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May 2020 Briefing – Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for May 2020. 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.

Globally, Women Less Likely to Develop Heart Disease Than Men

FRIDAY, May 29, 2020 (HealthDay News) — Women are less likely to have or die from cardiovascular disease than men, according to a study published online May 20 in The Lancet.

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Deferment of Elective Surgeries Due to COVID-19 Will Have Lasting Impact

FRIDAY, May 29, 2020 (HealthDay News) — At two years after the end of the elective orthopedic surgery deferment related to the COVID-19 pandemic, there will be a cumulative backlog of more than 1 million surgical cases in an optimistic scenario, according to a study published online May 12 in The Journal of Bone and Joint Surgery.

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Inequity Found in Access to Transplant With Universal Health Care

FRIDAY, May 29, 2020 (HealthDay News) — Patient factors account for much of the variation in access to kidney transplantation in the United Kingdom, according to a study published online May 28 in the Clinical Journal of the American Society of Nephrology.

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Links Found Between Leaders of Medical Associations, Industry

THURSDAY, May 28, 2020 (HealthDay News) — There are extensive financial relationships between leaders of U.S. professional medical associations and industry, according to a study published online May 27 in The BMJ.

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Risk for Later Invasive Breast Cancer Up for Women With DCIS

THURSDAY, May 28, 2020 (HealthDay News) — Women with screening-detected ductal carcinoma in situ (DCIS) have increased long-term risks for invasive breast cancer and breast cancer death, according to a study published online May 27 in The BMJ.

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9.5 Percent Uninsured in U.S. From January Through June 2019

WEDNESDAY, May 27, 2020 (HealthDay News) — A total of 9.5 percent of persons were uninsured from January through June 2019, according to a report published online May 28 by the National Center for Health Statistics.

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Outcomes Similar After TAVR in Bicuspid, Tricuspid Anatomy

WEDNESDAY, May 27, 2020 (HealthDay News) — All-cause mortality and stroke are comparable at 30 days and one year after transcatheter aortic valve replacement (TAVR) among patients with bicuspid and tricuspid valve stenosis, according to a study published online May 27 in JACC: Cardiovascular Interventions.

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Surgery Not Superior for Closed Displaced Humeral Shaft Fractures

WEDNESDAY, May 27, 2020 (HealthDay News) — Internal fixation surgery to treat closed humeral shaft fracture does not significantly improve 12-month outcomes versus nonoperative functional bracing, according to a study published in the May 12 issue of the Journal of the American Medical Association.

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Only One in Four U.S. Hospitals With ICUs Have Tele-ICU Services

WEDNESDAY, May 27, 2020 (HealthDay News) — In 2018, half of U.S. hospitals had the capacity to conduct telehealth-based outpatient visits, while only one in four had tele-intensive care unit (tele-ICU) capabilities, according to a research letter published online April 30 in the Annals of Internal Medicine.

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Updated Guidelines Issued for Management of Diverticulitis

FRIDAY, May 22, 2020 (HealthDay News) — In clinical practice guidelines from the American Society of Colon and Rectal Surgeons, published in the June issue of Diseases of the Colon & Rectum, updated recommendations are presented for the management of diverticulitis.

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Delays in Cancer Surgery Due to COVID-19 Could Harm Survival

FRIDAY, May 22, 2020 (HealthDay News) — Modest delays in cancer surgery due to the COVID-19 pandemic could have a significant impact on survival, according to a study published online May 19 in the Annals of Oncology.

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Antiobesity Meds May Curb Weight Regain After RYGB

FRIDAY, May 22, 2020 (HealthDay News) — The antiobesity medications (AOMs) phentermine and topiramate may help mitigate weight regain (WR) after Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online May 22 in Obesity.

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28 Million-Plus Surgeries Could Be Canceled Due to COVID-19

TUESDAY, May 19, 2020 (HealthDay News) — Worldwide, more than 28 million elective surgeries could be canceled or postponed during the 12 weeks of peak disruption due to COVID-19, according to a study published online May 12 in the British Journal of Surgery.

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Burnout Comparable Between Millennial, Gen X Residents, Fellows

TUESDAY, May 19, 2020 (HealthDay News) — Millennial and Generation X medical residents and fellows experience similar rates of burnout and have similar levels of empathy, according to a study published online May 5 in Academic Psychiatry.

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Spending on Primary Care Continues to Lag in the U.S.

TUESDAY, May 19, 2020 (HealthDay News) — Spending on inpatient services, specialty care, and prescriptions together accounted for about two-thirds of the increase in total U.S. health care spending from 2002 to 2016, according to a research letter published online May 18 in JAMA Internal Medicine.

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Most Physicians Have Seen False-Negative COVID-19 Test Results

MONDAY, May 18, 2020 (HealthDay News) — Most physicians believe they have seen false-negative results for a COVID-19 diagnostic test, according to the results of a recent survey.

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Any Weight Loss Before Bariatric Surgery May Cut 30-Day Mortality

THURSDAY, May 14, 2020 (HealthDay News) — Even moderate weight loss before bariatric surgery is associated with a lower risk for 30-day mortality, according to a study published online May 14 in JAMA Network Open.

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High Career Satisfaction Reported by Many Thoracic Surgeons

THURSDAY, May 14, 2020 (HealthDay News) — Thoracic surgeons have high career satisfaction, but more than half report symptoms of burnout and depression, according to a study published online May 14 in the Annals of Thoracic Surgery.

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Graduated Compression Stockings May Not Be Needed After Surgery

THURSDAY, May 14, 2020 (HealthDay News) — For patients undergoing elective surgery, low molecular weight heparin (LMWH) alone is noninferior to LMWH plus graduated compression stockings (GCS) for prevention of venous thromboembolism, according to a study published online May 13 in The BMJ.

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Bowel Abnormalities Described in Inpatients With COVID-19

THURSDAY, May 14, 2020 (HealthDay News) — Bowel abnormalities have been identified on abdominal imaging of some inpatients with COVID-19, according to a study published online May 11 in Radiology.

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COVID-19 Fatality Rate High for Heart Transplant Recipients

THURSDAY, May 14, 2020 (HealthDay News) — Heart transplant (HT) recipients with COVID-19 infection have a case fatality rate of 25 percent, according to a study published online May 13 in JAMA Cardiology.

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Burden of Osteoarthritis Increasing in Most Countries

WEDNESDAY, May 13, 2020 (HealthDay News) — The burden of osteoarthritis (OA) is increasing in most countries, according to a study published online May 12 in Annals of the Rheumatic Diseases.

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Deceased Donor Transplantation Has Dropped Since COVID-19

WEDNESDAY, May 13, 2020 (HealthDay News) — Since the COVID-19 outbreak, there has been a reduction in deceased donor transplantations in France and the United States, according to a research letter published online May 11 in The Lancet.

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Experts Discuss Strategy for Bariatric Surgery During COVID-19

WEDNESDAY, May 13, 2020 (HealthDay News) — In a personal view article, published online May 7 in The Lancet Diabetes & Endocrinology, recommendations are presented for the management of bariatric and metabolic surgery patients during the COVID-19 pandemic.

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Residual Shunt After PFO Closure Linked to Higher Risk for Stroke

MONDAY, May 11, 2020 (HealthDay News) — The presence of a residual shunt after patent foramen ovale (PFO) closure is associated with an increased risk for recurrent stroke or transient ischemic attack (TIA), according to a study published online May 12 in the Annals of Internal Medicine.

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SES Mediates Racial Differences in Kidney Transplant Listing

THURSDAY, May 7, 2020 (HealthDay News) — Among patients with kidney failure, accounting for socioeconomic status (SES) and comorbidity attenuates racial disparities in listing for, but not receipt of, kidney transplant, according to a study published online May 7 in the Clinical Journal of the American Society of Nephrology.

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Guidance Developed for Lung Cancer Screening During COVID-19

WEDNESDAY, May 6, 2020 (HealthDay News) — In a CHEST expert panel report, published online April 23 in Radiology: Imaging Cancer, recommendations are presented for the management of pulmonary nodules and lung cancer screening during the COVID-19 pandemic.

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Lawnmower Injuries More Common in Children From Rural Areas

TUESDAY, May 5, 2020 (HealthDay News) — From 2005 to 2017, 1,302 lawnmower injuries were identified in the United States, with higher rates in rural areas, according to a study published in the May 1 issue of the Journal of the American Academy of Orthopaedic Surgeons.

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Patients With Cancer Seem More Vulnerable to COVID-19

MONDAY, May 4, 2020 (HealthDay News) — Patients with cancer seem to be more vulnerable to COVID-19 and have higher risks for severe outcomes, according to a study published online April 28 in Cancer Discovery.

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