Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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Editor's Note New research supports fertility preservation with cone biopsy as a viable, less radical option for to surgery in patients with early, low-risk cervical cancer, according to a report published March 18 in MedPage Today. Presented at the Society of Gynecologic Oncology annual meeting, the findings from the Gynecologic…

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Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…

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Editor's Note The healthcare spending burden of Medicare households was double that of non-Medicare households in 2022, according to an analysis published by KFF (Kaiser Family Foundation) on March 14.  Using data from the Consumer Expenditure Survey, KFF found that average health-related expenses made up 13.6% of Medicare households’ total…

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Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…

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Editor's Note: A recent study shows the color of a clinicians’ scrubs is a factor in how patients view clinicians and, by extension, the clinician-patient relationship as well as clinical outcomes. The findings were published January 11 in Jama Surgery. Although previous research has established connections between physician’s attire and…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule reforming the prior authorization process, with the aim to reduce delays in patient care and boost electronic efficiency for physicians, the American Medical Association (AMA) News Wire reported January 23. The Department of Health and…

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Editor's Note In this original investigation published by JAMA Network on October 31, researchers have found that using virtual reality (VR) technology to give patients familiarity with the surgical setting and surgical tools prior to a procedure can help to reduce their anxiety. The study included 74 patients, ages 18…

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