Surgery/Specialties
Office-based surgery offers new outpatient opportunities
Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…
Study: Surgical hospital closures hit vulnerable communities hardest
Editor's Note Hospitals that provide surgical care are closing faster than new ones are opening, deepening inequities in access to surgery for socioeconomically disadvantaged communities, American College of Surgeons October 3 reports. Closures not only disrupt care, but also deter many from seeking surgery altogether. Increased travel burdens and difficulty…
Children’s Health Dallas takes top national spot in pediatric ortho surgery as US News names 2025–26 ‘Best Children’s Hospitals’
Editor's Note Children’s Health in Dallas leads the nation in pediatric orthopedic surgery, after the US News & World Report 2025–2026 Best Children’s Hospitals rankings showcased familiar national leaders across a range of pediatric specialties, D Magazine and Fierce Healthcare October 7 report. The latest results highlight continued excellence in…
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…
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