This Viewpoint discusses the need for structured transition of care from pediatric to adult surgery for patients with congenital anomalies and childhood cancers.
This Viewpoint reviews the central elements of the proposed SGR Repeal and Medicare Provider Payment Modernization Act of 2014.
Ferraris and colleagues conducted an observational study to evaluate failure to rescue in patients entered into the American College of Surgeons National Surgical Quality Improvement Program database. Surgical patients included in this study underwent a wide range of operations during a 5-year period in more than 200 acute care hospitals.
Chu et al determine the safety and efficacy of implementing the multidisciplinary heart team approach for revascularization in patients with complex coronary artery disease (CAD).
Graham et al examine the effect of the revised American College of Cardiology/American Heart Association (ACC/AHA) guidelines on postoperative major adverse cardiac events in noncardiac surgery subsequent to placement of cardiac stents.
This medical record review suggests that a systematic frailty-screening program effectively identifies at-risk surgical patients and is associated with a significant reduction in mortality for patients undergoing palliative care consultation.
Sarosi and colleagues examine the training outcomes of preliminary residents in a university and veterans affairs surgical residency and attempt to predict the characteristics that lead to successful placement into categorical general surgical residency.
In this retrospective analysis, the technique of locoregional anesthesia, conscious sedation, and exploration via a limited incision was used to perform minimally invasive bilateral exploration in patients who have multigland hyperplasia.
In this study, rats were randomized to controlled mandatory ventilation or airway pressure release ventilation to determine whether airway pressure release ventilation affects alveolar recruitment and microstrain in acute lung injury.
This prospective cohort study examines the genetic and epigenetic events associated with follicular thyroid hyperplasia.
This retrospective cohort study reports that implementation of a multidisciplinary hepatopancreaticobiliary surgical program leads to regionalization of care and improved quality of cancer care and surgical outcomes.
This retrospective observational study reports that 30-day readmission rates for surgical procedures performed in the Veterans Health Administration declined between 2001 and 2010.
This study reports that the Veterans Health Administration of surgical patients are less likely to receive either hospice or palliative care in the year prior to death compared with medical patients, yet surgical patients have a longer length of time and increased relative use of these services.
This laboratory study reports that brilliant blue FCF is an alternative, nontoxic marking dye that may improve human saphenous vein conduit function and decrease intimal hyperplasia.
This retrospective analysis found that intraoperative transit time flow probe data may help to predict long-term patency and whether a questionable graft should be revised for patients undergoing coronary artery bypass grafting (CABG) surgery.
Basson explores the notion of investigative surgeons and the advantages and disadvantages of assuming this role.
Owing to the phenomenon known as “global graying,” elderly-specific conditions, including frailty, will become more prominent among patients undergoing surgery. The concept of frailty, its effect on surgical outcomes, and its assessment and management were discussed during the 38th Annual Surgical Symposium of the Association of VA Surgeons panel session entitled “What’s the Big Deal about Frailty?” and held in New Haven, Connecticut, on April 7, 2014. This special communication summarizes the panel session topics and provides highlights of the expert panel’s discussions and relevant key points regarding care for the geriatric frail surgical patient.
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