Category: Perspectives, Opinions and Curiosities

High-Risk Opioid Prescribing Increases Risk of Persistent Opioid Use in Adolescent and Young Adult Patients

Approximately 5% of adolescents and young adults continue to use opioids after surgery, and this study investigated the impact of postoperative opioid prescribing on persistent use in this population. The study found that high-risk opioid prescribing practices, such as overlapping prescriptions and multiple prescribers, significantly increased the risk of persistent opioid use in this age […]

Surgeon supply in US counties has increased from 2010 to 2020

The surgical workforce in US counties was analyzed from 2010 to 2020 in a cross-sectional study. The study reveals that surgeon supply has increased during this period, impacting the accessibility of surgical care. The findings provide important insights for policymakers, healthcare administrators, and clinicians in addressing the distribution of surgeons and improving surgical services in […]

Postoperative Ambulation Predicts Emergency Department (ED) Utilization in Outpatient Surgery

The study examined postoperative ambulation using accelerometers in outpatient abdominal surgeries and its impact on 30-day readmissions and ED utilization. Out of 106 patients, those who failed to reach their preoperative step count within one week were 6× more likely to visit the ED. Geriatric patients had a lower likelihood of meeting their preoperative baseline […]

Regional mock oral board exercises improve first-time pass rates for board certification in general surgery

Regional mock oral board exercises, known as regional mobs, can be effectively conducted in a multi-institutional setting to prepare chief residents in general surgery for the American Board of Surgery certifying examination. These exercises expose residents to unfamiliar proctors and diverse contexts, closely resembling the actual exam. The study reports high satisfaction rates from faculty […]

Antibiotic Prophylaxis: Varied Efficacy and Safety Across Surgical and Non-Surgical Scenarios

Antibiotic prophylaxis is generally effective in reducing infections during surgical and non-surgical procedures. However, evidence from an umbrella review of randomized controlled trials shows that its efficacy varies across different scenarios. For most surgeries, antibiotic prophylaxis is beneficial, but there is limited evidence for certain procedures. In non-surgery invasive procedures, antibiotic prophylaxis shows low certainty […]

Surgical inpatients show high satisfaction and recognition of resident care

The study investigated inpatient satisfaction with surgical resident care, as they are often the primary providers of care to surgical inpatients. The researchers conducted a survey with English-speaking general surgery inpatients recovering from elective gastrointestinal and oncologic surgery. Results showed that patients could identify their resident physicians with high frequency and rated resident care highly […]

Healthcare Professionals Face Challenges in Making Surgical Oncology Decisions and Delivering COVID-19-Safe Care

A qualitative study on healthcare professionals’ experiences during the COVID-19 pandemic found that the redirection of medical attention towards COVID-19-affected patients had a significant impact on cancer service provision. The study identified three main challenges faced by healthcare professionals: multi-disciplinary team processes affected by limited in-person examination, increased complexity in surgical practice due to personal […]

Impact of Persistent Poverty on Cancer Diagnosis, Treatment, and Survival

Disparities in cancer outcomes were found in counties with persistent poverty since 1980, significantly affecting diagnosis, surgical resection, and survival rates for patients with non-small cell lung (nsclc), breast, and colorectal cancer. Patients in persistent poverty were more likely to present with advanced disease, less likely to undergo surgery, and had increased cancer-specific mortality compared […]

Improvement in Neighborhood Deprivation Exacerbates Surgical Disparities

A study examining the association between neighborhood deprivation and postoperative outcomes for Medicare beneficiaries found that while lower neighborhood deprivation is linked to improved outcomes for both white and black patients, the benefits disproportionately favor white patients. White beneficiaries experienced a significant decrease in mortality, complication rates, and readmission rates as neighborhood deprivation decreased. In […]