Study: 3D-printed models improve shared decision-making in colorectal surgery
Editor's Note Research shows using 3D-printed anatomical models during preoperative counseling can improve patients’ involvement in shared decision-making (SDM) and reduced anxiety ahead of colorectal surgery, although only the improvement in SDM met the study’s threshold for clinical significance. Published June 3 in JAMA Network Open, the single-center trial included…
Study: Blood test detects colorectal cancer but misses most precancerous polyps
Editor's Note A new blood test shows promise in detecting colorectal cancer—the second leading cause of cancer deaths in the US—but was less effective at identifying precancerous polyps, according to a June 2 announcement from Kaiser Permanente. Not yet approved by the US Food and Drug Administration, the test is…
Study: Robotic-assisted cholecystectomy raises complication risk in acute care despite similar injury rates
Editor's Note Recent research shows robotic-assisted cholecystectomy (RAC) results in similar bile duct injury rates as laparoscopic cholecystectomy (LC), but risks are higher for postoperative complications, longer hospital stays, and more frequent drain use. Published May 21 in JAMA Surgery, the large-scale cohort study analyzed outcomes from over 844,000 acute…
Healthcare leaders project revenue gains from value-based care despite persistent hurdles
Editor's Note Nearly two-thirds of healthcare organizations expect increased revenue from value-based care (VBC) arrangements in 2024, signaling growing confidence in the model despite concerns over financial risk and infrastructure gaps, according to a May 19 report in Healthcare Finance. The findings are based on a nationwide survey of 168…
Study: Machine learning quadruples delirium detection in hospitalized older adults
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…
Study: Longer shifts, understaffing increase nurse sickness absence
Editor's Note Hospital units with more RNs and fewer long shifts experience significantly lower rates of staff sickness absence, while understaffing and long shifts drive nurse illness, according research published April 22 in JAMA Network. The retrospective longitudinal case-control study involved 18,674 RNs and nursing support (NS) staff across 116…
Study: US maternal mortality rises 28% in 5 years, inequities persist
Editor's Note Pregnancy-related deaths in the US rose sharply from 2018 to 2022, with rates 3.8 times higher among American Indian and Alaska Native women and 2.8 times higher among non-Hispanic Black women than among White women, according to a new study published April 9 in JAMA Network Open. Researchers…
Study: Early-stage breast cancer surgery may not be necessary after chemo, radiation
Editor's Note Some patients with early-stage breast cancer who achieve a complete response to pre-surgical chemotherapy and radiation may safely avoid surgery, according to a March 27 announcement from The University of Texas MD Anderson Cancer Center. The report details a Phase II trial, published in JAMA Oncology, finding that…
Study: Implicit bias linked to low-value vascular procedures, worse outcomes for Black patients
Editor's Note Reducing the negative influence of implicit bias requires system-level interventions to ensure procedures align with best practices for all patients, according to results of new research on outcomes for vascular surgery patients. Published February 26 in JAMA Surgery, the study showed that implicit racial bias among vascular specialists…
Study: Weekend effect raises risk of surgical patient mortality, complications
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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