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New model predicts complications after spinal cord compression surgery

Editor's Note A new model consisting of four risk factors can help surgeons predict the risk of complications after surgery for cervical spondylotic myelopathy (CSM), this multi-center study finds. Surgical CSM patients have a higher risk of perioperative complications if they have a greater number of comorbidities, coexisting diabetes mellitus,…

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By: Judy Mathias
June 22, 2016
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Feasibility of preop cognitive stratification of older surgical patients

Editor's Note Preoperative cognitive screening is feasible in most older elective surgical patients, and results show a substantial prevalence of probable cognitive impairment in this population, this study finds. Because preexisting cognitive impairment is emerging as a predictor of poor postoperative outcomes in seniors, researchers examined whether preoperative cognitive screening…

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By: Judy Mathias
June 22, 2016
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Viral contamination of healthcare workers’ mobile phones

Editor's Note A significant association was found between the presence of viral RNA and the mobile phones of healthcare workers in this study from France. Virus RNA was detected on 42 of 109 (38.5%) mobile phones tested: rotavirus was found on 39, respiratory syncytial virus on 3, and metapneumovirus on…

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By: Judy Mathias
June 22, 2016
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Causes of mortality after colon surgery across hospitals

Editor's Note Significant variation exists in mortality across hospitals for colon cancer surgery, this study finds. The analysis included 3,025 patients who had colon surgery at 19 low-mortality (1,006) and 30 high-mortality (2,019) hospitals. Researchers found a wide difference in mortality between high-mortality and low-mortality hospitals (9.3% vs 2.4%). Compared with…

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By: Judy Mathias
June 21, 2016
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New screening recommendations for colorectal cancer

Editor's Note The US Preventive Services Task Force (USPSTF) has updated the 2008 recommendations for colorectal cancer screening. The USPSTF recommends screening for colorectal cancer starting at age 50 and continuing until age 75 (A recommendation). The decision to screen adults 76 to 85 years should be an individual one,…

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By: Judy Mathias
June 21, 2016
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Benefits, burden, and harm of colorectal cancer screening strategies

Editor's Note In this modeling study of previously unscreened 40-years olds undergoing colorectal cancer screening, the following screening strategies from ages 50 to 75 years were estimated to provide similar life years gained and a comparable balance of benefit and screening burden: colonoscopy every 10 years annual fecal immunochemical testing…

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By: Judy Mathias
June 21, 2016
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Effect of surgeons, anesthesiologists on OR time

Editor's Note Compared with type of procedure, differences between surgeons account for a small part of OR time variability, and the effect of differences between anesthesiologists is negligible, this study finds. Differences between surgeons accounted for 2.9% of variability in OR time, and differences between anesthesiologists accounted for 0.1%.  …

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By: Judy Mathias
June 20, 2016
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Use of electronically mediated time out to reduce wrong surgery

Editor's Note Implementation of a forced-completion electronically mediated time out to minimize the rate of wrong surgery is feasible, but its effect on wrong surgery is unclear, finds this study. Researchers created an electronic system using intraoperative electronic documentation to present a time-out checklist on large in-room displays. Time out…

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By: Judy Mathias
June 20, 2016
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Hospital readmission app could save billions

Editor's Note Hospital readmission app could save billions An award-winning app developed by graduate students at Binghamton University, State University of New York, could help reduce readmission rates and save the healthcare industry billions. The Android-based mobile app called “Post Discharge Treatment and Readmission Predictor,” creates a special messaging service…

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By: Judy Mathias
June 20, 2016
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Women’s long work hours linked to chronic, life-threatening diseases

Editor's Note Women who put in long hours of work over many years have an increased risk of chronic, life threatening illnesses, including heart disease, cancer, arthritis, and diabetes, this study finds. Women’s work weeks that averaged 60 hours or more for more than 30 years tripled the risk of…

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By: Judy Mathias
June 17, 2016
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