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MONTHLY BRIEFINGS - Sep 2017

September 2017 Briefing - Anesthesiology

Mon, Oct 2, 2017

Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for September 2017. 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.

Upper Abdominal Cancer Resections Up in Octogenarians

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Rates of major upper abdominal cancer resections in octogenarians are increasing, according to a study published online Sept. 7 in Cancer.

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Embezzlement Widespread in Medical Practices

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Embezzlement is widespread among medical practices, and knowing the warning signs is helpful for preventing it, according to an article published in Medical Economics.

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More Than 78 Percent of Health Care Personnel Receive Flu Shot

THURSDAY, Sept. 28, 2017 (HealthDay News) -- More than 78 percent of health care personnel (HCP) and 53.6 percent of pregnant women received influenza vaccination during the 2016-2017 influenza season, according to two studies published in the Sept. 29 issue of Morbidity and Mortality Weekly Report.

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Central Neck Dissection Underused in Some Thyroid CA

THURSDAY, Sept. 28, 2017 (HealthDay News) -- Only about one-third of patients with medullary thyroid carcinoma (MTC) undergo initial central neck dissection, which is associated with a reduced rate of reoperation, according to a study published online Sept. 27 in JAMA Surgery.

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Optimal Length of Post-Op Opioid Pain Medication Rx Identified

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The optimal length of opioid pain medication prescription after common surgical procedures lies between the observed median prescription length and the early nadir, according to a study published online Sept. 27 in JAMA Surgery.

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Over 25 Million Unsafe Abortions Occur Each Year

THURSDAY, Sept. 28, 2017 (HealthDay News) -- An estimated 25.1 million unsafe abortions were performed worldwide each year between 2010 and 2014, with the vast majority occurring in developing countries, according to a study published online Sept. 27 in The Lancet.

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Individualized SBP Tx Cuts Risk for Post-Op Organ Dysfunction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Management targeting an individualized systolic blood pressure (SBP) is associated with reduced risk of organ dysfunction among patients undergoing major surgery who are at increased risk of postoperative complications, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.

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Working With a Scribe Improves Physician Satisfaction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Working with a scribe significantly improves physicians' overall satisfaction, satisfaction with chart quality and accuracy, and charting efficiency, according to a study published online Sept. 11 in the Annals of Family Medicine.

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CDC Launches Campaign to Fight Prescription Opioid Epidemic

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention is launching a communication campaign featuring accounts of people recovering from opioid use disorder, and those who have lost someone to opioid overdose, in an effort to fight the prescription overdose epidemic.

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Worker Contribution to Health Benefits Up in 2017

MONDAY, Sept. 25, 2017 (HealthDay News) -- In 2017, health benefits coverage remained stable, while workers faced considerable variation in costs, according to a report published online Sept. 19 in Health Affairs.

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Self-Reported Function IDs Post-Op Course in Elderly

MONDAY, Sept. 25, 2017 (HealthDay News) -- Self-reported function is more informative than frailty phenotype in predicting a negative postoperative course in older adults, according to a study published online Sept. 19 in the Journal of the American Geriatrics Society.

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Insurer Market Power Lowers Providers' Prices

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets, according to a report published in the September issue of Health Affairs.

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Total of 0.21 Years Lost Due to Opioid-Related Poisoning Deaths

TUESDAY, Sept. 19, 2017 (HealthDay News) -- From 2000 to 2015, drug-poisoning deaths contributed a loss of 0.28 years in life expectancy, according to a research letter published in the Sept. 19 issue of the Journal of the American Medical Association.

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ACP Does Not Support Legalization of Assisted Suicide

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The American College of Physicians (ACP) does not support the legalization of physician-assisted suicide, a practice that raises ethical, clinical, and other concerns, according to a position paper published online Sept. 19 in the Annals of Internal Medicine.

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Physicians Tweeting About Drugs May Have Conflict of Interest

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Most physicians on Twitter with a financial conflict of interest (FCOI) and frequent tweets mention specific drugs for which they have a conflict, according to a study published in the September issue of The Lancet Haematology.

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'Science Spin' Found Prevalent in Biomedical Literature

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Spin in biomedical literature (also referred to as "science hype") is prevalent, with trials having the highest and greatest variability in the prevalence of spin, according to a review published online Sept. 11 in PLOS Biology.

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Peri-Op IV Corticosteroids Benefit Knee, Hip Arthroplasty

THURSDAY, Sept. 14, 2017 (HealthDay News) -- Intravenous corticosteroids are both safe and effective when used perioperatively in total knee or hip arthroplasty, with benefits including less pain, vomiting, and nausea, and fewer opioids, according to a review published online Aug. 29 in PAIN Practice.

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Study Details Humanitarian Surgical Care in Afghanistan

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Humanitarian surgical care (HSC) has been provided to local national civilians during the Afghanistan conflict, with 49.3 percent of patients treated for non-war-related (NWR) conditions, according to a research letter published online Sept. 13 in JAMA Surgery.

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Some Aspects of Empathy Improve During Medical Training

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Certain aspects of empathy improve during medical student training, according to a study published online Sept. 7 in Medical Education.

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Are Physicians Obligated to Help on Planes?

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.

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Most Opioid Use Concentrated in Top 10 Percent of Users

TUESDAY, Sept. 12, 2017 (HealthDay News) -- The top 10 percent of privately insured U.S. adults without cancer using opioids account for most opioid use, according to a research letter published online Sept. 12 in the Annals of Internal Medicine.

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Center Surgical Volume Linked to LVAD Patient Outcomes

FRIDAY, Sept. 8, 2017 (HealthDay News) -- Center surgical volume is associated with left ventricular assist device (LVAD) patient outcomes, with worse survival at very-low-volume centers, according to a study published online Sept. 6 in JACC: Heart Failure.

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Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

WEDNESDAY, Sept. 6, 2017 (HealthDay News) -- Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients, according to a study published online Sept. 5 in JAMA Pediatrics.

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General Anesthesia in Infants May Affect White Matter Volume

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Infants who receive general anesthesia for surgery before they're 1 year old may have less white matter in their brains, according to research published online Aug. 24 in Anesthesiology.

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Low Incidence of Adverse Events for A-Fib Catheter Ablation

FRIDAY, Sept. 1, 2017 (HealthDay News) -- The incidence of adverse events (AEs) is low for patients undergoing catheter ablation (CA) for atrial fibrillation (AF), according to a study published online Aug. 30 in JACC: Clinical Electrophysiology.

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Peri-Op Management Key in Surgical Resident Malpractice

FRIDAY, Sept. 1, 2017 (HealthDay News) -- The perioperative period appears critical in malpractice cases involving surgical residents, according to a study published online Aug. 30 in JAMA Surgery.

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CDC: Fentanyl Driving Rise in Opioid-Linked Deaths in U.S.

FRIDAY, Sept. 1, 2017 (HealthDay News) -- Fentanyl is a key player in America's continuing epidemic of opioid-related overdose deaths, according to two reports published in the Sept. 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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