New ACS NSQIP Surgical Risk Calculator Offers Personalized, Accurate Estimates Of Surgical ComplicationsAugust 14, 2013 10:58 am | News | Comments
The new American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator is a revolutionary new tool that quickly and easily estimates patient-specific postoperative complication risks for almost all operations, according to research findings appearing online in the Journal of the American College of Surgeons.
Elton John had it so, so right: “It’s sad, so sad. Why can’t we talk it over. Oh, it seems to me that sorry seems to be the hardest word.” Mistakes are all to common in medicine, but can we say the “hardest word” when we’re involved in the mistake?
For patients with early-stage lung adenocarcinomas, the histological pattern of the tumor predicts the risk of recurrence and might help guide surgical decisions, researchers reported. In a retrospective study, recurrence was significantly increased among patients who had a tumor resection if five percent or more of the cancer had micropapillary morphology.
For patients with a blocked superficial femoral artery, surgical bypass was linked to more re-interventions than angioplasty and stenting, a single-center study showed, but bypass surgeons had to contend with larger lesions. In the first two years after the procedures, 54 percent of patients who underwent surgery, compared with 31 percent of those who received endovascular treatment, required re-intervention.
The University of Florida's health system is reviewing the application of a heart surgeon from Kentucky who came under scrutiny after a CNN investigation into the deaths of babies in his care. Dr. Mark Plunkett was the chief heart surgeon at Kentucky Children's Hospital before he resigned to take a position with University of Florida Health.
A new study by thoracic surgeons and pathologists at Memorial Sloan-Kettering Cancer Center shows that a specific pattern found in the tumor pathology of some lung cancer patients is a strong predictor of recurrence. Knowing that this feature exists in a tumor's pathology could be an important factor doctors use to guide cancer treatment decisions.
Breast cancer survivors who have extensive surgery are four times more likely to develop the debilitating disorder arm lymphoedema, a QUT study has found. The findings reveal the invasiveness of surgery to treat breast cancer increases the risk of developing arm lymphoedema.
Better communication is the key to improving patient outcomes after cardiac surgery, according to a new scientific statement from the American Heart Association. "Preventable errors are often not related to failure of technical skill, training, or knowledge," investigators wrote, "but represent cognitive, system, or teamwork failures."
A veteran nurse present during a botched kidney transplant at an Ohio hospital last summer has sued for wrongful termination. The lawsuit filed Friday in Columbus seeks $25,000 for Melanie LeMay, a nurse suspended then fired after a different nurse accidentally threw away a viable kidney as medical waste during the procedure last August.
A lung-protective method of ventilation improved outcomes for patients who had an intermediate-to-high risk of pulmonary complications before undergoing major abdominal surgery, a randomized trial showed. Compared with standard ventilation, ventilation using positive end-expiratory pressure and a lower tidal volume significantly reduced the occurrence of major pulmonary or extra-pulmonary complications in the first postoperative week.
(2013 ESP Award Nominee) For use during open surgical procedures, MiniSquair by Nascent Surgical is proven to capture and remove 99.5 percent of the surgical plume created by the use on heat transfer surgical devices. MiniSquair is low profile and does not obscure vision.
Coronary artery disease (CAD) continues to be neglected in women, despite killing at least as many women as men, a state-of-the-art review found. In addition, women are less likely to receive preventive therapies, such as lipid-lowering therapies and lifestyle advice compared with men at a similar risk level.
Kidney recipients in their mid-teens are at the greatest risk for losing the graft, researchers reported. Additionally, in a retrospective database analysis, black teens, ages 14 through 16, were at the highest risk of having the new kidney fail, according to Kenneth Andreoni, MD, of the University of Florida in Gainesville, and colleagues.
Despite coronary artery disease (CAD) killing at least as many women as men each year, women are still today less likely to receive preventive recommendations, such as lipid-lowering therapy, aspirin, and lifestyle advice, than are men at a similar risk level.
Close to half of older adults undergoing surgery with general anesthesia are found to have delirium in the postanesthesia care unit (PACU), according to a study. Delirium occurring early after surgery is linked to decreased cognitive (mental) function and an increased rate of nursing home admission, according to the study.
(2013 ESP Award Nominee) The Wrong Site Sleeve from Patient Safety Gear can be placed on the arm or leg. It is designed to protect against wrong site surgery. After marking the surgical site pre-operatively with a skin marker, the wrong site sleeve is placed on the patient’s “wrong limb” to avoid any mistakes once the patient is taken to the operating room.
Medical malpractice can be a nightmare for both patients and doctors. A large new study takes a close look at claims to get an idea where most of these cases are coming from. The study looked specifically at claims for primary care doctors, since these physicians are often the first line of care for patients seeking treatment for health woes.
Given the inadequacies in care for discharged patients — a well-documented and common problem — is it any wonder that so many bounce back to hospitals after they’re sent home? Medicare, the government’s health care program for seniors, has trained its sights on the issue and is focused on trying to reduce the number of seniors readmitted to hospitals shortly after being sent home.
New research released earlier this week show that hospital quality measurements specific to cancer versus non-cancer care provides a more accurate assessment of a hospital’s overall quality performance. Currently, programs used to measure surgical quality report outcomes based on operation type do not report outcomes based on different patient groups, such as cancer verses non-cancer patients.
Financial incentives are likely a key factor driving greater use of laparoscopic colon cancer surgery, says a study led by a McMaster University surgeon. The research found that between 2002 and 2009 there was an increase in laparoscopic versus traditional open techniques - with only minimal decreases in how long patients stayed in the hospital after surgery and saw no changes in the survival of patients.
Falling televisions sent nearly 200,000 U.S. children to the emergency room over the last 20 years, and the injury rate has climbed substantially for these sometimes deadly accidents, a study has found. Doctors and safety experts say better awareness is needed about the dangers — especially the risks of putting heavier, older model TV sets on top of dressers and other furniture.
While there is an expectation that newer medical practices improve the standard of care, the history of medicine reveals many instances in which this has not been the case. A recent analysis documents 146 contemporary medical practices that have subsequently been reversed.
Federal legislation imposes financial penalties on hospitals that experience excessive patient readmissions within 30 days. A new study looks at the potential of a program designed to improve the discharge process and prevent avoidable rehospitalizations.
Telephone follow-up after ambulatory surgery proved acceptable to most patients, saved time and money, and was associated with few complications, investigators in a pilot program reported. Three-fourths of patients contacted by telephone after hernia repair or laparoscopic cholecystectomy accepted the contact as the sole means of follow-up.
Patients presenting as emergencies account for the majority of deaths associated with general surgery. There is increasing evidence that the quality of care for these high-risk patients is variable across hospitals within England's National Health Service, which is the country's publicly funded healthcare system. Such variability in care is likely to be reflected in differences in mortality rates among hospitals.