Editor's Note Amid a lack of focus and lack of resources on perioperative mental health, alleviating patient anxiety and preventing poor surgical outcomes requires creative solutions. This is the central argument of a May 12 commentary in The Conversation by Renée El-Gabalawy, a clinical psychologist and associate professor at the…

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Editor's Note A machine learning (ML) model that integrates clinical data with natural language processing significantly improved detection and management of hospital delirium in older adults. Results were published May 7 in JAMA Network Open. Conducted at Mount Sinai Hospital, the quality improvement study evaluated the association of an ML-based…

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Editor's Note Surgical staff support for OR temperature management is not always paired with the knowledge required to properly prevent perioperative hypothermia, according to an April 30 study in Nature: Scientific Reports. This multicenter, cross-sectional study surveyed 213 operating room professionals—surgeons, anesthesiologists, and nurses—across eight hospitals in northern China. The…

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Editor's Note Female surgeons achieve better long-term outcomes for surgical patients—especially for female patients—according to a large national study published April 23 in JAMA Surgery. Using US Medicare data from over 2.2 million older adults, researchers found that patients of female surgeons had lower mortality rates and, for women, fewer…

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Editor's Note A March 4 study in JAMA Network Open underscores the persistence of the “weekend effect,” a surgical care phenomenon in which the risk of postoperative complications, readmissions and mortality rises immediately before the weekend. The research suggests variations in staffing, resource availability, and care coordination may contribute to…

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Editor's Note Cataract surgery raises the risk of worsening diabetic retinopathy in adults with type 2 diabetes, according to a February 24 article in MedPage Today. The article focused on a a retrospective analysis published in the journal Ophthalmology. The study involved a large dataset from the TriNetX research network,…

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Editor's Note Prolonged exposure to general anesthesia during surgery contributes to long-term cognitive decline, affecting executive functioning, selective attention, mental speed, and information processing, according to a February 18 study published in the European Journal of Anaesthesiology. This prospective longitudinal cohort study followed 1,823 adults aged 25–84 in the Netherlands…

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Editor’s Note Preoperative use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) does not increase the risk of postoperative diabetic ketoacidosis (DKA) in patients undergoing emergency surgery, according to a study published February 19 in JAMA Surgery. These findings challenge the current FDA recommendation to withhold SGLT2i medications for at least three…

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Editor’s Note Large language models (LLMs) outperformed traditional methods in predicting postoperative complications, according to a study on artificial intelligence (AI) in perioperative risk assessment published February 11 in the journal Nature. Results indicate AI-driven models could enhance patient safety and streamline clinical workflows by detecting complications earlier. Researchers analyzed…

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Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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