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February 2017 Briefing - Surgery

Last Updated: March 01, 2017.

Here are what the editors at HealthDay consider to be the most important developments in Surgery for February 2017. 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.

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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Similar Outcomes for Disc Surgery in Older, Younger Patients

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Older patients, over the age of 65, seem to experience the same lower back pain relief as their younger peers from surgery for a herniated lumbar disc, according to a research letter published online Feb. 22 in JAMA Surgery.

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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Survival 79 Percent for Congenital Diaphragmatic Hernia

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Survival is 79 percent for neonates with congenital diaphragmatic hernia (CDH) undergoing surgical repair, with higher survival for those not needing extracorporeal membrane oxygenation (ECMO), according to a study published online Feb. 17 in Pediatric Anesthesia.

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Anaortic Off-Pump CABG Tied to Reduced Risk of Post-Op Stroke

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Anaortic off-pump coronary artery bypass grafting (anOPCABG) is associated with reduced risk of postoperative stroke compared with other CABG techniques, according to a meta-analysis published in the Feb. 28 issue of the Journal of the American College of Cardiology.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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Exercise Most Important Lifestyle Change for Breast CA Survivors

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For breast cancer survivors, exercise may help lower their mortality risk more than other healthy habits, according to a review published in the Feb. 21 issue of CMAJ, the journal of the Canadian Medical Association.

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Insurance Status Linked to Patient Safety in Lumbar Fusion

MONDAY, Feb. 20, 2017 (HealthDay News) -- Insurance status is associated with adverse patient safety indicators (PSI) among patients undergoing inpatient lumbar fusion, according to a study published in the March issue of The Spine Journal.

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Early PT Not Tied to Lower Health Care Use Later On

MONDAY, Feb. 20, 2017 (HealthDay News) -- Early use of physical therapy (PT) for new low back pain in older adults is not associated with less subsequent back pain-specific health care utilization, compared with patients not receiving early PT, according to a study published in the March issue of The Spine Journal.

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Antibiotics Could Be Alternative to Surgery for Appendicitis

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Avoiding surgery and treating appendicitis with antibiotics alone may be a safe approach for many children, according to a review published online Feb. 17 in Pediatrics.

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Higher ASA Class Not Tied to 30-Day Morbidity in Spinal Surgery

FRIDAY, Feb. 17, 2017 (HealthDay News) -- For patients undergoing single-level elective anterior cervical discectomy and fusion (SLE-ACDF), higher American Society of Anesthesiologists (ASA) classification is not associated with 30-day morbidity, according to a study published in the March issue of The Spine Journal.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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Patient Complaints of Surgeon Attitude Tied to Worse Outcomes

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Patients treated by surgeons with a history of patient complaints regarding their personalities or attitude are at increased risk of surgical and medical complications, according to a study published online Feb. 15 in JAMA Surgery.

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Bariatric Surgery Tied to T2DM Resolution in Obese Patients

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Health Care Utilization Common After ICD Shock Events

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Health care utilization (HCU) is common after appropriate and inappropriate implantable cardioverter-defibrillator shock events, according to a study published online Feb. 14 in Circulation: Cardiovascular Quality and Outcomes.

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Smoking, T4 Tumors Up Distant Mets in HPV+ Oropharyngeal CA

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with human papillomavirus (HPV)-positive oropharyngeal cancer, active smokers and those with T4 tumors have increased rates of distant metastases, according to a study published online Feb. 11 in Head & Neck.

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Similar Adverse Event Risk for Typical, Atypical Antipsychotics

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- The risks of adverse events are similar with short-term use of typical and atypical antipsychotic medications (APMs) after cardiac surgery in seniors, according to a study published online Feb. 10 in the Journal of the American Geriatrics Society.

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Bariatric Embolization Feasible for Severely Obese

WEDNDESDAY, Feb. 15, 2017 (HealthDay News) -- For severely obese patients, bariatric embolization is feasible and seems to be well tolerated, according to a study published online Feb. 14 in Radiology.

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AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Cardiovascular disease (CVD) is increasing in the United States, with costs expected to double from $555 billion in 2016 to $1.1 trillion in 2035, a new American Heart Association report estimates.

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ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP

TUESDAY, Feb. 14, 2017 (HealthDay News) -- First-line therapy for patients with low back pain should be simple non-pharmacological remedies -- from heat wraps to physical therapy, according to a new clinical practice guideline from the American College of Physicians (ACP) published online Feb. 14 in the Annals of Internal Medicine.

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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

MONDAY, Feb. 13, 2017 (HealthDay News) -- Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.

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Surgeon-Specific Learning Curve for Transoral Robotic Surgery

MONDAY, Feb. 13, 2017 (HealthDay News) -- The learning curve for transoral robotic surgery (TORS) for squamous cell carcinoma of the oropharynx (OPSCC) is surgeon-specific, according to a study published online Feb. 9 in JAMA Otolaryngology-Head & Neck Surgery.

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Duty Hour Restrictions Don't Impair Thyroid Surgery Outcomes

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Implementation of duty hour reform does not negatively impact thyroid and parathyroid procedure outcomes, according to a study published online Feb. 9 in JAMA Otolaryngology-Head & Neck Surgery.

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Review: Noncomplete Mesorectal Excision Up With Laparoscopy

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Patients undergoing laparoscopic rectal resection (LRR) have increased risk for noncomplete mesorectal excision versus those undergoing open rectal resection (ORR), according to a review and meta-analysis published online Feb. 8 in JAMA Surgery.

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Post-Cesarean Maternal Infection in 8.8 Percent of C-Sections

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For women undergoing cesarean section, 8.8 percent have post-cesarean infection, with pre-incision azithromycin prophylaxis associated with reduced odds of infection, according to research published in the March issue of Obstetrics & Gynecology.

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Renal Transplant Recipients Often Admitted With Acute MI

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Renal transplant recipients (RTRs) are often admitted with acute myocardial infarction (AMI), according to a study published in the Feb. 15 issue of The American Journal of Cardiology.

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PCI Viable Alternative to CABG for Left Main Coronary Artery Disease

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- For patients with left main (LM) coronary artery disease, percutaneous coronary intervention (PCI) is an alternative to coronary artery bypass grafting (CABG), according to a study published in the Feb. 15 issue of The American Journal of Cardiology.

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Bundle of Items Can Reduce SSI Rate in Colon Surgery

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Implementation of a bundle of five items can reduce the surgical site infection (SSI) rate in colon surgery, according to a study published online Feb. 1 in the Journal of Evaluation in Clinical Practice.

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Mortality Down for U.S. Patients Treated by International Doctors

MONDAY, Feb. 6, 2017 (HealthDay News) -- Mortality rates are lower for older Americans treated by doctors trained in other countries than by those who went to a U.S. medical school, according to research published online Feb. 3 in The BMJ.

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Coffee Speeds Time to Bowel Movement After Gynecologic Sx

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Coffee consumption speeds the time to bowel movement after complete staging surgery of gynecologic cancers, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

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Comorbidities Up Resource Use in Pediatric Spinal Fusion

FRIDAY, Feb. 3, 2017 (HealthDay News) -- For children with medical complexity undergoing spinal fusion, chronic respiratory insufficiency, bladder dysfunction, and epilepsy are significantly associated with hospital resource use, according to a study published online Feb. 2 in Pediatrics.

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Underuse, Misuse of Hormone Tx in Breast Cancer Still Occurring

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Adjuvant endocrine therapy (AET) can reduce the likelihood that women diagnosed with certain breast cancers will experience a recurrence of their disease, but these treatments are still too seldom utilized, or used incorrectly, according to a study published online Feb. 2 in JAMA Oncology.

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Centrifugal-Flow Left Ventricular Assist Device Noninferior

THURSDAY, Feb. 2, 2017 (HealthDay News) -- For patients with advanced heart failure, a newer-design centrifugal-flow left ventricular assist device (LVAD) is noninferior to an axial-flow LVAD, according to a study published in the Feb. 2 issue of the New England Journal of Medicine.

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Surgery Can Benefit T2DM Control for Patients With Lumbar Stenosis

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Successful lumbar surgery is associated with improved glycemic control for patients with lumbar spinal stenosis (LSS) and type 2 diabetes mellitus (DM-2), according to a study published in the February issue of The Spine Journal.

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BMI Linked to Risk for Orthostatic Intolerance Post Bariatric Sx

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Lower body mass index (BMI) and body fat is associated with increased risk of orthostatic intolerance (OI) and predisposition to noncardiac syncope (NCS) following bariatric surgery, according to research published online Jan. 23 in Obesity Reviews.

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