Articles tagged with Surgery
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A new bariatric surgery protocol has been implemented to reduce postoperative hospital stays and readmissions. The Enhanced Recovery After Surgery (ERAS) protocol, which includes early ambulation and liquid administration, as well as targeted pain management, has been shown to reduce hospital stays by half and readmissions by 38%.
A machine-learning model was developed to predict surgical-case duration, with accuracy improved from 30% to 40-50% in some cases. The study used data from over 45,000 surgeries performed by 92 surgeons, finding that the greatest variability in estimates came from individual surgeon approaches.
A systematic review and meta-analysis found that around 6% of patients are affected by preventable harm, which accounts for significant financial costs and can lead to permanent disability or death. The study highlights the need for strategies targeting preventable patient harm to improve medical care and reduce healthcare costs.
A study used implicit and explicit bias measures to evaluate how healthcare professionals associate men and women with career and family. The research found that surgeons were more likely to perceive men as better suited for surgery and women for family medicine, leading to potential biases in patient care.
A new study by Michigan Medicine researchers found that hospital readmission rates for hip and knee replacement patients have slowed to nearly half their previous rate despite expanded penalties. The study suggests that the program may have hit its 'floor' and raises questions about the power of expanding it.
A QUT study found that sharing medical 'selfies' improves confidence and satisfaction among patients, while also enhancing the relationship between doctors and patients. Parents who took photos of their children's surgical wounds after laparoscopic appendectomy reported feeling reassured and valued by the service.
An observational study found that patients whose surgeons were more often reported for unprofessional behavior experienced a greater risk of postoperative complications. The analysis included data from over 13,000 patients and suggested a potential link between surgeon behavior and patient outcomes.
A study by Vanderbilt University Medical Center found that patients of surgeons with reported unprofessional behavior are more likely to experience complications during or after operations. Surgeons with higher numbers of reports were associated with increased rates of wound infections and other adverse outcomes.
Researchers at Radboud University Medical Center found that septoplasty significantly improves patients' quality of life by increasing nasal airflow and reducing symptoms. After two years, the positive effects persisted, indicating a long-term benefit from the procedure.
A unique case of a chest cavity fire during emergency heart surgery was presented at the Euroanaesthesia Congress. The incident occurred when supplemental oxygen leaked from a ruptured lung, causing a spark from an electrocautery device to ignite a dry surgical pack.
The proceedings from the inaugural Medical Summit on Firearm Injury Prevention identify a consensus-based approach to reduce injury, disability, and death from firearm violence. The article outlines a public health framework for addressing the crisis, including research, education, and targeted injury prevention initiatives.
The article focuses on supporting an aging workforce while ensuring patient safety during end-of-career transitions. It emphasizes the need to balance continuity of care with workforce sustainability.
The PARTNER 3 Low-Risk TAVR Trial found that TAVR significantly reduces the incidence of adverse events and re-hospitalizations compared to SAVR in low-risk surgical patients. After one year, these benefits were maintained, with improved ICU and hospital stay lengths.
Patients who undergo vascular surgery for major blood vessel injuries due to firearm wounds have the highest injury severity scores, leading to increased risk of death and complications. The study highlights the need for improved trauma care and long-term treatment strategies for gun violence survivors.
Researchers at Boston Children's Hospital demonstrate a robot that can autonomously navigate inside the body to reach a leaky heart valve. The robotic catheter uses AI and image processing to build a mental map of the cardiac anatomy, allowing it to find its way without surgeon guidance.
Researchers have discovered a unique subset of cells in the developing urethra that send important signals defining how the urethra is formed. This discovery aims to standardize the characterization of hypospadias and improve treatment outcomes for affected children.
A new research study by RCSI found that 15.8% of male medical students never felt intimidated during surgical placements, compared to 6.9% of female students. The study suggests that a lack of role models in surgery is a major deterrent for women in pursuing a career in surgery.
A study published in the British Journal of Surgery found that hospital deaths after surgery dropped by a third in Scotland following the introduction of surgical safety checklists. The decrease was observed only in patients undergoing operations, not those treated for medical conditions.
The Penn-developed tool uses big data to identify risk factors for incisional hernias, including history of abdominal surgery, smoking, and recent infection. The app combines this data to generate a real-time risk score, potentially helping surgeons make informed decisions about patient care.
A new study published in Infection Control & Hospital Epidemiology found that mothers delivering via cesarean section covered by Medicaid had a 1.4 fold increase in surgical site infection compared to those covered by private insurance. The risk of infection may be linked to factors such as patient health literacy, provider variability...
A standardized clinical pathway has reduced delirium and hospital readmission rates among frail elderly trauma patients. The pathway implements geriatric-focused care, including early ambulation, bowel and pain regimens, and nutrition, to improve outcomes.
Researchers developed a simple nondimensional parameter called 'aneurysm number' to classify the flow mode in both sidewall and bifurcation aneurysms. The parameter can substitute flow factors, potentially reducing the need for cumbersome measurements and simulations.
The International Registry of Acute Aortic Dissection (IRAD) has gathered data from 9,000 patients, revealing nearly 90% of type A dissections now receive surgical repair. In-hospital mortality is down to 16.3%, and five-year survival remains around 85%. IRAD also shows improved outcomes for type B dissections with endovascular therapy.
Motor vehicle collisions involving moose are 13 times more likely to result in human fatalities compared to deer crashes, a study found. The study analyzed data from northern New England and noted that moose-motor vehicle crashes often involve head, neck, and face injuries due to the animal's massive size and weight.
The study found a substantial increase of 230% in colon cancer screenings among Medicaid patients post-ACA expansion. Additionally, data showed a 9.3% rise in early-stage colon cancer diagnosis and a 27% decrease in risk of death.
The study found that Medicaid patients experienced a tripling of CRC screening, with a notable increase in those from Appalachian regions. Following the expansion, CRC patients on Medicaid demonstrated improved survival rates, particularly after the first year.
A new study found that frail patients of all ages are more likely to die than non-frail patients. Frailty is associated with poorer patient outcomes, including significantly longer hospital stays and higher readmission rates.
A new study published in BJS shows that community health officers with surgical training can provide safe alternatives to medical doctors for C-sections, improving maternal mortality rates in Sierra Leone. The study found no significant difference in outcomes between graduates of a two-year training program and medical doctors.
A study found that pregnant women who underwent gallbladder removal during pregnancy had longer hospital stays, increased readmissions, and higher rates of preterm delivery compared to those who delayed the operation until after childbirth. The researchers recommend waiting as long as possible for pregnant women with symptomatic gallst...
A recent study published in Diabetologia found that three-quarters of individuals with type 2 diabetes who underwent Roux-en-Y gastric bypass surgery experienced diabetes remission within one year. The research also identified predictors for success, including lower glycated haemoglobin levels and male patients, as well as a reduced ri...
A new study explores the treatment of aortic stenosis in older patients, revealing that frailty is a strong predictor of functional decline after surgery. The research highlights the need for patient-centered decision-making to balance quality of life with longevity.
A recent study published in the Journal of the American College of Surgeons found that minority patients with blood type B can receive kidneys from donors with blood type A2 without compromising their health. The study showed comparable patient and graft survival rates for both groups, but higher costs for type B recipients who receive...
A new noninvasive technique has been developed to simulate repairs to the heart's mitral valve with high levels of accuracy. This will enable surgeons to provide patient-specific treatments, potentially reducing recurrence rates after surgery.
A Baylor University study highlights the need for expanding access to surgery for children with conditions that can be corrected through surgery. The research found that nearly 250,000 children in Somaliland are unable to access necessary treatment due to lack of access to healthcare and financial constraints.
A genetically modified virus injection into tumor has effectively treated almost 40 percent of patients with metastatic melanoma. The treatment, talimogene laherparepvec (TVEC), stimulates the immune system to attack cancer cells, leading to a complete local response rate of 39 percent in stage IIIB disease.
Researchers analyzed national data and found that African-American transplant recipients lived 4.75 years longer on average if their livers were donated by someone of the same race. The study suggests a possible way to improve survival rates for this patient population, which typically faces poorer outcomes with liver cancer.
A new analysis in BJS reveals that women requiring breast-conserving surgery re-operation pay £4,511 more in hospital costs than those with clear margins. This finding emphasizes the importance of reducing re-operation rates to achieve significant cost savings.
A new study reveals that short-term stress in surgeons can lead to a 66% increase in mistakes during operations, which can cause bleeding, torn tissue, or burns. The research, published in the British Journal of Surgery, could lead to protocols aiming to reduce acute stress on surgeons.
Researchers found that malnutrition in children with Crohn's disease significantly increases the risk of surgical complications and poor outcomes. Children with moderate or severe malnutrition have a higher rate of complications, reoperations, and longer hospital stays compared to non-malnourished patients.
A national study suggests that kidneys from deceased donors with acute kidney injury have the same success rates as non-injured kidneys, and may be a valuable resource for patients in need of transplantation. The study found no significant differences in organ rejection rates or recipient outcomes between AKI and non-AKI kidneys.
A new medical software system, SmartTarget, enhances prostate cancer detection by overlaying MRI scans onto ultrasound images, guiding surgeons during biopsies. The technology has shown that combining both techniques can detect clinically relevant cancers missed with current methods.
The article argues that men should take intentional action to combat implicit and explicit biases that have kept women from advancing in the field. Women are often underrepresented in leadership positions due to societal perceptions and biases.
A study by Stanford University researchers found that surgery remains the best treatment option for appendicitis, despite being more expensive upfront. Patients treated with antibiotics alone had higher rates of hospital readmissions and abdominal abscesses, highlighting the risks of this alternative approach.
A new study mapped the incidence of motor vehicle collisions resulting in children's deaths across the US, revealing wide variations in mortality rates between states and counties. The researchers identified proximity to trauma centers and emergency response times as key factors influencing child mortality.
The study found that communities with lower rates of social interactions, higher income inequality, and a shortage of mental health professionals are more likely to experience mass shootings. These communities also tend to have higher housing costs and lower levels of leisure-time physical activity.
A recent study found that knowing a colleague's specialized degree and skills enhances work partnerships in virtual teams. In contrast, personal information, such as hobbies or interests, has little impact on productivity. Managers can build strong relationships with team members by fostering professional familiarity.
Advanced liver disease patients who accept liver transplants from older donors (over 70 years old) have a reduced risk of death, regardless of their Model for End-stage Liver Disease score. The study found nearly a twofold decrease in mortality beyond 90 days with acceptance of an older donor.
The revised guidelines have led to a significant increase in hemithyroidectomy procedures, with benefits including lower complication rates, reduced hospital stays, and lower costs. The procedure is now considered an equal option to total thyroidectomy for many patients, offering improved outcomes and more personalized care.
Research finds that states with poor access to a comprehensive trauma center have more deaths occurring before injured patients arrive at a hospital. Improving access to care and reducing prehospital deaths can lead to lower overall trauma-related mortality.
A BMJ investigation reveals how vaginal mesh implant manufacturers aggressively marketed their products, with regulators approving them on flimsy evidence. The study also exposes financial ties between clinicians and industry, compromising the integrity of clinical practice.
A new technology called EFIRM has been developed to detect two cancer-linked mutations in blood or saliva samples from patients with early-stage lung cancer. The platform shows promise in identifying stages 1 and 2 NSCLC when surgical resection is still possible, offering a potential cure.
A comprehensive review of surgical mesh treatments reveals unacceptably high failure rates, with mesh erosion occurring in over 10% of cases for pelvic organ prolapse products and around 2-3% for urinary incontinence products. Patients are often left with lifelong pain and discomfort due to the damage caused by the mesh.
A study by Durham University found that industry-certified particle masks are most effective at protecting people from volcanic ash, while surgical masks offer less protection. The study also showed that cloth materials like bandanas and T-shirts provide very poor filtration.
A UHN study found that CIHI's model significantly underestimates mortality in patients undergoing high-risk heart surgery. The study compared outcomes with the Society of Thoracic Surgeons' clinical data model, which accounted for seven medical conditions that predict worse outcomes.
A new position paper from the Association of Academic Surgeons and others advocates for supporting global surgeons in academic health centers. The authors argue that global surgeons can bring strategic value to AHCs with their research experience, education, and health equity work.
A new study finds that biased cultures and policies can lead to dissatisfaction among childbearing surgical residents. The researchers identified three main risk factors: change in training plans due to balancing parenting with professional pursuits, perceived stigma around pregnancy, and lack of maternity leave policies.
A survey of UK doctors found that they mostly lean left-wing but high earners tend to lean right. Most believe Brexit will negatively impact the NHS, with an average score of 2 out of 10.
A new study published in Annals of Surgery found that bariatric surgery wait times in the US have increased significantly over the past decade, with eligible patients often facing longer waits. The delay is largely attributed to insurers requiring patients to lose weight before surgery, which can deter some individuals from pursuing th...
The Strong for Surgery program improved glycemic control among diabetic patients, with 97.31% achieving proper blood sugar levels after six months. The program also increased smoking cessation rates, with 10.5% of tobacco users quitting before operations. An enhanced recovery approach reduced hospital length of stay and costs.
A modified ERAS approach lowered mortality rates by over 50% and reduced hospital stays by nearly two days in hip fracture patients. The program also decreased morbidity rates and pneumonia cases, while improving patient mobilization and discharge rates.