Study: Video-based assessment shows promise for assessing non-technical surgical skills
Editor's Note Automated surgical video analysis could enhance evaluation of an OR team’s nontechnical skills, according to a study published July 31 in JAMA Network Open. Conducted between January 2021 and May 2022, the cross-sectional study involved 30 cardiovascular surgical teams at a teaching hospital in Boston, Massachusetts. Using OpenPose,…
Povidone iodine noninferior to chlorhexidine gluconate for preoperative skin antisepsis
Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…
Study highlights CMS hospital star rating limitations
Editor's Note CMS hospital star ratings may not be a reliable tool for assessing surgical quality, according to a study published June 18 in JAMA Surgery. Researchers acknowledge that higher ratings are generally associated with improved postoperative outcomes, including fewer complications and lower 30-day mortality rates. However, as reported by…
Dialysis patients feasible for kidney donation, transplant outcome study suggests
Editor's Note A retrospective cohort study found transplanting kidneys from donors who underwent dialysis resulted in no long-term differences in graft failure, kidney function, or death, but recipients had significantly higher risk for delayed graft function (DGF). According to a May 23 MedPage Today report on the study, originally published…
Study reveals common symptoms, diagnosis delays in early-onset colorectal cancer
Editor's Note A comprehensive systematic review and meta-analysis, published by JAMA Network on May 24 and encompassing 81 studies and over 24.9 million patients, shed light on the signs and symptoms associated with early-onset colorectal cancer (EOCRC) and highlighted significant delays in diagnosis. The analysis identified the most common presenting…
Majority of American adults have CKM syndrome, at risk for heart disease
Editor's Note Nine out of 10 American adults have Cardiovascular, kidney, and metabolic syndrome (CKM)—interrelated factors that progress to heart disease—and almost 10% already have heart disease, according to a report published in JAMA by Brigham and Women’s Hospital and Harvard Medical School in Boston. HealthDay news reported on the…
Study: Knee arthritis surgery neither delays nor hastens total replacement
Editor's Note Arthroscopic surgery for arthritis patients does not impact long-term incidence of total knee arthroplasty (TKA), according to a study published April 18 in Jama Network Open. The secondary analysis of a randomized clinical trial focused on 178 adults diagnosed with osteoarthritis (OA) of the knee and referred for…
Premature mortality rates higher for lesbian, bisexual female nurses
Editor's Note Sexual orientation has a significant impact on all-cause mortality rates among female nurses, according to a study published April 25 in Jama. The prospective cohort study focused on 90,833 women initially recruited in 1989 for Nurses’ Health Study II whose sexual orientation had been identified in 1995. Of…
Data cast doubt on recommendation to delay weight-loss meds prior to surgery
Editor's Note A recent analysis of insurance claims data suggests weight-loss medications like Ozempic (semaglutide), Trulicity (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists do not increase risks associated with undergoing anesthesia. As reported April 22 in MedPage Today, these finding that contradicts a June 2023 recommendation from the American Society of…
Nurses who left profession cite poor working conditions as primary driver
Editor's Note Poor working conditions are driving many nurses to leave the profession, according to a new study from University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research (CHOPR). The findings were published in JAMA Network Open on April 9. While previous studies have looked at…
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