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July 2017 Briefing - Surgery

Last Updated: August 01, 2017.

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

Stent Surgery Could Benefit Select Glaucoma Patients

MONDAY, July 31, 2017 (HealthDay News) -- Stent surgery using a 6-mm-long stent made of gelatin material seems promising for patients with glaucoma, according to a report from the University of Michigan.

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Pre-Op Methylprednisolone Beneficial in Knee Arthroplasty

MONDAY, July 31, 2017 (HealthDay News) -- For patients undergoing elective unilateral total knee arthroplasty, preoperative administration of methylprednisolone is associated with reduced circulating markers of endothelial activation and damage, according to a study published online July 28 in Anaesthesia.

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Outbreak of Septic Arthritis Described in New Jersey

MONDAY, July 31, 2017 (HealthDay News) -- In a report published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, details are presented of an outbreak of septic arthritis associated with intra-articular injections at a New Jersey outpatient practice.

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Chemo Plus Hyperthermia Active in Advanced Pancreatic Cancer

MONDAY, July 31, 2017 (HealthDay News) -- For patients with locally advanced or metastatic pancreatic carcinoma with malignant ascites, a combined systemic and intraperitoneal chemotherapy approach plus hyperthermia is well tolerated and active, according to a study published online July 25 in the Journal of Global Oncology.

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Variation in Management for Infants With GERD

FRIDAY, July 28, 2017 (HealthDay News) -- For infants with gastroesophageal reflux disease (GERD), there is considerable variation in diagnostic testing and surgical utilization, according to a study published online July 28 in Pediatrics.

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Intel Gained on Melanoma Risk for Renal Transplant Patients

FRIDAY, July 28, 2017 (HealthDay News) -- Renal transplant recipients have increased risk of developing melanoma, with specific risk factors that should be monitored, according to a study published online July 26 in JAMA Dermatology.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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CVD Risk Factors May Be Altered in Transgender Adults

THURSDAY, July 27, 2017 (HealthDay News) -- Cardiovascular disease (CVD) risk factors may be altered among transgender adults receiving cross-sex hormone therapy (CSHT), according to a review published online July 25 in the Annals of Internal Medicine.

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Bariatric Surgery Delay Can Result in Worse Outcomes

WEDNESDAY, July 26, 2017 (HealthDay News) -- Bariatric surgery at body mass index (BMI) less than 40 kg/m² tends to achieve better results, according to research published online July 26 in JAMA Surgery.

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Infection Is Most Common Complication of Prostate Biopsy

WEDNESDAY, July 26, 2017 (HealthDay News) -- The most common complication of prostate biopsy is infection, with mild bleeding also reported, according to an update of the American Urological Association White Paper published in the August issue of The Journal of Urology.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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No Need for Obese Patients to Lose Weight Before THR, TKR

TUESDAY, July 25, 2017 (HealthDay News) -- Obese patients don't need to lose weight before undergoing knee or hip replacement surgery, according to a study published online July 19 in the The Journal of Bone & Joint Surgery.

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Vascular Targeted Photodynamic Tx Aids Low-Risk Prostate Cancer

TUESDAY, July 25, 2017 (HealthDay News) -- For men with low-risk prostate cancer, vascular targeted photodynamic therapy achieves an 82 percent rate of absent clinically significant cancer in treated lobes, according to a study published in the August issue of The Journal of Urology.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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MYCN Copy Number Tied to Poor Features in Neuroblastoma

MONDAY, July 24, 2017 (HealthDay News) -- The rate of unfavorable features is increased in association with increasing MYCN copy number in patients with neuroblastoma, according to a study published online July 11 in Cancer.

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Prevalence of Vertebral Fracture Varies With Assessment Method

MONDAY, July 24, 2017 (HealthDay News) -- The prevalence of vertebral fracture varies for different methods of radiological assessment, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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YAG Laser Vitreolysis Can Help Reduce Eye Floaters

FRIDAY, July 21, 2017 (HealthDay News) -- Laser treatment can effectively reduce symptomatic vitreous floaters, according to research published online July 20 in JAMA Ophthalmology.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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'Expansion Pathology' Method Could Mean Earlier Intervention

FRIDAY, July 21, 2017 (HealthDay News) -- A new method, called expansion pathology (ExPath), which is a clinically optimized form of expansion microscopy (ExM), can be used for pathology and clinical research, according to a report published online July 17 in Nature Biotechnology.

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Complications Up With Immediate Reconstruction After Mastectomy

FRIDAY, July 21, 2017 (HealthDay News) -- For women undergoing mastectomy, the incidence of surgical site infection (SSI) and noninfectious wound complications (NIWCs) is increased for those with immediate implant reconstruction (IR) versus delayed or secondary implant reconstruction (DR or SR), according to a study published online July 19 in JAMA Surgery.

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Visual Analogue Scale Valid for Assessing Pediatric Anxiety

FRIDAY, July 21, 2017 (HealthDay News) -- A visual analogue scale (VAS) score is valid for assessing anxiety among children during induction of anesthesia, according to a study published online July 14 in Pediatric Anesthesia.

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NCI-Designated Care Often Excluded in Narrow Health Plans

THURSDAY, July 20, 2017 (HealthDay News) -- Narrow network health plans are less likely to cover treatment by doctors at centers affiliated with the U.S. National Cancer Institute, according to a study published online July 5 in the Journal of Clinical Oncology.

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More Patients Enrolled in Cancer Trials Under ACA

THURSDAY, July 20, 2017 (HealthDay News) -- The Affordable Care Act may have enabled more privately insured patients to enroll in clinical trials for cancer treatments, according to a study published online July 20 in Clinical Cancer Research.

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68Ga-Somatostatin Analog PET-CT Linked to Reduced Costs

THURSDAY, July 20, 2017 (HealthDay News) -- For imaging neuroendocrine tumors, 68Ga-somatostatin analog positron emission tomography-computed tomography (PET-CT) is associated with reduced costs compared with 111In-octreotide scintigraphy, according to a study published online July 17 in the Journal of Medical Imaging and Radiation Oncology.

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ASCO Addresses Cancer Drug Pricing

THURSDAY, July 20, 2017 (HealthDay News) -- Noting that new cancer drugs routinely cost more than $100,000 per year, and prices on many existing treatments continue to rise, the American Society of Clinical Oncology (ASCO) has issued a position statement to address these financial concerns.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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Low Rate of Cancer Recurrence for Nipple-Sparing Mastectomy

WEDNESDAY, July 19, 2017 (HealthDay News) -- Nipple-sparing mastectomy doesn't raise a woman's risk for breast cancer recurrence, according to a study published online July 17 in the Journal of the American College of Surgeons.

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Hand Transplantation in Child Continues to Be Successful

WEDNESDAY, July 19, 2017 (HealthDay News) -- Heterologous bilateral hand transplantation in a child has been successful, according to a report published online July 18 in The Lancet Child & Adolescent Health.

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Distress Screening Tied to Fewer ER Visits for Cancer Patients

WEDNESDAY, July 19, 2017 (HealthDay News) -- Adherence to distress screening protocols by cancer programs is associated with lower rates of medical service utilization, according to a study published in the July issue of the Journal of the National Comprehensive Cancer Network.

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Reducing Hospital Readmissions Doesn't Up Mortality Rates

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reducing hospital readmission rates for acute myocardial infarction, heart failure, and pneumonia didn't increase mortality rates, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Post-Op Pain May Often Be Underrated by Inpatient Staff

WEDNESDAY, July 19, 2017 (HealthDay News) -- Postoperative pain is frequently underrated when assessed by nursing staff on wards, according to a study published online July 14 in PAIN Practice.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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Better Prognosis With Surgery for HPV-Linked Oropharyngeal SCC

TUESDAY, July 18, 2017 (HealthDay News) -- Patients with human papillomavirus (HPV)-associated oropharyngeal squamous cell carcinoma (SCC) have higher five-year overall survival (OS) and disease-specific survival (DSS) rates after surgery alone, according to a study published online July 10 in Head & Neck.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Empowerment Linked to HRQoL in Teen, Young Adult CA Survivors

MONDAY, July 17, 2017 (HealthDay News) -- For adolescent and young adult (AYA) cancer survivors, empowerment is independently associated with health-related quality of life (HRQoL), according to research published online July 11 in Cancer.

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Opioids Often Overprescribed in Patients Undergoing Surgery

MONDAY, July 17, 2017 (HealthDay News) -- For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

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~10 Percent Present to ER After Hysterectomy for Benign Disease

MONDAY, July 17, 2017 (HealthDay News) -- Overall, 9.1 percent of women who undergo hysterectomy for benign disease present to the emergency department and are not readmitted to the hospital, according to research published in the August issue of Obstetrics & Gynecology.

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Wait-and-Scan Strategy Feasible for Head, Neck Paraganglioma

MONDAY, July 17, 2017 (HealthDay News) -- A wait-and-scan strategy seems to be feasible for patients with head and neck paraganglioma (PGL), according to a study published online July 10 in Head & Neck.

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Worse Outcomes for HIV Kidney Recipients on PI-Based ART

FRIDAY, July 14, 2017 (HealthDay News) -- For HIV-positive kidney transplantation (KT) recipients, outcomes are worse for those on a protease inhibitor (PI)-based versus non-PI-based antiretroviral therapy (ART) regimen, according to a study published online July 11 in the American Journal of Transplantation.

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Higher Inpatient Spending Tied to Better Outcomes

FRIDAY, July 14, 2017 (HealthDay News) -- Investing more in inpatient care relative to longer-term nursing facilities may help reduce mortality rates, according to a study published in the July issue of the Journal of Health Economics.

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Higher Nodal Yield Tied to Lower Mortality in Oral Cavity Cancer

FRIDAY, July 14, 2017 (HealthDay News) -- For clinically node-negative patients with oral cavity squamous cell carcinoma (OCSCC), higher nodal yield (above 24 nodes) is associated with lower mortality, according to a research letter published online July 13 in JAMA Otolaryngology-Head & Neck Surgery.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Errors in Opioid Prescribing for Adult Outpatients Common

THURSDAY, July 13, 2017 (HealthDay News) -- For adults receiving opioid medication prescriptions, errors are common, and most often occur on handwritten prescriptions, according to research published recently in the Journal of Opioid Management.

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Study Supports Observation Only for Most Low-Risk Prostate CA

THURSDAY, July 13, 2017 (HealthDay News) -- Men with early-stage prostate cancer who have surgery to remove their tumor do not live longer than those who receive no treatment at all, according a study published in the July 13 issue of the New England Journal of Medicine.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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Decisional Regret Doesn't Differ by Treatment in Prostate Cancer

TUESDAY, July 11, 2017 (HealthDay News) -- For patients newly diagnosed with prostate cancer who attend a multidisciplinary clinic, decisional regret does not differ significantly between treatment groups, according to a study published online July 5 in Cancer.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Enhanced Recovery Protocol Ups Outcomes in Colon, Rectal Sx

MONDAY, July 10, 2017 (HealthDay News) -- For patients undergoing colon and rectal surgery, an enhanced recovery protocol (ERP) is associated with improved outcomes, according to clinical practice guidelines published in the August issue of Diseases of the Colon & Rectum.

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No Advance Directives for Almost Two-Thirds of U.S. Population

FRIDAY, July 7, 2017 (HealthDay News) -- An estimated two of three people in the United States have not completed an advanced directive, according to a review published in the July issue of Health Affairs.

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Doctors May Be Discarding Viable Donor Kidneys

FRIDAY, July 7, 2017 (HealthDay News) -- Suboptimal kidneys from older donors with health problems perform much better than expected, and would preserve a patient's life much longer than dialysis, according to research published online July 6 in the Journal of the American Society of Nephrology.

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High-Observation Protocol Cuts Length of Stay in Head, Neck CA

FRIDAY, July 7, 2017 (HealthDay News) -- A high-observation protocol (HOP) appears to optimize clinical care for patients with head and neck cancer undergoing primary surgery, according to a study published online June 20 in Head & Neck.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Hyperbaric Oxygen Therapy Increasingly Being Used

THURSDAY, July 6, 2017 (HealthDay News) -- Hyperbaric oxygen therapy is increasingly being used, especially for those with diabetes, although the American Diabetes Association does not recommend the treatment, according to a report published by Kaiser Health News.

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At-Risk Pain Patients Can Cut Opioid Use With Psychology Tools

WEDNESDAY, July 5, 2017 (HealthDay News) -- Teaching coping skills may help reduce the risk that patients with chronic pain will become addicted to opioids, according to research published online June 28 in the Canadian Journal of Pain.

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Pre-, Post-Op C-Reactive Protein Levels Tied to Delirium

WEDNESDAY, July 5, 2017 (HealthDay News) -- For older adults undergoing major noncardiac surgery, preoperative and postoperative day 2 (POD2) C-reactive protein (CRP) levels are associated with the incidence, duration, and severity of delirium, according to a study published online May 26 in the Journal of the American Geriatrics Society.

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