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June 2013 Briefing - Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for June 2013. 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.
Delayed Skin Closure May Reduce Surgical Infection
FRIDAY, June 28 (HealthDay News) -- Delayed primary skin closure may reduce the risk of infection after surgery, but the current studies are not definitive due to poor design, according to the results of a meta-analysis published online June 26 in JAMA Surgery.
Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1700520#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1700520 )
Avoidable Health Care Costs Exceed $200 Billion in 2012
FRIDAY, June 28 (HealthDay News) -- In 2012, avoidable health care costs in the United States exceeded $200 billion, according to a report published by the IMS Institute for Healthcare Informatics.
More Information (http://www.imshealth.com/portal/site/ims/menuitem.d248e29c86589c9c30e81c033208c22a/?vgnextoid=12531cf4cc75f310VgnVCM10000076192ca2RCRD )
Bipartisan Recommendations Can Strengthen Health System
THURSDAY, June 27 (HealthDay News) -- Leaders of the Bipartisan Policy Center Health Care Cost Containment Initiative have developed a series of recommendations to strengthen the U.S. health care system, according to a sounding board piece published online June 26 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMsb1306639 )
Cervical Spine Surgeries Up in the United States, 2002 to 2009
THURSDAY, June 27 (HealthDay News) -- From 2002 to 2009, the volume of cervical spine surgeries in the United States increased, with increased costs seen in patients undergoing anterior or posterior cervical fusion, according to research published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Epidemiological_Trends_in_Cervical_Spine_Surgery.11.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Epidemiological_Trends_in_Cervical_Spine_Surgery.11.aspx )
FDA Approves Rixubis for Prophylactic Tx in Hemophilia B
THURSDAY, June 27 (HealthDay News) -- Rixubis (coagulation factor IX recombinant) has been approved by the U.S. Food and Drug Administration to prevent routine bleeding episodes in people aged 16 and older with hemophilia B, the agency said in a news release.
More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm358918.htm )
Long-Term Satisfaction for Open Carpal Tunnel Release
THURSDAY, June 27 (HealthDay News) -- Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.
Abstract (http://jbjs.org/article.aspx?articleid=1694244 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1694244 )Editorial (http://jbjs.org/article.aspx?articleid=1694262 )
Adults With Chronic Conditions Earn C+ for Meds Adherence
WEDNESDAY, June 26 (HealthDay News) -- On average, adults with chronic conditions earn a C+ for medication adherence, according to a report published June 25 by the National Community Pharmacists Association (NCPA).
More Information (http://www.ncpanet.org/index.php/news-releases/1702-new-report-card-on-medication-use-gives-americans-a-c )
Hospital Teaching Intensity Affects Readmission Rates
WEDNESDAY, June 26 (HealthDay News) -- Hospital teaching intensity significantly affects readmission rates for the most common inpatient diagnoses, particularly for safety-net hospitals, according to a study published in the July issue of Medical Care.
Abstract (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )
HHS Launches Insurance Marketplace Website, Call Center
WEDNESDAY, June 26 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) has launched the Health Insurance Marketplace education effort, with a consumer-focused website and a consumer call center, to help Americans prepare for enrollment in the new Health Insurance Marketplace.
HealthCare.gov (https://www.healthcare.gov/ )More Information (http://www.hhs.gov/news/press/2013pres/06/20130624a.html )
8.5 Million Enrollees to Receive Health Insurance Rebates
WEDNESDAY, June 26 (HealthDay News) -- About 8.5 million enrollees will receive a rebate of about $100 per family as part of the Affordable Care Act "80/20" rule, according to a report published by the U.S. Department of Health and Human Services.
More Information (http://www.hhs.gov/news/press/2013pres/06/20130620a.html )
MRI Findings Linked to Effect of Lumbar Spine Surgery
WEDNESDAY, June 26 (HealthDay News) -- Certain findings on magnetic resonance imaging (MRI) are linked with surgical outcome in patients with lumbar intervertebral disc herniation, according to research published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Magnetic_Resonance_Imaging_Predictors_of_Surgical.10.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Magnetic_Resonance_Imaging_Predictors_of_Surgical.10.aspx )
Mobile Phone Use-Related Injuries Up for Pedestrians
TUESDAY, June 25 (HealthDay News) -- The number of injuries related to mobile phone use among pedestrians increased from 2004 to 2010, with the number of injuries exceeding those of drivers in 2010, according to a study published in the August issue of Accident Analysis & Prevention.
Abstract (http://www.sciencedirect.com/science/article/pii/S000145751300119X )Full Text (subscription or payment may be required) (http://www.sciencedirect.com/science/article/pii/S000145751300119X )
Publicly Reported Mortality Predicts Hospital Performance
TUESDAY, June 25 (HealthDay News) -- Hospital performance on publicly reported medical conditions is indicative of overall hospital mortality rates, according to a study published online June 24 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1700429#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700429 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700438 )
Growing Mismatch in Med School Graduates, GME Places
TUESDAY, June 25 (HealthDay News) -- Although the number of medical school enrollees and graduates is increasing, the number of U.S. graduate medical education (GME) programs has not increased at the same rate, and consequently physician shortages are likely to become more apparent, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306445?query=featured_home )
Fewer Reoperations Seen With Cervical Disc Replacement
TUESDAY, June 25 (HealthDay News) -- Total disc replacement (TDR) is associated with a lower reoperation rate and longer time to reoperation compared with anterior cervical fusion (ACF), according to a study published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Reoperations_in_Cervical_Total_Disc_Replacement.4.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Reoperations_in_Cervical_Total_Disc_Replacement.4.aspx )
Air Transport Ups Survival Despite Severity of Trauma
TUESDAY, June 25 (HealthDay News) -- Trauma patients transported via helicopter emergency medical services (HEMS) have improved survival compared to those transported via ground emergency medical services (GEMS), despite tending to be more seriously injured, according to a study published online June 21 in Critical Care.
Abstract (http://ccforum.com/content/17/3/R124/abstract )Full Text (http://ccforum.com/content/pdf/cc12796.pdf )
FDA Approves Vibativ for Certain Bacterial Pneumonias
MONDAY, June 24 (HealthDay News) -- The antibiotic Vibativ (telavancin) has been approved by the U.S. Food and Drug Administration to treat hospital-acquired and ventilator-associated bacterial pneumonia caused by Staphylococcus aureus bacteria when other treatments aren't suitable.
More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm358209.htm )
AH: Most Acute Care Costs Not Avoidable for High-Cost Patients
MONDAY, June 24 (HealthDay News) -- For high-cost Medicare beneficiaries, only a small percentage of costs are related to preventable emergency department visits and hospitalizations, according to a study published online June 24 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 23 to 25 in Baltimore.
Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1699911 )More Information (http://academyhealth.org/events/content.cfm?ItemNumber=882&navItemNumber=529 )
Survival of England's National Health Service Questioned
MONDAY, June 24 (HealthDay News) -- Recent criticism of England's National Health Service (NHS) has called its survival into question, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1305771 )
Local Vancomycin Reduces Infections in Cervical Fusion
MONDAY, June 24 (HealthDay News) -- The local application of prophylactic vancomycin significantly reduces the risk of surgical site infections in patients undergoing multilevel posterior cervical-instrumented fusions for cervical spondylotic myelopathy (CSM), according to a study published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Intrawound_Vancomycin_Powder_Reduces_Surgical_Site.5.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Intrawound_Vancomycin_Powder_Reduces_Surgical_Site.5.aspx )
Guide Issued for Tying Primary Care to Regional Organizations
MONDAY, June 24 (HealthDay News) -- The Agency for Healthcare Research and Quality has developed a new guide to help primary care practices to assess readiness for connecting electronic health records (EHRs) to regional health information organizations (RHIOs).
More Information (http://www.healthit.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf )
Spine Surgeons Vary Considerably in Imaging Practices
FRIDAY, June 21 (HealthDay News) -- Spinal surgeons show considerable variability in imaging practices for elective lumbar spine surgery, according to a study published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Routine_Imaging_for_Elective_Lumbar_Spine_Surgery_.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Routine_Imaging_for_Elective_Lumbar_Spine_Surgery_.12.aspx )
AMA Awards Grants for Medical Education Innovation
FRIDAY, June 21 (HealthDay News) -- The American Medical Association (AMA) has awarded funding to 11 U.S. medical schools in response to their proposals regarding educational innovations aimed at transforming how future physicians are trained.
More Information (http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-14-ama-awards-11-million-change-med-ed.page )
AHRQ Offers Strategies to Prevent Adverse Drug Events
FRIDAY, June 21 (HealthDay News) -- Strategies to prevent adverse drug events (ADEs) have been recommended and published in a report by the Agency for Healthcare Research and Quality (AHRQ).
More Information (http://psnet.ahrq.gov/primer.aspx?primerID=23 )
Screening Colonoscopy-ID'd CA Tied to Improved Outcomes
FRIDAY, June 21 (HealthDay News) -- Patients identified with colon cancer through screening colonoscopies have both lower-stage disease on presentation and also better outcomes independent of their staging, according to research published online June 19 in JAMA Surgery.
Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1698664#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1698664 )
Obesity Is a Disease, Says American Medical Association
THURSDAY, June 20 (HealthDay News) -- The American Medical Association has adopted policy that recognizes obesity as a disease, a step that the association hopes will help focus more attention on treatment and prevention efforts, and that some suggest may lead to greater acceptance by insurance providers to cover treatment.
More Information (http://newsroom.heart.org/news/american-medical-association-says-obesity-is-a-disease )
CMS Implementing Physician Quality Reporting System
THURSDAY, June 20 (HealthDay News) -- To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services (CMS).
More Information (http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRS/ )
Surgeon Error Linked to Skin Tumor Recurrence
THURSDAY, June 20 (HealthDay News) -- Errors in surgeons' interpretation of histological slides are strongly associated with tumor recurrence after Mohs micrographic surgery (MMS), according to a study published in the July issue of the Journal of the American Academy of Dermatology.
Abstract (http://www.jaad.org/article/S0190-9622%2813%2900200-4/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622%2813%2900200-4/fulltext )
Practices Are Not Prepared for Implementation of ICD-10
THURSDAY, June 20 (HealthDay News) -- Physician practices have made little progress in preparing for implementation of the 10th revision of the International Classification of Diseases (ICD-10), according to a report published by the Medical Group Management Association (MGMA).
More Information (http://www.mgma.com/ )
More Research on Exercise for Adolescent Scoliosis Is Needed
THURSDAY, June 20 (HealthDay News) -- A recent Cochrane review concluded that there is a lack of high-quality evidence on the efficacy of scoliosis-specific exercise (SSE) in adolescents with adolescent idiopathic scoliosis (AIS), according to research published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Exercises_for_Adolescent_Idiopathic_Scoliosis__A.18.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Exercises_for_Adolescent_Idiopathic_Scoliosis__A.18.aspx )
Clopidogrel Does Not Reduce Mortality in Shunted Infants
WEDNESDAY, June 19 (HealthDay News) -- In infants less than 3 months old with congenital heart disease and a systemic-to-pulmonary-artery shunt, clopidogrel does not reduce mortality compared with placebo, according to a study published in the June 20 issue of the New England Journal of Medicine.
Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1114588 )
Potential of Mobile Remote-Presence Devices Discussed
WEDNESDAY, June 19 (HealthDay News) -- Mobile remote-presence devices have the potential to increase access to and improve delivery of health care in the developed and developing world, according to an innovations report published online June 17 in CMAJ, the Journal of the Canadian Medical Association.
Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/06/17/cmaj.120223.full.pdf )
Pre-Op MRI Predicts Outcome of Cervical Spondylotic Myelopathy
WEDNESDAY, June 19 (HealthDay News) -- For patients with cervical spondylotic myelopathy (CSM), preoperative magnetic resonance imaging (MRI) signal changes are predictive of baseline neurologic status and postoperative recovery, according to a study published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Preoperative_Magnetic_Resonance_Imaging_Is.3.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Preoperative_Magnetic_Resonance_Imaging_Is.3.aspx )
EHR Implementation First Step Toward Quality Improvement
WEDNESDAY, June 19 (HealthDay News) -- Implementation of electronic health records (EHRs) is a first step toward quality improvement and should be accompanied by use of new payment models to allow physicians to see a return on their investments, according to Farzad Mostashari, M.D., of the Office of the National Coordinator for Health Information Technology, who was recently interviewed by the American Academy of Family Physicians.
More Information (http://www.aafp.org/news-now/practice-professional-issues/20130612fmostashari.html )
New Rule Proposes Insurance Program Integrity Guidelines
WEDNESDAY, June 19 (HealthDay News) -- A new proposed rule, which provides program integrity guidelines for Affordable Insurance Exchanges, or Health Insurance Marketplaces (Marketplaces), has been released by the U.S. Department of Health and Human Services (HHS).
More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-06-14.html )
State-Based Health Care Price Websites Lacking
TUESDAY, June 18 (HealthDay News) -- State-based, patient-oriented websites reporting health care prices need to be improved, according to a research letter published in the June 19 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1697957 )
Unauthorized Immigrants Make Up 1.4% U.S. Medical Spending
TUESDAY, June 18 (HealthDay News) -- Unauthorized immigrants have substantially lower health care expenditures than legal residents, naturalized citizens, and U.S. natives, according to a study published online June 12 in Health Affairs.
Abstract (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113 )Full Text (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113.full )
Racial Disparities Exist in Outcomes of Spinal Surgery
TUESDAY, June 18 (HealthDay News) -- The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research published in the May 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05150/Racial_Disparities_in_Outcomes_of_Spinal_Surgery.13.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05150/Racial_Disparities_in_Outcomes_of_Spinal_Surgery.13.aspx )
About 15 Percent of People Currently Uninsured in U.S.
TUESDAY, June 18 (HealthDay News) -- In 2012, nearly 15 percent of U.S. people of all ages were currently uninsured, according to a data brief published online June 18 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201306.pdf )
Neurological Testing Limited in Diagnosing Disc Herniation
MONDAY, June 17 (HealthDay News) -- Neurological testing procedures have limited diagnostic accuracy for detecting disc herniation with suspected radiculopathy, according to a review and meta-analysis published in the June issue of The Spine Journal.
Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00164-2/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00164-2/fulltext )
FDA Discusses Cybersecurity for Medical Devices, Hospitals
MONDAY, June 17 (HealthDay News) -- Medical device manufacturers and health care facilities should ensure appropriate safeguards are in place to reduce the potential harms that may result from cyberattacks, according to a safety communication issued by the U.S. Food and Drug Administration.
More Information (http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm356423.htm )
Marked Variability Seen in Total Knee Arthroplasty Indications
FRIDAY, June 14 (HealthDay News) -- There is considerable variability associated with total knee arthroplasty (TKA) recommendations, according to a report published in the May issue of Pain Medicine News.
More Information (http://www.painmedicinenews.com/ViewArticle.aspx?d=Clinical%2BPain%2BMedicine&d_id=82&i=May+2013&i_id=951&a_id=23055 )
Laparoscopies Up for Ventral Hernia Repair in Obese Patients
THURSDAY, June 13 (HealthDay News) -- In obese patients, there has been a significant increase in the use of laparoscopic ventral hernia repairs (VHRs), which are associated with a lower complication rate and shorter median length of hospital stay compared with open surgeries, according to research published online June 12 in JAMA Surgery.
Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1696120#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1696120 )
Fusion Rate Up for Lumbar Spinal Stenosis, 2004 to 2009
THURSDAY, June 13 (HealthDay News) -- For patients hospitalized for lumbar spinal stenosis (LSS), the rate of fusions significantly increased and the rate of decompressions significantly decreased from 2004 to 2009 in the United States, according to a study published in the May 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05150/Nationwide_Trends_in_the_Surgical_Management_of.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05150/Nationwide_Trends_in_the_Surgical_Management_of.12.aspx )
Survey Examines Physician Satisfaction With EHRs
THURSDAY, June 13 (HealthDay News) -- About three-quarters of physicians report that their practice either has a fully implemented electronic health record (EHR), uses a hospital or corporate EHR, or is in the process of implementing an EHR, according to a technology survey published by Physicians Practice.
More Information (http://www.physicianspractice.com/2013-technology-survey-results )
Risk Down for Deceased-Donor Partial Liver Transplant
WEDNESDAY, June 12 (HealthDay News) -- For young pediatric patients, the risk associated with deceased-donor (DD) partial liver transplantation has decreased over time, according to a study published online May 21 in Liver Transplantation.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lt.23667/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23667/pdf )
Use of EHRs Can Enhance Doc-Patient Communication
WEDNESDAY, June 12 (HealthDay News) -- Electronic health records (EHRs) can be used during clinical encounters to enhance the physician-patient relationship, encouraging communication during the clinical encounter, according to a viewpoint published in the June 12 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696109 )
New, More Efficient Blood-Ordering Guidelines Issued
TUESDAY, June 11 (HealthDay News) -- By extracting blood utilization data from electronic medical records and applying it to a proposed algorithm, a cost-saving, institution-specific maximum surgical blood order schedule (MSBOS) can be created, according to a study published in the June issue of Anesthesiology.
Full Text (http://journals.lww.com/anesthesiology/Fulltext/2013/06000/Optimizing_Preoperative_Blood_Ordering_with_Data.16.aspx )
Bariatric Bypass Achieves Greater Cholesterol Lowering
TUESDAY, June 11 (HealthDay News) -- Compared to gastric banding, bariatric bypass surgery achieves greater cholesterol lowering, according to a study published in the June issue of Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/36/6/1443.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/6/1443.full )
Most Doctors Feel They Are Under-Using Mobile Apps
TUESDAY, June 11 (HealthDay News) -- Most physicians feel they are not maximizing use of mobile applications, and would utilize additional electronic health record (EHR) functionalities if they were available, according to poll conducted by Black Book Market Research.
More Information (http://www.blackbookrankings.com/healthcare/ )
Doctors Do Not Spend Enough Time Planning Their Finances
TUESDAY, June 11 (HealthDay News) -- Physicians do not spend enough time reviewing their finances, and half are behind in their retirement planning, according to a report published by the American Medical Association (AMA) Insurance Agency.
More Information (http://www.amainsure.com/resourcecenter/2013-report-on-physicians-financial-preparedness.html?utm_source=amalyris&utm_medium=email&utm_campaign=preparedness )
Minimally Invasive Surgery for Lumbar Fusion Beneficial
FRIDAY, June 7 (HealthDay News) -- Minimally invasive surgery for spinal lumbar interbody fusion is associated with less blood loss and shorter hospital stays compared with open surgery, although these advantages disappear when a concomitant decompression is necessary, according to a study published in the May issue of The Spine Journal.
Abstract (http://www.thespinejournalonline.com/article/S1529-9430%2812%2901310-1/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430%2812%2901310-1/fulltext )Editorial (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430%2813%2900259-3/abstract )
MRI Sedimentation Sign May Indicate Stenosis
FRIDAY, June 7 (HealthDay News) -- The sedimentation sign determined from magnetic resonance imaging (MRI) may be a diagnostic indicator for central or combined lumbar spinal stenosis (LSS), according to a study published in the May 1 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05010/The_Sedimentation_Sign_for_Differential_Diagnosis.11.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05010/The_Sedimentation_Sign_for_Differential_Diagnosis.11.aspx )
Multidisciplinary Intervention Cuts Post-Op Complications
FRIDAY, June 7 (HealthDay News) -- For patients undergoing general or vascular surgery, implementation of a multidisciplinary pulmonary care program (I COUGH) correlates with reduced incidence of postoperative pneumonia and unplanned intubation, according to a study published online June 5 in JAMA Surgery.
Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1693122#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1693122 )
HHS: Marketplaces Open New Insurance Options for Consumers
THURSDAY, June 6 (HealthDay News) -- Health Insurance Marketplaces, due to be introduced in October 2013, will increase the coverage options for many consumers, according to a memo released by the U.S. Department of Human & Health Services.
More Information (http://www.scribd.com/doc/144725362/White-House-Health-Care-Competition-Memo-5-30-13 )
Surgical Site Infections in Pediatric Scoliosis Reviewed
THURSDAY, June 6 (HealthDay News) -- Surgical site infections, particularly those caused by gram-negative pathogens, occur more frequently following procedures in patients with non-idiopathic rather than idiopathic scoliosis, according to research published in the May 1 issue of the Journal of Bone & Joint Surgery.
Abstract (http://jbjs.org/article.aspx?articleid=1679102 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1679102 )
Surgical Methods Compared for Degenerative Spondylolisthesis
WEDNESDAY, June 5 (HealthDay News) -- For patients with multilevel lumbar stenosis and single-level degenerative spondylolisthesis (DS), surgical outcomes are not significantly different with decompression and single-level or multilevel fusion, according to a study published in the May 1 issue of Spine.
Full Text (http://journals.lww.com/spinejournal/Fulltext/2013/05010/Single__Versus_Multilevel_Fusion_for_Single_Level.2.aspx )
Low-Mortality Hospitals Better With Heart Surgery Complications
WEDNESDAY, June 5 (HealthDay News) -- Hospitals with low mortality rates for adults undergoing cardiac surgery are superior in rescuing patients from postoperative complications, according to research published in the June issue of the Annals of Thoracic Surgery.
Abstract (http://ats.ctsnetjournals.org/cgi/content/abstract/95/6/1976 )Full Text (subscription or payment may be required) (http://ats.ctsnetjournals.org/cgi/content/full/95/6/1976 )
Reconstruction With Perforator Flaps Ups Fat Necrosis
WEDNESDAY, June 5 (HealthDay News) -- Autologous breast reconstruction with perforator flaps has an increased risk of fat necrosis, according to a study published in the May issue of Plastic and Reconstructive Surgery.
Abstract (http://journals.lww.com/plasreconsurg/Fulltext/2013/05001/Abstract_108___INCREASED_FLAP_WEIGHT_AND_DECREASED.111.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/plasreconsurg/Fulltext/2013/05001/Abstract_108___INCREASED_FLAP_WEIGHT_AND_DECREASED.111.aspx )
Few Physicians Meeting Meaningful Use in Early 2012
WEDNESDAY, June 5 (HealthDay News) -- In early 2012, few physicians met meaningful use criteria, and using electronic health records (EHRs) for patient panel management was difficult, according to research published in the June 5 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1692572 )
Aspirin Post Hip Replacement OK for Extended Prophylaxis
WEDNESDAY, June 5 (HealthDay News) -- Twenty-eight days of aspirin is non-inferior to, and as safe as, dalteparin, a low-molecular-weight heparin, for the prevention of venous thromboembolism (VTE) after total hip arthroplasty (THA), according to research published in the June 4 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1692573 )
Blood Transfusions in Cardiac Surgery May Up Infections
TUESDAY, June 4 (HealthDay News) -- Transfusion of red blood cells (RBCs) during or after surgery may increase the risk of major infections, such as pneumonia and bloodstream infections, according to research published in the June issue of the Annals of Thoracic Surgery.
Abstract (http://ats.ctsnetjournals.org/cgi/content/abstract/95/6/2194 )Full Text (subscription or payment may be required) (http://ats.ctsnetjournals.org/cgi/content/full/95/6/2194 )Editorial (subscription or payment may be required) (http://ats.ctsnetjournals.org/cgi/content/extract/95/6/1855 )
CDC: Small Drop in Those With Difficulty Paying Medical Bills
TUESDAY, June 4 (HealthDay News) -- There has been a slight decrease in the percentage of individuals aged younger than 65 years who are in a family with difficulty paying their medical bills, according to a June data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/problems_paying_medical_bills_january_2011-june_2012.pdf )
Roux-en-Y Bypass Ups Glycemic Control, Weight Loss in Diabetes
TUESDAY, June 4 (HealthDay News) -- For obese patients with diabetes, gastric bypass is associated with improved control of comorbid risk factors and weight loss in the short term, according to research published in the June 5 issue of the Journal of the American Medical Association.
Abstract - Ikramuddin (http://jama.jamanetwork.com/article.aspx?articleid=1693889#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1693889 )Abstract - Maggard-Gibbons (http://jama.jamanetwork.com/article.aspx?articleid=1693893#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1693893 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1693867 )
MRI Identifies Compression Fractures Before Cementing
TUESDAY, June 4 (HealthDay News) -- In patients with suspected vertebral compression fractures, the addition of magnetic resonance imaging (MRI) reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures, according to a study published in the May issue of the Journal of Spinal Disorders & Techniques.
Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2013/05000/Usefulness_of_MRI_in_Determining_the_Appropriate.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2013/05000/Usefulness_of_MRI_in_Determining_the_Appropriate.12.aspx )
Independent Payment Advisory Board's Future Questioned
MONDAY, June 3 (HealthDay News) -- Established as a part of the efforts of Affordable Care Act (ACA) to contain health care costs, the Independent Payment Advisory Board (IPAB) has been surrounded by controversy, and still has no members, according to a perspective piece published online May 29 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306051?query=featured_home )
Vegetarian Dietary Patterns Tied to Lower All-Cause Death
MONDAY, June 3 (HealthDay News) -- Compared with non-vegetarians, vegetarians have reduced all-cause mortality, according to a study published online June 3 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1691919#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691919 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691926 )
Health of Nation Reviewed With Focus on Emergency Care
MONDAY, June 3 (HealthDay News) -- Recent trends in the health of the nation are described, with particular focus on emergency care, in the 36th annual report published by the National Center for Health Statistics (NCHS) and the U.S. Centers for Disease Control and Prevention.
More Information (http://www.cdc.gov/nchs/hus.htm )
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