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Surgical treatment of obesity, diabetes as safe as other commonly performed surgical procedures

Surgical treatment of obesity, diabetes as safe as other commonly performed surgical procedures

Laparoscopic gastric bypass surgery in patients with type 2 diabetes, once considered a high-risk procedure, carries a complication and mortality rate comparable to some of the safest and most commonly performed surgeries in America, including gallbladder surgery, appendectomy, and total knee replacement, according to new research from the Cleveland Clinic Bariatric and Metabolic Institute. [More]
New policy targeting hospital readmissions for COPD may hurt vulnerable patients, say experts

New policy targeting hospital readmissions for COPD may hurt vulnerable patients, say experts

Last week, the federal government revealed that it will fine more than 2,600 hospitals in the coming year, because too many Medicare patients treated at these hospitals are ending up back in the hospital within 30 days of going home. Two new conditions have been added in this round of penalties: elective hip and knee replacement and chronic lung disease. [More]
Coordinated care by physician anesthesiologists can benefit knee replacement patients

Coordinated care by physician anesthesiologists can benefit knee replacement patients

Knee replacement patients go home sooner, are highly satisfied and incur less cost when a physician anesthesiologist coordinates care, suggests research presented at the ANESTHESIOLOGY™ 2014 annual meeting. [More]
Most surgical patients lack knowledge about roles of physician anesthesiologists

Most surgical patients lack knowledge about roles of physician anesthesiologists

Most surgical patients know a physician anesthesiologist will "put them to sleep," but what they don't realize is that this medical doctor plays a major role in preparing them for the operation. Just as important, these physicians keep them safe and preserve their health during surgery and help them recover as quickly and as comfortably as possible, according to a study presented at the ANESTHESIOLOGY 2014 annual meeting. [More]
Psychological cognitive disorder can lead to development of persistent post-surgical pain

Psychological cognitive disorder can lead to development of persistent post-surgical pain

Patients with a psychological cognitive disorder known as catastrophizing are more likely to develop persistent, chronic pain after surgery, according to new research presented at the ANESTHESIOLOGY™ 2014 annual meeting. Pain catastrophizing occurs when a patient has an irrational and illogical focus on pain, perceiving that it is worse than it actually is. [More]
Physical therapy before joint replacement surgery reduces need for postoperative care by nearly 30%

Physical therapy before joint replacement surgery reduces need for postoperative care by nearly 30%

Physical therapy after total hip (THR) or total knee replacement (TKR) surgery is standard care for all patients. A new study, appearing in the October 1 issue of the Journal of Bone & Joint Surgery), also found that physical therapy before joint replacement surgery, or "prehabilitation," can diminish the need for postoperative care by nearly 30 percent, saving an average of $1,215 per patient in skilled nursing facility, home health agency or other postoperative care. [More]
Increased pain scores in surgery patients result in deceased sleep duration

Increased pain scores in surgery patients result in deceased sleep duration

Pain can make it difficult for some patients to get a good night's rest while recovering in the hospital following certain surgical procedures, often resulting in longer hospital stays, according to researchers at Henry Ford Hospital in Detroit. [More]
Pain can disrupt sleep in surgery patients, result in longer hospital stays

Pain can disrupt sleep in surgery patients, result in longer hospital stays

Pain can make it difficult for some patients to get a good night's rest while recovering in the hospital following certain surgical procedures, often resulting in longer hospital stays, according to researchers at Henry Ford Hospital in Detroit. [More]
State Highlights: Calif. prop 45 ad truth check; Medi-Cal autism coverage

State Highlights: Calif. prop 45 ad truth check; Medi-Cal autism coverage

Proposition 45 would give California's elected insurance commissioner the authority to reject excessive health insurance rate hikes, a power the commissioner already wields for auto and homeowners insurance rates. The campaign against it -- for which the insurance industry has so far put up $37.3 million -- is now airing a 60-second radio ad narrated by a nurse named Candy Campbell. [More]
Research roundup: Prevention services for seniors; drug shortages

Research roundup: Prevention services for seniors; drug shortages

This policy brief reports the findings of a systematic review conducted by the Community Health Innovations in Prevention for Seniors (CHIPS) project. ... Clinical preventive services such as colorectal cancer screening and pneumococcal immunization can help reduce rates of premature death and disability. Yet, many older adults are not receiving the full set of clinical preventive services that have been proven effective and are considered "high value" in terms of their costs per life saved. Rates are particularly low among racial and ethnic minority older adults compared to national goals. [More]
Virginia Mason introduces surgical warranty for hip and knee replacements

Virginia Mason introduces surgical warranty for hip and knee replacements

Virginia Mason, a national leader in improving quality and safety and controlling health care costs, today introduced a surgical warranty for hip and knee replacements. [More]
Janssen, Bayer announce expansion of EXPLORER global cardiovascular research program for XARELTO

Janssen, Bayer announce expansion of EXPLORER global cardiovascular research program for XARELTO

Janssen Research & Development, LLC and its development partner, Bayer HealthCare, announced today the expansion of the EXPLORER global cardiovascular research program for XARELTO (rivaroxaban) to include additional high-risk patient populations. [More]
Cost-saving strategy for orthopedic procedures at hospitals fails to meet goals

Cost-saving strategy for orthopedic procedures at hospitals fails to meet goals

A pilot program intended to implement and test a cost-saving strategy for orthopedic procedures at hospitals in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden and concerns about financial risk, according to a new RAND Corporation study. [More]
Mortality rates decrease for hip and knee replacement surgeries in older patients

Mortality rates decrease for hip and knee replacement surgeries in older patients

Over the past decade, a greater number of patients, age 80 and older, are having elective orthopaedic surgery. [More]

Phase 2 dose-ranging study of AYX1 for prevention of post-surgical pain

Adynxx, developer of a first-in-class platform of therapeutics to address pain at its molecular roots, announced today that the first patient was dosed in ADYX-003, a Phase 2 dose-ranging study of AYX1, an investigational drug candidate for the prevention of post-surgical pain. [More]
New analysis provides information about which medications best after different types of surgery

New analysis provides information about which medications best after different types of surgery

Current guidelines do not distinguish between aspirin and more potent blood thinners for protecting against blood clots in patients who undergo major orthopedic operations, leaving the decision up to individual clinicians. [More]
Complications from partial knee replacement is very small than total knee replacement

Complications from partial knee replacement is very small than total knee replacement

Partial knee replacement surgery is safer than total knee replacement, according to a new study published in The Lancet today (July 8). [More]
Orthopedic surgeon offers critical insights on total knee replacement surgery

Orthopedic surgeon offers critical insights on total knee replacement surgery

In 2010, Bonnie Egbert, a veteran of more than 20 marathons, had to quit running due to excruciating pain caused by her right knee joint rubbing bone on bone. [More]
Modified classification system finds over one-third of knee replacements as inappropriate

Modified classification system finds over one-third of knee replacements as inappropriate

New research reports that more than one third of total knee replacements in the U.S. were classified as "inappropriate" using a patient classification system developed and validated in Spain. The study, published in Arthritis & Rheumatology, a journal of the American College of Rheumatology (ACR), highlights the need for consensus on patient selection criteria among U.S. medical professionals treating those with the potential need of knee replacement surgery. [More]

Researchers find differences between hip and knee replacement surgeries in USA and Germany

Researchers used individual inpatient data from Germany and the USA to investigate changes over time and differences between 2005 and 2011. In 2011, 284 hip replacements were performed per 100 000 population in Germany, while 204 were performed per 100 000 population in the USA. [More]