Surgical/Anesthesia

Latest Issue of OR Manager
February 2019
Home Surgical/Anesthesia

Advise and collect: Helping patients pay for surgery

Long gone are the days when employer-based health insurance covered most, if not all, of patients’ healthcare bills. Insurance companies and employers expect individuals to pay a larger chunk of healthcare costs themselves. The 2018 benchmark Kaiser Family Foundation (KFF) Employer Health Benefits Survey found that “a quarter (26%) of…

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By: Janet M. Boivin, BSN, BSJ, RN
November 14, 2018
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Endoscopic vs open vein-graft harvesting for CABG

Editor's Note In patients having coronary artery bypass grafting (CABG) surgery, no significant difference was found in the risk of major adverse cardiac events between open and endoscopic vein-graft harvesting procedures, this study finds. In this analysis of 1,150 patients at 16 Veterans Affairs centers over a median follow-up of…

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By: Judy Mathias
November 13, 2018
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Joint Commission announces new requirement for THKR certification

Editor's Note The Joint Commission on November 7 announced a new requirement of participation in a national joint replacement registry for its advanced Total Hip and Total Knee Replacement (THKR) certification, effective July 1, 2019. The Disease Specific Care Performance Measurement (DSPM) standard DSPM.4, element of performance (EP) 2 will…

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By: Judy Mathias
November 8, 2018
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Opioid prescribing linked to postop opioid consumption

Editor's Note Excessive opioid prescribing was associated with higher postoperative opioid consumption in this study. In this analysis of 2,392 surgical patients, the quantity of opioids prescribed was significantly higher than opioid consumption, with patients reporting using only 27% of the opioids prescribed to them. Prescription size had the strongest…

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By: Judy Mathias
November 7, 2018
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Hospital volume of SAVR linked to better patient outcomes for TAVR

Editor's Note Hospitals with high volumes of surgical aortic valve replacements (SAVRs) are more likely to be fast adopters of transcatheter aortic valve replacement procedures (TAVRs), and accumulating SAVR and TAVR caseloads is associated with better survival after TAVR, this study finds. Using Medicare data on 60,538 TAVR procedures performed…

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By: Judy Mathias
November 5, 2018
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FDA: Class I recall of Cardiosave Hybrid and Rescue IABPs

Editor's Note The Food & Drug Administration on November 2 identified the recall by Maquet Datascope Corp/Getinge Group’s Cardiosave Hybrid and Cardiosave Rescue Intra-aortic Balloon Pumps (IABPs) as Class I, the most serious. The recall was initiated because of the potential for the autofill process to malfunction or fail during…

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By: Judy Mathias
November 5, 2018
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Becoming more sensitive to knee pain increases risk of persistent pain

Editor's Note Becoming more sensitive to pain (ie, pain sensitization) is an important risk factor for developing persistent knee pain in osteoarthritis, this study finds. Researchers followed 852 patients over 2 years who had or were at risk of knee osteoarthritis but were free of persistent pain at the beginning…

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By: Judy Mathias
November 1, 2018
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Minimally invasive surgery for early-stage cervical cancer linked to worse survival

Editor's Note In this study, minimally invasive radical hysterectomy was associated with worse overall survival and higher recurrence rates than open abdominal radical hysterectomy for women with early-stage IA or IB cervical cancer. Of 631 patients analyzed: Minimally invasive surgery was associated with a three-fold increase in disease progression. The…

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By: Judy Mathias
November 1, 2018
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ACS NSQIP recognizes 83 hospitals for “Meritorious” surgical outcomes

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 31 recognized 83 hospitals for achieving “Meritorious” outcomes for surgical patient care in 2017; 568 hospitals were eligible. ACS NSQIP-participating hospitals are required to track outcomes of inpatient and outpatient surgical outcomes and analyze…

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By: Judy Mathias
November 1, 2018
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Effect of prehabilitation program on abdominal surgery patients

Editor's Note Colectomy patients participating in a preoperative prehabilitation program had positive physiologic effects and experienced fewer complications, this study finds. The prehabilitation program−Michigan Surgical and Health Optimization Program (MSHOP)−engages patients in four activities before surgery: Physical activity, pulmonary rehabilitation, nutritional optimization, and stress reduction. For the study, patients were…

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By: Judy Mathias
October 30, 2018
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