Tag: Patient outcomes

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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Gait retraining eases knee osteoarthritis pain as effectively as medication, can delay knee surgery

Editor's Note A simple adjustment to walking style can relieve osteoarthritis pain as well as medication and may delay the need for knee surgery, according to a year-long clinical trial published in The Lancet Rheumatology and covered by The Independent on August 18. As detailed in the article, University of…

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By: Tarsilla Moura
September 3, 2025
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CMS plan to phase out inpatient only list sparks debate over safety for vulnerable patients

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is moving to eliminate its Inpatient Only (IPO) List over the next 3 years, a decision that could permanently shift more surgical procedures from hospitals to outpatient settings. According to an August 24 article from Fierce Healthcare, the policy promises…

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By: Tarsilla Moura
September 2, 2025
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Hospitals can curb costly post-acute discharges with targeted periop programs, study finds

Editor's Note One in 10 older adults and one-third of the highest risk patients are discharged to post-acute care facilities after major surgery, driving up costs and worsening outcomes. According to the American College of Surgeons (ACS) in an August 25 release on a Journal of the American College of…

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By: Tarsilla Moura
August 27, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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2026 ICD-10 updates bring hundreds of new codes, new complexity

Editor's Note Healthcare providers, payers, and analytics teams face sweeping ICD-10 changes this fall, with the 2026 code updates taking effect October 1, 2025, Wolters Kluwer July 14 reports. The release includes 614 new codes, 12 invalidations, 642 billability changes, 88 terminology revisions, and the creation of an entirely new…

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By: Tarsilla Moura
August 21, 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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Breast cancer surgery delays tied to higher upstaging, faster tumor growth

Editor's Note Each month of delay between breast cancer diagnosis and surgery raises the likelihood of tumor upstaging, nodal spread, and in vivo tumor growth, according to a national database analysis published in Annals of Surgical Oncology on July 23. The researchers reviewed records from more than 1 million patients…

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By: Tarsilla Moura
August 18, 2025
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Report: Sicker surgical patients fared better post-pandemic

Editor's Note Hospitals achieved a substantial reduction in mortality risk for surgical inpatients between 2019 and 2024, even as patients grew sicker and stayed longer, according to a report released August 5 by the American Hospital Association (AHA) and Vizient. In the first quarter of 2024, hospitalized surgical patients were…

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By: Matt Danford
August 6, 2025
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Study: Medicare Advantage surgical episodes cost less, achieve similar quality as traditional Medicare

Editor's Note Medicare Advantage (MA) patients undergoing elective surgery incurred lower costs than comparable patients in traditional Medicare (TM) without higher readmission rates and with no significant difference in mortality rates, according to a study published August 1 in JAMA Health Forum. The findings suggest that MA plans reduce surgical…

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By: Matt Danford
August 6, 2025
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