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Surgery General

New Options for Treating Opioid Addiction

Jan 12, 2015

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it�...

Enhancing Care With Robotic Prostatectomy

Jan 12, 2015

During the last decade, the number of robot-assisted prostatectomies performed in the United States has risen steadily throughout the country. Several factors have led to more complex patients being o...

Comparing Approaches to ACL Tears

Dec 22, 2014

Value-based medicine has gained more attention in recent years, leading many providers and healthcare systems to focus on the cost effectiveness of services they offer. This focus is important in orth...

ICD Use in the Under-Represented

Dec 22, 2014

Implantable cardioverter-defibrillators (ICDs) have emerged as an important treatment option for select patients with heart failure, those with reduced left ventricular function, and individuals at ri...

Presiding Over The Death of a Child

Dec 12, 2014

Last night, I presided over the death of a child. To the world he was a young man of 20, but as the paramedics rolled him into the trauma bay, pumping on his chest, I felt a momentary stab of panic. H...

Diagnosing Stroke in the ED

Dec 07, 2014

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,” says David E. Newman-Toker, MD, P...

Reducing Post-Op VTE Complications

Dec 07, 2014

At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier for postoperative venous thromboembolism (VTE). Their data were derived from the American College of Sur...

Health-Related Web Searches: Examining Quality

Dec 07, 2014

Most adults in the United States seek health information online, and many report that these searches influence their health-related decisions. About two-thirds of people who obtain health information ...

Standards for Child Surgical Care

Nov 24, 2014

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with...

The Impact of Obesity on Total Knee Arthroplasty

Nov 24, 2014

According to recent data, more than one-third of American adults were obese in 2010, and studies continue to show that obesity prevalence is rising throughout the United States. Research has shown tha...

I Am Not a Patient Advocate

Nov 19, 2014

People have commented on some of my posts, expressing appreciation for my ‘patient advocacy.’ I hate that term. Let’s get something straight. I am not a patient advocate. Patient advocates are n...

2014 VEITH Symposium: Ultrasound-Accelerated, Catheter-Directed Thrombolysis for DVT

Nov 19, 2014

The Particulars: Interest in catheter-directed thrombolysis to treat lower extremity DVT has led to the development of aggressive approaches using ultrasonic augmentation. However, few studies have co...

2014 VEITH Symposium: Open Vs Endovascular RAAA Repair

Nov 19, 2014

The Particulars: Comparisons of open and endovascular repair of ruptured abdominal aortic aneurysms (RAAAs) are lacking in patients with abdominal compartment syndrome. Data Breakdown: Researchers ...

2014 VEITH Symposium: Iliac Vein Stenting in the Elderly

Nov 19, 2014

The Particulars: Few studies have assessed the safety of iliac vein stenting in office-based settings, particularly among patients in their 80s and 90s. Data Breakdown: For a study, investigators a...

2014 VEITH Symposium: Age, Urgency, & TEVAR

Nov 19, 2014

The Particulars: Thoracic endovascular aneurysm repair (TEVAR) can be performed either electively or urgently. Data are lacking on the differences in outcomes for TEVAR procedures performed electively...

Pediatric GERD Procedures

Nov 07, 2014

Clinicians often have difficulty diagnosing GERD and discriminating it from physiologic regurgitation, especially in the pediatric population. “Childhood GERD is diagnosed commonly by clinical evalu...

Colorectal Cancer Resections in the Aging Population

Nov 07, 2014

According to recent estimates, about half of all cancers and 70% of all cancer deaths occur in people aged 65 and older. Gastrointestinal cancers, especially colorectal cancer (CRC), are among the mos...

Adult Obesity in the United States

Nov 07, 2014

According to the most recent data, two states have adult obesity rates above 35%. ...

ACS 2014: Checklists for Surgical Patient Handoffs

Oct 30, 2014

The Particulars: Previous research has found that implementing a shift change protocol called PACT—which stands for Priority, Admissions, Changes, and Task Review—enables surgical residents to com...

ACS 2014: Predicting Joint Replacement Outcomes

Oct 30, 2014

The Particulars: In most cases, eligibility for hip and knee replacement surgery has been based largely upon the patient’s biological age. Recent research suggests, however, that a patient’s level...

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