Articles tagged with Surgery
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A budget impact analysis found that catheter-based TAVR is an affordable and effective strategy for treating aortic stenosis patients, with lower total costs compared to surgical SAVR. The study showed that the upfront cost of TAVR is partially offset by reduced healthcare resources, making it a more efficient option.
Researchers evaluated 35 commercial breast biopsy markers for ultrasound color Doppler twinkling, finding that three markers exhibited actionable twinkling for ≥2 transducers. Higher surface roughness was associated with actionable twinkling in C1-6 and 9L transducers.
The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) has selected top research presentations for its 2022 Annual Meeting & OTO Experience. These include groundbreaking studies in otology, laryngology, endocrine surgery, and head and neck surgery.
A review of ERAS programs in minimally invasive gynecologic surgery reveals improved patient recovery, reduced postoperative complications, and shorter hospital stays. Implementing ERAS protocols also reduces opioid consumption without increasing complications or healthcare costs.
A group of researchers from Osaka Metropolitan University found that administering parathyroid hormone to rat Achilles tendons increased the production of cartilaginous matrix and promoted chondrogenic differentiation. This breakthrough discovery may lead to improved outcomes for meniscal reconstruction surgery, protecting knee cartila...
A new study from Harvard Medical School reveals that patients who recover well after cardiovascular surgery exhibit precise paths for white blood cell and platelet counts. These trajectories can be used to monitor recovery in a personalized way, enabling clinicians to intervene earlier when necessary.
A research team has been awarded $10 million to develop a collaborative care model to prevent Alzheimer's disease and other dementias among delirium survivors. The study aims to improve cognitive recovery and quality of life for patients after emergency surgery.
A cohort study found that reinfection rates are low after successful hepatitis C virus (HCV) treatment in people who inject drugs, suggesting a benefit of treatment in this population. The risk for reinfection was highest among those with ongoing injecting drug use and needle sharing.
A systematic review and meta-analysis found no significant differences in treatment success between nonoperative and operative management for acute uncomplicated appendicitis. However, the nonoperative group experienced significantly longer hospital stays and higher recurrence rates.
A study of 12,000 Medicare beneficiaries with heart failure at risk for requiring a left ventricular assist device (LVAD) found racial and sex disparities in LVAD access. Adjusting for individual poverty and community-level social determinants of health did not alter the inequity in one-year survival among groups.
A retrospective study found that patients with multiple architectural distortions on digital breast tomosynthesis were more likely to have high-risk pathology, but not significantly different frequencies of malignancy. Biopsy of all areas may be warranted for these patients.
Researchers from the University of Gothenburg found that assessing melanoma thickness is challenging for both human dermatologists and machine-learning algorithms. Despite differences in success rates, both groups achieved comparable results when evaluating dermoscopic images, highlighting the need for further study to improve diagnost...
Researchers examined law enforcement interactions with patients and clinicians in an urban emergency department, highlighting their impact on patient care. The study's findings suggest that effective communication between law enforcement officers and healthcare providers is crucial for safe and efficient patient treatment.
A recent Kaiser Permanente study suggests that fully vaccinated patients who have had COVID-19 may not be at an elevated risk of complications after surgery. The research analyzed records from over 228,000 surgeries and found no significant difference in postoperative complication rates between vaccinated and unvaccinated patients.
A study of nearly 3 million adults found no increased mortality among uninsured or Medicaid patients after major surgery during the pandemic compared to commercial insurance holders. The findings contradict previous concerns about unequal access to care.
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...
A study of 1,300 patients found most thyroid cancers are discovered in asymptomatic individuals, supporting the hypothesis of ongoing subclinical disease detection. The findings contradict the notion of a rising incidence of thyroid cancer.
A study found that female patients are more likely to require re-interventions after surgical treatments for intermittent claudication. Additionally, guideline-directed medical therapy was less frequently used among females compared to males.
Researchers from University Hospitals developed a transfusion appropriateness algorithm to analyze blood transfusions for adult patients. The algorithm led to a decrease in transfusions and an increase in appropriate use, resulting in cost savings of $2.5 million over 12 months.
A recent study found that 49% of transgender and gender-diverse patients who undergo gender-affirming genital surgery travel outside their home state, resulting in significantly higher out-of-pocket medical expenses. The average out-of-state patient pays $2,645, compared to $1,781 for in-state patients.
Outpatient antibiotic management of selected patients with appendicitis is safe, allowing many to avoid surgery and hospitalization. This treatment approach is associated with fewer serious adverse effects compared to hospitalization.
The study reveals uterus transplant outcomes are safe for the recipient, living donor, and child, making it a potential solution for women struggling with uterine-factor infertility. Uterus transplants may be a viable option for these individuals, offering a chance to conceive and carry a pregnancy.
A cross-sectional study of 885 surgical residents revealed that trainees perceived as white received similar autonomy, while those perceived as African American, Black, Hispanic, or Latinx experienced disparities. Autonomy differences were negligible by the end of residency.
A new study found that hospitals can reduce excessive opioid prescribing by implementing an evidence-based default setting for opioid prescriptions written in electronic health records. The study showed that patients who received a standard prescription size with a lower default dose of opioids had similar pain control, but took home f...
A new study found that post-operative atrial fibrillation (POAF) is associated with a higher risk of hospitalization for heart failure among patients undergoing cardiac and non-cardiac surgery. POAF may be an early marker for heart failure, and its presence could contribute to the development of the condition.
Researchers will develop and test new beacon molecules and imaging equipment to improve the detection and removal of non-small-cell lung cancers, aiming to reduce unnecessary tissue removal. The goal is to enhance surgical outcomes and improve patient care.
Updated long-term results from Phase III trials demonstrate significant benefits from combining procarbazine, lomustine, and vincristine chemotherapy with radiation therapy for patients with anaplastic oligodendrogliomas. Patients with chromosome 1p19q codeleted tumors experienced improved overall survival and progression-free survival.
Researchers from NYU Abu Dhabi have developed a simple yet effective approach for on-demand tactile sensing in minimally-invasive surgery. The Smart Laparoscopic Forceps (SLF) system measures grasping force and angle, providing surgeons with relative stiffness index of tissue to help with decision-making during operations.
Researchers at the University of Pittsburgh have developed self-powered smart implants that can monitor spinal fusion healing in real-time. The implants use a new class of multifunctional mechanical metamaterials to record pressure and stresses, generating their own power and providing crucial information about the healing process.
A study evaluating discharge data from five states found that postoperative mortality rates in children undergoing tonsillectomy were associated with recognized risk factors for complications. The analysis revealed that comorbidities, such as heart disease and respiratory conditions, significantly increased the risk of mortality.
Researchers at CMU propose a new cell delivery method using shrink-wrapped corneal endothelial cells as an alternative to cornea transplant. The technology enables rapid engraftment into intact tissues, showing promise in treating diseases such as cystic fibrosis and heart attack.
A Michigan study reveals that hundreds of thousands of surgical and dental opioid prescriptions are filled long after writing, but a state law helped reduce this trend. The authors suggest tightening state laws to prevent or reduce misuse associated with delayed dispensing of opioids.
A large-scale analysis of daytime surgeries performed by surgeons who operated the previous night found no correlation with increased risk of in-hospital mortality or major complications. The study, involving nearly 500,000 operations, suggests that surgeons can perform safely and effectively even after a night shift.
Researchers analyzed nearly 3.5 million patients and found no disparity in elective surgery case volume reductions among racial groups, with Black, Asian, and other non-white individuals showing similar decreases as white counterparts. The study challenges existing assumptions about the impact of COVID-19 on healthcare disparities.
A new study published in Anaesthesia found that a 'watch and wait' approach can lead to better outcomes for patients with severe frailty, reducing the need for emergency surgery. The study analyzed hospital data for adult patients with common acute conditions and found significant differences in survival rates between those who receive...
A study of 28,000 trauma patients found significant sex-based disparities in timeliness of care, with females facing longer delays and higher likelihoods of long-term care. The results suggest that female trauma patients are at a disadvantage in receiving timely trauma care compared to their male counterparts.
A new study published in Open Heart found that patients with asymptomatic severe aortic stenosis benefit from early valve replacement surgery to prevent irreversible heart muscle damage. The research showed that timing of surgery is crucial in reducing mortality and hospitalization rates.
A new clinical decision support software platform reduces harm due to medication errors in the OR by more than 95%. Clinicians using the system work with greater efficiency and provide better care, with improved blood pressure control and accurate pain medication adjustments.
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.
The TVT 2022 program features cutting-edge research on transcatheter aortic valve replacement (TAVR) and other structural heart therapies. The meeting will focus on patient evaluation, imaging modalities, and therapeutic options.
An artificial intelligence model trained on histological images of surgical specimens accurately classified patients with and without Crohn disease recurrence. The model revealed previously unrecognized differences in adipose cells and mast cell infiltration, enabling stratification by prognosis for postoperative Crohn disease patients.
A recent study in JAMA Otolaryngology–Head & Neck Surgery reveals that thyroid cancer patients in the US experience substantial financial burdens. The researchers propose a novel framework to help guide future research and inform cancer care providers on cost considerations.
A research team has developed a genetic score to predict the likelihood of needing knee or hip replacement surgery for osteoarthritis. The score was validated in a study involving 12,093 individuals and found that those with high risk scores had a higher odds of needing replacement surgeries.
Researchers analyzed changes in gender-affirming surgery across US regions between 2008-2017, finding that policy shifts and insurance coverage significantly influenced surgical rates. The study suggests a positive correlation between increased insurance coverage and higher rates of gender-affirming surgery.
A Canadian study found that Inuit patients in Nunavut experienced a 25% higher risk of serious complications after surgery compared to non-Inuit patients. The research also showed that Inuit patients had different baseline health characteristics, including lower age and chronic disease prevalence.
Most swallowing difficulties (dysphagia) resolve within two months after spine surgery, but perception may persist for longer. Patients with chronic increased neck tissue thickness do not show impairments on x-ray testing despite dysphagia symptoms.
Two new studies found that surgical interns and LGBTQ physicians-in-training experience higher rates of depression than their peers. Surgical interns who identified as female or had a history of adverse childhood experiences were also at increased risk. The studies add to the growing body of knowledge about mental health concerns in me...
A new study reveals that cardiac surgery causes distinct patterns of cortisol secretion, which may reflect individual physiological differences and inflammatory responses. Researchers identified three dynamic phenotypes: single-pulse, two-pulse and multiple-pulse dynamics, suggesting improved diagnostics and personalized interventions ...
A recent study by MUSC shows that quality improvement efforts have decreased complications for all patients and narrowed the gap in surgical outcomes between black and white patients. The research, led by Dr. Thomas Curran, analyzed data from over 30,000 patients who underwent surgery between 2015 and 2020.
Researchers found a weak correlation between provider and patient satisfaction with anesthesia during ocular surgery, suggesting that providers are poor predictors of patient comfort. The study recommends further research to understand patient satisfaction with anesthesia.
The study found an increase in mass shootings and proportion of women and children shot, highlighting worsening structural inequalities. The researchers emphasize the need for investment in public education, employment, and social services to address gun violence.
The UCF-developed real-time blood monitor uses an optical fiber to assess blood status and can be inserted directly into heart-lung machines or catheters without withdrawing blood from patients. This device has been shown to save doctors critical time during life-or-death operations, particularly in surgeries on infants.
A new technique developed at the University of Birmingham uses electroencephalography (EEG) to measure brain activity in patients before surgery, predicting their likelihood of severe pain after recovery. This allows clinicians to plan additional preventative pain medication and potentially reduce chronic symptoms.
A study found that opioid prescriptions for children undergoing common outpatient surgeries declined by up to 50% between 2014 and 2019. The trend was most pronounced in adolescents, with a decline from 78.2% to 48% of prescriptions filled within 7 days of surgery.
Researchers at Boston University have developed optoacoustic neurostimulation with single neuron and subcellular level precision. Optoacoustic neuromodulation may offer advantages over ultrasonic neuromodulation, including higher spatial temporal resolution.
Researchers found that stimulating a specific area of the auditory cortex improved speech perception in an epilepsy patient, allowing them to decipher spoken sentences with clarity. The study used invasive brain stimulation to enhance speech detection over background noise.
The GlobalSurgBox has been shown to significantly improve residents' ability to practice essential surgical skills, overcoming barriers such as lack of convenient access and time. The tool's adaptability and user-friendliness have made it a useful resource for medical students and residents around the world.
A survey of UK doctors found that they tend to overestimate the progress made towards gender equality in medicine, leading to greater reluctance to support initiatives promoting equal representation. Women's representation is well-established in general practice but underrepresented in medical and surgical specialties.
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 new study by Weill Cornell Medicine and colleagues found that most COVID patients regain consciousness after removal of respiratory support, but may take weeks to recover. The study also showed that patients who experienced low blood oxygen levels during treatment took longer to recover consciousness.