lumbar disc herniation surgery.
A team of researchers analyzed 61 symptomatic and 35 asymptomatic knees with discoid lateral meniscus surgery. They found that larger meniscus sizes were associated with increased knee pain and symptoms. The study's results have important implications for surgical treatment and preoperative imaging.
Rates of re-excision after initial breast-conserving surgery remain high across the US, leading to increased healthcare costs and a higher risk of postoperative complications. The study found that younger age and ductal carcinoma in situ are associated with a higher reoperation rate.
University of Melbourne researchers have received a $35 million grant to develop a world-first tissue engineered cornea to treat corneal blindness. The technology has the potential to provide corneal tissue to surgeons worldwide, including countries with limited eye banks.
A global study has identified evidence-based approaches to prevent breast cancer-related arm lymphoedema (BCRAL) by addressing risk factors and implementing surveillance programs. The research provides a clinical guide for healthcare teams worldwide to adopt a proactive approach in preventing this irreversible complication.
A large study of 432,000 cancer patients who underwent major surgery found an increased rate of venous thromboembolism associated with cancer surgery. The risk persisted for about two to four months postoperatively and varied between cancer types.
Researchers developed a risk calculator to predict individualized risk of right heart failure after left heart pump surgery, tailoring care to each patient. The STOP-RVF calculator uses machine learning and considers variables such as pre-existing health conditions, medications, and demographic information.
A new study found that nearly half of older adults who considered elective surgery were deterred by financial concerns and the need for paid time off. In contrast, those worried about post-operative pain were more likely to proceed with surgery.
UCLA surgeons and scientists present research on ethnic predictors of gastric cancer survival, early liver retransplantation and risk factors for chemical restraint use in adult trauma patients. The studies highlight the importance of understanding these factors to improve patient care.
A 10-year follow-up study of nearly 2,500 U.S. men who received prostate cancer treatment found that adverse effects of treatments on sexual function may be deemphasized in decision making for some men. The study suggests that active surveillance can be a beneficial option for patients with favorable-prognosis prostate cancer.
A new study found that Black patients were more likely to choose active surveillance, while those with a strong desire for a cure or expecting longer life with treatment were less likely. Education and urologist interventions can increase active surveillance adoption among low-risk prostate cancer patients.
Researchers found that counties with higher uninsured rates and reduced access to mental health services have higher opioid prescriptions. Conversely, better healthcare quality was associated with a greater drop in opioid prescriptions over time.
A study of nearly 15,000 adults with non–small cell lung cancer found that Medicaid expansion decreased postoperative mortality within 30 and 90 days after hospital discharge. This suggests that expanded Medicaid coverage may improve cancer outcomes and access to care for this population.
Researchers from MD Anderson Cancer Center reported a case of a patient with an exceptional response to pazopanib treatment for over 5 years. The study shows that pazopanib prevents or delays the progression of additional metastasis in EWSR1-NFATC2 positive sarcomas. Further studies are warranted.
A new study suggests that using artificial intelligence to scan surgery patients' medical records can identify those with risky drinking habits who may benefit from education or treatment. The AI system analyzed over 53,000 patient records and found three times more patients with high-risk alcohol use than diagnosis codes alone.
No significant disparities in receipt of general anesthesia were found among laboring patients who had labor epidural catheters in situ across different racial and ethnic groups. The study suggests that prior care disparities may contribute to higher rates of general anesthesia among minority groups.
Researchers at UMCG have successfully performed liver transplants after prolonged preservation using a perfusion machine, showing similar outcomes to immediate transplants. The new method allows for safer and more efficient liver transplantation during the day, reducing complications and mortality rates.
New research reveals that the age at which individuals are tested for VWD significantly affects their diagnosis, with older patients more likely to be misdiagnosed. The study also found that as people with VWD get older, they respond better to treatment, potentially reducing medication and side effects.
A large randomized study investigated the effect of preoperative, low-dose oral administration of midazolam in older patients on patient satisfaction and safety. No significant difference was found between midazolam and placebo groups regarding patient safety.
The AGA releases its first comprehensive evidence-based guideline for managing pouchitis, a complication of ulcerative colitis surgery. The guideline recommends treatment with antibiotics and multi-strain probiotics to prevent recurrent pouchitis.
A study of 4,819 women with benign breast disease found an increased risk of breast cancer compared to the general population. The study's findings suggest that pathologic classifications could improve breast cancer risk stratification.
A new study finds that analyzing surgical lymphatic fluid for HPV DNA can predict cancer recurrence and guide treatment decisions. The test was found to be more sensitive than traditional methods, detecting high-risk patients who may be missed by standard tools.
Post-surgery pain relief has shifted away from opioids since 2016, with a 36% drop in prescription rates and 46% decrease in average amount of opioids. However, the rate of decline slowed after 2020, suggesting ongoing efforts are needed to right-size prescribing.
Opioid prescribing rates from US surgeons decreased between 2016 and 2022, but rebounded after the COVID-19 pandemic. Larger prescription sizes were observed during the pandemic due to refills being difficult to obtain.
A randomized clinical trial found that tonsil and adenoid removal surgery improved sleep quality, reduced snoring, and behavioral problems in children with mild sleep apnea. However, the surgery did not impact neurodevelopmental functioning.
A novel mental health risk screen for hospitalized patients accurately predicts mental health outcomes, with 10 items correctly identifying 75% of those who later developed mental health issues. A tailored recovery program can also be effective in reducing mental health problems after trauma, increasing health equity among historically...
A new study found that simulated high altitude exposure can increase haemoglobin levels in older patients, potentially benefiting their physical health before surgery. The research suggests that 'altitude prehabilitation' could be a useful approach to improve fitness and reduce complications in patients at risk.
The EAGLE study found a 50% reduction in anastomotic leaks following colon surgery at over 300 global sites after surgeons received online education. This significant decrease was attributed to harmonised surgical techniques and team building.
A new study will compare two treatment regimens: one using non-opioid medication and another with a low-dose opioid to determine the safest and most effective way to treat pain in adolescents and young adults recovering from common outpatient surgeries. The CARES for Kids study aims to generate evidence-based information on this topic.
A new NIH grant will investigate how news media reports on community firearm violence affect survivors, communities, and policymakers. The research aims to develop evidence-based guidelines for safer reporting, inspired by successful approaches for other traumatic events.
The Whipple procedure has seen significant improvements in mortality rates thanks to high-volume centers like Johns Hopkins, led by Dr. John Cameron, who reduced in-hospital mortality to less than 5%. Closed-suction drainage developed by Dr. Cameron further enhanced the procedure's safety and effectiveness.
Researchers found that a higher ratio of quadriceps to hamstring muscle volume was significantly associated with lower odds of total knee replacement. Training programs that strengthen the quadriceps in relation to the hamstrings may be beneficial for preventing knee replacement surgery.
Researchers at Washington State University have created implantable metals that can kill 87% of bacteria causing staph infections in lab tests. The 3D-printed materials combine titanium with copper and tantalum, offering inherent antibacterial response and improved bone tissue integration.
A groundbreaking study published in JAMA found that excluding aspirin from the antithrombotic regimen for patients with a fully magnetically levitated left ventricular assist device (LVAD) resulted in a significant decrease in major nonsurgical bleeding events. This approach is safe and beneficial, challenging conventional practice and...
A study of 34,000 patients found that screening-detected colorectal cancer had a lower risk of recurrence. The risk of recurrence decreased over time, and risk-stratified surveillance protocols may be warranted for selected patient groups.
A UCLA study found that hospitals with high patient diversity are less likely to offer core cancer services, including hospice care, chemotherapy, and robotic surgery. The lack of these resources can impact treatment quality and outcomes for patients diagnosed with cancer.
Researchers at CSU and the University of St. Andrews created an effective antimicrobial material that slowly releases nitric oxide, killing bacteria and fungus over time.
Researchers at UTHealth Houston are studying the impact of circadian rhythm on heart attacks and cardiac surgery, with a focus on identifying novel therapies to protect the heart. They will investigate the role of key genes and signaling pathways in modulating daytime variations in cardiac injury.
A new study from researchers at Wake Forest University School of Medicine shows that frailty is associated with higher rates of death and major morbidity after surgery. The electronic frailty index (eFI) may help identify patients who are at risk, according to the findings.
Researchers describe the use of ripretinib and repeated surgical resection in a patient with recurrent GIST harboring a KIT exon 11 mutation. The treatment led to extended clinical benefit, outperforming current reported data from ripretinib clinical trials.
A new smartphone app using the APRI+ALBI score increases the safety of liver surgery by providing an individualized risk assessment for patients prior to resection. The score offers a cheaper and less invasive option with comparable predictive power compared to standard preoperative tests.
Researchers at Children's Hospital Los Angeles have developed a novel app called the CHALF score to predict if a child with acute liver failure needs a transplant. The tool assesses liver failure risk on a scale of 5-60 and has been shown to accurately predict patient outcomes.