Articles tagged with Surgery
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Researchers found that patients who experienced delirium were more than twice as likely to show significant long-term cognitive decline. The study suggests that delirium may cause cognitive decline and is associated with increased mortality, hospital costs, and care duration.
A recent study found that female faculty members scored slightly better than their male peers on teaching evaluations performed by surgeons-in-training. The results were unexpected, as previous studies had shown a negative bias against female faculty in academic medicine.
A new study by Beth Israel Deaconess Medical Center found that surgical delays of 30-40 days are associated with shorter survival times in patients with colon cancer. For pancreatic and gastric cancers, the results indicate that longer surgical delays may increase cancer progression and worsen patient outcomes.
A large-scale analysis of mitral valve-in-valve (ViV) and valve-in-ring (ViR) found significant residual mitral stenosis and regurgitation in patients, leading to repeat valve replacements. The four-year Kaplan-Meier survival rate was 62.5% for ViV vs. 49.5% for ViR.
Researchers at MIT developed a double-sided adhesive that can quickly and firmly stick to wet surfaces like biological tissues. The new design allows for detachability without tissue damage by applying a liquid solution, making it easier for surgeons to close internal wounds.
The American College of Physicians (ACP) has issued new Practice Points on the effectiveness of masks for preventing COVID-19 disease. The guidelines emphasize the importance of N95 respirators in healthcare settings and recommend surgical masks for non-medical individuals to reduce transmission risk. ACP also emphasizes the need for c...
The region's successful response was attributed to six key factors: early communication and coordination, regional coordination and situational awareness, rapid testing development, proactive management of long-term care facilities, effective physical distancing in the community, and partnership with local organizations. This coordinat...
The study found that sterilization with hydrogen peroxide and chlorine dioxide significantly reduces the filtration efficiency of N95, KN95, and surgical face masks. The researchers recommend re-sterilizing these masks after each use to maintain their effectiveness in preventing respiratory infections.
A new study finds that elastomeric masks can reduce the need for N95 masks by nearly 95% in healthcare settings. The reusable masks are found to be as effective as N95 masks in providing protection from airborne infectious substances.
From 2008-2018, diversity among U.S. surgical residency and fellowship applicants by sex and race/ethnicity has shown a significant increase, according to the JAMA Network study. The research indicates that improvements in access and representation in these programs have contributed to this trend.
A randomized clinical trial found that pro-male gender bias negatively affects women's surgical skills and career development in general surgery training programs. The study contributes to understanding the factors contributing to women's underrepresentation in surgery.
The Melody transcatheter pulmonary valve (TPV) has demonstrated favorable outcomes for long-term function, safety, and efficacy in congenital patients. At 10-year follow-up, the study found high freedom rates from all-cause mortality, surgical reintervention, and catheter intervention.
Researchers found critically ill COVID-19 patients with severe blood clotting who were at high risk of developing complications like renal failure, venous blood clots, and stroke. The study linked blood clotting measurements with patient outcomes, suggesting early testing may help identify and treat dangerous complications.
The Society for Cardiovascular Angiography and Interventions (SCAI) has issued a position statement on the performance of percutaneous coronary intervention (PCI) in ambulatory surgical centers (ASCs). The guidelines recommend diagnostic procedures, procedural standards, and operator standards for ASCs, emphasizing patient suitability ...
Biomedical engineers at Duke University developed a massive fluid dynamics simulator to model blood flow through the full human arterial system, providing guidance for treatment plans. A new graphical user interface called Harvis allows clinicians to easily explore options without expertise in computer science.
A new toolkit has been developed to help medical organizations rapidly adopt telemedicine as an alternative option. The guide uses a common electronic medical record system and widely available video portals to overcome social distancing edicts, allowing for successful adoption in three days.
A study of nearly 7,000 resident surgeons found widespread racial/ethnic discrimination in US general surgery programs, linked to increased burnout and suicidal thoughts. The investigation aims to shed light on the prevalence and impact of these issues, highlighting the need for greater inclusivity and support.
A rural health care system has developed a preparedness response plan that expands use of telehealth and streamlines systemwide staff communication. The plan includes a rapid expansion of telehealth, prioritizing nonessential staff work-from-home, conserving PPE, and postponing elective procedures.
A remote military surgical team transformed into a pandemic response team to provide care in an isolated population, adapting innovative solutions. Their recommendations emphasize the importance of evaluating everyone's skillsets and experience, including non-medical labor to provide medical interventions.
New Medicare rules lowered procedural volume requirements for hospitals offering TAVR, increasing access for people with aortic stenosis and low surgical risk. However, concerns exist about whether the increased access will be in areas where it is truly needed, particularly in rural regions.
Researchers found that both surgical and cotton masks failed to filter SARS-CoV-2 from coughs of patients with COVID-19. The study suggests that the use of face masks may not be effective in preventing the spread of the virus.
A University of Maryland and Hong Kong University study suggests that wearing surgical masks in public may reduce the spread of diseases including influenza, rhinoviruses, and coronaviruses. The study found that masks significantly reduced airborne viruses from infected patients in laboratory experiments.
A critical care surgery team has developed a tiered approach to triage surgical cases and manage hospital resources during the COVID-19 pandemic. The plan includes reassigning surgeons, deferring non-emergency operations, and considering 'battlefield promotion' for senior residents.
A BU MED student, Thomas Cheng, received a $3,000 award and two-year Journal of Vascular Surgery subscription for studying patient presentation and outcomes for dialysis in immigrant and refugee populations. The goal is to identify areas for improvement in this vulnerable population.
A new global guideline aims to reduce post-surgical deaths by improving practice in surgery, particularly in low- and middle-income countries. The guideline recommends nine essential steps to prevent Surgical Site Infections (SSIs), which can significantly improve patient outcomes.
A new pain management program implemented in a Texas healthcare system reduced longer-term opioid prescriptions by two-thirds, from over five days to fewer than five days. The program used physician education, monitoring, and incentives to shift prescribing patterns.
Researchers estimated significant water conservation and financial savings by switching from running water to an alcohol-based scrub for pre-surgery hand washing. The study suggests this change could lead to substantial reductions in water usage and associated costs.
A study published in Infection Control & Hospital Epidemiology found that poor cleaning prior to sterilization using vaporized hydrogen peroxide can lead to failure rates of up to 76 percent. Effective cleaning and removal of visible soil and microbial contaminants are crucial for optimal sterilization.
A new study finds that common malnutrition definitions do not apply equally to all cancers, highlighting the need for cancer-type specific definitions for preoperative risk assessment. The study's findings suggest that using one-size-fits-all definitions could result in overestimating or underestimating a patient's risk of complication...
A new study from the University of Gothenburg shows that bariatric surgery is as effective for individuals who developed obesity early in life as it is for those who developed it later. The study found no difference in weight loss or obesity-related complications between the two groups.
Researchers at Tokyo Institute of Technology designed a new master controller that combines two gripping types to reduce finger fatigue and improve precision in robotic surgery. The combined grip method yielded better performance in experiments, with fewer failures and faster movements.
A study using large health insurer claims data found that approximately 1 in 5 patients received surprise out-of-network bills after having in-network elective surgery. The average potential balance was $2,011, with anesthesiologists and surgical assistants being the most common providers involved.
A study from Ann & Robert H. Lurie Children's Hospital of Chicago defines the safest laparoscopic technique for removing ovaries in girls, resulting in better quality ovarian tissue for future transplantation. This technique minimizes damage and maximizes fertility preservation, increasing pregnancy rates after transplantation.
The technique reduces waiting time for compatibility testing, improving transplant surgery scheduling and alleviating patient stress. Virtual crossmatching resulted in a 2.4-hour decrease in cold ischemia time and a 26% decline in delayed graft function.
The survey found that UK doctors working in emergency medicine and general practice are most at risk of exhaustion, stress, and compassion fatigue. Doctors scored lower than average for resilience, with 31.5% experiencing high levels of burnout.
A long-term study found that bariatric surgery does not improve general mental health in adolescents despite substantial weight loss. Mental health problems persisted, and those who underwent surgery had more hospital-based care for mental health issues.
A prehabilitation program that encourages patients to move more, eat healthier, cut back on tobacco, breathe deeper, reduce stress, and focus on their goals after surgery has been shown to reduce hospital length of stay and total costs. The study involved hundreds of patients in 21 hospitals across Michigan and found that prehab patien...
Hemodialysis patients who used an online patient portal were more likely to receive a donor kidney transplant and reduce wait times compared to non-users. The study found that active users logged into the portal at least once every two months had shorter wait times for transplantation.
Research highlights occupational reproductive hazards for female surgeons in the operating room, affecting physical health and fertility. The study emphasizes the need to mitigate these risks through improved working conditions and safety measures.
A study published in JAMA found that only 4% of opioid-related overdose deaths are due to suicide, contradicting recent estimates. The research suggests that the primary focus should be on substance use rather than suicide for most individuals who overdose on opioids.
A peer support program for surgeons has been shown to improve well-being, enhance patient safety, and decrease burnout. The program provides a safe space for surgeons to share their experiences and receive emotional support from fellow surgeons who understand their challenges.
A new study found that older adults who participate in preoperative rehabilitation programs have shorter hospital stays and lower total insurance payments. The program, which includes physical exercise, healthy eating, and stress reduction techniques, was associated with improved outcomes for patients, providers, and payers.
Researchers found that a single infusion of ketamine combined with outpatient behavioral therapy helped individuals with alcohol use disorder abstain from drinking for several weeks. The study suggests that ketamine may improve motivation and reduce demoralization after a lapse, leading to better abstinence rates.
A new study found that people with opioid addiction face a high risk of overdose after ending treatment with buprenorphine, even when treated for 18 months. The longer patients continued with treatment, the lower their risk of other adverse outcomes.
A new study has confirmed a direct link between inbreeding and facial deformities in the Habsburg dynasty. The research found that the 'Habsburg jaw', a distinct chin characteristic, was more prevalent among family members with higher degrees of relatedness.
Researchers at the University of Waterloo have developed a battery-free device called Tip-Tap that allows users to navigate computers using only their fingertips. The device uses radio frequency identification tags and can be integrated into gloves or attached directly to the skin as a temporary tattoo.
Researchers at Temple University Health System standardized the definition of neighborhood mass shootings and found 46 incidents in Philadelphia from 2006-2015. The majority of victims were black males under 25, and most events received limited media coverage.
Patients treated for breast cancer at a safety net hospital achieved comparable five-year survival outcomes to national averages, despite having more advanced disease and socioeconomic challenges. A multidisciplinary clinic streamlines diagnosis, treatment, and follow-up, resulting in high-quality clinical outcomes.
A study by Texas Tech University Health Sciences Center found that shortening surgeon shifts from 24 hours to 12 hours resulted in shorter hospital stays and lower overall costs for patients with acute appendicitis. This change also led to faster patient access to the operating room and reduced infection rates.
A study of pediatric major trauma cases found that nearly 3% of U.S. children who survive major trauma experience another sudden injury in the same year, with violence being a significant risk factor. Repeated injuries are more common among children from lower-income families and those with mental health issues.
A new adhesive developed by MIT engineers can tightly bind tissues such as lungs and intestines within five seconds. The double-sided tape can also be used to attach implantable medical devices to tissues, offering a promising alternative to surgical sutures.
A preliminary study found that most elderly patients with stage II and III colon cancer survive short-term surgery, but those with unplanned hospital admissions and open operations face higher mortality rates. Experienced surgeons who perform high-volume procedures also reduce the risk of death.
A pilot study found that medical scribes increased the number of patients seen per day from 10 to 16 and improved resident interactions. Resident involvement in patient visits rose to 45% with scribe assistance.
A machine-learned algorithm correctly triaged the vast majority of postoperative patients to the intensive care unit, achieving an 82% accuracy rate. The algorithm outperformed clinicians' judgment, with a significant reduction in over-triage rates and improved predictive rates.
A new study uses smartphone accelerometer data to measure postoperative physical activity and its impact on recovery. The research team found that patients who experienced complications after surgery had significantly lower daily activity compared to those without complications.
A new study found that women surgical residents are more likely to experience mistreatment, including verbal abuse, sexual harassment, and pregnancy/childcare discrimination, leading to higher burnout rates. The study also revealed that 5.3% of women surgical residents had suicidal thoughts in the last year compared to 3.9% of men.
A Rutgers researcher found that people riding off-road vehicles on city streets suffer similar crash injuries as motorcyclists, with a lower mortality rate due to less frequent helmet use. The study compared 1,556 injured riders from 2005 to 2016 and found similar rates of traumatic brain injuries and levels of consciousness.
Researchers at UT Southwestern Medical Center conducted a large-scale study comparing surgical masks to N95 respirators for flu and respiratory virus protection. The results show that there is no significant difference in effectiveness between the two types of masks, with medical masks being as effective as N95 respirators.
A Michigan-wide effort to reduce opioid prescribing for common surgeries resulted in a nearly 30% decrease in prescription size, without affecting patient pain or satisfaction. The study's success suggests an opportunity for other states to build on Michigan's experience and further reductions in prescription size.
A new study published in The Journal of Clinical Oncology found that FDG-PET/CT imaging achieved true negatives in 94% of patients, suggesting its potential to assist clinicians in deciding on the best therapy for clinically N0 necks. This could lead to prevented patient morbidity and cost savings.