Here are what the editors at HealthDay consider to be the most important developments in Surgery for March 2019. 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.

Three Interventions Involved in Decrease in Combat Mortality

FRIDAY, March 29, 2019 (HealthDay News) — Increased use of tourniquets, blood transfusions, and more rapid prehospital transport time accounted for 44.2 percent of the total mortality reduction seen over time in Afghanistan and Iraq, according to a study published online March 27 in JAMA Surgery.

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Receiving Activated Charcoal Bag Tied to Proper Opioid Disposal

THURSDAY, March 28, 2019 (HealthDay News) — Providing patients undergoing surgical procedures with an activated charcoal bag for opioid deactivation could increase appropriate opioid disposal, according to a research letter published online March 27 in JAMA Surgery.

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Doctors With Malpractice Claims More Likely to Leave Medicine

THURSDAY, March 28, 2019 (HealthDay News) — Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings, according to a study published in the March 28 issue of the New England Journal of Medicine.

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Douglas County, Colorado, Ranked as Healthiest Community

TUESDAY, March 26, 2019 (HealthDay News) — The 2019 healthiest community in America is Douglas County, Colorado, according to a report published online March 26 by U.S. News & World Report, in conjunction with the Aetna Foundation.

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Risk for Miscarriage Increased With Night Work During Pregnancy

TUESDAY, March 26, 2019 (HealthDay News) — Night work during pregnancy seems to confer an increased risk for miscarriage, with the risk increased for two or more night shifts the previous week, according to a study published online March 25 in Occupational & Environmental Medicine.

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2019 Residency Match Day Was Largest in History

MONDAY, March 25, 2019 (HealthDay News) — The 2019 Main Residency Match was the largest in history, with a record high of 38,376 applicants for 35,185 positions, according to 2019 Match Day results released by the National Resident Matching Program.

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Aspiration Noninferior to Stent Retriever for Clot Removal

MONDAY, March 25, 2019 (HealthDay News) — Aspiration is as effective as the traditional stent retriever approach for clot removal in patients presenting with large-vessel occlusion stroke, according to a study published online March 9 in The Lancet.

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HBV, HCV Control Aids Kidney Transplant Outcomes

MONDAY, March 25, 2019 (HealthDay News) — The outcomes of kidney transplants in patients with viral suppression are as good as those for kidney transplants in patients not infected with hepatitis B virus (HBV) or hepatitis C virus (HCV), according to a study published online March 14 in the Journal of Hepatology.

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Digital Breast Tomosynthesis Can Reduce Benign Biopsy Rate

THURSDAY, March 21, 2019 (HealthDay News) — Digital breast tomosynthesis (DBT) can reduce the rate of benign biopsies without affecting cancer detection compared with full-field digital mammography (FFDM), according to a study published online March 19 in Radiology.

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Prevalence of Severe Maternal Morbidity Increased Across Groups

THURSDAY, March 21, 2019 (HealthDay News) — From 1997 to 2014, there was an increase in the prevalence of severe maternal morbidity (SMM), with persistent racial/ethnic disparities, according to a study published online Feb. 28 in the Annals of Epidemiology.

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Overall, Physicians Are Happy and Enjoy Their Lives

WEDNESDAY, March 20, 2019 (HealthDay News) — Overall, physicians are happy and enjoy their lives, according to the 2019 American Academy of Family Physicians (AAFP)/CompHealth Physician Happiness Survey published online March 19.

2019 AAFP/CompHealth Physician Happiness Survey

Average of 8.8 Inactive Ingredients Found in Oral Medications

MONDAY, March 18, 2019 (HealthDay News) — Oral forms of medications contain an average of 8.8 inactive ingredients, many of which could cause adverse reactions, according to a perspective piece published in the March 13 issue of Science Translational Medicine.

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Fewer Complications After MIRS Introduced for Endometrial Cancer

MONDAY, March 18, 2019 (HealthDay News) — The introduction of minimally invasive robotic surgery (MIRS) is associated with a significantly lower risk for severe complications among patients with early-stage endometrial cancer, according to a study published online Feb. 27 in JAMA Surgery.

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Physician Burnout Rate Increased From 2014 to 2017

FRIDAY, March 15, 2019 (HealthDay News) — From 2014 to 2017, there was an increase in physician burnout, with early-career physicians being the most susceptible, according to a study published online March 15 in JAMA Network Open.

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Less Invasive Method Safely IDs Epilepsy Surgical Candidates

FRIDAY, March 15, 2019 (HealthDay News) — The robotic stereoelectroencephalography (SEEG) procedure to determine whether patients with pharmacoresistant epilepsy are candidates for brain surgery is safer and more efficient and more often leads to favorable epilepsy outcomes than the traditional subdural electrode (SDE) implantation method among those undergoing resection or ablation, according to a study published online March 4 in JAMA Neurology.

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Head of National Cancer Institute Named Acting FDA Commissioner

WEDNESDAY, March 13, 2019 (HealthDay News) — The U.S. Food and Drug Administration will temporarily be overseen by the head of the National Cancer Institute when FDA Commissioner Scott Gottlieb, M.D., leaves the post next month.

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CDC: Most Americans Report Excellent, Good Health

WEDNESDAY, March 13, 2019 (HealthDay News) — Most Americans report having excellent or good health and have a usual place to go for medical care, according to a report published March 13 for the National Health Interview Survey Early Release Program.

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Total Thyroidectomy Improves HRQoL in Hashimoto Thyroiditis

TUESDAY, March 12, 2019 (HealthDay News) — For patients with Hashimoto thyroiditis with persistent symptoms despite normal thyroid gland function, total thyroidectomy, but not medical management, improves health-related quality of life and fatigue, according to a study published online March 12 in the Annals of Internal Medicine.

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Timing of Medicare Loss Linked to Kidney Transplant Outcomes

MONDAY, March 11, 2019 (HealthDay News) — Kidney transplant recipients receiving Medicare who lose coverage before or after the current three-year policy time point have an increased risk for allograft loss, according to a study published online March 5 in the American Journal of Transplantation.

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Surgery for Uncomplicated Appendicitis Typically Yields Satisfactory Outcomes

FRIDAY, March 8, 2019 (HealthDay News) — Preoperative imaging, a laparoscopic approach, and excellent clinical outcomes are the norm for the surgical management of uncomplicated appendicitis in U.S. adults, according to research published in the March issue of Surgery.

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Home Health Clinicians Frequently Lack Access to Hospital Records

FRIDAY, March 8, 2019 (HealthDay News) — Communication between hospitals and home health care (HHC) is suboptimal, according to a study published online Feb. 21 in the Journal of Post-Acute and Long-Term Care Medicine.

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Complication Rate After Bariatric Surgery Higher for Black Patients

THURSDAY, March 7, 2019 (HealthDay News) — Black patients have higher rates of 30-day complications and resource use than white patients after bariatric surgery, according to a study published online March 6 in JAMA Surgery.

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2004 to 2017 Saw Increase in Fractures for Elderly Dog Walkers

THURSDAY, March 7, 2019 (HealthDay News) — From 2004 to 2017, there was a significant increase in the annual number of elderly Americans presenting to U.S. emergency departments with fractures associated with walking leashed dogs, according to a research letter published online March 6 in JAMA Surgery.

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Preoperative Frailty Linked to Surgical Outcomes, Costs

WEDNESDAY, March 6, 2019 (HealthDay News) — Preoperative frailty is associated with surgical outcomes and costs in patients undergoing elective surgery, according to a study published online March 1 in the Journal of the American College of Surgeons.

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Some Lose Independence After Surgical Tx of Femoral Neck Fx

WEDNESDAY, March 6, 2019 (HealthDay News) — A considerable proportion of older patients with femoral neck fracture are institutionalized or require walking aids 12 months after surgical treatment for their injury, according to a study published online Feb. 18 in the Journal of Orthopaedic Trauma.

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Electronic Order Set May Reduce Inappropriate ECG Monitoring

WEDNESDAY, March 6, 2019 (HealthDay News) — Use of electronic order sets is a safe and effective way to enhance appropriate electrocardiographic (ECG) monitoring of hospitalized patients, according to a study published in the March issue of the American Journal of Critical Care.

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Blood Test Offers Early Warning for Kidney Transplant Rejection

WEDNESDAY, March 6, 2019 (HealthDay News) — A gene expression signature can identify T-cell mediated rejection (TCMR) ahead of time in kidney transplant recipients, according to a study published online March 1 in EBioMedicine.

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FDA Commissioner Dr. Scott Gottlieb Resigns

TUESDAY, March 5, 2019 (HealthDay News) — In what probably came as a surprise to many, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced his resignation on Tuesday. Gottlieb is leaving the FDA because he wants to spend more time with his wife and three young daughters — twins aged 9 and a 5-year-old — one official said. He currently commutes each week from the family home in Connecticut to his Washington, D.C., office.

The Washington Post Article

Intraoperative Methylprednisolone During Bypass Not Renal Protective

MONDAY, March 4, 2019 (HealthDay News) — For patients undergoing cardiac surgery with a cardiopulmonary bypass pump, administration of intravenous methylprednisolone does not reduce the risk for acute kidney injury, according to a study published online March 4 in CMAJ, the journal of the Canadian Medical Association.

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COPD, ILD Patients May Not Benefit From Bilateral Lung Transplant Listing

MONDAY, March 4, 2019 (HealthDay News) — While an unrestricted listing strategy does not seem to impact overall survival among patients with chronic obstructive pulmonary disease (COPD) or interstitial lung disease (ILD) awaiting lung transplant, it may increase the number of transplants performed, according to a study published in the February issue of the Annals of the American Thoracic Society.

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