Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…

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Editor's Note Patients who engage in prehabilitation—exercise, diet changes, and social support—before surgery significantly reduce their risk of complications, shorten hospital stays, and improve recovery, according to a new evidence review in The BMJ. As reported January 24 by HealthDay, the analysis of 186 clinical trials involving more than 15,500…

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Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

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Editor's Note A new machine learning model using photoplethysmogram (PPG) data more accurately assesses pain during and after surgery compared to existing commercial methods, according to research published January 24 in Nature’s npj Digital Medicine. Analyzing data from 242 patients, researchers developed an XGBoost-based model to assess intraoperative and postoperative…

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Editor's Note The first study to directly compare kidney-related adverse outcomes between perioperative use of gabapentin and pregabalin shows that the former drug carries a higher risk, Renal and Urology News reported January 21. Published in Frontiers in Medicine, the study involved a trial emulation of 1,280 propensity-matched surgical patients…

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Editor’s Note At the Society of Thoracic Surgeons (STS) annual meeting, experts urged cardiac surgeons to become more engaged in tricuspid valve treatment before transcatheter options gain too much traction according to a January 26 report in MedPage Today. With new transcatheter devices gaining FDA approval and the Centers for…

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Editor's Note Sleep surgery outperforms continuous positive airway pressure (CPAP) therapy in reducing of motor vehicle accidents (MVA) risk among patients with obstructive sleep apnea (OSA), particularly those with poor CPAP adherence or severe disease, according to research published January 21 by the American Academy of Otolaryngology-Head and Neck Surgery.…

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Editor’s Note Towana Looney, a 53-year-old Alabama woman, has become the longest-living recipient of a pig organ transplant, thriving 61 days after receiving a gene-edited pig kidney. The Associated Press (AP) reported the news January 25. As detailed in the article, her recovery offers critical insights into the development of…

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Editor's Note Optimizing surgeon stress could enhance surgical performance and patient outcomes, according to a large cohort study published January 15 in JAMA Surgery. Researchers focused particularly on physiological markers of surgeon stress during the first 5 minutes of a procedure, revealing a significant inverse relationship with major patient complications.…

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