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Surgery General

Revascularizing Occluded Arteries: Assessing the Influence of Guidelines

Aug 23, 2012

The Occluded Artery Trial (OAT) was a large, randomized controlled study funded by the National Heart, Lung, and Blood Institute that tested routine percutaneous recanalization of persistently totally...

The True Costs of Alienating Patients

Aug 23, 2012

As healthcare costs rise, patients are demanding a higher level of service. This expectation goes beyond the bedside and includes everything from registration to final statements. Every individual inv...

Discussions on Medical Imaging Risks

Aug 23, 2012

A national survey has found that 71% of physicians reported that they educated patients 25% of the time or less about radiation risks when they ordered CT tests. Only 27% reported feeling comfortable ...

How Patients Perceive Prescription Drug Warnings

Aug 22, 2012

A study from researchers in the United States suggests that many patients do not pay attention to prescription warning labels. This effect was more pronounced for older than younger participants. The ...

Managing Pulmonary Embolism in the ED

Aug 16, 2012

Venous thromboembolism (VTE), which includes DVT and pulmonary embolism (PE), is the third leading cause of cardiovascular death among Americans and is especially fatal if these events go undiagnosed ...

Preventing Paralysis During Spinal Surgery

Aug 16, 2012

Paraparesis, paraplegia, and quadriplegia are potential complications of spinal cord surgeries or procedures that put the spinal cord at risk. Intraoperative monitoring can alert surgeons and anesthes...

Current Status of Preventive Cardiology Training

Aug 16, 2012

Most cardiology training programs in the United States do not appear to adhere to basic preventive cardiovascular medicine Core Cardiovascular Training Symposium guidelines, according to survey findin...

Specialist Participation in Breast Cancer Decisions

Aug 16, 2012

Radiation oncologists appear to be left out of the decision-making process by other physicians who are treating patients with breast cancer, according to survey results. The analysis showed that 27.9%...

Testosterone Promising in Heart Failure

Aug 16, 2012

A review of four small trials suggests that testosterone therapy appears to improve functional capacity in heart failure patients when compared with placebo. However, better powered randomized control...

Subclinical Hyperthyroidism-Associated Risks

Aug 16, 2012

Endogenous subclinical hyperthyroidism appears to be associated with increased risks of coronary heart disease (CHD) mortality and incident atrial fibrillation (AF). A large international investigatio...

Quitting Smoking: 10-Year Trends

Aug 15, 2012

The CDC analyzed data on smoking cessation among 27,157 United States adults between 2001 and 2010. The analysis revealed the following: ...

A Shortage of General Surgeons: Coming Soon?

Aug 13, 2012

There is much hand-wringing about the shortage of primary care physicians. But primary care is not the only specialty with deficits. In a few years, all surgical specialties will experience significan...

An Update on Diagnosing & Treating PAD

Aug 09, 2012

Peripheral arterial disease (PAD) is a common and dangerous condition that affects millions of Americans, especially those with a history of diabetes or smoking. Despite efforts to increase awareness ...

Aspirin Use During the Perioperative Period

Aug 02, 2012

A meta-analysis has found patient-specific strategies should be used during perioperative management of patients that balances risks of stopping aspirin with risks associated with continuing it. Aspir...

Comparing Surgical Options for Kidney Cancer

Aug 02, 2012

Partial nephrectomy appears to be associated with better survival among Medicare beneficiaries with early-stage kidney cancer than radical nephrectomy, according to a large investigation. Mortality ra...

Predicting Splenic Injury in Colorectal Surgery

Aug 02, 2012

A University of California, Irvine study  has found that the overall splenic injury rate for patients undergoing colorectal resection was appears to be less than 1.0%, but several predictors of these...

Cervical Cage Approved for Use in Spine Surgery

Aug 02, 2012

The FDA has granted 510(k) marketing clearance for a cervical cage (ROI-C Lordotic Cervical Cage, LDR) that can be used in spinal surgeries. The cage can be used in patients with varied anatomy and in...

Physician Decision-Making: Damned If You Do…

Aug 02, 2012

Here’s a little story from the early days of my first job as a chairman of surgery. Shortly after I assumed the role of surgical chairman in a community teaching hospital at the ripe old age of 4...

A New Endovascular Stent Graft

Aug 02, 2012

An endovascular stent graft (Zenith Fenestrated AAA Endovascular Graft, Cook Incorporated) has received marketing approval from the FDA for repairing abdominal aortic aneurysms. The graft can also be ...

TAVR Beneficial for Inoperable Severe Aortic Stenosis

Aug 02, 2012

Transcatheter aortic-valve replacement (TAVR) appears to reduce rates of death and hospitalization in patients with severe aortic stenosis who are not suitable candidates for surgery, according to fin...

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