Surgery/Specialties Editor's Note Frailty has a significant impact on postoperative outcomes that varies with procedure, this study finds. Using data on 232,352 patients in the American College of Surgeons National Surgical Quality Improvement Program who had elective, high-risk surgical procedures, multivariate analysis found that frailty was associated with complications, prolonged duration…
Editor's Note A GlobalData report predicts the global knee and hip reconstruction market will reach almost $16.5 billion by 2022, with a 2.5% compound annual growth rate, according to the June 29 Becker’s Spine Review. Among the things to know: The market was valued at $14 billion in 2015. Various…
Editor's Note A program at the Hospital for Special Surgery, New York City, to improve orthopedic surgery residents’ communication skills with older adults is paying off, according to a new study presented at the Council of Orthopaedic Residency Directors meeting on June 24 in Seattle. A total of 64 residents…
Editor's Note Rebuilding America’s Warriors (RAW) will provide free surgery to survivors of the Orlando nightclub shootings, WFTV9 Eyewitness News reports. The RAW group comprises more than 350 surgeons in more than 40 states who perform reconstructive surgery for war veterans for free. In addition to the surgeons covering the…
Editor's Note Preoperative falls may be common and often injurious in surgical patients across all ages, and they are associated with preoperative functional dependence and quality of life, this study finds. The study included 15,060 adult patients undergoing elective surgery. In the 6 months before surgery, 26% fell at least…
Editor's Note The overall risk for deep wound surgical site infections (SSIs) after anterior cruciate ligament (ACL) reconstruction is low, but it varies by graft type, this study finds. Of 1,452 patients included in the study, 55 had deep wound infections. Infection risk was highest for hamstring autograft (2.5%), compared…
Editor's Note The American Society of Anesthesiologists announced June 22 that the American Academy of Orthopaedic Surgeons (AAOS) is participating in the development of the Perioperative Surgical Home (PSH) model of care. The expected benefits include enhanced clinical quality, better patient experience, lower complication rates and readmissions, reduce length of…
Editor's Note In this study, researchers from the University of California, Irvine, report on data for the second year of implementation of the total joint replacement Perioperative Surgical Home program. During the 2-year period there were 328 primary joint arthroplasty patients. Length of stay was significantly shorter in the second…
Editor's Note Significant variation exists in mortality across hospitals for colon cancer surgery, this study finds. The analysis included 3,025 patients who had colon surgery at 19 low-mortality (1,006) and 30 high-mortality (2,019) hospitals. Researchers found a wide difference in mortality between high-mortality and low-mortality hospitals (9.3% vs 2.4%). Compared with…
Editor's Note In this modeling study of previously unscreened 40-years olds undergoing colorectal cancer screening, the following screening strategies from ages 50 to 75 years were estimated to provide similar life years gained and a comparable balance of benefit and screening burden: colonoscopy every 10 years annual fecal immunochemical testing…
