Surgery

Latest Issue of OR Manager
May 2024

Study: Surgeon communication with patients on innovative procedures

Editor's Note This study from the UK finds that patients are not given sufficient information about innovative surgical procedures and their potential risks and uncertainties. Researchers collected data on seven cases, using preoperative interviews with surgeons, audio-recorded consultations during which innovative procedures were discussed between surgeons and patients, and postoperative…

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By: Judy Mathias
August 15, 2023
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Association of mobilization with postop complications

Editor's Note This study led by researchers at the Cleveland Clinic examines the association between postoperative mobilization after major elective surgery and a composite of primary postoperative outcomes (ie, myocardial injury, ileus, stroke, venous thromboembolism, pulmonary complications, and all-cause in-hospital mortality) and secondary outcomes (ie, hospital length of stay, cumulative…

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By: Judy Mathias
August 11, 2023
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FDA: Class I recall of Cardiosave Hybrid, Rescue IABPs

Editor's Note The Food and Drug Administration (FDA), on August 10, identified the recall by Datascope/Maquet/Getinge of its Cardiosave Hybrid and Rescue Intra-aortic Balloon Pumps (IABPs) as Class I, the most serious. The recall was initiated because the pumps may shut down unexpectedly due to electrical failures in the Power…

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By: Judy Mathias
August 11, 2023
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Association of intraop opioid administration with postop pain, opioid use

Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, examines the association between intraoperative opioid administration and postoperative pain and opioid use. A total of 61, 249 surgical patients were included in the analysis. The researchers found that increased intraoperative: fentanyl and…

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By: Judy Mathias
August 10, 2023
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Effect of unmet social health needs on surgical outcomes

Editor's Note This study, led by researchers at the University of Michigan, Ann Arbor, examines opportunities to improve inequitable postoperative outcomes by evaluating unmet social health needs by race, ethnicity, and insurance type. Outcomes included poor health status (self-reported), socioeconomic status (income, education, employment), and unmet social health needs (food,…

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By: Judy Mathias
August 8, 2023
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AAOS releases new tools, resources to simplify patient-reported outcome measures

Editor's Note The American Academy of Orthopaedic Surgeons (AAOS), on August 1, released new interactive tools and resources to help collect patient data in advance of mandatory reporting periods. Orthopedic care teams are urged to take note because patient-reported outcome measures (eg, pain, physical mobility, emotional well-being, and experience of…

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By: Judy Mathias
August 8, 2023
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Cost-utility of ASC vs inpatient anterior cervical discectomy, fusion

Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up.  A total of 6,504 patients having 1-to 2-level ACDF…

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By: Judy Mathias
August 3, 2023
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Association of hospital market competition with high-risk surgical procedure outcomes

Editor's Note This study from the University of Michigan, Ann Arbor, examines the association between hospital market competition and outcomes after high-risk surgical procedures. A total of 2,248,438 Medicare beneficiaries who had 1 of 10 high-risk surgical procedures between 2015 and 2018 were included in the analysis. Compared with low-competition…

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By: Judy Mathias
August 2, 2023
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Clinical outcomes, costs of robotic vs open ventral hernia repair

Editor's Note This study led by researchers at Good Samaritan Medical Center, Brockton, Massachusetts, and Tufts University School of Medicine, Boston, examines the clinical outcomes and costs of robotic and open ventral hernia repairs. A total of 675 open and 609 robotic ventral hernia repairs were included in the analysis.…

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By: Judy Mathias
August 1, 2023
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Costs of frailty after major, elective noncardiac surgery

Editor's Note This Canadian study finds a 1.5-fold increase in costs in the year after major, elective noncardiac surgery for patients with preoperative frailty. A total of 171,576 patients (23,219 with preoperative frailty) were included in the analysis. Unadjusted costs were higher for frail patients. After adjusting for confounders, an…

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By: Judy Mathias
July 31, 2023
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