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Here are what the editors at HealthDay consider to be the most important developments in Surgery for January 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.<\/p>\n
Surgical Wound Monitoring App Tied to High Satisfaction<\/font><\/p>\n WEDNESDAY, Jan. 31, 2018 (HealthDay News) — A smartphone app for monitoring postoperative wound recovery is associated with high satisfaction among patients and providers and may help with detection of wound complications, according to a study published recently in the Journal of the American College of Surgeons<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Mortality Impacted by Treatment Modality, Age in Early Lung CA<\/font><\/p>\n WEDNESDAY, Jan. 31, 2018 (HealthDay News) — For patients with early non-small-cell lung cancer, mortality rates are higher after surgery versus stereotactic body radiotherapy (SBRT), and the difference increases as a function of age, according to a study published online Jan. 18 in the Journal of Clinical Oncology<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Survival Trends for Cancer Generally Increasing Worldwide<\/font><\/p>\n WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Worldwide, survival trends for cancer are generally increasing, although there is considerable global variation in survival rates, according to a study published online Jan. 30 in The Lancet<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Increased Risk of Appendicitis One Week After Colonoscopy<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — The risk of appendicitis is increased in the week following colonoscopy, according to a research letter published in the January issue of JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Intra-Op Decision Support System Improves Process Measures<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — For adults undergoing surgical procedures under general anesthesia, an intraoperative decision support system with real-time visualization can improve process measures, but not clinical outcomes, according to a study published in the February issue of Anesthesiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Full-Length Inferior Turbinate Reduction Best Improves Airflow<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — The effectiveness of partial inferior turbinate reduction (ITR) for the treatment of nasal obstruction may depend on individual patient anatomy, according to a study published online Jan. 25 in JAMA Facial Plastic Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Surgeon Case Experience Impacts Peds Cholecystectomy Morbidity<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — High-volume general surgeons have lower morbidity rates than low-volume pediatric surgeons for laparoscopic cholecystectomy in pediatric patients, independent of pediatric volume, according to a study published online Jan. 17 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Regulators Trying to Reduce Physician Burden Linked to EHR<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Pre-Op Physical Therapy May Cut Pulmonary Complications<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — A 30-minute preoperative physical therapy session focused on breathing exercises is associated with a reduced incidence of postoperative pulmonary complications (PPCs) among patients undergoing upper abdominal surgery, according to a study published online Jan. 24 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Health Care Spending Up, Mainly Due to Rising Prices<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report<\/i>.<\/p>\n More Information<\/a><\/p>\n Odds of Post-Op Mortality Increase As Weekend Approaches<\/font><\/p>\n FRIDAY, Jan. 26, 2018 (HealthDay News) — Following elective surgery, the odds of mortality rise in a graded manner as the day of the week of surgery approaches the weekend, according to research published in the February issue of Medical Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n High Within-Country Economic Inequality in C-Section Rates<\/font><\/p>\n FRIDAY, Jan. 26, 2018 (HealthDay News) — In low- and middle-income countries, there is considerable within-country economic inequality in the rates of cesarean section, according to a study published online Jan. 24 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Care for Key Surgical Issues Up With ACA Medicaid Expansion<\/font><\/p>\n THURSDAY, Jan. 25, 2018 (HealthDay News) — For patients with five common surgical conditions, the Affordable Care Act (ACA)’s Medicaid expansion was associated with increased probability of early presentation and of receiving optimal management, according to a study published online Jan. 24 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Pre-Op PT Education Speeds Functional Milestones Post TJA<\/font><\/p>\n THURSDAY, Jan. 25, 2018 (HealthDay News) — A one-time preoperative physical therapy (PT) education session coupled with a web-based microsite (preopPTed) is associated with improved readiness to discharge from PT, but does not impact length of stay (LOS) for patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA), according to a study published in the January issue of Clinical Orthopaedics and Related Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Next-Generation Sequencing May Be Useful in Joint Infection<\/font><\/p>\n WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Next-generation sequencing may be useful for identifying causative organisms in culture-negative periprosthetic joint infection, according to a study published online Jan. 17 in The Journal of Bone & Joint Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Out-of-Pocket Expenditures Down With ACA Implementation<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Gynecologic Complications Up With Hysteroscopic Sterilization<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Hysteroscopic sterilization is associated with an increased risk of gynecologic complications compared with laparoscopic sterilization, according to a study published in the Jan. 23\/30 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Diabetes Tied to Higher Rates of Serious Infection<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients with diabetes, particularly type 1 diabetes mellitus (T1DM), are at increased risk of serious infection, according to a study published online Jan. 12 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Anticoagulation Guidance Issued for Cardiopulmonary Bypass<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — Clinical practice guidelines for anticoagulation therapy for cardiopulmonary bypass (CPB) have been developed and were published in the February issue of the Annals of Thoracic Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n In-Office Angiolytic Laser Effective for Vocal Polyps<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — In-office angiolytic laser procedures are effective for vocal fold polyps, though with occasional occurrence of minor adverse events, according to a study published online Jan. 18 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Emotions Faced by Living Kidney Donors Can Impact Daily Life<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — Living kidney donors experience a wide range of emotions throughout the donation process that influences the lives of donors on several levels, according to a study published online Jan. 10 in the Journal of Renal Care<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Brochure Can Improve Opioid Disposal Rates After Surgery<\/font><\/p>\n FRIDAY, Jan. 19, 2018 (HealthDay News) — Disseminating an educational brochure improves disposal of unused opioids after surgery, according to a study published online Jan. 10 in the Journal of the American College of Surgeons<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Longer Duration of Post-Op Opioid Use Associated With Misuse<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — Each refill and week of opioid prescription following surgery is associated with an increasing risk of opioid misuse among opioid naive patients, according to a study published online Jan. 17 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Increased Risk of Complications With Bariatric Surgery<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — Bariatric surgery is associated with lower risks of obesity-related comorbidities but a clinically important increased risk for complications compared with medical treatment, according to a study published in the Jan. 16 issue of the Journal of the American Medical Association<\/i>, a theme issue on obesity.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Professionals Disagree About Asking Patients About Sexuality<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Acute Kidney Injury Ups Risk for Post-Discharge Hypoglycemia<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — For hospitalized patients with diabetes, acute kidney injury (AKI) is a risk factor for post-discharge hypoglycemia, according to a study published online Jan. 11 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Adding HIPEC to Cytoreductive Surgery Beneficial in Ovarian CA<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — The addition of hyperthermic intraperitoneal chemotherapy (HIPEC) to interval cytoreductive surgery is associated with improved outcomes in patients with stage III epithelial ovarian cancer, according to a study published in the Jan. 18 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Speech Outcomes Can Be Predicted After Cochlear Implant<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Brain areas unaffected by auditory deprivation can predict speech outcomes after cochlear implant (CI) in children, according to a study published online Jan. 15 in the Proceedings of the National Academy of Sciences of the United States of America<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Lap Sleeve Gastrectomy, RYGB Equally Effective in Weight Loss<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For patients with morbid obesity, there is no statistically significant difference in terms of weight loss at five years after laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association<\/i>, a theme issue on obesity.<\/p>\n Abstract\/Full Text – Peterli (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Salminen (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Deep Brain Stimulation Tied to Improved Symptoms in Tourette<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — For patients with Tourette syndrome, deep brain stimulation (DBS) is associated with symptomatic improvement but also some important adverse events, according to a study published online Jan. 16 in JAMA Neurology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Reduced All-Cause Mortality for Obese Patients After Bariatric Sx<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — Obese patients who undergo bariatric surgery have reduced all-cause mortality; and obese adults with type 2 diabetes who undergo gastric bypass have improved outcomes compared with lifestyle and intensive medical management alone, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association<\/i>, a theme issue on obesity.<\/p>\n Abstract\/Full Text – Reges (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Ikramuddin (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Color-Coded Drug Storage Trays May Cut Medication Errors<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — Color-coded compartmentalized “rainbow trays” used for anesthetic drug preparation and storage may improve patient safety, according to a study published online Jan. 3 in Anaesthesia<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Ceramide-Infused Skin Barrier Cuts Stoma-Related Costs<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Use of a ceramide-infused ostomy skin barrier is associated with reduced stoma-related cost of care, according to a study published in the January\/February issue of the Journal of Wound, Ostomy and Continence Nursing<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Non-Ventilator Hospital-Acquired Pneumonia Risk Affects All Ages<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Non-ventilator hospital-acquired pneumonia (NV-HAP) is a significant burden in U.S. acute care hospitals and poses a risk to nonelderly, non-intensive unit (ICU) patients, according to research published in the January issue of the American Journal of Infection Control<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Tamper-Resistant Oxycodone Misused Less Often in Australia<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — The tamper-resistant formulation of controlled-release oxycodone in Australia reduced tampering among high-risk populations, according to a study published online Jan. 10 in The Lancet Psychiatry<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Serial Intralesional Steroids May Improve Tracheal Stenosis Sx<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — For adults with subglottic and proximal tracheal stenosis (SGS\/PTS), serial in-office intralesional steroid injection (ISI) after endoscopic dilation is associated with a prolonged surgery-free interval (SFI), according to a study published online Jan. 11 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Surgery Practice Patterns Differ by Location of Residency<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Nonuniversity-based residency (NUBR)-trained surgeons and university-based residency (UBR)-trained surgeons have distinct practice patterns, according to a study published online Jan. 10 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n AMA Online Tools Address Systems-Level Physician Burnout<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).<\/p>\n More Information<\/a><\/p>\n Active Surveillance Feasible for Small, Low-Grade Bladder Cancer<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — For patients who present with small, low-grade pTa\/pT1a recurrent papillary bladder tumors, active surveillance appears to be a reasonable strategy, according to a study published in the February issue of The Journal of Urology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Closure of Patent Foramen Ovale Cuts Recurrent Stroke\/TIA Risk<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — Percutaneous and transcatheter patent foramen ovale (PFO) closure prevent recurrent stroke in adults with PFO and cryptogenic stroke, according to two reviews published online Jan. 9 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text – De Rosa (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Shah (subscription or payment may be required)<\/a><\/p>\n Some Patients Would Choose Antibiotics for Appendicitis<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Although most patients would choose surgical intervention for treatment of acute uncomplicated appendicitis, some would opt for antibiotics alone, according to a study published online Jan. 10 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Economic Impact of Physicians Quantified for 2015<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.<\/p>\n More Information<\/a><\/p>\n Predictors of Improved CVD Risk Factors After Bariatric Sx ID’d<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Increased weight loss, female sex, and younger age predict increased probability of resolution of specific cardiovascular disease risk factors (CVD-RFs) in adolescents undergoing metabolic and bariatric surgery (MBS), according to a study published online Jan. 8 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Complete Handover of Anesthesia Care May Up Complications<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Complete handover of intraoperative anesthesia care is associated with an increased risk of adverse postoperative outcomes among adults undergoing major surgery, according to a study published in the Jan. 9 issue of Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Black Children at Higher Risk of Death Following Surgery<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Race-specific models more accurately predict risk of death after surgery for pediatric patients, according to a study published online Jan. 10 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Kidney Injury Common After Non-Kidney Transplants in Children<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — In children who receive a non-kidney solid organ transplant, acute kidney injury (AKI) is common in the first year after surgery and is associated with an increased risk of chronic kidney disease (CKD), according to a study published online Dec. 29 in the American Journal of Transplantation<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Pain Self-Efficacy Questionnaire Helps to Evaluate Migraine Pain<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — The Pain Self-Efficacy Questionnaire (PSEQ) successfully demonstrates the extent of debility in migraine surgery patients and puts migraine pain in perspective within the realm of other known pain conditions, according to a study published in the January issue of Plastic and Reconstructive Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Pediatric Sports-, Recreation-Related Eye Injuries Common<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — Pediatric sports- and recreation-related eye injuries are common, most often occurring among boys, according to a study published online Jan. 8 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Physicians Frequently Continue to Work While Ill<\/font><\/p>\n FRIDAY, Jan. 5, 2018 (HealthDay News) — Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Cancer Death Rate Continuing to Decline in United States<\/font><\/p>\n FRIDAY, Jan. 5, 2018 (HealthDay News) — In both men and women in the United States, the cancer death rate declined by about 1.5 percent annually from 2006 to 2015, according to a study published online Jan. 4 in CA: A Cancer Journal for Clinicians<\/i>.<\/p>\n