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    Perioperative Care and Consultation

    Explore the latest in perioperative care and consultation, including prevention and management of perioperative medical complications.

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    • Assessment of an Opioid Stewardship Program on Perioperative Opioid Prescribing in a Safety-Net Health System
      JAMA Surgery
      Research
      March 1, 2023

      This quality improvement study involves comparison of opioid prescription data before and after implementation of an opioid stewardship program in a safety-net medical system.

      Anesthesiology Substance Use and Addiction Medicine Opioids Health Care Quality Surgery
      Full Text | pdf link PDF
    • Association of a Liberal Fasting Policy of Clear Fluids Before Surgery With Fasting Duration and Patient Well-being and Safety
      JAMA Surgery
      Research
      March 1, 2023

      This quality improvement study investigates the association of a liberal fasting policy of clear fluids before surgery with fasting duration, patient well-being, and patient safety.

      Surgery
      Full Text | pdf link PDF
    • Effect of High-Dose Selenium on Postoperative Organ Dysfunction and Mortality in Cardiac Surgery Patients: The SUSTAIN CSX Randomized Clinical Trial
      JAMA Surgery
      Research
      March 1, 2023

      This randomized clinical trial assesses the ability of high-dose intravenous sodium selenite treatment to reduce postoperative organ dysfunction and mortality in cardiac surgery patients.

      Cardiothoracic Surgery Complementary and Alternative Medicine Critical Care Medicine Cardiology Surgery
      Full Text | pdf link PDF open access
    • Frailty Assessment in the Older Adult Surgical Patient—Crucial Questions for the Future
      JAMA Surgery
      Opinion
      February 22, 2023
      Geriatrics Surgery
      Full Text | pdf link PDF
    • Association of Routine Preoperative Frailty Assessment With 1-Year Postoperative Mortality
      JAMA Surgery
      Research
      February 22, 2023

      This quality improvement study assesses the association between a standardized Frailty Screening Initiative with changes in 1-year mortality in patients undergoing elective surgery in the US.

      Geriatrics Surgery
      Full Text | pdf link PDF
    • Coronary Heart Disease Testing Before Kidney Transplant—A Call for Revised Guidance
      JAMA Internal Medicine
      Opinion
      February 20, 2023
      Law and Medicine Surgery Transplantation Health Policy Renal Replacement
      Full Text | pdf link PDF
    • Integrative Therapies Lessen Postsurgical Anxiety, Pain
      JAMA
      News
      February 14, 2023
      Anesthesiology Complementary and Alternative Medicine Surgery Pain Medicine
      Full Text | pdf link PDF free
    • Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care
      JAMA Network Open
      Research
      February 10, 2023

      This cohort study conducted at a US academic hospital compares clinical outcomes and follow-up hospitalization of patients receiving bariatric surgery utilizing telemedicine for preoperative care with an in-person control group.

      Surgery Bariatric Surgery Obesity Nutrition, Obesity, Exercise Health Care Delivery Models
      Full Text | pdf link PDF open access
    • Implementation and Assessment of No Opioid Prescription Strategy at Discharge After Major Urologic Cancer Surgery
      JAMA Surgery
      Research
      February 8, 2023

      This cohort study assesses a protocol for eliminating postdischarge opioid prescriptions after major urologic cancer surgery by assessing patients who receive usual, reduced, or no opioids.

      Surgery Surgical Oncology Urology Urologic Cancer Anesthesiology
      Full Text | pdf link PDF
    • Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process
      JAMA Network Open
      Review
      February 8, 2023

      This consensus statement uses expert-derived consensus using a modified Delphi process to identify enhanced recovery after surgery topics that could be appropriately addressed within the context of a modified surgical safety checklist.

      Surgery Consensus Statements
      Full Text | pdf link PDF open access
    • Association of Cognitive Impairment Screening Scores With Improvements in Speech Recognition and Quality of Life After Cochlear Implantation
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      February 2, 2023

      This case series assesses whether there is an association between cognitive impairment screening scores and cochlear implant outcomes.

      Cochlear Implantation Otolaryngology Otology Dementia and Cognitive Impairment Neurology
      Full Text | pdf link PDF
    • Postoperative Restrictive Opioid Protocols and Durable Changes in Opioid Prescribing and Chronic Opioid Use
      JAMA Oncology
      Research
      February 1, 2023

      This cohort study assesses whether a protocol restricting postoperative opioid prescriptions to a supply of 3 or fewer days is feasible for patients, reduces opioids dispensed, and is associated with conversion to chronic opioid use.

      Oncology Substance Use and Addiction Medicine Opioids Surgery
      Full Text | pdf link PDF
    • Association Between Loneliness and Postoperative Mortality Among Medicare Beneficiaries
      JAMA Surgery
      Research
      February 1, 2023

      This cohort study uses data from the Health and Retirement Study and Medicare claims to examine the association between loneliness and postoperative mortality after elective vs nonelective surgery among older adults.

      Geriatrics Psychiatry and Behavioral Health Surgery
      Full Text | pdf link PDF
    • Association of Hospital Quality and Neighborhood Deprivation With Mortality After Inpatient Surgery Among Medicare Beneficiaries
      JAMA Network Open
      Research
      January 30, 2023

      This cross-sectional study compares postoperative mortality among Medicare beneficiaries based on the level of neighborhood deprivation where they live and hospital quality where they received care.

      Surgery Health Policy Health Inequities Equity, Diversity, and Inclusion Health Disparities
      Full Text | pdf link PDF open access
    • Surgical Site Infection Prevention: A Review
      JAMA
      Review
      January 17, 2023

      This review summarizes current evidence-based interventions for prevention of surgical site infection that are applicable to the majority of operations.

      Surgery Wound Care, Infection, Healing
      Full Text | pdf link PDF | CME & MOC is active quiz has multimedia
    • Patient Mobility When Undergoing Treatment for Colon and Rectal Cancer—How Much Does the Patient Really Choose?
      JAMA Surgery
      Opinion
      January 11, 2023
      Colorectal Cancer Gastroenterology Gastrointestinal Cancer Oncology Surgery
      Full Text | pdf link PDF
    • Comparison of Opioids Prescribed by Advanced Practice Clinicians vs Surgeons After Surgical Procedures in the US
      JAMA Network Open
      Research
      January 4, 2023

      This cross-sectional study assesses postsurgical opioid prescribing practice and dosing by clinician type and surgical specialty.

      Health Care Workforce Surgery Pharmacoepidemiology Health Policy Opioids
      Full Text | pdf link PDF open access
    • Association of Intraoperative Antibiotic Irrigation With Systemic Contact Dermatitis
      JAMA Dermatology
      Research
      January 1, 2023

      This case series describes the development of morbilliform drug eruption after breast surgery.

      Breast Cancer Oncology Surgical Oncology Women's Health Dermatology
      Full Text | pdf link PDF
    • Electroacupuncture vs Sham Electroacupuncture in the Treatment of Postoperative Ileus After Laparoscopic Surgery for Colorectal Cancer: A Multicenter, Randomized Clinical Trial
      JAMA Surgery
      Research
      January 1, 2023

      This randomized clinical trial investigates if electroacupuncture promotes postoperative recovery in patients after laparoscopic bowel resection for colorectal cancer compared with sham electroacupuncture.

      Complementary and Alternative Medicine Oncology Surgical Oncology Surgery Minimally Invasive Surgery
      Full Text | pdf link PDF
    • Association of an Online Home-Based Prehabilitation Program With Outcomes After Colorectal Surgery
      JAMA Surgery
      Research
      January 1, 2023

      This quality improvement study evaluates the association of an online home-based patient prehabilitation program with colorectal surgery outcomes.

      Gastrointestinal Surgery Physical Medicine and Rehabilitation Surgery Colorectal Surgery
      Full Text | pdf link PDF
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