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Acta Ortop Mex 2018 May-Jun;32(3):118-125

Instituto de Astronomía de la Universidad Nacional Autónoma de México.

Introduction: Quadrilateral plate fractures are the most difficult to reduce and fix. Different techniques have been developed for quadrilateral plate osteosynthesis. The objective of this work was to create an implant and a novel approach to simplify and improve acetabular fracture osteosynthesis. Read More

Ophthalmologe 2018 Dec 5. Epub 2018 Dec 5.

Zentrum für Augenheilkunde, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Iatrogenic ectropion with sagging of the lower eyelid after failed excessive lower eyelid blepharoplasty is a severe complication in aesthetic surgery. Traditionally, free skin grafting is the method of choice for correction. This overview presents the cheek-midface lift as a useful and powerful method for the correction of ectropion following excessive lower eyelid blepharoplasty. Read More

Adv Clin Exp Med 2018 Dec 3. Epub 2018 Dec 3.

Stroke Unit, Neurology Clinic, Department of Neuroscience, Nuovo Ospedale Civile S. Agostino-Estense, University of Modena and Reggio Emilia, Modena, Italy.

Background: Post-thrombotic intracerebral hemorrhage (ICH) is experienced by 6-8% of stroke patients and is associated with multiple factors, including acquired coagulopathy induced by the thrombolytic drug.

Objectives: The objective of this study was to assess the outcome of the intravenous (IV) administration of fibrinogen concentrate in a series of acute stroke patients who developed iatrogenic fibrinogen critical depletion after IV thrombolysis.

Material And Methods: Of the 39 ischemic stroke patients treated with IV thrombolysis with a severe hypofibrinogenemia requiring infusion with IV fibrinogen concentrate, 30 patients were treated with 2 g of IV recombinant tissue plasminogen activator (rt-PA), followed by further doses until the fibrinogen level reached 200 mg/dL in hemorrhagic patients or 100 mg/dL in non-hemorrhagic patients, and 9 were treated with IV rt-PA followed by endovascular thrombectomy. Read More

Urol Case Rep 2019 Mar 21;23:23-24. Epub 2018 Nov 21.

Urology Department, Waikato District Health Board, Hamilton, New Zealand.

Heart Views 2018 Apr-Jun;19(2):63-66

Virginia Commonwealth University Hospital, Richmond, Virginia, USA.

Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. Read More

Can J Ophthalmol 2018 Dec 2;53(6):574-579. Epub 2018 Apr 2.

Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. Electronic address:

Objective: To describe conjunctival epithelial overgrowth of the cornea after surgery for glaucoma.

Methods: This is a retrospective case series (setting: Moorfields Eye Hospital). Fourteen eyes of 13 patients with suspected limbal stem cell deficiency (LSCD) and corneal conjunctivalization after glaucoma drainage surgery. Read More

Clin Biomech (Bristol, Avon) 2018 Nov 23;61:70-78. Epub 2018 Nov 23.

Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, QLD 4102, Australia; Brisbane Hand and Upper Limb Research Institute, 259 Wickham Terrace, Spring Hill, QLD 4000, Australia; Field Orthopaedics Research Group, 375 Wickham Terrace, Spring Hill, QLD 4000, Australia.

The suture anchor allows secure fixation of soft tissue to bone and has become an invaluable tool for the orthopaedic surgeon. The original suture anchor was developed over 3 decades ago when a suture was bonded to a headless screw. Since then anchors have undergone a wide variety of design modifications to increase strength and allow for new applications based on biomechanical and clinical evidence. Read More

PLoS One 2018 5;13(12):e0207298. Epub 2018 Dec 5.

Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University, School of Medicine, New Haven, Connecticut, United states of America.

We aimed to test the hypothesis that determinants of the perinatal clinical exposome related to the underlying etiology of premature birth (PTB) impact differently on select neonatal outcomes. We conducted a prospective longitudinal study of 377 singleton preterm neonates [gestational age (GA) at birth: 23-34 weeks] separated into three distinct contemporaneous newborn cohorts: i) spontaneous PTB in the setting of intra-amniotic infection/inflammation (yes-IAI, n = 116); ii) spontaneous PTB in the absence of IAI (no-IAI, n = 130), and iii) iatrogenic PTB for preeclampsia (iPTB-PE, n = 131). Newborns (n = 372) were followed until death or discharge. Read More

Ann Plast Surg 2018 Dec 3. Epub 2018 Dec 3.

From the Department of Plastic Surgery, Mackay Memorial Hospital, Taipei, Taiwan.

Background: An iatrogenic tracheoesophageal (TE) fistula is one possible complication after total laryngectomy with flap reconstruction. We used sternocleidomastoid (SCM) rotation flap to close a TE fistula.

Methods And Results: A 69-year-old man with laryngeal cancer underwent total laryngectomy with radial forearm free flap reconstruction. Read More

Turk Kardiyol Dern Ars 2018 Dec;46(8):735

Nuestra Señora De Candelaria University Hospital, Tenerife, Spain.

Laryngoscope 2018 Dec 4. Epub 2018 Dec 4.

Ear, Nose, and Throat Department, Valencia University General Hospital and Valencia Medical School, Valencia, Spain.

J Nucl Cardiol 2018 Dec 4. Epub 2018 Dec 4.

Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.

Pediatrics 2018 Dec 4. Epub 2018 Dec 4.

Departments of Pediatrics and

Objectives: Neonatal abstinence syndrome (NAS) is a postnatal withdrawal syndrome experienced by some infants with opioid exposure. Hospital administrative data are commonly used for research and surveillance but have not been validated for NAS. Our objectives for this study were to validate the diagnostic codes for NAS and to develop an algorithm to optimize identification. Read More

J Evid Based Dent Pract 2018 Dec 21;18(4):275-289. Epub 2017 Nov 21.

Center for Evidence-Based Dentistry, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Background: Autogenous intraoral block grafting is the gold standard augmentation technique for moderate-to-severe horizontal ridge deficiency. However, the graft undergoes variable resorption during healing that might jeopardize the outcome of the procedure. Several studies hypothesized that covering the graft with a membrane decreases the amount of graft resorption, but this effect is not established in the literature. Read More

Int J Surg Case Rep 2018 Nov 27;54:39-41. Epub 2018 Nov 27.

Department of Surgical Gastroenterology, Medical College, Kolkata, India.

Introduction: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair.

Presentation Of Case: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Read More

J Prim Prev 2018 Dec 3. Epub 2018 Dec 3.

Department of Translational Medicine, Università del Piemonte Orientale, Via Solaroli 17, Novara, Italy.

Diario della Salute [My Health Diary] is a school-based program designed to enhance the subjective well-being and health of 12- to 13-year-old students. We hypothesized that providing students with the social and emotional skills to fulfill their potential and deal with common developmental tasks of adolescence (e.g. Read More

Updates Surg 2018 Dec 3. Epub 2018 Dec 3.

Dipartimento di Medicina e Chirurgia, Università di Parma, Parma, Italy.

Recently, Indocyanine Green (ICG)-enhanced fluorescence has been introduced in laparoscopic colorectal surgery to provide detailed anatomical informations. The aim of our study is the application of ICG imaging during laparoscopic colorectal resections: to assess anastomotic perfusion to reduce the risk of anastomotic leak, to facilitate vascular dissection when vascular anatomy of tumor site is unclear, and to identify ureter to prevent iatrogenic injury. After the transection, 5 ml of ICG solution is intravenously injected. Read More

Cureus 2018 Sep 24;10(9):e3350. Epub 2018 Sep 24.

Neurology, University of Missouri, Columbia, USA.

Peroneal neuropathy is the most common mononeuropathy encountered in the lower extremities. Isolated injuries to the dorsal cutaneous peroneal nerve (DCPN) are uncommon, and most of the reported cases are due to trauma or iatrogenic causes. We report a case of a middle-aged woman who presented with a nine-month history of tingling sensation over the dorsum of her left foot with normal electromyography (EMG) findings and was subsequently diagnosed with entrapment of the DCPN at the ankle by ultrasonographic examination. Read More

Case Rep Urol 2018 30;2018:9738265. Epub 2018 Oct 30.

Cantonal Hospital Aarau, Aarau, Switzerland.

We would like to present the case of a 64-year-old woman who underwent ureterorenoscopy and suffered an iatrogenic ureteral lesion due to an accidental intubation of the left ureter with a Foley-Catheter during the procedure. A Double-J-Stent was implanted into the damaged ureter, and 6 weeks later it fully recovered. To our knowledge there are few similar cases described in the literature with none of those having happened during ureterorenoscopy so far. Read More

Case Rep Cardiol 2018 29;2018:3420721. Epub 2018 Oct 29.

Division of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, OH 43614, USA.

Iatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed depending on the patient's clinical status and the extent of dissection. We present the first reported case of right coronary artery dissection after Bentall procedure performed for ascending aortic aneurysm. Read More

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedic Surgery, Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA. Electronic address:

Background: Due to anatomic variance in subscapular nerve innervation patterns, it is theorized that the dysfunction of the subscapularis could be the result of iatrogenic denervation during mobilization of the subscapularis while exposing the anterior glenohumeral joint in anterior surgical approaches. The purpose of this study was to describe innervation patterns of the subscapularis and to characterize a safe zone when conducting an anterior surgical approach.

Methods: The study used 6 human cadaveric shoulder specimens (12 shoulders total). Read More

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedics, West Virginia University, Morgantown, WV, USA.

Hypothesis/background: Iatrogenic pneumothorax is a rare but serious complication of open reduction and internal fixation (ORIF) of clavicular fractures. Many institutions use postoperative chest radiographs to evaluate for this complication despite a lack of data to support this routine practice. Due to concerns of radiation exposure and health care costs, this practice may not be necessary. Read More

J Oral Maxillofac Surg 2018 Dec 11;76(12):2669-2675. Epub 2018 Jun 11.

Resident, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Illinois, Chicago, IL.

Purpose: Iatrogenic damage to the inferior alveolar nerve (IAN) and lingual nerve (LN) may occur during routine oral and maxillofacial surgery procedures. The primary aim of this study was to determine, using a prospective, double-blind, randomized controlled clinical trial, whether the proportion of nerve-injured patients with postoperative neurosensory improvement over a 3-month period differed significantly between a control group and a low-level laser therapy (LLLT) group.

Patients And Methods: The study sample consisted of 35 patients with iatrogenic nerve injury due to third molar odontectomy, dental implant placement, or local anesthetic injection. Read More

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center, Hamburg, Germany.

Ilioiliac fistulae are a rare condition whose diagnosis and treatment can be challenging. We describe the case of a 74-year old patient with a high-flow fistula between the left common iliac artery and the ipsilateral common iliac vein presenting with heart failure. The fistula was probably iatrogenic, caused by prostatic surgery one year earlier. Read More

Dig Endosc 2018 Nov 30. Epub 2018 Nov 30.

Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan.

Use of the over-the-scope clip (OTSC) system is safe and effective for hemostasis in gastrointestinal bleeding, closure of fistula, iatrogenic gastrointestinal perforations, and preventing delayed perforation after duodenal endoscopic resection. Furthermore, we developed a novel endoscopic mucosal resection method with OTSC (EMRO). This article is protected by copyright. Read More

Bone Joint J 2018 Dec;100-B(12):1535-1541

Royal Aberdeen Children's Hospital, Aberdeen, UK.

Aims: We set out to determine if there is a difference in perioperative outcomes between early and delayed surgery in paediatric supracondylar humeral fractures in the absence of vascular compromise through a systematic review and meta-analysis.

Materials And Methods: A literature search was performed, with search outputs screened for studies meeting the inclusion criteria. The groups of early surgery (ES) and delayed surgery (DS) were classified by study authors. Read More

Int Orthop 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, Columbia University, New York, NY, USA.

Although relatively rare, post-operative nerve injuries may occur after cervical spine procedures. The most common post-operative neural disorder is C5 nerve palsy. The risk factors for C5 nerve palsy are male gender, OPLL, and posterior cervical approaches. Read More

J Hand Surg Eur Vol 2018 Nov 29:1753193418813687. Epub 2018 Nov 29.

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD, USA.

J Stomatol Oral Maxillofac Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Oral & Maxillofacial Surgery, Vinayaka Missions Sankaracharyar Dental College & Hospital, Salem, 636308. India. Electronic address:

Background: Osseous defects of the jaw occurs naturally by pathological conditions such as infections, tumors, cysts or iatrogenic causes induced during surgical treatment of preexisting periradicular bony pathologies. Management of these bone defects poses a great challenge for surgeons who are continually exploring ways to find new modalities to improvise bone substitutes.

Purpose: To compare and evaluate bone regeneration with and without combining Platelet rich plasma (PRP), calcium sulfate (CS) and autogenous bone graft in periapical defects of jaw. Read More

Dis Esophagus 2018 Nov 28. Epub 2018 Nov 28.

Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Esophageal perforation is an uncommon and challenging surgical emergency associated with high rates of morbidity and mortality. At present, no consensus exists on optimal management of the condition. The Pittsburgh Severity Score (PSS) is a tool intended to stratify perforation severity and guide treatment. Read More

PLoS Pathog 2018 Nov 29;14(11):e1007424. Epub 2018 Nov 29.

Institute of Neuropathology, University Hospital Zürich, Zürich University, Zürich, Switzerland.

Transmissible spongiform encephalopathies (TSEs) are caused by the prion, which consists essentially of PrPSc, an aggregated, conformationally modified form of the cellular prion protein (PrPC). Although TSEs can be experimentally transmitted by intracerebral inoculation, most instances of infection in the field occur through extracerebral routes. The epidemics of kuru and variant Creutzfeldt-Jakob disease were caused by dietary exposure to prions, and parenteral administration of prion-contaminated hormones has caused hundreds of iatrogenic TSEs. Read More

Semin Ophthalmol 2018 Nov 29:1-8. Epub 2018 Nov 29.

a Department of Ophthalmology , Bozyaka Training and Research Hospital , İzmir , Turkey.

Purpose: To investigate the impact of donor and recipient factors on graft survival in penetrating keratoplasty (PK).

Material And Methods: This retrospective study included 365 eyes that underwent PK using corneas from 231 donors between June 2010 and June 2015. Patients were divided into three groups (group 1: primary endothelial diseases; group 2: iatrogenic endothelial disorders; and group 3: other pathologies with a healthy endothelium) according to PK indications. Read More

Ir Med J 2018 Apr 19;111(4):737. Epub 2018 Apr 19.

Department of Urology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland

Suprapubic catheter insertion and exchange is a common urological procedure, but it is not without risks and complications. While bowel perforation is a recognised complication at suprapubic catheter insertion, it is not commonly reported at suprapubic catheter exchange. We report our experience of recognition, diagnosis and subsequent successful management of the most important complication related to suprapubic catheters. Read More

Clin Oral Investig 2018 Nov 28. Epub 2018 Nov 28.

Faculty of Dentistry, Department of Orthodontics, Erciyes University, Kayseri, Turkey.

Objective: The aim of this study was to assess the effects of three different fluoride-releasing agents on preventing white spot lesions that occur during treatment with full coverage rapid maxillary expanders.

Materials And Methods: A total of 48 patients with transverse maxillary deficiency were randomly assigned to four equal groups. A fluoride-containing agent was applied to teeth before cementation of the full coverage acrylic-bonded rapid maxillary expanders in the three experimental groups (gel, varnish, and sealent in groups 1, 2, and 3, respectively), while the control group received no agent application. Read More

Oxf Med Case Reports 2018 Dec 21;2018(12):omy098. Epub 2018 Nov 21.

General Hospital of Agios Nikolaos, General Surgery, Agios Nikolaos, GR Greece.

Hand compartment syndrome is a rare condition which can result from crush injuries, fractures, burns, intravenous fluid extravasation, etc. Failing to recognize and treat it early leads to significant functional deficits of the hand. Few cases of iatrogenic hand compartment syndrome have been described in the literature so far. Read More

J Neurosurg 2018 Oct 1:1-6. Epub 2018 Oct 1.

OBJECTIVEThe endoscopic endonasal approach has been proposed as a primary surgical strategy for select craniopharyngiomas. However, those tumors that arise from the sella have not been classified with the other craniopharyngioma subtypes in terms of surgical nuances, intraoperative findings, and postoperative outcomes. The authors describe their experience with a select subtype of craniopharyngioma arising within the sella subjacent to the diaphragma sellae and refer to these tumors as type 0. Read More

Rev Med Suisse 2018 Nov;14(629):2172-2176

Service d'urologie, Département de chirurgie, HUG, 1211 Genève 14.

Erectile dysfunction (ED) is a common complaint, both in the general medicine and the urology out-patient clinic. The quite recent availability of effective treatments has profoundly changed the perception of sexual health in society, which has become more demanding. We should see erectile or sexual function as a health marker. Read More

Eur Spine J 2018 Nov 27. Epub 2018 Nov 27.

, Stockholm, Sweden.

Introduction And Purpose: Little information exists on surgical characteristics, complications and outcomes with corrective surgery for rigid cervical kyphosis (CK). To collate the experience of international experts, the CSRS-Europe initiated an international multi-centre retrospective study.

Methods: Included were patients at all ages with rigid CK. Read More

Acta Neuropathol 2018 Nov 27. Epub 2018 Nov 27.

Centre for Clinical Brain Sciences, University of Edinburgh, Chancellors Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.

The inadvertent transmission of long incubating, untreatable and fatal neurodegenerative prionopathies, notably iatrogenic Creutzfeldt-Jakob disease, following transplantation of cadaver-derived corneas, pituitary growth, hormones and dura mater, constitutes a historical precedent which has underpinned the application of precautionary principles to modern day advanced cell therapies. To date these have been reflected by geographic or medical history risk-based deferral of tissue donors. Emergent understanding of other prion-like proteinopathies, their potential independence from prions as a transmissible agent and the variable capability of scalably manufacturable stem cells and derivatives to take up and clear or to propagate prions, substantiate further commitment to qualifying neurodegenerative proteinopathy transmission risks. Read More

Heart 2018 Nov 27. Epub 2018 Nov 27.

Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Objectives: Mitral valve (MV) clip procedure requires interatrial trans-septal puncture to access the left atrium (LA). Iatrogenic atrial septal defect (iASD) is not uncommon and may remain for a while. However, haemodynamic and echocardiographic determinants of persistent iASD are not well investigated. Read More

Trends Cardiovasc Med 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiovascular Medicine, University Hospitals Leuven, Herestraat 49, Leuven 3000, Belgium; Department of Cardiovascular Sciences, University of Leuven, Belgium.

Percutaneous drainage is the default strategy for evacuating a pericardial effusion. A pericardiocentesis can be necessary or required in a wide variety of clinical settings ranging from urgent tamponade to relieve in iatrogenic hemorrhagic effusions in the electrophysiology or catheterization room, to planned diagnostic procedures in patients with suspected or known malignancy or infections. With the help of several procedural improvements over the past decades, echocardiography and fluoroscopy-guided percutaneous pericardiocentesis has become the standard intervention for evacuating pericardial effusions, as well as an essential tool in the diagnostic work-up of an unexplained pericardial effusion. Read More

Trials 2018 Nov 27;19(1):657. Epub 2018 Nov 27.

University of Nottingham, Nottingham, UK.

Background: Intrahepatic cholestasis of pregnancy (ICP) is the most common liver disorder specific to pregnancy and presents with maternal pruritus, raised concentrations of serum bile acids and abnormal liver function tests. ICP is associated with increased rates of spontaneous and iatrogenic preterm labour, fetal hypoxia, meconium-stained amniotic fluid and intrauterine death. Some clinicians treat ICP with ursodeoxycholic acid (UDCA) to improve maternal pruritus and biochemical abnormalities. Read More

Asian Cardiovasc Thorac Ann 2018 Nov 27:218492318817660. Epub 2018 Nov 27.

1 Centro Cardiologico Monzino, IRCCS, Milan, Italy.

Ear Nose Throat J 2018 Oct-Nov;97(10-11):340-344

School of Medicine, National Taiwan University, Taiwan.

Urol Int 2018 Nov 27:1-7. Epub 2018 Nov 27.

Department of Urology, St. Elisabeth Hospital, Straubing, Germany.

Background: The Post-Ureteroscopic Lesion Scale (PULS) is a validated, standardised scale that classifies iatrogenic ureteral lesions during ureteroscopy (URS).

Objective: To determine risk factors for the various PULS-grades caused by URS.

Method: We prospectively investigated the independent influence of various risk factors in correlation with PULS-Grade 1+ and 2+ on 307 patients with ureterorenoscopic stone treatment from 14 German urologic departments. Read More

Gastrointest Endosc 2018 Nov 24. Epub 2018 Nov 24.

Department of Internal Medicine, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama-city, Toyama 930-8550, Japan.

J Craniofac Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, Spain.

Facial paralysis is a condition caused by a wide variety of etiologies, including neurologic, congenital, infectious, neoplastic, systemic, and iatrogenic causes. A patient suffering from long-term facial paralysis, with minimal innervation detected through electroneurography, who was successfully reanimated by performing a masseter-to-facial nerve transfer, was presented in this study. Facial paralysis had been caused after resection of an acquired middle ear cholesteatoma more than 5 years before. Read More

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618813175. Epub 2018 Nov 15.

SUNY Downstate Medical Center, Brooklyn, NY, USA.

Paradoxical embolism occurs when thrombotic material traverses a right-to-left shunt. We describe the first case of paradoxical stroke resulting from manipulation of a disused chemotherapy port. Contrast studies revealed that the mechanism was systemic-to-pulmonary venous shunt, in which systemic veins drain into the left atrium via collaterals. Read More

Infect Dis Health 2018 Mar 6;23(1):49-53. Epub 2017 Dec 6.

Medtronic Australasia Pty Ltd, 5 Alma Road, Macquarie Park, 2113 NSW, Australia. Electronic address:

Introduction: Increasingly, over the past decade, there has been a global shift in healthcare away from fixed "fee for service" payment mechanisms towards value-based reimbursement models rewarding safety and quality patient outcomes. Curbing the burgeoning costs of healthcare while incentivising higher quality and safer patient care are key drivers of this approach. At face value, this is clearly a worthwhile endeavour. Read More