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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Editor's Note A recent article in AORN Journal underscores the need for vigilance and thorough documentation to manage postoperative mental status changes and prevent harm to both patients and staff. As detailed in the article, cognitive disturbances such as delirium and agitation can complicate recovery after surgery. Delirium is characterized…

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Editor's Note Glucagon-like peptide-1 (GLP-1) receptor agonists may offer orthopedic patients with obesity and type 2 diabetes a powerful tool for preoperative weight loss and potential disease modification, according to a July 10 review article in The Journal of Bone and Joint Surgery. However, the agents carry perioperative risks that…

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Editor's Note Providing tailored feedback to surgical prescribers significantly increased adherence to opioid prescribing guidelines without affecting patients’ ability to manage postoperative pain, according to research published June 11 in JAMA Surgery.  The study tested whether monthly reports that included peer prescribing comparisons and patient-reported outcomes could influence opioid prescribing…

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Editor's Note Neuromodulation is shifting from the margins to the forefront of neurological treatment, offering real-world potential to transform care for conditions like epilepsy, Parkinson’s disease, and substance use disorder. As reported by Medical Device Network on May 19, the field is seeing accelerated innovation and investment, with global market…

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Editor's Note Simple hysterectomy provides similar long-term survival outcomes to modified radical or radical hysterectomy for patients with low-risk, early-stage cervical cancer, according to a large cohort study published May 15 in JAMA Network Open. Consistent with prior research, the findings add to the growing body of evidence supporting conservative…

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Editor's Note New research shows postoperative prostate cancer radiation delivered via stereotactic body radiotherapy (SBRT)—which includes just five high-dose sessions—appears as safe and tolerable as weeks-long conventional treatment. Medical Xpress reported on the findings May 15. Led by by UCLA’s Jonsson Comprehensive Cancer Center and published in JAMA Oncology, the…

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Editor's Note Patients taking SGLT2 inhibitors face a higher risk of postoperative euglycemic ketoacidosis (eKA) but experience fewer acute kidney injuries and deaths after surgery, according to an April 30 article in Medical Xpress. The article focuses on new research published in JAMA Surgery. Led by researchers at the University…

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Editor's Note The first study to evaluate percutaneous coronary interventions (PCI) in Medicare beneficiaries treated at ambulatory surgery centers (ASCs) found similar short-term safety outcomes as hospital outpatient departments (HOPDs). As detailed in an announcement from The Society for Cardiovascular Angiography & Interventions (SCAI), the research was presented on May…

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Takeaways • US surgeons have no mandated retirement age. According to the Aging Surgeon Program, “a patient death or serious negative event are currently the only things that prompt action to prevent a surgeon from practicing.” • Research on aging-related decline is clear, but nuanced, showing rates and scope vary…

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