Surgery/Specialties

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October 2017
Home Surgical/Anesthesia > Surgery/Specialties

Effectiveness of drug-free interventions to reduce pain, opioids after total knee

Editor's Note In this meta-analysis of the effectiveness of nonpharmacological interventions for pain after total knee arthroplasty, electrotherapy and acupuncture were associated with reduced and delayed opioid consumption, but there was low or very low certainty that they improved pain. Continuous passive motion and preoperative exercise did not improve pain…

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By: Judy Mathias
August 24, 2017
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Study: Concurrent surgeries not linked to adverse outcomes

Editor's Note In this study using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), concurrent surgical procedures were not found to increase the risk for adverse outcomes. The analysis included 1,430 surgeons from 390 hospitals who performed 12,010 concurrent surgical procedures from 2014 to…

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By: Judy Mathias
August 23, 2017
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Orthopedic PSH a prime model for value-based care—Part 2

Organizations that have adopted the perioperative surgical home (PSH) model of patient care have reaped the benefits of improved outcomes and a healthier bottom line. In particular, the PSH has a proven track record for colorectal surgery and orthopedic surgery. In part 1 of this two-part series (OR Manager, August…

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By: Cynthia Saver, MS, RN
August 22, 2017
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Five-year outcomes of on-pump vs off-pump CABG

Editor's Note In this multicenter study, on-pump coronary artery bypass grafting (CABG) led to significantly higher rates of 5-year survival and event-free survival than off-pump CABG. From 2002 to 2007, a total of 2,203 patients at 18 medical centers were randomly assigned to undergo either on-pump (1,099 patients) or off-…

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By: Judy Mathias
August 17, 2017
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CMS proposes canceling two bundled payment models, scaling back a third

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 15 announced a proposed rule that would cancel two bundled-payment models and reduce the number of providers required to participate in a third. The proposed rule would cancel the Episode Payment Models and the Cardiac Rehabilitation incentive payment…

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By: Judy Mathias
August 16, 2017
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Survey: Half of practices spend $40K per physician to comply with federal regs

Editor's Note A new Medical Group Management Association survey of 750 physician group practices finds that nearly half spend more than $40,000 per physician each year to comply with federal regulations, the August 10 FierceHealthcare reports. Respondents say the most burdensome regulation is Medicare’s new Merit-Based Incentive Payment System (MIPS)…

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By: Judy Mathias
August 16, 2017
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Report predicts big growth for hybrid OR market

Editor's Note A research report by Marketsandmarkets predicts the global hybrid OR market will reach nearly $1.2 billion by 2022, at a 12.5% annualized growth rate, according to the August 14 HealthCareBusiness daily news. The specialty with the highest growth rate will be thoracic surgery. The biggest driver of hybrid…

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By: Judy Mathias
August 16, 2017
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Cognitive assessment helps predict survival in frail surgical patients

Editor's Note Adding cognitive assessment to frailty assessment predicted poor postoperative outcomes and survival in frail patients better than either measurement alone, this study finds. The study included 330 patients having major surgery who were assessed with a four-level composite frailty scoring system, which was created by combining the Fried…

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By: Judy Mathias
August 10, 2017
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Hospitals partnering with ASCs to perform outpatient total joints

Editor's Note With the growth of ambulatory surgeries and the shift to Medicare reimbursement for outpatient hip and knee replacements, hospitals are acquiring and forming joint ventures with ambulatory surgery centers (ASCs), the August 5 Modern Healthcare reports. This allows hospitals to keep part of the revenue and better aligns…

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By: Judy Mathias
August 10, 2017
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Obese cardiac surgery patients use more ICU resources

Editor's Note After cardiac surgery, obese patients required significantly more ICU resources and longer recovery times, resulting in more expensive, labor-intensive care, this study finds. Of 5,365 patients included in the analysis, 1,948 were classified as obese. Patients with greater obesity were: four times more likely to have longer time…

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By: Judy Mathias
August 10, 2017
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