Perioperative Leadership

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September 2025
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Comfort, targeted nursing speed recovery in colorectal surgery patients

Editor's Note Pairing comfort nursing with targeted surgical care improves recovery, reduces pain, and enhances satisfaction for colorectal cancer patients undergoing laparoscopic surgery, according to an American Journal of Managed Care August 18 article covering a study published in Annali Italiani di Chirurgia. As detailed in the article, the researchers…

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By: Tarsilla Moura
August 21, 2025
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Study: Preoperative behavioral health evaluations improve orthopedic recovery

Editor's Note Meeting with a health behavior psychologist before orthopedic surgery can help patients identify and overcome barriers to recovery, leading to better surgical outcomes, according to a University of Missouri School of Medicine July 31 news article covering a study published in the Journal of Knee Surgery. The study…

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By: Tarsilla Moura
August 21, 2025
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Standardized pathways cut costs, hospital days in pediatric surgery without raising complication rates

Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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By: Tarsilla Moura
August 20, 2025
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Artificial disc replacement proves safe, efficient, cost-saving in outpatient spine surgery

Editor's Note Artificial disc replacement (ADR) in the cervical spine can be performed safely, efficiently, and cost-effectively in outpatient/ambulatory surgery centers (ASCs), Ortho Spine News July 31 reports. The article details research from Steven J. Girdler, MD, of DISC Surgery Center, who reviewed 6 years of data from 1,043 patients…

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By: Tarsilla Moura
August 20, 2025
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Hospital-affiliated doctors drive highest costs by avoiding lower-cost sites

Editor's Note Patients treated by hospital-affiliated physicians are far less likely to receive specialty procedures in lower-cost settings, while private-equity–affiliated doctors are the most likely to steer patients toward these options, Ambulatory Surgery Center News August 12 reports. The findings come from a Mount Sinai study that examined physician affiliation,…

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By: Tarsilla Moura
August 20, 2025
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Imposter syndrome widespread among surgical trainees, disproportionately affects women

Editor's Note Nearly three-quarters of orthopedic surgery residents experience significant or intense imposter syndrome, with female trainees facing markedly higher risk, according to a study published April 7 in the Journal of Bone and Joint Surgery Open Access. As detailed in the study, researchers surveyed 100 residents across seven US…

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By: Tarsilla Moura
August 19, 2025
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Global nursing workforce grows but inequities jeopardize health progress

Editor's Note The global nursing workforce has expanded to 29.8 million, up from 27.9 million in 2018, but stark disparities in nurse distribution threaten progress toward universal health coverage and global health security, according to a May 12 World Health Organization (WHO) news release announcing the State of the World’s…

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By: Tarsilla Moura
August 19, 2025
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Mind the gap: Why Medicare pays ASCs less than HOPDs—and what that means

For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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By: Tarsilla Moura
August 19, 2025
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ASCs face growing pressure to centralize implant management as specialty volumes surge

Ambulatory surgery centers (ASCs) are taking on more high-acuity, same-day procedures than ever before. This growth is driven by evolving clinical protocols, cost-conscious reimbursement strategies, and expanded capabilities in outpatient care. Specialties like orthopedics, spine, ophthalmology, and cardiovascular care are moving more complex cases—and the implants that come with them—out…

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By: Tracey Berkowitz
August 19, 2025
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Leveraging technology to streamline ASC operations, optimize patient care

As we celebrate National ASC Month, it is worth recognizing how central ambulatory surgery centers (ASCs) have become to modern healthcare. Today, there are more than 12,000 ASCs across the US, including over 6,500 Medicare-certified facilities operating some 18,800 surgical suites. With over 80% of all surgical procedures being performed…

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By: Emily Spooner
August 19, 2025
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