Tag: JAMA

Minimally invasive ICH surgery evacuates clot fast but fails to improve 6-month outcomes

Editor's Note Minimally invasive surgery (MIS) with the Artemis Neuro Evacuation Device reduced hematoma volume efficiently and lowered serious adverse events but did not improve long-term disability or mortality compared with medical management in spontaneous supratentorial intracerebral hemorrhage (ICH), JAMA Neurology September 2 reports. The “MIND randomized clinical trial” enrolled…

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By: Tarsilla Moura
September 4, 2025
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Rural hospitals face crisis under OBBBA as experts call for cohesive reform

JAMA (healthcare publication) Network logo

Editor's Note The One Big Beautiful Bill Act (OBBBA) is set to reshape rural healthcare in ways that could destabilize already fragile systems. According to a September 3 JAMA Network article, the law is set to reduce federal Medicaid spending by more than $900 billion over 10 years, cuts that…

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By: Tarsilla Moura
September 4, 2025
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Medicare Advantage patients see lower perioperative costs than traditional Medicare peers

Editor's Note Surgical episodes for Medicare Advantage (MA) patients cost less and used fewer resources than those for traditional Medicare (TM) beneficiaries, according to a JAMA Health Forum study published August 1. Researchers analyzed 1.18 million procedures performed on 1.11 million beneficiaries and found 30-day episode costs were 3.1% lower…

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By: Tarsilla Moura
August 25, 2025
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Standardized pathways cut costs, hospital days in pediatric surgery without raising complication rates

Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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By: Tarsilla Moura
August 20, 2025
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Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery

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Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…

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By: Tarsilla Moura
August 14, 2025
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Study: Postoperative delirium triples risk of complications, death in older patients

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Editor's Note Postoperative delirium significantly worsens outcomes for older adults undergoing major noncardiac surgery, according to research published July 8 in JAMA Network Open. Specifically, findings showed patients who developed postoperative delirium had 3.5 times the odds of death or major complications, 2.8 times the odds of 30-day mortality, and…

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By: Matt Danford
July 29, 2025
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Study: Private equity pushes colonoscopy costs higher without improving care quality

Editor's Note Private equity ownership drives up colonoscopy prices without delivering better patient outcomes, according to a large retrospective analysis. While independent and private equity-acquired gastroenterology practices show no significant difference in quality, prices at private equity practices rose sharply, especially in highly consolidated markets. The study, published in JAMA…

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By: Tarsilla Moura
July 23, 2025
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ASCs deliver lower costs but face uphill payment, regulatory challenges

Editor's Note Ambulatory surgery centers (ASCs) continue to offer significant cost savings over hospital outpatient departments (HOPDs), but payment inequities, regulatory constraints, and growing competitive pressures are straining operations and growth prospects. Recent data show wide cost differentials between settings, Becker’s ASC Review June 20 reports. A Blue Health Intelligence…

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By: Tarsilla Moura
June 25, 2025
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Study: Surgical patients face higher odds of food insecurity

Editor's Note New research shows surgical patients in the US face a significantly greater risk of food insecurity than nonsurgical patients, even after adjusting for demographic and socioeconomic differences. Findings also point to potential underutilization of the Supplemental Nutritional Assistance Program (SNAP) benefits among surgical patients, study authors write.  …

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By: Matt Danford
June 20, 2025
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Study: LGBTQ+ inclusive policies linked to lower nurse burnout, higher care quality

JAMA (healthcare publication) Network logo

Editor's Note Hospitals that embrace LGBTQ+ inclusive policies see better nurse retention, improved care quality, and stronger institutional endorsement, according to a large cross-sectional study published on March 25 in JAMA Network. The study examined data from 7,343 nurses across 111 hospitals in New York and Illinois, focusing on the…

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By: Tarsilla Moura
June 11, 2025
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