Editor's Note A team of Cleveland Clinic surgeons on February 24 performed the nation’s first uterus transplant. The 9-hour procedure was performed on a 26-year old patient who had uterine factor infertility. The transplanted uterus came from a deceased organ donor. Further information will be released this week in a…
Editor's Note Though cancer rates have remained the same, the rate of women having mastectomies increased 36% between 2005 and 2013, according to new data released February 22 by the Agency for Healthcare Research and Quality (AHRQ). The analysis also showed the rate of double mastectomies more than tripling, and…
Editor's Note Carotid artery stenting and surgery are equally effective at lowering the long-term risk of stroke, myocardial infarction, or death, finds this study led by researchers from the Mayo Clinic, Jacksonville, Florida. The risk of stroke after either stenting or surgery was about 7%, and the development of restenosis…
Editor's Note Johns Hopkins Hospital, Baltimore, is the first and only center in the US to be approved by the United Network for Organ Sharing to perform HIV-positive to HIV-positive organ transplants. The hospital will be the first in the nation to do an HIV-positive to HIV-positive kidney transplant and…
Editor's Note The flexibility for surgical residents to work longer shifts than currently allowed or take less time off between shifts to provide continuity of care was not associated with a greater risk of postoperative patient complications or death, a new study finds. There was also no significant difference in…
Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better surgical value (ie, lower mortality with similar costs), especially for higher-risk patients, researchers from the University of Pennsylvania, Philadelphia, found. The study compared outcomes and patient costs at 35 focal hospitals recognized nationally as…
Editor's Note Analyzing data from the National Cancer Data Base, researchers found that rectal cancer patients who had surgery at precisely 8 weeks (56 days) after the end of combined chemoradiotherapy had the best overall survival and successful removal of their residual tumors. This 6-year study of nearly 12,000 patients…
Editor's Note Cardiac complications are the leading cause of death within 30 days after noncardiac surgery. This article reviews what is known about perioperative cardiac complications (ie, from induction of anesthesia to within 30 days after surgery), preoperative methods of predicting complications, perioperative cardiac interventions, and postoperative monitoring. The researchers…
Editor's Note The Joint Commission and AABB (formerly known as the American Association of Blood Banks) have announced a partnership to provide a joint hospital certification program for patient blood management. The voluntary certification will be available in 2016 and is based on the AABB Standards for a Patient Blood…
Editor's Note A condition known as “post hospital syndrome” (PHS) is a significant risk factor for readmissions in patients who undergo elective ambulatory surgery, this study finds. Post hospital syndrome (PHS) is defined as having been hospitalized within 90 days before surgery. During hospitalization, patients are often sleep deprived and…