This Viewpoint discusses the implications of reference pricing, where patients are financially responsible for any excess difference in cost between the agreed-on price for a specific service and the provider’s actual price.
This meta-analysis reports that compared with alternative analgesic techniques, epidurals may be associated with superior pain control. However, this does not translate into improved recovery or reduced morbidity when used within an enhanced recovery protocol.
This cost-effectiveness analysis reports that the incremental cost-effectiveness ratio of cervical total disc replacement compared with traditional anterior cervical discectomy and fusion is lower than the commonly accepted threshold of $50 000 per quality-adjusted life-year. Hervey-Jumper and Park provide a related Article .
This retrospective review shows that arterial compression can coexist with neurogenic thoracic outlet syndrome and can be elucidated in most patients by medical record review and physical examination, along with confirmation by a duplex scan.
This population-based registry study suggests that stereotactic ablative radiotherapy for non–small cell lung cancer may be a good option among elderly patients with multiple comorbidities.
This retrospective cohort study using national Medicare data reports that high hospital care intensity hospitals had higher rates of major complications following major cardiovascular, orthopedic, or general surgical operations compared with low hospital care intensity centers.
This study shows that perioperative mortality determined by the Open Vs Endovascular Repair Veterans Affairs Cooperative trial underestimates the findings after repair of abdominal aortic aneurysms from vascular practice outside the restriction of randomized clinical trials.
This retrospective cohort study demonstrates that nearly 40% of hepatic hemangiomas grow over time.
This hierarchical multivariable logistic regression analysis of observational data found little risk-adjusted variation in hospital readmission rates after colorectal surgery. See also the Invited Commentary by Opelka.
This retrospective cohort study found that Roux-en-Y gastric bypass resulted in greater weight loss than adjustable gastric banding but a higher risk of short-term complications and long-term subsequent hospitalizations. See also the Invited Commentary by Dimick and Finks.
This prospective randomized clinical trial may help to establish guidelines for the treatment of superficial femoral artery lesions.
This database analysis found that approximately one-fourth of patients undergoing initial breast conservation surgery for breast cancer will have a subsequent operative intervention. See also the Invited Commentary by Margenthaler and Vaughan.
This retrospective database review reports that the risk of metachronous breast cancer is low in patients with known BRCA mutations and epithelial ovarian cancer. A majority of these cases of breast cancer at an early stage are detected by use of mammography.
This retrospective analysis shows that both carotid endarterectomy and carotid artery stenting can be performed safely by a vascular surgeon in properly selected patients.
This retrospective review provides evidence that laparoscopic duodenojejunostomy is safe and effective for duodenal obstruction from superior mesenteric artery syndrome.
This review of findings discussed at a multidisciplinary workshop on bariatric surgery notes there is evidence showing that bariatric surgery results in greater weight loss than nonsurgical treatments. Finks and Dimick provide a related Article .