Editor's Note This study found that opioid prescribing can be decreased by more than 50% and not adversely affect patients’ satisfaction scores with their surgeons. Of 996 patients surveyed on their satisfaction with their surgeons before (period A) and after (period B) an educational intervention that resulted in decreased opioid…

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Editor's Note The Joint Commission on October 16 announced that it was seeking comments on proposed standards for the Advanced Total Hip and Total Knee Replacement Certification program for hospitals, critical access hospitals, and ambulatory surgery centers. The new standards were developed to further promote patient safety and quality of…

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Editor's Note In this study, heart failure with or without symptoms was associated with an increased risk of postoperative mortality at 90-days and complications at 30-days in ambulatory surgery patients. In this analysis of 355,121 patients having noncardiac ambulatory surgical procedures, 90-day mortality was 2% in patients with heart failure…

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Editor's Note The University of California San Diego School of Medicine announced October 14 that it has expanded its Center for the Future of Surgery, one of few facilities in the world that teaches surgery in high-tech simulated ORs. This fall, the 22,000 sq-ft center added a new hybrid OR…

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Editor's Note In this French study, the risk of postoperative pulmonary embolism was elevated beyond 6 weeks regardless of the type of procedure. This analysis of 60,703 patients who had one of six types of surgery (ie, vascular, GYN, GI, hip or knee replacement, fractures, and other orthopedic procedures) found…

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Editor's Note The Food & Drug Administration (FDA) on October 8 announced the recall by Medtronic of all models of its 6 French Sherpa NX Active Guide Catheters. Medtronic is recalling the catheters because of the risk of the outer material separating from the device, resulting in detached fragments that…

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Editor's Note Using machine learning on electronic health record (EHR) postoperative data linked to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) outcomes data, researchers developed a model with 163 predictors of postoperative complications at the University of Colorado Hospital. Of 6,840 patients analyzed with the…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 9 announced proposed changes to how it enforces the Physician Self-Referral Law (ie, Stark Law), which penalizes physicians and other healthcare providers for referring patients to outside services they could stand to benefit from financially. The proposed rule…

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Editor's Note This survey of Harvard Medical School students’ perceptions of barriers to a career in surgery found high rates of verbal discouragement and concerns about family aspirations. Of 729 medical students surveyed, 261 completed the questionnaire (58.6% women, 41% men, 0.4% transgender). Results showed: no significant gender difference in…

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Editor's Note In this study of patients with left main coronary disease, there was no significant difference in outcomes at 5 years between treatment with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Researchers randomly assigned 1,905 patients with left main coronary artery disease of low or intermediate…

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