Surgery/Specialties
Study finds Medicare paid nearly $2 billion for unnecessary back surgeries
Editor's Note More than 200,000 older Americans underwent back surgeries they likely did need, costing Medicare and Medicare Advantage a combined $1.9 billion, Axios October 9 reports. The findings, based on an analysis by the Lown Institute, raise new concerns about overuse of high-cost procedures with limited benefit, as federal…
Tray-based setups cut OR waste, setup time while boosting workflow satisfaction
Editor's Note Introducing preassembled surgical trays sharply reduces OR waste and setup time while improving staff workflow satisfaction, Surgeries October 8 reports. The prospective study, conducted in a high-volume German urology center, compared tray-based setups with the “standard approach” for preparation across 64 procedures and found measurable ecological and operational…
Spine surgeon shortage deepens as consolidation, site shifts reshape ASC markets
Editor's Note Hiring for spinal procedures are tightening and consolidation is accelerating, reshaping where and how ambulatory surgery centers (ASCs) secure talent, Becker’s Spine Review October 3 reports. A mounting orthopedic shortage exceeding 5,000 by year-end is making spine one of the hardest specialties to recruit, with timelines stretching and…
Study: Outpatient surgery costs hinge on site of care, network status
Editor's Note Patients and insurers pay far less for outpatient surgical procedures performed at in-network ambulatory surgery centers (ASCs) than at hospital outpatient departments (HOPDs), the American Journal of Managed Care October 6 reports. This study, led by Xiaoxi Zhao, PhD, Christopher Whaley, PhD, and colleagues, analyzed commercial claims data…
Guideline refines surgical decision-making for patients with cirrhosis
Editor's Note Elective surgical procedures such as cholecystectomy and hernia repair can be performed safely in carefully selected patients with cirrhosis, but high-risk individuals still need alternatives, according to an updated American College of Gastroenterology guideline, Medscape October 3 reports. The guideline emphasizes individualized risk stratification that integrates liver disease…
Surgeons rethink aggressive care as xylazine wounds mimic necrotizing fasciitis but rarely require urgent radical excision
Editor's Note Surgeons across multiple disciplines are confronting a distinct wound pattern tied to xylazine-contaminated opioids and adapting management to avoid unnecessary amputations, the American College of Surgeons October 1 reports. These wounds can resemble necrotizing soft tissue infection at first glance, yet the clinical picture and trajectory differ, calling…
ACS launches hospital search tool to spotlight surgical quality
Editor's Note The American College of Surgeons (ACS) has launched a new online tool that helps patients and families locate hospitals recognized for delivering high-quality surgical care, according to an August 26 ACS announcement. The “Find a Hospital” tool highlights facilities that have earned ACS accreditation or verification through an…
Higher MAP targets in acute spinal cord injury show no neurologic benefit, more complications
Editor's Note Early blood pressure augmentation did not improve neurologic outcomes and was linked to more complications, according to a JAMA Network study published on September 18. In this multicenter randomized clinical trial at 13 US trauma centers, 92 adults with acute cervical or thoracic spinal cord injury were assigned…
Sports medicine procedures cost far less in ASCs than HOPDs
Editor's Note Sports medicine surgical procedures for Medicare patients cost significantly less in ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), according to a study published by the Orthopaedic Journal of Sports Medicine on August 29. Researchers analyzed Medicare Procedure Price Lookup data for 62 commonly billed outpatient…
Bariatric surgery outpaces GLP-1s in weight loss, cost savings
Editor's Note Bariatric surgery delivers greater weight loss and lower long-term costs than GLP-1 medications, Ambulatory Surgery Center News September 18 reports. A new JAMA Surgery study of more than 30,000 patients found that surgical patients lost nearly three times as much weight as those on medication while generating meaningful…
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