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Category: Surgery | Monthly Briefing

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November 2011 Briefing - Surgery

Last Updated: December 01, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 2011. 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.

Metal, Ceramics on Par With Traditional Hip Implants

WEDNESDAY, Nov. 30 (HealthDay News) -- Implantable hip devices with metal on metal or ceramic on ceramic bearings do not offer an advantage over those with traditional bearings, according to a review published online Nov. 29 in BMJ.

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U.S. Patients Highly Satisfied With Outpatient Medical Care

WEDNESDAY, Nov. 30 (HealthDay News) -- Patients in the United States are, in general, highly satisfied with their outpatient medical care, according to a study published online Oct. 3 in Health Outcomes Research in Medicine.

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Risk Factors ID'd for Radiation-Induced Hypothyroidism

WEDNESDAY, Nov. 30 (HealthDay News) -- Factors associated with an increased risk of radiation-induced hypothyroidism (RIHT) include female gender and surgery involving the thyroid gland or other neck surgery, with Caucasians at increased risk compared with African-Americans, according to a meta-analysis published in the Dec. 1 issue of Cancer.

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Young Adult Back Pain Severity Tied to Spinal Disc Degeneration

TUESDAY, Nov. 29 (HealthDay News) -- In young adults, lumbar intervertebral disc degeneration (DD) is associated with low back pain (LBP) symptom severity, independent of other degenerative findings, according to a study published in the Dec. 1 issue of Spine.

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Crash Injuries of Children in Restraints Not Tied to Weight

TUESDAY, Nov. 29 (HealthDay News) -- The risk of clinically significant crash-related injuries in motor vehicle crashes (MVCs) is not correlated with weight among children using forward-facing child restraints (FFCRs) or belt-positioning booster seats (BPBs), according to a study published online Nov. 28 in Pediatrics.

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Small Cell Carcinoma of Urinary Bladder Incidence Up

MONDAY, Nov. 28 (HealthDay News) -- The incidence of small cell carcinoma of the urinary bladder (SCCB) increased from 1991 to 2005, with elderly Caucasian men being the most commonly affected, according to a study published in the Dec. 1 issue of Cancer.

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Nearly One in 10 Patients With PCI Readmits Within 30 Days

MONDAY, Nov. 28 (HealthDay News) -- About one in 10 patients undergoing percutaneous coronary intervention (PCI) are readmitted within 30 days; and 30-day readmission is associated with an increased risk of one-year mortality, according to a study published online Nov. 28 in the Archives of Internal Medicine.

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High-Performing Docs Learn Equally From Success, Failure

MONDAY, Nov. 28 (HealthDay News) -- Among physicians making decisions in a medically-framed learning task, high and low performers show distinct behavioral and neural patterns of learning, according to a study published online Nov. 23 in PLoS One.

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Home Birth Imposes Higher Risks for First-Time Mothers

MONDAY, Nov. 28 (HealthDay News) -- For healthy women with low-risk pregnancies, the incidence of adverse perinatal outcomes is low in all birth settings, giving these women more options when choosing where to have their baby, according to a study published online Nov. 24 in BMJ.

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Autoimmune Disorders Tied to Pulmonary Embolism Risk

MONDAY, Nov. 28 (HealthDay News) -- Autoimmune disorders are associated with an increased risk of pulmonary embolism, particularly during the first year after hospitalization, according to a study published online Nov. 26 in The Lancet.

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AAP Issues Infant Positional Skull Deformity Guidelines

MONDAY, Nov. 28 (HealthDay News) -- Pediatricians and health care clinicians should be able to diagnose positional skull deformities among infants, implement preventive counseling among parents, initiate appropriate management, and make referrals, when necessary, according to a scientific statement published Nov. 28 in Pediatrics.

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Pathologist Case Volume Affects Thyroid FNA Reading

MONDAY, Nov. 28 (HealthDay News) -- Case volume significantly affects pathologic interpretation of thyroid fine needle aspiration (FNA), but does not impact diagnostic yield, according to a study published in the November issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Substance Abuse Health Programs Benefit Surgeons

FRIDAY, Nov. 25 (HealthDay News) -- Surgeons being monitored for diagnosed substance use disorders have similar outcomes to their non-surgeon counterparts, according to a study published in the November issue of the Archives of Surgery.

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Stem-Cell-Seeded Bioartificial Tracheal Transplant Feasible

THURSDAY, Nov. 24 (HealthDay News) -- A stem-cell-seeded bioartificial nanocomposite tracheobronchial scaffold can be used successfully to replace a complex airway defect, according to a proof-of-concept study published online Nov. 24 in The Lancet.

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Dabigatran Poses Challenge in Treating Injured Patients

WEDNESDAY, Nov. 23 (HealthDay News) -- Dabigatran etexilate, a new oral direct thrombin inhibitor, should be used with caution due to a lack of readily available methods to assess the degree of anticoagulation or reverse its effects, posing a threat of fatal bleeding complications for injured patients, according to a letter published in the Nov. 24 issue of the New England Journal of Medicine.

Letter

Long-Term Survival Factors ID'd for Head, Neck Cancer

WEDNESDAY, Nov. 23 (HealthDay News) -- Older age, advanced stage, pain, poor quality of life, and smoking are risk factors associated with poorer survival among two-year survivors of head and neck cancer, according to a study published in the November issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Recent Drop Seen in Oral, Pharyngeal Cancer Mortality

WEDNESDAY, Nov. 23 (HealthDay News) -- From 1993 to 2007, mortality rates decreased for black and white men and women with oral cavity and pharyngeal cancer, with a significant decline seen among those with more than 12 years of education, according to a study published in the November issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Carbon Dioxide Laser Feasible in Primary Lentigo Maligna

WEDNESDAY, Nov. 23 (HealthDay News) -- Carbon dioxide laser ablation could be an alternative treatment for managing primary lentigo maligna, according to a study published in the November/December issue of the Archives of Facial Plastic Surgery.

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Valvular Surgery Tied to Reduced Mortality in Endocarditis

TUESDAY, Nov. 22 (HealthDay News) -- For patients with infective endocarditis complicated by heart failure, valvular surgery is strongly associated with lower in-hospital and one-year mortality, according to a study published the Nov. 23/30 issue of the Journal of the American Medical Association.

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Fat Repositioning Results in Elevation of Orbicularis Edge

TUESDAY, Nov. 22 (HealthDay News) -- Use of supraperiosteal fat repositioning during lower eyelid blepharoplasty results in elevation of the orbicularis muscle edge, according to a study published in the November/December issue of the Archives of Facial Plastic Surgery.

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Radial Fracture Type Doesn't Impact Volar Plate Outcome

TUESDAY, Nov. 22 (HealthDay News) -- Open reduction and internal fixation of extra-articular and single sagittal intra-articular fractures of the distal radius using volar locking plates have similar outcomes, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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BMI Predicts 30-Day Post-Surgery Mortality Risk

TUESDAY, Nov. 22 (HealthDay News) -- Body mass index (BMI) is a significant predictor of 30-day mortality after surgical procedures, irrespective of the type of surgery, according to a study published online Nov. 21 in the Archives of Surgery.

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Oliguria in Bariatric Surgery Not Tied to Intra-Op Fluids

TUESDAY, Nov. 22 (HealthDay News) -- Morbidly obese patients undergoing laparoscopic bariatric surgery have low urine output, irrespective of the intraoperative fluid volume administered, according to a study published online Nov. 21 in the Archives of Surgery.

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Black Patients Have Worse Diverticulitis Surgery Outcomes

TUESDAY, Nov. 22 (HealthDay News) -- Black patients who undergo surgery for diverticulitis have a higher risk of undergoing emergency procedures, and an increased mortality risk than white patients, according to a study published in the November issue of the Archives of Surgery.

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Adverse Effects of Pediatric Acupuncture Usually Mild

MONDAY, Nov. 21 (HealthDay News) -- The majority of adverse effects (AEs) associated with pediatric acupuncture are mild in severity, according to a review published online Nov. 21 in Pediatrics.

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Survival Up With Posterior Cruciate-Retaining TKR

MONDAY, Nov. 21 (HealthDay News) -- Posterior cruciate-retaining total knee replacements (TKRs) show better survival at 15 years than posterior cruciate-stabilizing TKRs, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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Pain, Function Key Factors in Elective Amputation Decision

MONDAY, Nov. 21 (HealthDay News) -- For patients with a functionally impaired lower limb, the decision to opt for elective amputation is largely influenced by the severity of pain and desire for improved function, according to a study published in the Nov. 16 issue of The Journal of Bone & Joint Surgery.

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Nonpunitive Method Improves Medical Error Reporting

MONDAY, Nov. 21 (HealthDay News) -- Medical error reporting in an academic pediatric ambulatory practice can be improved by a voluntary, nonpunitive, error-reporting system, according to a study published online Nov. 21 in Pediatrics.

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Hospital Readmission Common Post-Colorectal Surgery

FRIDAY, Nov. 18 (HealthDay News) -- For patients who undergo colorectal surgery, 30- and 90-day readmissions are common, and cost an average of $8,885 per stay, according to a study published in the December issue of Diseases of the Colon & Rectum.

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Evidence-Based Spine Surgery Recommendations Issued

FRIDAY, Nov. 18 (HealthDay News) -- Evidence-based recommendations from six studies can help guide clinical practice in spinal surgeries, according to a review published online Nov. 14 in Spine.

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Factors Impacting Assignment to Triage Risk Level 2/3 ID'd

FRIDAY, Nov. 18 (HealthDay News) -- A triage nurse's decision to assign a patient to risk level 2 or 3 of the Emergency Severity Index (ESI) triage system is influenced by specific factors, according to a study published in the November issue of the Journal of Emergency Nursing.

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Ovary Sparing Hysterectomy Tied to Early Ovarian Failure

THURSDAY, Nov. 17 (HealthDay News) -- Women undergoing hysterectomy without bilateral oophorectomy have an almost two-fold increased risk of developing early ovarian failure than women of a similar age with intact uteri, according to a study published online Nov. 7 in Obstetrics & Gynecology.

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Patients Without Insurance Have Shorter Hospital Stays

TUESDAY, Nov. 15 (HealthDay News) -- Patients without Medicaid or any other insurance, with ambulatory care-sensitive conditions (ACSCs) or non-ACSCs, have shorter lengths of stay in hospitals than patients with insurance, according to a study published in the November/December issue of the Annals of Family Medicine.

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Extended TNM Colon Cancer Staging Ups Prognostic Accuracy

TUESDAY, Nov. 15 (HealthDay News) -- The prognostic accuracy and sensitivity of the seventh edition American Joint Committee on Cancer's (AJCC's) tumor, node, metastasis (TNM) staging for colon cancer is improved by inclusion of routinely available demographic and pathologic data, according to a study published online Nov. 14 in the Journal of Clinical Oncology.

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Family History, Alcohol Tied to Benign Breast Disease Risk

MONDAY, Nov. 14 (HealthDay News) -- Consumption of seven alcoholic drinks per week during adolescence more than doubles the risk for benign breast disease (BBD) for those with a family history of breast cancer (BC) or BBD, according to a study published online Nov. 14 in Cancer.

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Anterior Cervical Surgery Ups GERD Incidence, Severity

FRIDAY, Nov. 11 (HealthDay News) -- The incidence and severity of gastroesophageal reflux disease (GERD) in patients undergoing anterior cervical decompression and fusion (ACDF) is higher than that of patients undergoing posterior lumbar decompression, according to a study published in the Nov. 15 issue of Spine.

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Brain Hypoxia Tied to Poor Post-Traumatic Injury Outcome

FRIDAY, Nov. 11 (HealthDay News) -- Brain hypoxia (BH), or reduced brain oxygen (Pbto2), is independently associated with poor short-term outcomes in severe traumatic brain injury (TBI), according to a study published in the November issue of Neurosurgery.

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Evidence Shows Certain Dietary Fiber Intake Lowers CRC Risk

FRIDAY, Nov. 11 (HealthDay News) -- High intake of dietary fibers, in particular cereals and whole grains, is associated with a small reduction in the risk of colorectal cancer, according to a meta-analysis published online Nov. 10 in the BMJ.

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FDA: Manufacturer Recalls Operating Room Tables

THURSDAY, Nov. 10 (HealthDay News) -- Mizuho OSI Modular Table Systems are the subject of a class I recall following reports of patient injury, according to a recall notice issued Nov. 9 by the U.S. Food and Drug Administration.

Mizuho OSI Modular Table Systems Recall Notice
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Glove Use Linked to Reduced Hand Hygiene Compliance

THURSDAY, Nov. 10 (HealthDay News) -- Glove usage among healthcare workers is often inappropriate, and hand hygiene compliance is worse when gloves are worn, according to a study published online Oct. 17 in Infection Control and Hospital Epidemiology.

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Similar Cuff Repair Outcomes With, Without Acromioplasty

THURSDAY, Nov. 10 (HealthDay News) -- Arthroscopic rotator cuff repair with and without acromioplasty shows similar significant improvements in functional and quality-of-life indices, according to a study published in the Nov. 2 issue of The Journal of Bone & Joint Surgery.

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Pre-Knee Replacement Use of Opioids Tied to Complications

THURSDAY, Nov. 10 (HealthDay News) -- Use of chronic opioid analgesia prior to total knee arthroplasty is associated with significantly increased prevalence of complications and poorer clinical outcomes, according to a study published in the Nov. 2 issue of The Journal of Bone & Joint Surgery.

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Minimally Invasive Osteoid Osteoma Surgery Viable Option

THURSDAY, Nov. 10 (HealthDay News) -- Minimally invasive excision of osteoid osteoma in the mobile spine is emerging as an alternative method to conventional surgery, according to a study published in the Nov. 15 issue of Spine.

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Alcoholic Hepatitis Combo Meds Don't Help Six-Month Survival

WEDNESDAY, Nov. 9 (HealthDay News) -- For patients with severe acute alcoholic hepatitis, prednisolone plus N-acetylcysteine therapy does not improve six-month survival, but early liver transplant after a first episode of severe alcoholic hepatitis not responding to medical therapy does, according to two studies published in the Nov. 10 issue of the New England Journal of Medicine.

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Improved Breast CA Outcomes Affect Older Women Less

WEDNESDAY, Nov. 9 (HealthDay News) -- The impact of improvements in breast cancer outcomes has been less for women age 75 years or older than for women younger than 75, according to a study published online Nov. 7 in the Journal of Clinical Oncology.

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Biolimus Stents Noninferior to Sirolimus Stents

WEDNESDAY, Nov. 9 (HealthDay News) -- Biodegradable biolimus-eluting stents (BES) are noninferior to durable polymer sirolimus-eluting stents (SES) in coronary artery disease (CAD), according to a study published online Nov. 9 in The Lancet to coincide with its presentation at the Transcatheter Cardiovascular Therapeutics meeting, held from Nov. 7 to 11 in San Francisco.

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Adjuvant Bevacizumab Feasible in Ovarian Cancer

WEDNESDAY, Nov. 9 (HealthDay News) -- Addition of bevacizumab to first-line intraperitoneal (IP) chemotherapy is feasible in ovarian cancer but increases the risk of bowel obstruction/perforation, according to a study published online Nov. 7 in the Journal of Clinical Oncology.

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Wait-and-See Policy Feasible for Some With Rectal Cancer

WEDNESDAY, Nov. 9 (HealthDay News) -- For patients who have complete clinical response (cCR) following chemoradiotherapy for rectal cancer, a wait-and-see-policy is feasible and promising if strict selection criteria and follow-up are implemented, according to a study published online Nov. 7 in the Journal of Clinical Oncology.

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Spinal Subdural Hemorrhage Linked to Abusive Head Trauma

WEDNESDAY, Nov. 9 (HealthDay News) -- The incidence of spinal subdural hemorrhage is high among children with abusive head trauma, and rare among those with accidental trauma, according to a study published online Nov. 8 in Radiology.

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Hypertrophic Cardiomyopathy Guidelines Released

TUESDAY, Nov. 8 (HealthDay News) -- Hypertrophic cardiomyopathy (HCM) is a common cardiovascular disorder, and following diagnosis, patients should be managed at centers of clinical excellence, according to a scientific statement published online Nov. 8 in Circulation.

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No Added Benefits of Cranial Bypass in Stroke Prevention

TUESDAY, Nov. 8 (HealthDay News) -- Extracranial-intracranial (EC-IC) bypass surgery in addition to medical therapy offers no additional benefit over medical therapy alone in preventing recurrent stroke in recent symptomatic atherosclerotic internal carotid artery occlusion (AICAO), according to a study published in the Nov. 9 issue of the Journal of the American Medical Association.

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Neuromuscular Warm-Up Cuts Lower Extremity Injury

TUESDAY, Nov. 8 (HealthDay News) -- Implementation of coach-led neuromuscular warm-up reduces the incidence of non-contact lower extremity (LE) injuries in female high school athletes, according to a study published in the November issue of the Archives of Pediatrics & Adolescent Medicine.

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Great Achievement at Young Age Function of Time, Not Field

MONDAY, Nov. 7 (HealthDay News) -- The frequency of great scientific achievements at young age is a function of time, and not related to the field, according to a study published online Nov. 7 in the Proceedings of the National Academy of Sciences.

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Gender Difference in Failure Patterns for Hip Resurfacing

MONDAY, Nov. 7 (HealthDay News) -- Gender differences exist in the failure patterns of metal-on-metal hip resurfacing arthroplasty, according to a study published online Oct. 13 in BMC Medicine.

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Evidence Shows Robot-Assisted Cystectomy Safe, Effective

MONDAY, Nov. 7 (HealthDay News) -- Robotic-assisted radical cystectomy (RARC) appears to be a safe and effective alternative to open radical cystectomy (ORC) for management of muscle-invasive bladder cancer, according to a review published in the November issue of Urology.

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Renin-Angiotensin Systems Tied to Obesity

FRIDAY, Nov. 4 (HealthDay News) -- Both the systemic and adipose tissue renin-angiotensin systems (RASs) are associated with obesity and insulin resistance, according to research published online Oct. 31 in Obesity Reviews.

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Statin Use in BAV Stenosis Tied to Ascending Aortic Size

FRIDAY, Nov. 4 (HealthDay News) -- Statin treatment in patients with bicuspid aortic valve (BAV) stenosis is associated with significantly lower ascending aortic size, according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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Receptionists Contribute to Safety of Repeat Prescriptions

FRIDAY, Nov. 4 (HealthDay News) -- Receptionists and administrative staff of general practices in the United Kingdom make important contributions to quality and safety in repeat prescribing, which are often unknown to clinicians, according to a study published online Nov. 3 in BMJ.

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Perceived Distortion in Scoliosis Tied to Quality of Life

FRIDAY, Nov. 4 (HealthDay News) -- For adult patients with adolescent idiopathic scoliosis, there is an inverse association between perceived distortion and quality of life (QOL), according to a study published online Oct. 27 in Spine.

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Rooms of Patients With A. baumannii Often Contaminated

FRIDAY, Nov. 4 (HealthDay News) -- A considerable proportion of rooms of patients colonized or infected with multidrug-resistant Acinetobacter baumannii (A. baumannii) (MDR-AB) have surfaces which are positive for A. baumannii, even in patients with a remote history of infection, according to a study published in the November issue of the American Journal of Infection Control.

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Artificial Heart Valve Doesn't Require Open-Heart Surgery

THURSDAY, Nov. 3 (HealthDay News) -- The first artificial heart valve that can replace a diseased aortic valve without requiring open-heart surgery has been approved by the U.S. Food and Drug Administration.

heart valve disease

Device Approved to Repair Abdominal Aneurysms

WEDNESDAY, Nov. 2 (HealthDay News) -- A device that helps repair abdominal aneurysms in people with small arteries has been approved by the U.S. Food and Drug Administration.

this approval

No Medicare Savings From Disease-Management Hotline

THURSDAY, Nov. 3 (HealthDay News) -- Commercial disease-management companies using nurse-based call centers modestly improve quality-of-care measures in Medicare fee-for-service programs with no evident reduction in costs of care or acute care utilization, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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Risks for C. difficile Infection, Colonization Identified

THURSDAY, Nov. 3 (HealthDay News) -- Health care-associated Clostridium difficile (C. difficile) infection and colonization are differentially associated with defined host and pathogen variables, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.

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Graft Loss Higher With Kidneys Donated by Older Live Donors

THURSDAY, Nov. 3 (HealthDay News) -- For kidney recipients, graft loss is significantly higher when the live donor is age 70 years or older than when the live donor is aged 50 to 59 years, but is comparable to that from a deceased donor aged 50 to 59 years, according to a study published online Oct. 27 in the Clinical Journal of the American Society of Nephrology.

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CDC: Opioid Overdoses Have Reached Epidemic Proportions

WEDNESDAY, Nov. 2 (HealthDay News) -- Opioid pain relievers (OPR) are involved in most drug overdose deaths; and OPR-related deaths, sales, and treatment admissions have increased in the last decade, according to a report published in the Nov. 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Report

Gender Not an Independent Mortality Predictor Post-PCI

TUESDAY, Nov. 1 (HealthDay News) -- Gender is not an independent predictor of mortality after percutaneous coronary intervention (PCI) in the drug eluting stent (DES) era, according to a study published online Nov. 1 in Catheterization and Cardiovascular Interventions.

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Solid Organ Transplantation Tied to Increased Risk of Cancer

TUESDAY, Nov. 1 (HealthDay News) -- Recipients of kidney, liver, heart, or lung transplants are at an increased risk for both infection-related and unrelated cancers, according to a study published in the Nov. 2 issue of the Journal of the American Medical Association.

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Over 30 Percent Survival With Allogeneic Cell Transplant

TUESDAY, Nov. 1 (HealthDay News) -- For older patients with advanced hematologic malignancies, treatment with minimally toxic nonmyeloablative allogeneic hematopoietic cell transplantation (HCT) is associated with five-year overall and progression-free survival of more than 30 percent, and age does not worsen outcomes, according to a study published in the Nov. 2 issue of the Journal of the American Medical Association.

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Yoga Beats Usual Care for Pain-Related Back Function

TUESDAY, Nov. 1 (HealthDay News) -- For patients with chronic or recurrent low back pain, attending yoga classes is associated with better back function than usual care, according to a study published in the Nov. 1 issue of the Annals of Internal Medicine.

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Anesthesia Type Impacts Aortic Aneurysm Repair Outcome

TUESDAY, Nov. 1 (HealthDay News) -- Use of general anesthesia in endovascular repair of infrarenal abdominal aortic aneurysms (EVARs) is associated with an increase in pulmonary morbidity and length of stay (LOS) compared to spinal or local/monitored anesthesia care (local/MAC), according to a study published in the November issue of the Journal of Vascular Surgery.

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