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About 20,045 results

After Antibiotics for Appendicitis, Many Need Surgery
https://www.medpagetoday.com/surgery/generalsurgery/95236

Oct 25th, 2021 - Acute appendicitis treated with antibiotics often ends up being treated with appendectomy, longer-term follow-up of the CODA Collaborative trial showed. In the antibiotics group, 40% had surgery to remove their appendix by 1 year, which rose to 46% by year 2, reported David Flum, MD, MPH, of the University of Washington in Seattle, and colleagues. Patients with an appendicolith faced particular...

Oral Abx Cut Surgical Site Infections in Colorectal Surgeries
https://www.medpagetoday.com/surgery/generalsurgery/95181

Oct 21st, 2021 - Adding oral antibiotics to intravenous antibiotics with or without enema came out on top for reducing surgical site infections (SSIs) in patients undergoing elective colorectal surgeries, a network meta-analysis suggested. In the analysis of 35 randomized trials involving over 8,000 patients, this combination had the best probability of ranking first (86% chance) in reducing incisional SSIs, wh...

LGBTQ+ Surgery Residents Say Mistreatment Is Common
https://www.medpagetoday.com/surgery/generalsurgery/95158

Oct 20th, 2021 - Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) residents in general surgery training programs across the U.S. reported more instances of mistreatment than their non-LGBTQ+ colleagues, a new survey study found. An analysis of survey responses sent out to general surgery residents in all Accreditation Council for Graduate Medical Education (ACGME)-accred...

Choice of Mesh for Laparoscopic Ventral Hernia Repair Tied to Risk of Reoperation
https://www.medscape.com/viewarticle/960875

Oct 15th, 2021 - NEW YORK (Reuters Health) - The type of surgical mesh used for laparoscopic repair of primary or incisional ventral hernias is associated with the rate of reoperations, a new study from Denmark suggests. "The findings indicate that the type of mesh may matter for the outcome and that the choice of mesh should depend on hernia type," Dr. Jason Joe Baker of Herlev Hospital and colleagues write in...

When Can Uncomplicated Acute Appendicitis in Adults Be Treated Nonoperatively?
https://www.medscape.com/viewarticle/960920

Oct 15th, 2021 - NEW YORK (Reuters Health) - Careful patient selection is key to optimizing treatment for adults with uncomplicated acute appendicitis, a secondary analysis of the APPAC II randomized trial showed. "When evaluating patients with uncomplicated acute appendicitis for non-operative management, the emphasis...should be on ruling out patients that already have or who are at risk of developing complic...

House Committee: Racial Bias in Clinical Decision Support 'Unacceptable'
https://www.medscape.com/viewarticle/960979

Oct 15th, 2021 - As a rising chorus of healthcare experts decries the harmful racial bias in clinical decision support tools (CDSTs), the House Ways and Means Committee has released a report spelling out in detail what the problem is, how it affects health equity, and how healthcare stakeholders can address it. Among the issues described in the report is the widespread practice of applying "racial correction" m...

FDA OKs Adjuvant Atezolizumab for Early-Stage Lung Cancer
https://www.medscape.com/viewarticle/960998

Oct 15th, 2021 - The US Food and Drug Administration has approved a new indication for the immunotherapy drug atezolizumab (Tecentriq) — the adjuvant treatment following resection and platinum-based chemotherapy in patients with stage II to IIIA non-small cell lung cancer (NSCLC) whose tumors have PD-L1 expression ≥ 1%. The agency also approved the Ventana PD-L1 (SP263) Assay (Ventana Medical Systems) as the co...

Failure to Communicate 'Doc-to-Doc' Blamed for Patient's Death
https://www.medscape.com/viewarticle/960857

Oct 14th, 2021 - The family of a man who died from a rare and feared complication of head and neck cancer has filed a $34 million lawsuit against the medical center where he was treated, alleging that his death would have been avoided had there been better communication between the surgical oncologist and the treatment team. The patient was a 49-year-old man who was experiencing chronic pain in his right ear. H...

Texas Women Drive Hours for Abortions After New Law
https://www.medscape.com/viewarticle/960877

Oct 14th, 2021 - A 33-year-old mother of three from central Texas is escorted down the hall by clinic administrator Kathaleen Pittman prior to getting an abortion. SHREVEPORT, La. (AP) — The 33-year-old Texas woman drove alone four hours through the night to get to the Louisiana abortion clinic for a consultation. She initially planned to sleep in her car, but an advocacy group helped arrange a hotel room. Sing...

Hypoparathyroidism Rates Low After Thyroidectomy for Graves Disease
https://www.medscape.com/viewarticle/960909

Oct 14th, 2021 - Dr Carolyn Seib Older people treated for Graves disease with total thyroidectomy in the United States are at low risk of developing hypoparathyroidism, according to results from a large population-based cohort study. "The risk of permanent hypoparathyroidism among older adults with Graves disease treated with thyroidectomy is low and, therefore, concerns about this complication should not deter...

Anxiety, Depression Track With Prevalence of COVID Cases
https://www.medscape.com/viewarticle/960817

Oct 13th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Anxiety and depression symptoms increased in adults last winter as COVID-19 surged in the United States but declined in the spring as COVID activity approached its nadir, according to an analysis from the Centers for Disease Control and Prevention. "The relative increases and decreases in freque...

Why Black Women Are Much More Likely to Die of Endometrial Cancer
https://www.medscape.com/viewarticle/960353

Oct 13th, 2021 - Why are Black women dying of endometrial cancer at a much higher rate than White women? Although this survival gap exists across basically every cancer type — breast, prostate, colorectal, non–small cell lung cancer — the numbers for endometrial cancer are particularly alarming. Research shows that Black women have a 90% higher mortality rate than White women. Kemi Doll, MD, MSCR Kemi Doll, MD,...

Crohn's Disease: No Decline in Stomas Despite Increased Use of Anti-TNF Therapy
https://www.medscape.com/viewarticle/960758

Oct 13th, 2021 - Despite increasing use of anti–tumor necrosis factor (TNF) medications in recent years and a low rate of proctectomy, there has been no decline in stoma incidence among Crohn's disease (CD) patients, according to a new retrospective analysis of a Swedish population database. The overall 5-year stoma incidence was 2.5%, and there was no significant difference between calendar periods, wrote Åsa ...

Legal, Business Groups Challenge Antitrust Charges Against DaVita Inc, Former CEO
https://www.medscape.com/viewarticle/960760

Oct 13th, 2021 - DaVita Inc, Former CEO Charged With Healthcare Labor Market Collusion A federal grand jury charged DaVita Inc and former CEO Kent Thiry for conspiring with competing employers not to try to hire certain employees. DaVita owns and operates outpatient medical care centers across the country. It focuses on dialysis and kidney care. DaVita's co-conspirator, Surgical Care Affiliates LLC and its rela...

Spinal, General Anesthesia Show Equal Benefit When Used in Hip Fracture Surgery
https://www.medscape.com/viewarticle/960600

Oct 12th, 2021 - NEW YORK (Reuters Health) - A test of 1,600 hip-fracture surgery patients has found that the type of anesthesia - spinal or general - makes little difference in the result. In the primary outcome that combined death and an inability to walk three meters after 60 days, even with a walker, the rates were 18.5% with spinal anesthesia and 18.0% with general anesthesia, a non-significant difference....

California Coronavirus Death Count Tops 70,000 as Cases Fall
https://www.medscape.com/viewarticle/960694

Oct 12th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. SACRAMENTO, Calif. (AP) — California's coronavirus death toll reached another once-unfathomable milestone — 70,000 people — on Monday as the state emerges from the latest infection surge with the lowest rate of new cases among all states. Last year at this time, cases in the state started tickin...

Radiofrequency Ablation Gains Favor for Thyroid Nodules in US
https://www.medscape.com/viewarticle/960702

Oct 12th, 2021 - Dr James Lim As radiofrequency ablation (RFA) in the treatment of benign thyroid nodules gains favor as a noninvasive alternative to surgery in the United States, clinicians are increasingly reporting their experiences in hospital as well as outpatient settings. And in one case, a hospital has taken the unique step of forming a multidisciplinary thyroid nodule RFA tumor board, which helps in th...

Six Months to Live or Die: How Long Should an Alcoholic Liver Disease Patient Wait for a Transplant?
https://www.medscape.com/viewarticle/960746

Oct 12th, 2021 - The night before Brian Gorzney planned to check into rehab for alcohol use, he began vomiting blood. First at 2 a.m. Then 5. And again at 11. When he arrived at the rehab facility in North Kansas City, Missouri, they sent him directly to the adjoining hospital. There, Gorzney, then 50, and his family learned he had severe alcoholic hepatitis, an inflammation of the liver typically associated wi...

Canada's Current COVID-19 Surge Could Decline in Coming Weeks: Health Official
https://www.medscape.com/viewarticle/960524

Oct 11th, 2021 - OTTAWA (Reuters) - Canada's latest COVID-19 wave could decline in the coming weeks with increasing numbers of Canadians now vaccinated against the coronavirus, a top medical official said on Friday, citing longer-term forecasts. Theresa Tam, the chief public health officer, told reporters that the rate of transmission across Canada was now below 1, indicating the current outbreak had "dropped o...

ASCO Esophageal Cancer Guidance Updated to Include Nivolumab
https://www.medscape.com/viewarticle/960610

Oct 11th, 2021 - Patients with locally advanced esophageal cancer who have residual disease following chemoradiotherapy (CRT) and surgery should be offered nivolumab (Opdivo), says a rapid update to American Society of Clinical Oncology (ASCO) guidance. This could transform the treatment of "about 75%" of patients with ongoing disease despite CRT and surgery, co-author of the guidelines update, Wayne L. Hofstet...