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About 23,045 results

Landmark Trial on Arkansas Trans Youth Medical Ban Wraps Up
https://www.medscape.com/viewarticle/984928

Dec 2nd, 2022 - LITTLE ROCK, Ark. (AP) — The nation's first trial on a ban on gender-confirming care for children ended Thursday, as Arkansas wrapped up its case defending the prohibition with testimony from an endocrinologist opposed to such treatments for minors. U.S. District Judge Jay Moody, who is considering whether to strike down the law after hearing nearly two weeks of testimony, didn't indicate when ...

Why Is Life Still So Hard for Female Surgeons?
https://www.medscape.com/viewarticle/984927

Dec 2nd, 2022 - Women are better surgeons, particularly for female patients, according to a study recently published in JAMA Surgery. The study showed that male and female patients do a lot better after a procedure if a woman had performed the operation. In addition, a significant proportion of surgical trainees are women ― 37% of trainees younger than 34 years are women, according to figures from the German M...

Former President Bill Clinton Says He Has Mild Case of COVID
https://www.medscape.com/viewarticle/984877

Dec 1st, 2022 - Former President Bill Clinton has tested positive for COVID-19. "I've had mild symptoms, but I'm doing fine overall and keeping myself busy at home," Clinton, 76, wrote on Twitter on Wednesday. "I'm grateful to be vaccinated and boosted, which has kept my case mild, and I urge everyone to do the same, especially as we move into the winter months." https://twitter.com/BillClinton/status/15980319...

Late-Stage CRC Spiked in Second Year of Pandemic
https://www.medscape.com/viewarticle/984756

Nov 30th, 2022 - Diagnoses of late-stage colorectal cancer (CRC) increased substantially during the COVID-19 pandemic, according to a review of almost 18,000 patients at 81 medical centers in Italy. There was an increase in locally advanced cancers during the first year of the pandemic in 2020, but this was followed by "a more definitive increase [in] advanced cases," particularly metastatic disease, in the sec...

Metastasis-Directed Therapy May Delay ADT in Advanced Prostate Cancer
https://www.medpagetoday.com/hematologyoncology/prostatecancer/101967

Nov 29th, 2022 - Metastasis-directed therapy (MDT) in selected patients with recurrent oligometastatic prostate cancer led to PSA responses in a majority of patients and delayed initiation of hormonal therapy by 18 months, a retrospective study showed. Overall, 77 of 124 patients had PSA declines of more than 50% with surgery or stereotactic body radiation therapy (SBRT). In particular, surgery led to PSA respo...

Preop TT3 Predicts HPA Axis Recovery After Cushing Surgery
https://www.medscape.com/viewarticle/984629

Nov 28th, 2022 - The study covered in this summary was published on researchsquare.com as a preprint and has not yet been peer reviewed. Key Takeaways The hypothalamic-pituitary-adrenal (HPA) axis recovered in nearly three quarters of patients with Cushing disease (CD) within 2 years after successful trans-sphenoidal surgery (TSS), with a median recovery time of 12 months. Preoperative total triiodothyronine (T...

Hormonal Management of Gender-Diverse Patients: SOC8 Updates
https://www.medscape.com/viewarticle/984653

Nov 28th, 2022 - In September, the World Professional Association for Transgender Health released its much-anticipated standards of care (SOC8). While this update has unfortunately received intense scrutiny for its guidance about gender-diverse adolescents and youth, the SOC8 is their most evidence-based version to date. Recommendations were developed based on data from independent systematic literature reviews...

Robotic Surgery Proves Its Mettle for Liver Cancer
https://www.medpagetoday.com/surgery/generalsurgery/101923

Nov 23rd, 2022 - Fully robotic liver resection was safe and effective for patients with hepatocellular carcinoma (HCC) compared with open liver resection, a cohort study found. Propensity score-matched analysis showed "better perioperative tolerability ... based on clinical, oncologic, and technical criteria" compared with open resection, reported Fabrizio Di Benedetto, MD, PhD, of the University of Modena and ...

Laser Pioneer Reflects on the Future of Robots in Dermatology
https://www.medscape.com/viewarticle/984562

Nov 23rd, 2022 - Dr R. Rox Anderson In the opinion of R. Rox Anderson, MD, it's only a matter of time before true robots make further inroads in dermatology. "We humans just can't do everything perfectly," Anderson, a dermatologist who directs the Wellman Center for Photomedicine at Massachusetts General Hospital, Boston, said during a virtual course on laser and aesthetic skin therapy. "We have limited speed a...

Should Women Attempt Vaginal Birth After Cesarean Delivery?
https://www.medscape.com/viewarticle/984450

Nov 22nd, 2022 - Rates of cesarean delivery are rising globally. They now account for more than 30% of births in the United States. As a result, more women than ever face the decision of whether they should attempt a vaginal delivery after having undergone a cesarean (VBAC) or choose an elective repeat cesarean (ERCS). The results of a new study could help them make a more informed choice. Researchers in the Un...

ACR, EULAR Roll Out Updated Antiphospholipid Syndrome Criteria
https://www.medscape.com/viewarticle/984452

Nov 22nd, 2022 - PHILADELPHIA — A draft update of criteria for classifying antiphospholipid syndrome (APS) incorporates a much broader spectrum of disease signs and symptoms, such as kidney disease and more variables for pregnancy, and meets a higher level of specificity than the existing Sapporo criteria, although at the expense of lower sensitivity. Members of the ACR/EULAR core planning group, (left to right...

New, Simple Technique for Chronic Subdural Hematoma Cuts Recurrence by 50%
https://www.medscape.com/viewarticle/984462

Nov 22nd, 2022 - Using irrigation warmed to body temperature during burr hole evacuation for chronic subdural hematoma (cSDH) cuts the risk for recurrence by more than half compared and should become the standard of care, new research suggests. Results from the multicenter randomized controlled trial found that irrigation at 37° C (body temperature) offered better clinical outcomes than surgery with irrigation ...

Quantum Computing: Medicine's Next Great Leap
https://www.medscape.com/viewarticle/984515

Nov 22nd, 2022 - The 1960s marked the arrival of computers in medicine. Expensive, cumbersome hunks of plastic and metal that could (maybe) get test results to a doctor faster. The 1980s saw the first real difference-making functions computers could offer — clinical, financial, administrative — and in 1991, the Institute of Medicine published the first manifesto on what electronic health records could (and woul...

Rates of Healthcare Use After Bariatric Surgery in Teens
https://www.medscape.com/viewarticle/984383

Nov 21st, 2022 - Sleeve gastrectomy may have an advantage over gastric bypass in terms of post-procedure healthcare use, according to a study of Medicaid-insured adolescents with severe obesity. Researchers found significantly lower rates of emergency department (ED) use and hospitalization 5 years after sleeve gastrectomy compared to gastric bypass, and similarly low rates of adverse events. The study, by rese...

ctDNA May Predict Cancer Recurrence After Colorectal Surgery
https://www.medscape.com/viewarticle/984385

Nov 21st, 2022 - The study covered in this summary was published on medrxiv.org as a preprint and has not yet been peer reviewed. Key Takeaway Circulating tumor DNA (ctDNA) predicts recurrence after curative-intent surgery for colorectal cancer (CRC). Why This Matters The study shows that ctDNA may help identify patients who could benefit from adjuvant chemotherapy and heightened surveillance following CRC surg...

RT After Breast-Conserving Surgery Shows No Survival Advantage Decades Later
https://www.medpagetoday.com/radiology/therapeuticradiology/101835

Nov 18th, 2022 - Radiotherapy after breast-conserving surgery for early breast cancer substantially reduced the risk of disease recurrence, yet the benefit did not translate to an improvement in overall survival (OS) at 30 years, a long-term analysis of the Scottish breast conservation trial showed. Compared with no radiotherapy, adjuvant locoregional radiotherapy reduced the risk of ipsilateral breast tumor re...

These Factors Linked With Progression in Moderate-to-Severe Crohn's Disease
https://www.medpagetoday.com/gastroenterology/inflammatoryboweldisease/101828

Nov 18th, 2022 - Perianal disease and stricturing or penetrating behavior, among other variables, appeared to predict progression of moderate-to-severe Crohn's disease, a cross-sectional study in Brazil showed. Among 220 patients with Crohn's disease, perianal disease at diagnosis was significantly associated with hospitalization (31.6% vs 13.0% of those without perianal disease; OR 3.32, 95% CI 1.31-8.43, P=0....

Neoadjuvant Therapy Improves Survival in Metastatic Colon Cancer
https://www.medscape.com/viewarticle/984301

Nov 18th, 2022 - Neoadjuvant therapy for patients with metastatic colon cancer with single-organ liver or lung lesions was associated with improved overall survival in comparison with adjuvant therapy, according to new results from a retrospective study. The median overall survival for patients who received neoadjuvant therapy was 47.24 months, compared to 38.08 months for those treated with adjuvant therapy. H...

A Gender Imbalance Emerges Among Trans Teens Seeking Treatment
https://www.medscape.com/viewarticle/984326

Nov 18th, 2022 - A year after moving to Bridge City, Texas, 8-year-old Samuel Kulovitz thought his life couldn't get any worse. He had made no friends in the swampy oil refinery town and spent most of his time in his family's mobile home. He missed Florida and playing on the beach there with other children. But life did get worse. He hit puberty. For Kulovitz, who was assigned female at birth, "growing into bei...

Optimal Radiation Regimen When Breast Cancer Recurs?
https://www.medscape.com/viewarticle/984343

Nov 18th, 2022 - The study covered in this summary was published on Research Square as a preprint and has not yet been peer reviewed. Key Takeaway Among patients with recurrent or new primary breast cancer, a second breast conserving surgery followed by re-irradiation was safe and effective across a range of radiation fractionation regimens. Why This Matters Salvage mastectomy has been the standard of care when...