Nearly forty percent of hospital-based general practitioners who are responsible for overseeing patients’ care say they juggle unsafe patient workloads at least once a week, according to a study published Monday as a research letter in JAMA Internal Medicine.
High-risk criteria in lung cancer haven't been picking out truly higher-risk patients and instead may be unnecessarily keeping some from more complete resection, a study suggested. There was no difference in surgical complications, mortality, and final pathology between patients who met the major criteria -- lung function or diffusion capacity half of normal or worse -- to be considered "high risk" and those who didn't.
The storied "July effect" that new residents and fellows have on patient outcomes in teaching hospitals is negligible in spinal surgery patients, researchers found. A retrospective review of nearly 970,000 admissions over 8 years for spinal surgery showed little difference between mortality rates during July in teaching hospitals compared with other months.
Percutaneous mitral valve replacement may be on the horizon, first-in-man results with the transcatheter CardiAQ valve suggest. Compassionate use in an 88-year-old man with class IV heart failure and severe symptomatic mitral regurgitation yielded good valvular function on postoperative transesophageal and 3-dimensional echo, with little paravalvular leak.
Patients with non-metastatic gastric cancer had similar survival and other outcomes following robotic or conventional laparoscopic gastrectomy, according to a large retrospective series from Korea. Both surgical techniques led to a five-year survival of 94 percent and disease-free survival (DFS) of 92 percent.
Imatinib therapy with surgical removal of residual tumors outperformed imatinib therapy alone among patients with recurrent and metastatic gastrointestinal stromal tumors
Based on their findings, the authors concluded that performance of general surgery operations the day after an overnight in-hospital trauma shift did not affect complication rates or readmission rates. At this time, there is no compelling evidence to mandate work-hour restrictions for attending general surgeons.
Using a checklist helped assure compliance with processes set up to handle a crisis situation -- such as a cardiac arrest or massive hemorrhage -- in the operating room, researchers found. Teams using checklists were 75-percent less likely to miss a critical step in resolving a simulated crisis than teams that relied on memory to recall what they should do.
Researchers have discovered a set of biomarkers that could detect early signs of chronic heart transplant rejection — a process that is often undetectable until function of the heart has been irreversibly compromised. The discovery of such short-term markers provides an opportunity to intervene upon a recipient’s transplanted heart before failure occurs.
The resulting databases of clinical information are gold mines for medical research. The monitoring and analysis of electronic medical records, some scientists say, have the potential to make every patient a participant in a vast, ongoing clinical trial, pinpointing treatments and side effects that would be hard to discern from anecdotal case reports or expensive clinical trials.
Since the recession, healthcare has been the single biggest sector for job growth, but that doesn't mean it's easy to get hired. Registered nurses fresh out of school are coming across thousands of job postings with an impossible requirement: "no new grads." How can this be, at a time when health care jobs are booming and a supposed shortage of RNs sent many career seekers running to nursing school?
The number of donor livers thrown away in the U.S. has increased since 2004 due - in part - to a population growing older and heavier, according to a new study that also points to changes in medical practice that may make some donor livers less viable.
Angela Cottam was in the middle of heavy labor with a set of twins when she suddenly began choking and turned blue. She didn't know it at the time, but the amniotic fluid surrounding the babies in her womb had leaked into her blood system and was quickly killing her. Cottam's lungs collapsed and she nearly bled to death.
While the bulk of the law goes into place in 2014, you'll see a few changes this year. However, much of 2013 will be dedicated to health facilities and government offices getting ready for the larger changes coming down the road.
High surgical risk scores are no barrier for transcatheter aortic valve implantation (TAVI), according to one center's experience. Patients with a EuroSCORE over 40% had an overall 30-day mortality rate after the valve replacement procedure of 6.5% with and 5.7% without cardiogenic shock.