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Here are what the editors at HealthDay consider to be the most important developments in Surgery for August 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
Preemptive Analgesia May Cut Post-Op Pain in Anorectal Surgery<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Preemptive pain medication is safe and reduces pain in the early postoperative period for patients undergoing anorectal surgery, according to a study published in the July issue of Diseases of the Colon & Rectum<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Medical Bills in Collections Decrease With Patient Age<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Mindfulness Training Acceptable Among Surgical Interns<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Formal mindfulness-based stress reduction (MBSR) appears to be both feasible and acceptable to surgical interns, according to a pilot study published online Aug. 29 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 No Meaningful Increase in Physician Compensation Last Year<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.<\/p>\n Press Release<\/a><\/p>\n Survey (subscription or payment may be required)<\/a><\/p>\n U.S. Opioid Use Not Declining, Despite Focus on Abuse<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Rates of opioid use in the United States do not appear to be declining, according to a study published online Aug. 1 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Marketplace Premiums Increase More With Monopolist Insurers<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n PT Better After Hip Surgery Than Opioids in Younger Adults<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Physical therapy management is associated with better outcomes for young patients undergoing arthroscopic hip surgery, compared to primary or exclusive opioid treatment, according to a study recently published in Physical Therapy<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Wording Used May Affect Thyroid Cancer Patients’ Anxiety, Choices<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — The terminology used to describe small papillary thyroid cancers (PTCs) may affect patients’ anxiety levels and treatment choices, according to a study published online Aug. 23 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Medical Practices Should Address Negative Online Reviews<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Skin Microbiota Differ for Obese, Non-Obese Undergoing C-Section<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — After cesarean delivery (CD), the incision site harbors a higher bacterial biomass in obese women than in non-obese women, according to a study recently published in Scientific Reports<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Artificial Intelligence Holds Promise in Medicine<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Alcohol Is Leading Risk Factor for Global Disease Burden<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Experts Address Loss of the National Guideline Clearinghouse<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Bigger Drop in Opioid Prescribing After CDC Guideline Release<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Release of the U.S. Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain in March 2016 corresponded to greater increases in several opioid prescribing patterns, according to a study published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Most Research Participants Not Concerned About Data Sharing<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Prescription Drug Monitoring Program May Not Cut Opioid Use<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Implementation of a mandatory prescription drug monitoring program (PDMP) does not necessarily reduce the overall rate of opioid prescribing or the mean number of pills prescribed for patients undergoing general surgical procedures, according to a study published online Aug. 22 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AMA Adopts Policy Promoting Health Equity As a Goal<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Decline in Hospital-Acquired Conditions Continues<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — The rate of hospital-acquired conditions (HACs) continued its decline from 2014 to 2016, according to the Agency for Healthcare Research and Quality (AHRQ) National Scorecard on Hospital-Acquired Conditions.<\/p>\n More Information<\/a><\/p>\n Hydrocodone Schedule Change Affected Post-Op Opioid Rx<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — Hydrocodone’s change from schedule III to schedule II in 2014 was associated with an increase in the amount of opioids filled in the initial prescription after surgery, according to a study published online Aug. 22 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Lower Post-Op Mortality With Hip Fx Surgery on Day of Admission<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — Postoperative mortality is lower for medically stable older patients who undergo surgery for hip fracture on the day of admission or the following day, according to a study published in the Aug. 7 issue of CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Most Surgical Residents Want Financial Education<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Small Practices Also at Risk for Data Breaches<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Strategy Outlined for Shooter Incident in Health Care Facility<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n National Provider Identifiers Are Vulnerable to Theft<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Advantages for HDHP Enrollees in Large Versus Small Firms<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Doctors Often Not Discussing Risk Factors With Patients<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.<\/p>\n More Information<\/a><\/p>\n Pennsylvania Case Could Affect Evidence for Malpractice Defense<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Hypnosis Doesn’t Cut Post-Op Pain in Breast Cancer Surgery<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Hypnosis before general anesthesia does not reduce postoperative breast pain among patients undergoing minor breast cancer surgery, according to a study published online Aug. 17 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Sentinel Lymph Node Mapping Most Cost-Effective for Uterine CA<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Sentinel lymph node mapping has the lowest costs and highest quality-adjusted survival compared to both routine and selective lymphadenectomy for managing low-risk endometrial carcinoma, according to a study published in the July issue of Obstetrics & Gynecology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Experts Offer Tips for Provider Appeal of Denied Medical Claims<\/font><\/p>\n MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics<\/i>.<\/p>\n More Information<\/a><\/p>\n NYU Becomes First Medical School to Cover All Tuition<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.<\/p>\n Press Release<\/a><\/p>\n Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — Treatment with lumpectomy and radiotherapy is associated with a reduction in breast cancer mortality versus lumpectomy or mastectomy alone among patients with ductal carcinoma in situ (DCIS), according to a study published online Aug. 10 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Residents’ Sleep Deteriorates During Training<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General 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 Practice Names, Logos Should Be Carefully Designed<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Steps Provided for Discharging Patient From Practice<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Patient Portals Don’t Appear to Have Much Traction<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n ACA Coverage Gains Include Workers Without Insurance<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Opioid Dependence More Common Before Spine Surgery<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Opioid dependence is more likely to occur in patients with degenerative spondylolisthesis (DS) before surgery than afterward, according to a study recently published in the Journal of Neurosurgery: Spine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Liposomal Bupivacaine Block No Aid for Cesarean Pain<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — A liposomal bupivacaine incisional block at the time of cesarean delivery does not improve pain scores in the first 48 hours postoperatively, according to a study published in the July issue of Obstetrics & Gynecology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Reasons for Undergoing Cosmetic Procedures Explored<\/font><\/p>\n WEDNESDAY, Aug. 15, 2018 (HealthDay News) — As well as enhancing physical appearance, patients seek cosmetic procedures for emotional and psychosocial reasons, according to a study published online Aug. 15 in JAMA Dermatology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Trauma Surgery Association IDs Steps to Curb Firearm Violence<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — The American Association for the Surgery of Trauma (AAST) has set out a manifesto to halt “senseless” firearm violence and injury, according to a statement published online Aug. 8 in Trauma Surgery & Acute Care Open<\/i>.<\/p>\n AAST Statement<\/a><\/p>\n 6 Factors Related to Inclusion in Health Care Workplace ID’d<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Four Pros to Integrating EHR, Practice Management Software<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full text<\/a><\/p>\n Sedation Level Doesn’t Impact Delirium Risk After Hip Fx Repair<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — For older patients undergoing hip fracture repair, the level of sedation does not impact delirium risk overall, according to a study published online Aug. 8 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Bariatric Surgery Lowers Microvascular Disease Risk<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Bariatric surgery is tied to lower overall incidence of microvascular disease in patients with type 2 diabetes mellitus (T2DM), according to a study published online Aug. 7 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 C. difficile<\/i> Tied to Increased Graft Loss in Solid Organ Recipients<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — For solid organ transplant (SOT) recipients, Clostridium difficile<\/i> infection (CDI) is associated with increased graft loss, according to a study published in the July issue of the American Journal of Transplantation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Military-Civilian Trauma System Partnership Developed<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — A growing partnership between the Military Health System and permanent civilian trauma institutions is being fostered, according to an article published in the August issue of the Journal of the American College of Surgeons<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n ACS Briefing Discusses Use of Lessons From Combat Care<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — The American College of Surgeons (ACS) hosted a briefing on Capitol Hill to discuss the successes and challenges of combat casualty care in Iraq and Afghanistan by the U.S. military, and how an integrated military-civilian trauma system can help save the lives of both soldiers and civilians.<\/p>\n More Information<\/a><\/p>\n Childbearing Surgical Residents Often Feel Career Dissatisfaction<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — More than half of women who have a baby during surgical residency express some type of career dissatisfaction, according to a study published online Aug. 1 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Adopts Policy on Augmented Intelligence<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n AMA Adopts Policy to Advance Gender Equity in Medicine<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Infection Prevention Differs Between Small, Large Hospitals<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — Small and large hospitals differ in infection preventionist (IP) staffing and infection prevention and control (IPC) resources, according to a study published in the August issue of the American Journal of Infection Control<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Revision Rates for Arthritis-Related Hip Replacement Down<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — Use of cross-linked polyethylene (XLPE) has significantly reduced the revision rate following total hip arthroplasty (THA) for osteoarthritis, according to a study published in the Aug. 1 issue of the Journal of Bone & Joint Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Inducing Labor at Term Appears to Reduce Cesarean Risk<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Inducing labor at 39 weeks may decrease the risk of cesarean section, according to a study published in the Aug. 9 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 Cyber Insurance Recommended for All Physician Practices<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Resource Use Greater for More Severe Pediatric Appendicitis<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — More severe presentations of complicated appendicitis are associated with worse outcomes and greater resource use among pediatric patients, according to a study published online July 25 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