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Post-surgical pain may be age related

A study of over 200 patients with hernia found that post-surgical pain was inversely related to age, with younger patients experiencing less pain. Laparoscopic repair was also associated with lower first-day pain scores and faster return to normal activities compared to open surgery.

SourceJAMA Network·JournalArchives of Surgery·DateJun 14, 2004

Are NICE guidelines too passive?

A study found that NICE guidelines on surgical procedures had no significant impact on the adoption of recommended practices. In contrast, an increase in non-cement prostheses for hip replacements was reported after the guidelines were issued. The researchers suggest using more active dissemination methods to promote effective uptake.

SourceThe Lancet_DELETED·JournalThe Lancet·DateMay 6, 2004

Death rates for certain complex surgeries lower at teaching hospitals

A study found that teaching hospitals have lower operative mortality rates for pancreatic, hepatic, and esophageal resections. Higher volume at teaching hospitals is a contributing factor to these differences in outcomes. The findings suggest that hospital structure and process variables play a role in variation in surgical outcomes.

SourceJAMA Network·JournalArchives of Surgery·DateFeb 9, 2004

Is bigger better?

A large Canadian study found no significant difference in postoperative mortality between high- and low-volume hospitals for complex surgical procedures. The authors suggest that volume-based regionalization may have good reasons, but the main benefit of reduced mortality rates may be overstated.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·DateMay 26, 2003

Lung surgery benefits emphysema patients for several years

A study published in the Journal of Thoracic and Cardiovascular Surgery found that lung volume reduction surgery (LVRS) improves breathing capacity by over 50% in select emphysema patients. After five years, patients showed significant improvements in lung function and quality-of-life scores, with an estimated 60% survival rate.

SourceWashU Medicine·JournalJournal of Thoracic and Cardiovascular Surgery·DateMar 25, 2003

Study finds common knee surgery no better than placebo

A recent study found that patients undergoing arthroscopic lavage or debridement for osteoarthritis of the knee did not experience greater pain relief or improved function compared to those receiving placebo surgery. The researchers suggest that the same therapeutic benefits may be achieved through non-invasive treatment methods.

SourceBaylor College of Medicine·JournalNew England Journal of Medicine·DateJul 10, 2002

Gatekeepers may not be essential to keep HMO costs down

A new study found that eliminating gatekeepers in health maintenance organizations (HMOs) does not necessarily increase costs. In contrast to traditional HMOs, point-of-service plans with open physician panels showed comparable spending on medical care expenditures, including physician services, hospital services, and prescription drugs.

SourceCenter for Advancing Health·JournalHealth Services Research·DateDec 3, 2001

Teamwork characterizes surgical teams that are faster learners of new procedures, suggests O.R. study

A recent study suggests that surgical teams with better teamwork learn new procedures significantly faster than those without. The research found that hospitals with more cumulative experience and better team communication had faster learning curves, while those with less experienced teams took longer to master new procedures.

'Translocation' surgery yields unprecedented results

A new operation developed at Johns Hopkins improves vision for nearly half of the first 100 patients treated with early-stage macular degeneration. Six months after surgery, 48% of patients could read an additional two lines on a standard eye chart or had vision of 20/100 or better, enough to legally drive in Maryland.

SourceJohns Hopkins Medicine·JournalAmerican Journal of Ophthalmology·DateDec 4, 2000

UF surgeons modify bladder removal technique

University of Florida surgeons have improved a bladder removal technique, reducing complications and improving patient outcomes for those with severe bladder problems. The new method minimizes blood loss and is well-tolerated by patients, making it an ideal approach for those too ill to undergo standard surgery.

SourceUniversity of Florida·JournalThe Journal of Urology·DateNov 9, 2000

Surgery by most experienced surgeons not always the best

A new Cornell University study found that surgeons performing carotid endarterectomies who got their licenses 20 or more years ago had the highest mortality rate among their patients. The study also found a relation between the mortality of endarterectomy patients and the number of times surgeons performed the procedure.

SourceCornell University·JournalNeurology·DateOct 29, 2000