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About 21,655 results

Perioperative Hyperglycemia Risky for Nondiabetics
https://www.medscape.com/viewarticle/976189

Jun 27th, 2022 - NEW YORK (Reuters Health) - The complication risk conferred by perioperative hyperglycemia is higher for patients without diabetes than it is for diabetics, a cohort study found. The 5,868 patients - including 969 (17%) with diabetes - underwent either general (83.4%), vascular (2.6%), or gynecologic (14%) surgery with a planned admission at the University of Washington Medical Center. The hosp...

More Reflux After Sleeve Gastrectomy vs Gastric Bypass at 10 Years
https://www.medscape.com/viewarticle/976206

Jun 27th, 2022 - Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) each led to good and sustainable weight loss 10 years later, although reflux was more prevalent after SG, according to the Sleeve vs Bypass (SLEEVEPASS) randomized clinical trial. At 10 years, there were no statistically significant between-procedure differences in type 2 diabetes remission, dyslipidemia, or obstructive sleep apnea, bu...

Hip Fracture Patients May Experience More Pain After Spinal Than General Anesthesia
https://www.medscape.com/viewarticle/976268

Jun 27th, 2022 - Pain during the first 24 hours after hip fracture repair surgery was higher following spinal anesthesia than general anesthesia, according to a study of 1600 patients published in Annals of Internal Medicine. More than 250,000 patients a year suffer a hip fracture, and the majority undergo surgery, either to repair the fracture or to replace the hip joint. In a preplanned secondary analysis of ...

Doctors, Vacations, and the Lost Art of Recharging
https://www.medscape.com/viewarticle/976138

Jun 24th, 2022 - Like most physicians, David Iannitti, MD, leads a demanding life. As chief of the Division of Hepato-Pancreatico-Biliary (HPB) Surgery at Atrium Health (Carolinas Medical Center/Cabarrus) and director of Surgical Operations at the Levine Cancer Institute, he stays plugged into his practice even when he’s off the clock. Dr David Iannitti and Lauren Iannitti And like most physicians, he needs tim...

Effective, Lasting Rhizarthrosis Treatments Are Available
https://www.medscape.com/viewarticle/976179

Jun 24th, 2022 - France — Considered to be the result of an injury or simply an aspect of aging, rhizarthrosis, or thumb osteoarthritis, is often viewed as an inevitability of life. Yet many people are unaware that there are effective and long-lasting treatments that can help. This is why an informational website was launched (see box at the end of this article). Here, physicians and surgeons who specialize in ...

Kids More Likely to Be Seriously Injured at a Trampoline Center Than at Home
https://www.medscape.com/viewarticle/976010

Jun 23rd, 2022 - NEW YORK (Reuters Health) - Serious injuries may be more likely when kids use trampolines at specialized centers than when using trampolines at home, a new study suggests. A reanalysis of data from 11 previous studies that included nearly 14 million injuries revealed a more than two-fold increase in the likelihood of musculoskeletal and/orthopedic injuries at trampoline centers compared with ho...

3 Things You Shouldn't Say When Asking For An ID Consult
https://www.medscape.com/viewarticle/975497

Jun 22nd, 2022 - We all know that certain words or phrases can trigger an intense emotion or initiate an action. After all, there are lists of trigger words used in marketing to prompt sales (such as amazing, new, and today) and by bloggers to encourage reader engagement (such as easy, delicious, and pure). There are endless articles suggesting how to arouse a lover with trigger words or phrases, while warnings...

How Physicians Can Help Patients With Crohn's Disease Navigate Insurance Delays and Denials
https://www.medscape.com/viewarticle/967624

Jun 21st, 2022 - This transcript has been edited for clarity. Peter Higgins, MD, PhD: I'm Dr Peter Higgins, professor of gastroenterology and director of the IBD (inflammatory bowel disease) program at the University of Michigan and chair-elect of the Crohn's & Colitis Foundation National Scientific Advisory Committee. Welcome to Medscape's InDiscussion series on Crohn's disease. Today we'll be discussing the e...

Despite Another COVID Surge, Deaths Remain Low
https://www.medscape.com/viewarticle/975978

Jun 21st, 2022 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Although new Omicron subvariants have led to another rise in coronavirus cases in the US in recent weeks, deaths have remained at some of the lowest levels of the pandemic. The recent death toll breaks with the trend seen so far during the pandemic, where deaths tend to rise a few weeks after a ...

Add Atrial Fibrillation to Pre-Noncardiac Surgery Risk Evaluation: New Support
https://www.medscape.com/viewarticle/975926

Jun 20th, 2022 - Practice has gone back and forth on whether atrial fibrillation (AF) should be considered in the preoperative cardiovascular risk (CV) evaluation of patients slated for noncardiac surgery, and the Revised Cardiac Risk Index (RCRI), currently widely used as an assessment tool, doesn't include the arrhythmia. But consideration of preexisting AF along with the RCRI predicted 30-day mortality more ...

Patient Factors Linked With Liver Remnant Growth in Staged Hepatectomy
https://www.medscape.com/viewarticle/975730

Jun 17th, 2022 - NEW YORK (Reuters Health) - In patients undergoing staged hepatectomy for liver tumors, a technique that combines portal vein ligation and parenchymal in situ split allows for rapid, enhanced hypertrophy of the future liver remnant, and now researchers say they have identified the variables that most consistently influence remnant growth. These include patients' height, weight, and gender, the ...

Active Treatment or Observation for Localized Prostate Cancer?
https://www.medscape.com/viewarticle/975848

Jun 17th, 2022 - This study was published on researchsquare.com as a preprint and has not yet been peer reviewed. Key Takeaway Compared with observation, active treatment lowers the risk for overall and prostate cancer-specific death in men with localized prostate cancer, particularly those with intermediate or high-risk disease. Radical prostatectomy, in particular, improved prostate cancer-specific survival i...

AMA: Insurance Should Cover Treatment for Infertility Caused by Gender-Affirming Care
https://www.medscape.com/viewarticle/975803

Jun 17th, 2022 - CHICAGO — Health insurance should cover treatment for infertility caused by gender-affirming medical interventions, the American Medical Association (AMA) said Monday at its House of Delegates meeting. Speaking on behalf of the Medical Student Section, Justin Magrath, of Louisiana, said, "We as a section feel that these interventions should be considered as additional causes of iatrogenic infer...

Immunotherapy Charts New Course for Resectable NSCLC Treatment
https://www.medscape.com/viewarticle/975784

Jun 16th, 2022 - Among patients with resectable non–small cell lung cancer (NSCLC), neoadjuvant nivolumab combined with chemotherapy led to significantly longer event-free survivaland more frequent pathological complete response in patients than chemotherapy alone. “Our data show that three cycles of neoadjuvant nivolumab plus chemotherapy improved long-term clinical outcomes in patients with resectable stage I...

New System Boosted Lung Cancer Surgery by 43% in Black Patients
https://www.medscape.com/viewarticle/975718

Jun 16th, 2022 - If surgery for early non–small cell lung cancer (NSCLC) is not performed within 8 weeks of diagnosis, survival outcomes are not as good as they could be. Ensuring that patients undergo surgery within this period can be lifesaving. A new system that was tried out at five cancer centers in North Carolina dramatically increased the number of patients who received surgery within the key 8-week wind...

Multispecialty Team Diagnoses and Removes Glomus Tumor
https://www.medscape.com/viewarticle/975665

Jun 15th, 2022 - After 30 minutes of surgery, a woman in Armenia can knit without pain for the first time in over 40 years, thanks to teamwork by a group of specialists who removed a rare glomus tumor from under her fingernail, according to a new case study. Dr Mikhail Dziadzko "The cause of a patient's pain isn't always obvious. In a puzzling case such as this one involving a glomus tumor, which is rare, a mul...

Buy and Bust: When Private Equity Comes for Rural Hospitals
https://www.medscape.com/viewarticle/975678

Jun 15th, 2022 - MEXICO, Mo. — When the new corporate owners of two rural hospitals suddenly announced they would stop admitting patients one Friday in March, Kayla Schudel, a nurse, stood resolute in the nearly empty lobby of Audrain Community Hospital: "You'll be seen; the ER is open." The hospital — with 40 beds and five clinics — typically saw 24 to 50 emergency room cases a day, treating patients from the ...

Augmented-Reality Imaging During Surgery for Bile-Duct Gallstones Reduces Residual Stones
https://www.medscape.com/viewarticle/975585

Jun 15th, 2022 - NEW YORK (Reuters Health) - Employment of an augmented reality-assisted navigation system (AR-ANS) during hepatectomy for hepatolithiasisiIncreases operative time but reduces the risk of residual and recurrent stones, a retrospective study suggests. Dr. Xiwen Wu and colleagues from Zhujiang Hospital of Southern Medical University in China compared outcomes of 31 patients who underwent AR-ANS-as...

Severe Pain After Hip Fracture Surgery Common Regardless of Anesthesia Type
https://www.medscape.com/viewarticle/975493

Jun 14th, 2022 - NEW YORK (Reuters Health) - Severe postoperative pain is common after hip-fracture surgery, regardless of whether the surgery is done with regional or general anesthesia, according to new data from the REGAIN study. The findings also do not support some prior research suggesting that spinal anesthesia may result in less postoperative pain in the first few hours after surgery. On the contrary, t...

Should Patients Have Cataract Surgery on Both Eyes at Once?
https://www.medscape.com/viewarticle/975586

Jun 14th, 2022 - Age-related cataracts usually affect both eyes. In most cases, the clouded endogenic lens is replaced surgically with an artificial intraocular lens (IOL), with a few weeks between eye surgeries. However, the cataract surgery can alternatively be performed on both eyes on the same day, with potential advantages and disadvantages. A recent Cochrane review concluded that, overall, there are unlik...