Multimodal Imaging Can Personalize and Predict Therapeutic Needs

Posted on July 13, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. turria-Medina

Yasser Iturria-Medina, PhD
Primary Investigator, Ludmer Centre for Neuroinformatics & Mental Health
Assistant Professor, Department of Neurology and Neurosurgery
Faculty of Medicine
McGill University

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: There are millions of patients following therapeutic interventions that will not benefit them. In this study, we aimed to illustrate that it is possible to identify the most beneficial intervention for each patient, in correspondence with the principles of the personalized medicine (PM). Our results show that using multimodal imaging and computational models it is possible to predict individualized therapeutic needs. The predictions are in correspondence with the individual molecular properties, which validate our findings and the used computational techniques.

The results highly also the imprecision of the traditional clinical evaluations and categories for understanding the individual therapeutic needs, evidencing the positive impact that would have to use multimodal data and data-driven techniques in the clinic, in addition to the medical doctor’s criterion/evaluations. Continue reading →

Small Renal Cancers: For Select Older Patients, Percutaneous Ablation May Be As Effective and Safer

Posted on June 30, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Talenfeld

Adam Talenfeld, M.D
Assistant Professor of Radiology
Weill Cornell Medical College
Assistant Attending Radiologist
New York-Presbyterian Hospital.

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: We know that renal function decreases as we age, and we know that decreased renal function is independently associated with increased mortality. This is why medical society guidelines recommend partial nephrectomy, which preserves kidney tissue and function, over radical nephrectomy for the treatment of the smallest kidney cancers, stage T1a tumors, which are under 4 cm diameter. Paradoxically, though, we know older patients are more likely than younger patients to receive radical nephrectomy for these smallest tumors, probably because it’s a simpler surgery than partial nephrectomy.

Percutaneous ablation, focal tissue destruction using heat or cold emanating from the tip of a needle, is a newer, image-guided, minimally-invasive, tissue-sparing treatment for solid organ tumors. We wanted to test how well percutaneous ablation would compare to partial nephrectomy and radical nephrectomy for these smallest kidney cancers.

We found that percutaneous ablation was associated with similar 5-year overall and cancer-specific survival compared to radical nephrectomy. At the same time, ablation was associated with significantly lower rates of new-onset chronic renal insufficiency and one-fifth as many serious non-urological complications than radical nephrectomy within 30 days of treatment. These were complications, such as deep venous thrombosis or pneumonia, that resulted in emergency department visits or new hospital admissions. The outcomes of percutaneous ablation compared with partial nephrectomy were somewhat less clear, though ablation was again associated with fewer perioperative complications. Continue reading →

Surgery For Spondylolisthesis (Spinal Stress Fractures) Reduced Chances of Opioid Dependence

Posted on June 30, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Ugiliweneza

Beatrice Ugiliweneza, PhD, MSPH
Assistant Professor
Kentucky Spinal Cord Injury Research Center
Department of Neurosurgery, School of Medicine
Department of Health Management and Systems Science
School of Public Health and Information Sciences
University of Louisville

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: This study stems from the observed opioid crisis in the United States in recent years. Opioids are used in the management of pain. In the spine population, back pain is one of the main conditions for which opioids are consumed.

A frequent cause of that pain is degenerative spondylolisthesis. We aimed to evaluate the effect of surgery, which has been shown to improve outcomes, on opioid dependence. We found that surgery is associated with reduced odds of opioid dependence.

MedicalResearch.com: What should readers take away from your report?

Response: One interesting finding that we observed is that patients are twice less likely to become opioid dependent than they are to become dependent after surgery. However, an important note to keep in mind is that about 10% of patients will be opioid dependent after surgery (about 6% prior non-dependent and 4% prior dependent).

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Surgery has been proven to improve clinical outcomes and quality of life for patients with degenerative spondylolisthesis. Future research should explore why some patients remain or become opioid dependent after surgery.

It would also be interesting to look at the effect of other treatments for degenerative spondylolisthesis (such as epidural steroid injections for example) on opioid dependence.

MedicalResearch.com: Is there anything else you would like to add?

Response: Spine surgeons should have systems that help them recognize patients who are likely to become opioid dependent after surgery. Our paper discusses factors to watch for such as younger age, prior dependence, etc… This would help provide targeted attention and hopefully combat the ramping opioid crisis.

The authors have no disclosures.

Citation:

Journal of Neurosurgery: Spine
Posted online on June 19, 2018.
Factors predicting opioid dependence in patients undergoing surgery for degenerative spondylolisthesis: analysis from the MarketScan databases
Mayur Sharma, MD, MCh, Beatrice Ugiliweneza, PhD, MSPH¹, Zaid Aljuboori, MD¹, Miriam A.Nuño, PhD², Doniel Drazin, MD³, and Maxwell Boakye, MD, MPH, MBA¹

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Are Abortions Safer in Ambulatory Surgery Centers Than Medical Offices?

Posted on June 29, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Roberts

Sarah CM Roberts, DrPH
Associate Professor
ObGyn&RS
Zuckerberg San Francisco General
UCSF

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Thirteen states have laws that require abortions to be provided in Ambulatory Surgery Centers (ASCs); many of these laws apply only in the second trimester. We examined outcomes from more than 50,000 abortions provided in two facility types: Ambulatory Surgery Centers and office-based settings.

We found that there was no significant difference in abortion-related complications across facility type; in both settings, about 3.3% had any complication and about 0.3% had a major complication. There also was no significant difference in complications across facility types for second trimester and later abortions.

Continue reading →

2/3 Canadians Do Not Receive Timely Surgery for Hip Fractures

Posted on June 12, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Pincus

Daniel Pincus MD
Department of Surgery
Institute for Clinical Evaluative Sciences
University of Toronto

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: We chose to look at hip fractures because is the most common reason for urgent surgery complications have be tied to wait times (and in particular wait times greater than 24 hours).

Continue reading →

More Complications When Pacemaker Required After TAVR

Posted on June 1, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Wijeysundera

Harindra C. Wijeysundera MD PhD FRCPC FCCS FAHA
Director of Research, Division of Cardiology,
Schulich Heart Centre, Sunnybrook Health Sciences Centre
Senior Scientist, Sunnybrook Research Institute (SRI)
Associate Professor, Dept. of Medicine & Institute of Health Policy, Management and Evaluation, University of Toronto
Adjunct Senior Scientist, Institute for Clinical Evaluative Sciences (ICES)
Toronto, ON, Canada

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: One of the most common complications post TAVR is the need for a permanent pacemaker. It is unclear if the need for a pacemaker is associated with long term adverse outcomes.

Using a population level registry of all TAVR procedures in ontario, canada, we found that pacemakers were required in ~15% of cases. Requiring a pacemaker was associated with worse long term outcomes, including death, readmission to hospital and emergency room visits. Continue reading →

For Your Surgeon, Do You Want Younger Hands or More Experience?

Posted on May 3, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
Yusuke Tsugawa, MD, MPH, PhD
Assistant professor
Division of General Internal Medicine and Health Services Research
David Geffen School of Medicine at UCL
Los Angeles, CA

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: We studied whether patients’ mortality rate differ based on age and sex of surgeons who performed surgical procedures. Using a nationally representative data of Medicare beneficiaries aged 65-99 years who underwent one of 20 major non-elective surgeries, we found that patients treated by older surgeons have lower mortality than those cared for by younger surgeons, whereas there was no difference in patient mortality between male and female surgeons. When we studied age and sex together, we found that female surgeons at their 50s had the lowest patient mortality across all groups.

Continue reading →

Racial Disparities in Post-Procedure ED Visits and Hospitalizations

Posted on May 3, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Hillary J. Mull, PhD, MPP
Center for Healthcare Organization and Implementation Research
Veterans Affairs (VA) Boston Healthcare System
Department of Surgery, Boston University School of Medicine
Boston, Massachusetts

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Little is known about outpatient procedures that can be considered invasive but are not conducted in a surgical operating room. These procedures are largely neglected by quality or patient safety surveillance programs, yet they are increasingly performed as technology improves and the U.S. population gets older.

We assessed the rate of invasive procedures across five specialties, urology, podiatry, cardiology, interventional radiology and gastroenterology in the Veterans Health Administration between fiscal years 2012 and 2015. Our analysis included examining the rates of post procedure emergency department visits and hospitalizations within 14 days and the key patient, procedure or facility characteristics associated with these outcomes. We found varying rates of post procedure ED visits and hospitalizations across the specialties with podiatry accounting for a high volume of invasive outpatient care but the lowest rate of postoperative utilization (1.8%); in contrast, few of the procedures were in interventional radiology, but the postoperative utilization rate was the highest at 4.7%. In a series of logistic regression models predicting post procedure healthcare utilization for each specialty, we observed significantly higher odds of post procedural outcomes for African American patients compared to white patients.

Continue reading →

Study Finds SculpSure Can Reduce Fat Under Chin

Posted on May 2, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
David H. McDaniel, MD is Board Certified by the American Board of Dermatology. He is a Co-Director of the Hampton University Skin of Color Research Institute, Adjunct Professor in the School of Science, Hampton University.

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: The study was designed to evaluate at multiple sites the effects on submental fat of a 1060nm diode laser treatment which was already FDA cleared for non-invasive lipolysis of the abdomen, flanks, back, inner and outer thighs. A total of 19 volunteers were treated at our study site with typically two 25 minute treatments. There was a 12 week follow-up period after treatment and photography (both 2D and 3D) was used to evaluate with expert physician grader along with other 3D analytics and a subject satisfaction questionnaire.

The main findings were reduction in submental fat both from the expert grader and as well as the 3D metrics. The 3D metrics also showed a lifting effect. The study volunteers reported a ‘satisfied’ or ‘extremely satisfied’ score from the subject assessments.

Continue reading →

Medicaid Expansion Improved Access to Cardiac Care Without Diminishing Outcomes

Posted on April 12, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Likosky

Donald Likosky, Ph.D., M.S.
Associate Professor
Head of the Section of Health Services Research and Quality
Department of Cardiac Surgery.
University of Michigan

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Michigan was one of several states to expand Medicaid. Current evaluations of the Michigan Medicaid expansion program have noted increases in primary care services and health risk assessments, but less work has evaluated its role within a specialty service line. There has been concern among some that Medicaid patients, who have traditionally lacked access to preventive services, may be at high risk for poor clinical outcomes if provided increased access to cardiovascular interventions.

Using data from two physician-led quality collaboratives, we evaluated the volume and outcomes of percutaneous coronary interventions and coronary artery bypass grafting 24mos before and 24mos after expansion. We noted large-scale increased access to both percutaneous coronary interventions (44.5% increase) and coronary artery bypass grafting (103.8% increase) among patients with Medicaid insurance. There was a decrease in access for patients with private insurance in both cohorts. Nonetheless, outcomes (clinical and resource utilization) were not adversely impacted by expansion. Continue reading →

One or Two Surgeries To Treat an Infected Hip Joint?

Posted on April 9, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

“Check out this sweet artificial hip! (no I don't need one...)” by dennis crowley is licensed under CC BY 2.0

An example of one type of an artificial hip

Dr Setor Kunutsor PhD
Research Fellow
Musculoskeletal Research Unit
Bristol Medical School

MedicalResearch.com: What is the background for this study?

Response: Hip replacement is a very common operation that is effective at providing pain relief and improving mobility. Infection is a fortunately infrequent but devastating complication that can occur following joint replacement.

Currently, two main types of surgical procedures are used in treating these infections – one-stage and two-stage revision strategies. In the two-stage procedure, the existing artificial joint is removed in one operation and the patient is treated for several months with antibiotics. A new joint is then inserted in a second operation. In the one-stage procedure, the artificial joint is removed along with all infected tissue and a new one inserted in the same operation. The two-stage procedure has been in use for decades and was regarded as the most effective treatment. There has been an increase in the use of the one-stage procedure as it has also been claimed to be very effective at treating infection. There has been a lot of controversy among orthopaedic surgeons as to which is the best way to treat infected hip replacements. Several studies have been conducted on the topic, but the findings have been inconsistent. Some claim the two-stage to be more effective and others claim the one-stage procedure is. Currently the majority of studies claim the two-stage is better; but no study has been conducted that compares these procedures head-to-head to decide if one is better or if they achieve the same results. Due to the lack of evidence, some surgeons are reluctant to use the one-stage strategy. There was therefore a need to compare the effectiveness of the two surgical strategies using an appropriate study design.

We conducted a study which involved collecting and bringing all previous data together under one umbrella. The process is known as “Individual Participant Data meta-analysis”. It involved communicating with surgeons in different countries all over the world and inviting them to contribute data. We called the name of the group “The Global Infection Orthopaedic Management (INFORM) Collaboration”.

Continue reading →

OviTex Reinforced BioScaffolds Combine Synthetic and Biologic Materials For Soft Tissue Repair

Posted on April 2, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Michael Sawyer

Michael Sawyer, MD, FACS
General Surgeon
Comanche County Memorial Hospital
Lawton, Oklahoma

MedicalResearch.com: What is the background for this study?

Response: Repair of complex incisional hernias is a challenging surgical task. Abdominal wall surgeons are utilizing advanced abdominal wall reconstruction (AWR) techniques including myofascial advancement flap creation with reinforcement by biologic or synthetic prostheses with greater frequency.

Numerous synthetic or biologic surgical mesh products are currently available to reinforce these soft tissue repairs. Each type of biologic or synthetic material has its own advantages and limitations.

OviTex Reinforced BioScaffolds (RBSs) are unique in that they interweave polymer in a custom “lock-stitch” pattern through layers of biologic tissue in an embroidered construction, aiming to incorporate the salutary properties of both biologic and synthetic repair materials. The biologic material, derived from ovine rumen, has been optimized to minimize foreign body response and enables functional tissue remodeling. The polymer provides additional strength, along with improved handling and load‑sharing capability.

Continue reading →

Multifactorial Aspects of Sex Bias in Surgical Research

Posted on April 2, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
Neel Mansukhani, MD
Department of Surgery
Northwestern University and

Melina R. Kibbe, MD, FACS, FAHA
Colin G. Thomas Jr. Distinguished Professor and Chair
Department of Surgery
Professor, Department of Biomedical Engineering
The University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-7050
Editor in Chief, JAMA Surgery

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: This study is a follow-up to our previous work that examined sex bias in surgical research. Previously, we examined sex bias in basic and translational science surgical research, as well as in clinical surgical research. We discovered previously that sex bias exists in basic and translational surgical research in the unequal inclusion of male and female research subjects.
In clinical research, we found sex bias in the degree of sex matching of included subjects, and in the frequency of sex-based reporting, analysis, and discussion of the data.

In this current work, we sought to understand the effect of author gender on sex bias in surgical research. In this work, we found that most authors are male, most authors work with other authors of the same gender, and sex bias is prevalent regardless of author gender. Most importantly, we found that sex inclusive research receives more citations after publication compared to sex-biased research. Continue reading →

Ankle Fracture: Close Casting Can Be Alternative To Surgery For Older Patients

Posted on March 31, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
David Keene DPhil
NIHR Postdoctoral Research Fellow
NDORMS Research Fellow in Trauma Rehabilitation
Critical Care, Trauma and Rehabilitation Trials Group
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences
University of Oxford

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Our clinical trial comparing close contact casting to the usual internal fixation surgery for unstable ankle fractures in older adults found that ankle function at six months was equivalent. There was more abnormal healing of the fracture seen on radiographs (malunion) in the casting group (15 percent, compared to 3 percent for surgery) so we aimed to investigate the ankle function outcomes in the longer term. We found that equivalence in ankle function between initial close contact casting and surgery was maintained at three years.

MedicalResearch.com: What should readers take away from your report?

Response: Our findings indicate that close contact casting is an appropriate alternative treatment to surgery for older people with an unstable ankle fracture. These longer-term outcomes will help surgeons and patients to make informed decisions about the right course of action for them.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Future research will explore if there are certain types of older patients that do well after close contact casting or surgery.

MedicalResearch.com: Is there anything else you would like to add?

Response: It is worth highlighting that the initial close contact casting was applied in the operating room under anesthesia.

There were no conflicts of interest.

Citations:

Keene DJ, Lamb SE, Mistry D, et al. Three-Year Follow-up of a Trial of Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults. JAMA. 2018;319(12):1274–1276. doi:10.1001/jama.2018.0811

Stroke: Mr Clean Study of Endovascular Treatment

Posted on March 29, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
J.H.L. Mulder, MD PhD
Neurology resident
Erasmus MC

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Current information about safety and efficacy of endovascular treatment (EVT) for acute ischemic stroke is primarily derived from patients treated in the setting of a randomized controlled trial. However, inherent to this setting, external validity of the results can be jeopardized by patient selection and intensive monitoring.

Therefore, an important question remained unanswered: could the positive effect of endovascular treatment be reproduced in standard clinical practice? Continue reading →

Knee Pain Improved After Bariatric Surgery For Obesity

Posted on March 20, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Jonathan Samuels

Jonathan Samuels, MD
Associate Professor of Medicine
Division of Rheumatology
NYU Langone Health

MedicalResearch.com: What is the background for this study?

Response: A high percentage of obese patients have painful knee osteoarthritis, and have difficulty losing weight as well as treating the knee pain with a self-perpetuating cycle.

MedicalResearch.com: What are the main findings?

Response: Patients who lost weight with their laparoscopic banding surgeries also experienced marked improvement of their knee pain. We found a significant correlation between the degree of improvement in the body mass index and reduction of knee pain in our cohort.

In addition, the patients who experienced the most relief from weight loss surgeries had their procedures at earlier ages, as well as those who never had a traumatic knee injury nor developed osteoarthritis in other joints.

Continue reading →

TXA Increasingly Use in Shoulder Surgery To Reduce Transfusion Risk and Complications

Posted on March 19, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Anthony

Shawn Anthony, MD, MBA
Assistant Professor of Orthopaedics
Icahn School of Medicine at Mount Sinai

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Rates of total shoulder arthroplasty are increasing, especially with an aging population. Blood loss requiring transfusion is less common than in total hip or knee replacements but still required in some patients. Tranexamic acid (TXA) is increasingly used to reduce blood loss in lower extremity arthroplasty but limited data exists for its effectiveness and safety in patients undergoing shoulder arthroplasty. We aimed to utilize national data to assess frequency of use and effectiveness of TXA in shoulder arthroplasty patients.

While utilization of TXA has become very common in total hip and knee arthroplasty, TXA is still used in less than 50% of patients undergoing shoulder arthroplasty as of 2016. TXA use was associated with a 36% decrease in transfusion risk and a 35% decreased risk for combined complications. Moreover, TXA use was associated with 6.2% shorter hospital stay.

Continue reading →

Urgent/Emergent TAVR Feasible But Mortality Higher Than When Performed Electively

Posted on March 16, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Dr. Abbott

Dawn Abbott, MD, FACC, FSCAI
Associate Chief, Faculty Development and Academic Advancement
Director, Interventional Cardiology and Structural Fellowship Programs
Associate Professor of Medicine
Warren Alpert Medical School, Brown
Providence, RI 02903

MedicalResearch.com: What is the background for this study?

Response: Approximately 35,000 transcatheter aortic valve replacement (TAVR) procedures are now performed annually in the United States (US). TAVR is usually performed as an elective procedure in hemodynamically stable patients. Approximately 1 in 5 hospitalizations for severe aortic stenosis (AS) are emergent with acute decompensation. Balloon aortic valvuloplasty (BAV) is a therapeutic option in patients with acute decompensated AS; however, long-term survival after BAV remains poor with a high incidence of valvular re-stenosis. Data on the outcomes of urgent/emergent TAVR as a rescue therapy in patients with acute decompensated severe AS are extremely limited.

Continue reading →

Frail Patients More Likely To Be Readmitted After Surgery

Posted on March 4, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:
Rachel Khadaroo, MD, PhD, FRCSC
Associate Professor of Surgery
Department of Surgery & Division of Critical Care Medicine
University of Alberta

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: The elderly are the fastest growing population in North America. There are very few studies that have examined the impact of frailty and age on outcomes following abdominal surgery. Readmissions are expensive have been considered an important quality indicator for surgical care. This study examined 308 patients 65 years and older who were admitted for emergency abdominal surgery in two hospitals in Alberta and followed them for 6 months for readmission or death. Patients were classified into 3 categories: Well, pre-frail (no apparent disability), and frail. Continue reading →

Facial Fillers Carry Rare But Significant Side Effects and Risks

Posted on March 4, 2018 by Marie Benz MD FAAD

MedicalResearch.com Interview with:

Boris Paskhover, MD Rutgers New Jersey Medical School Adjunct Instructor,Department of Otolaryngology-Head and Neck Surgery NYU Langone Medical Center

Dr. Paskhover

Boris Paskhover, MD
Associate Professor,Department of Otolaryngology-Head and Neck Surgery
Rutgers New Jersey Medical School

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Facial fillers include a wide range of cosmetic products used by physicians for augmenting the face. Some fillers are permanent, while others are temporary. Lip filler material is included in this category. Any physician is allowed to perform these procedures but patient’s need to be aware that these are not benign procedures and have some serious complications. It’s important to always go to an experienced facial plastic surgeon, general plastic surgeon or possibly dermatologist for your aesthetic fillers. Our study detailed a decade-long review of FDA reported complications with aesthetic fillers. Continue reading →

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Medical Research News and Exclusive Interviews. Medical Research, Health and Science News in the Authors' Own Words

Category Archives: Surgical Research

Multimodal Imaging Can Personalize and Predict Therapeutic Needs

Small Renal Cancers: For Select Older Patients, Percutaneous Ablation May Be As Effective and Safer

Surgery For Spondylolisthesis (Spinal Stress Fractures) Reduced Chances of Opioid Dependence

Are Abortions Safer in Ambulatory Surgery Centers Than Medical Offices?

2/3 Canadians Do Not Receive Timely Surgery for Hip Fractures

More Complications When Pacemaker Required After TAVR

For Your Surgeon, Do You Want Younger Hands or More Experience?

Racial Disparities in Post-Procedure ED Visits and Hospitalizations

Study Finds SculpSure Can Reduce Fat Under Chin

Medicaid Expansion Improved Access to Cardiac Care Without Diminishing Outcomes

One or Two Surgeries To Treat an Infected Hip Joint?

OviTex Reinforced BioScaffolds Combine Synthetic and Biologic Materials For Soft Tissue Repair

Multifactorial Aspects of Sex Bias in Surgical Research

Ankle Fracture: Close Casting Can Be Alternative To Surgery For Older Patients

Stroke: Mr Clean Study of Endovascular Treatment

Knee Pain Improved After Bariatric Surgery For Obesity

TXA Increasingly Use in Shoulder Surgery To Reduce Transfusion Risk and Complications

Urgent/Emergent TAVR Feasible But Mortality Higher Than When Performed Electively

Frail Patients More Likely To Be Readmitted After Surgery

Facial Fillers Carry Rare But Significant Side Effects and Risks