Dedicated perioperative Advanced Practice Providers (APPs) substantially decrease readmissions by almost 50%, saving $900 per case. Financially self-sustaining with 113 to 139 annual cases, these APPs prove pivotal in optimizing outcomes, minimizing resource utilization, and cost savings for high-volume hepatopancreatobiliary centers. Journal Article by Smith SR, Blair CM (…) Sarmiento JM et 3 al. in […]
Author: STITCHES Newsletter
The Art of Branding in Surgery Departments
The Ohio State University Wexner Medical Center’s Department of Surgery shares insights on building a robust national brand. In a digital age flooded with health choices, establishing a standout brand is crucial. Focusing on mission, visual elements, voice, and consistent messaging, the department strategically promotes its renowned residency program, clinical excellence, and research prowess. This […]
Ambulance Bays as Innovative Learning Spaces for EMS Practitioners
OhioHealth’s simulation team revolutionizes EMS education with drive-thru sessions in hospital ambulance bays. Over three days, 171 learners achieved objectives, and 90% agreed the environment fostered learning. This approach, utilizing existing infrastructure, effectively overcomes barriers like cost and equipment access, offering a feasible solution to enhance simulation-based education for emergency medical services practitioners. Journal Article […]
Decoding HCC Recurrence: LI-RADS Morphologic Type II Gets Risk Score Upgrade
Unraveling the mystery of early recurrence in hepatocellular carcinoma (HCC), researchers crafted a risk scoring system based on tumor morphology. Analyzing 124 patients, they pinpointed age, histological grade, AFP, and intratumoral hemorrhage as key factors. The scoring system accurately stratified patients into low and high-risk categories, offering clinicians a powerful tool. The high-risk group exhibited […]
Racial and Gender Disparities in Emergency General Surgery Transfers
In a groundbreaking study on emergency general surgery (EGS) transfers, researchers unveil stark racial and gender disparities. Analyzing over 28,000 interhospital transfers, they found higher odds of complications for EGS patients transferred between hospitals. Black patients faced increased minor complications, while Native Hawaiian, Pacific Islander, and female patients encountered unique challenges. These findings emphasize the […]
Tumor Markers Speak: Dynamic CEA and CA19-9 Monitoring Predicts Fate in Stage II Colon Cancer
A game-changing study dives into stage II colon cancer, revealing the power of dynamic carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) monitoring. With 1,517 patients in play, researchers uncovered that postoperative elevation in CEA/CA19-9 spells trouble, signaling a poor prognosis. Strikingly, normal pre- and post-operative CEA levels correlate with superior survival. Notably, adjuvant chemotherapy […]
Asian American Surgeons: Narrating Immigrant Journeys through American History
Unraveling the immigrant tapestry, this study delves into the backstories of Asian American surgeons. From Chinese laborers shaping the landscape to post-1965 policy shifts, the narrative weaves struggles and triumphs. Discrimination and restrictive acts clashed with contributions, yet resilience prevailed. The study spotlights pivotal moments like World War II and the 1965 immigration policy, emphasizing […]
Robotic Gastrectomy Takes the Crown: Boosting Textbook Oncologic Outcomes in Gastric Cancer Surgery
In the realm of gastric cancer surgery, a study flexes the stats on surgical approaches. Analyzing 21,015 patients, the research spotlights robotic gastrectomy (RG) as the champ, significantly elevating the likelihood of achieving Textbook Oncologic Outcome (TOO). Minimally invasive gastrectomy (MIG) emerges as a key player, linked to better lymph node evaluation, shorter hospital stays, […]
Mindful Eating and Sleep Crucial in Preventing Weight Recurrence after Bariatric Surgery
A survey of 169 post-bariatric surgery individuals reveals a 23.1% significant weight recurrence rate. Sleeve gastrectomy increases risk (OR = 12.99). Anxiety, depression, and maladaptive eating patterns correlate with recurrence. Mindful eating and adequate sleep emerge as key protective factors, significantly reducing recurrence risk (OR = 4.84 and 7.30, respectively). The study underscores the pivotal […]
Digital Frailty Index Flags Surgical Risks: A Tech Boost for Patient Safety
In a study involving 33,449 patients, the Electronic Frailty Index (EFI) — a tech-driven health record tool — categorized individuals as fit, prefrail, or frail based on preoperative data. Prefrail and frail statuses significantly increased the likelihood of postoperative adverse events compared to fit individuals. Even after adjusting for various factors, each 0.03-unit increase in […]