368 results match your criteria Outpatient Surgical Suite


Fingertip Infections.

Hand Clin 2020 Aug;36(3):313-321

Division of Hand Surgery, Department of Orthopaedic Surgery, Massachusetts General Hospital, MGH Orthopaedic Hand Surgery, Yawkey Center for Outpatient Care, 55 Fruit Street, Suite 2C, Boston, MA 02114-2696, USA. Electronic address:

The fingertip is the most common site of infections in the hand, which frequently are encountered by surgeons, dermatologists, and emergency and primary providers. Their mismanagement may have serious consequences. This review discusses the unique anatomy of the volar fingertip pulp and perionychium and reviews pathophysiology and treatment of acute and chronic paronychia, including the decision for surgical versus medical management, choice of antibiotics, incisional techniques, and postincisional care. Read More

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http://dx.doi.org/10.1016/j.hcl.2020.03.004DOI Listing

The Value of the Modern Vascular Surgeon to the Health Care System: A Report from the Society for Vascular Surgery Valuation Work Group.

J Vasc Surg 2020 Jun 22. Epub 2020 Jun 22.

Chairman, Department of Surgery, Advocate Lutheran General Hospital Park Ridge, IL , Professor of Surgery Chair of SurgeryRosalind Franklin University Chicago Medical School North Chicago, IL.

Vascular surgeons provide an important service to the health care system. They are capable of treating a wide range of disease processes that affect both the venous and arterial systems. Their presence broadens the complexity and diversity of services that a health system can offer both in the outpatient and inpatient setting. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.05.056DOI Listing

Laparoscopic-assisted myomectomy with uterine artery occlusion at a freestanding ambulatory surgery center: a case series.

Gynecol Surg 2020 16;17(1). Epub 2020 Jun 16.

The Center for Innovative GYN Care, 3206 Tower Oaks Blvd., Suite 200, Rockville, MD 20852 USA.

Background: Non-hysteroscopic myomectomy is infrequently performed in a freestanding ambulatory setting, in part due to risks of intraoperative hemorrhage. There are also concerns about increased surgical risks for morbidly obese patients in this setting. The purpose of this study is to report the surgical outcomes of a series of laparoscopic-assisted myomectomy (LAM) cases at a freestanding ambulatory surgery center (ASC), including a comparative analysis of outcomes in morbidly obese patients (BMI > 40 kg/m). Read More

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http://dx.doi.org/10.1186/s10397-020-01075-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296894PMC

Global Leadership Initiative on Malnutrition (GLIM): Guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults.

Clin Nutr 2020 Jun 11. Epub 2020 Jun 11.

Medicine and Nutrition, The Larner College of Medicine, University of Vermont, Burlington, VT, USA. Electronic address:

Background: The Global Leadership Initiative on Malnutrition (GLIM) created a consensus-based framework consisting of phenotypic and etiologic criteria to record the occurrence of malnutrition in adults. This is a minimum set of practicable indicators for use in characterizing a patient/client as malnourished, considering the global variations in screening and nutrition assessment, and to be used across different health care settings. As with other consensus-based frameworks for diagnosing disease states, these operational criteria require validation and reliability testing as they are currently based solely on expert opinion. Read More

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http://dx.doi.org/10.1016/j.clnu.2019.12.022DOI Listing

Comparing the Safety and Cost of Image-Guided Percutaneous Gastrostomy Tube Placement in the Outpatient Versus Overnight Observation Setting in a Single-Center Retrospective Study.

Acad Radiol 2020 Jun 8. Epub 2020 Jun 8.

Emory University Department of Radiology, Emory University Hospital, 1364 Clifton Road NE, Suite D112, Atlanta, GA 30322.

Rationale And Objectives: Historically, patients undergoing image-guided percutaneous gastrostomy tube placement have been admitted overnight with feeds commencing 12-24 hours postprocedure. With new expedited feeding protocols starting 3-4 hours postprocedure, same-day discharge is now possible. The purpose of this study was to evaluate the safety and cost of image-guided percutaneous gastrostomy tube placement as an outpatient procedure. Read More

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http://dx.doi.org/10.1016/j.acra.2020.04.044DOI Listing

Preferential use of total intravenous anesthesia in ambulatory otolaryngology surgery during the COVID-19 pandemic.

Am J Otolaryngol 2020 Jun 1;41(5):102570. Epub 2020 Jun 1.

Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, 925 Chestnut St., 6th Floor, Philadelphia, PA 19146, USA.

The novel coronavirus (SARS-CoV-2 or COVID-19) pandemic has impacted nearly every aspect of otolaryngologic practice. The transition from office-based evaluation to telemedicine and the number of postponed elective surgical cases is unprecedented. There is a significant need to resume elective surgical care for these patients at the appropriate time. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263220PMC

A repeat dose of misoprostol 800mcg following mifepristone for outpatient medical abortion at 64-70 and 71-77 days of gestation: A retrospective chart review.

Contraception 2020 May 28. Epub 2020 May 28.

Department of Reproductive Health, Secretariat of Health of Mexico City, Calle Altadena #23, Col. Nápoles, Del. Benito Juárez, 03810, Mexico City, Mexico. Electronic address:

Objective: To compare the effectiveness of outpatient medical abortion with mifepristone 200mg and two misoprostol 800mcg doses at 64-70 and 71-77 days of gestation. Study Design We conducted a retrospective chart review of medical abortion outcomes among clients with 64-77 day gestations at a Mexico City public clinic between February 2014 and November 2016 who took mifepristone 200mg followed 24-48 hours later by two doses of misoprostol 800mcg four hours apart (first dose buccally, second dose sublingually). The primary outcome was successful medical abortion, defined as pregnancy expulsion without surgical intervention. Read More

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http://dx.doi.org/10.1016/j.contraception.2020.05.012DOI Listing

Outcomes following surgical management of inguinal-related groin pain in athletes: a case series.

J Hip Preserv Surg 2020 Jan 22;7(1):103-108. Epub 2020 Jan 22.

Rush University Medical Center, Midwest Orthopaedics, 1611 W. Harrison Ave. Suite 300, Chicago, IL 60612, USA.

To determine the outcomes of a limited surgical intervention, consisting of neurolysis, inguinal wall repair and/or adductor debridement of adhesions based on intraoperative findings. Retrospective case series. Outpatient orthopedic/general surgery clinic. Read More

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http://dx.doi.org/10.1093/jhps/hnz068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195923PMC
January 2020

Underuse of statins for secondary prevention of atherosclerotic cardiovascular disease events among ambulatory surgical patients.

Prev Med Rep 2020 Jun 8;18:101085. Epub 2020 Apr 8.

Department of Anesthesiology, Yale School of Medicine, TMP-3, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, United States.

Although statins are highly effective for reducing cardiovascular disease events, prior studies demonstrate their significant underuse in the US population, including among those with known atherosclerotic disease. It is unknown whether this finding applies to the subset of patients who present for outpatient surgery, as such patients would be expected to have recent exposures to healthcare providers during the preoperative referral period. The primary aim of this manuscript was to ascertain the prevalence of statin underuse and associated risk-factors for such underuse among ambulatory surgical patients with documented atherosclerotic cardiovascular disease. Read More

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http://dx.doi.org/10.1016/j.pmedr.2020.101085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190748PMC

The safety of foot and ankle procedures at an ambulatory surgery center.

J Orthop 2020 Sep-Oct;21:203-206. Epub 2020 Mar 28.

University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77550, USA.

Background: This study evaluates the safety of foot and ankle outpatient surgeries at a freestanding ambulatory surgery centers.

Methods: A total of 1352 cases were evaluated for adverse events in a retrospective review of all foot and ankle cases performed over a 5-year period at a single center.

Results: The rate of adverse events was 2. Read More

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http://dx.doi.org/10.1016/j.jor.2020.03.054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132088PMC

Surgical timing following neoadjuvant chemotherapy for breast cancer affects postoperative complication rates.

Am J Surg 2020 05 10;219(5):741-745. Epub 2020 Mar 10.

Legacy Cancer Institute, Legacy Medical Group Surgical Oncology, 1040 NW 22nd Ave, Suite 560, Portland, 97227, OR, USA. Electronic address:

Background: Neoadjuvant chemotherapy (NAC) is increasingly used in the treatment of breast cancer. The time interval from last dose of cytotoxic chemotherapy to surgery (TTS) can vary widely. We aimed to evaluate the effect of TTS on postoperative complications. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.02.061DOI Listing

Decreased radiation exposure using pulsed fluoroscopy and a detachable pedicle marker and probe to place pedicle screws: a comparison to current fluoroscopy techniques and CT navigation.

Spine Deform 2020 Jun 24;8(3):405-411. Epub 2020 Feb 24.

Shriners Hospitals for Children-Houston, 6977 Main St., Houston, TX, 77030, USA.

Study Design: Quality improvement evaluation with retrospective analysis.

Objectives: To compare a technique to place pedicle screws (PS) using a novel detachable pedicle marker and probe (DPMP) and pulsed fluoroscopy (PF) vs. conventional technique utilizing PF with standard instruments (SI) and O-arm. Read More

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http://dx.doi.org/10.1007/s43390-020-00086-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220984PMC

A non-inferiority study of outpatient mifepristone-misoprostol medical abortion at 64-70 days and 71-77 days of gestation.

Contraception 2020 May 1;101(5):302-308. Epub 2020 Feb 1.

Gynuity Health Projects, 220 E. 42nd Street, Suite 710, New York, NY 10017, USA. Electronic address:

Objectives: This open-label non-inferiority study assessed efficacy of a common outpatient medical abortion regimen among people with pregnancies 64-70 days and 71-77 days of gestation.

Study Design: We defined non-inferiority by a 6% margin of method success. People with intrauterine pregnancies 64-77 days' gestational age by abdominal ultrasound seeking medical abortion at one of eight clinics and met eligibility criteria were offered participation. Read More

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http://dx.doi.org/10.1016/j.contraception.2020.01.009DOI Listing

Employer-perspective cost comparison of surgical treatments for abnormal uterine bleeding.

J Comp Eff Res 2020 Jan 27;9(1):67-77. Epub 2019 Nov 27.

Hologic, Inc., 250 Campus Drive, Marlborough, MA 01752, USA.

To estimate direct and indirect costs of surgical treatment of abnormal uterine bleeding (AUB) from a self-insured employer's perspective. Employer-sponsored insurance claims data were analyzed to estimate costs owing to absence and short-term disability 1 year following global endometrial ablation (GEA), outpatient hysterectomy (OPH) and inpatient hysterectomy (IPH). Costs for women who had GEA are substantially less than costs for women who had either OPH or IPH, with the difference ranging from approximately $7700 to approximately $10,000 for direct costs and approximately $4200 to approximately $4600 for indirect costs. Read More

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http://dx.doi.org/10.2217/cer-2019-0102DOI Listing
January 2020

The Emergent Evaluation and Treatment of Shoulder, Clavicle, and Humerus Injuries.

Emerg Med Clin North Am 2020 Feb;38(1):103-124

Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 211 East Ontario Street, Suite 200, Chicago, IL 60611, USA; United States Soccer Federation.

Shoulder pain is a common presentation in the emergency department. The list of differential diagnoses is broad. This article summarizes common diagnoses of shoulder pain, including bony, infectious, and connective tissue pathologies and their proper treatment. Read More

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http://dx.doi.org/10.1016/j.emc.2019.09.006DOI Listing
February 2020

Safety and Cost-Effectiveness of Outpatient Unicompartmental Knee Arthroplasty in the Ambulatory Surgery Center: A Matched Cohort Study.

Orthop Clin North Am 2020 Jan 21;51(1):1-5. Epub 2019 Oct 21.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

Using an age- and comorbidity-matched cohort, we compared patients who underwent unicompartmental knee arthroplasty in an ambulatory surgery center with those who underwent the procedure in a traditional hospital inpatient setting. Postoperatively, the ambulatory surgery center cohort had fewer major complications than the inpatient cohort. No ambulatory surgery center patients required acute hospital admission and none had major complications. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.08.001DOI Listing
January 2020

Parathyroidectomy is Safe in Elderly Patients: A National Surgical Quality Improvement Program Study.

World J Surg 2020 Feb;44(2):526-536

Department of Surgery, NorthShore University HealthSystem, 2650 Ridge Ave, Walgreen Suite 2507, Evanston, IL, 60201, USA.

Background: With increasing age, the incidence of hyperparathyroidism is increased. This study evaluates parathyroidectomy outcomes in elderly patients.

Methods: Primary hyperparathyroidism patients having parathyroidectomy as listed in the 2005-2017 ACS-NSQIP database were separated by age: ≤60, 61-79 and ≥80. Read More

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http://dx.doi.org/10.1007/s00268-019-05280-9DOI Listing
February 2020
2.642 Impact Factor

The loop technique for abscess management.

Authors:
Robyn Dettmar

JAAPA 2019 Nov;32(11):51-52

Robyn Dettmar is an assistant professor in the PA program at Marshall B. Ketchum University in Fullerton, Calif. The author has disclosed no potential conflicts of interest, financial or otherwise.

First used in the surgical suite in children, the loop technique is a simple method for managing abscesses that does not require postprocedural packing. The procedure is safe and effective for children and adults and can be used in a broad range of settings, including EDs, urgent cares, and outpatient clinics. Read More

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http://dx.doi.org/10.1097/01.JAA.0000586348.42490.80DOI Listing
November 2019

Same-day discharge on laparoscopic Roux-en-Y gastric bypass patients: an outcomes review.

Surg Endosc 2020 Aug 24;34(8):3614-3617. Epub 2019 Sep 24.

Peachtree Surgical and Bariatrics, Surgery Center of Atlanta, Atlanta, GA, USA.

Introduction: The objective of this research was to study safety and outcomes in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) on an ambulatory outpatient basis. As the prevalence of morbid obesity increases, more patients are opting for surgical weight loss as a means to combat their chronic disease. There are several studies demonstrating the safety and feasibility of select patients undergoing LRYGB on a 23-h outpatient basis, but few studies exist regarding the safety and efficacy of these procedures being performed on an ambulatory outpatient basis. Read More

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http://dx.doi.org/10.1007/s00464-019-07139-5DOI Listing
August 2020
2 Reads

Minimizing Sexual Dysfunction in BPH Surgery.

Curr Sex Health Rep 2019 Sep 20;11(3):190-200. Epub 2019 Jul 20.

Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.

Purpose Of Review: To review the prevalence and risks of sexual dysfunction associated with current treatment options for benign prostatic hyperplasia and to characterize techniques and methods to manage postoperative sexual dysfunction-related side effects.

Recent Findings: Current surgical therapies available for the treatment of benign prostatic hyperplasia are associated with a substantial risk of both ejaculatory and erectile function. However, many of the novel minimally invasive treatment alternatives have demonstrated the ability to preserve postoperative sexual function to a better degree, all while providing significant relief of lower urinary tract symptoms in an equally safe and efficacious manner. Read More

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http://dx.doi.org/10.1007/s11930-019-00210-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714584PMC
September 2019
1 Read

Intraoperative assessment of esophageal motility using FLIP during myotomy for achalasia.

Surg Endosc 2020 Jun 2;34(6):2593-2600. Epub 2019 Aug 2.

Department of Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 650, Chicago, IL, 60611, USA.

Background: The functional luminal imaging probe (FLIP) can evaluate esophagogastric junction (EGJ) distensibility and esophageal peristalsis in real time. FLIP measurements performed during diagnostic endoscopy can accurately discriminate between healthy controls and patients with achalasia based on EGJ-distensibility and distinct motility patterns termed repetitive antegrade contractions (RACs) and repetitive retrograde contractions (RRCs). We sought to evaluate real-time motility changes in patients undergoing surgical myotomy for achalasia. Read More

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http://dx.doi.org/10.1007/s00464-019-07028-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995437PMC
June 2020
2 Reads

Efficiency and scheduling in the nonoperating room anesthesia suite: implications from patient satisfaction to increased revenue operating room: a common (Dollars and Sense) approach.

Curr Opin Anaesthesiol 2019 Aug;32(4):498-503

Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, USA.

Purpose Of Review: Although the NORA setting continues to outgrow the main operating room in cases, there are few studies addressing efficiency metrics, and even fewer studies addressing those of a single specialty outpatient gastroenterology facility. In order to capitalize on this growing trend, gastrointestinal endoscopies must be scheduled in a way that prevents lost potential revenue while maintaining patient convenience, comfort, safety, and satisfaction. By standardizing our scheduling for procedure block time among various endoscopists and converting our sedation practices from conscious sedation to solely Propofol sedation in a 4 : 1 CRNA to Anesthesiologist model, we increased revenue while maximizing physician efficiency and site utilization. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000744DOI Listing
August 2019
6 Reads

Nerve Tumors of the Upper Extremity.

Clin Plast Surg 2019 Jul;46(3):347-350

Department of Hand and Reconstructive Microsurgery, National University Hospital, Level 11, NUHS Tower Block, 1E Kent Ridge Road, Singapore 11928, Singapore.

Nerve sheath tumors of the upper extremity are among the common neoplastic pathologies encountered by hand surgeons. A majority of these tumors are benign schwannomas or neurofibromas and may be associated with neurofibromatosis. Clinical signs of malignant transformation include new onset of pain and rapid growth. Read More

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http://dx.doi.org/10.1016/j.cps.2019.02.008DOI Listing
July 2019
20 Reads

Optimizing Patient Safety in Dermatologic Surgery.

Dermatol Clin 2019 Jul 16;37(3):319-328. Epub 2019 Apr 16.

University of Texas Southwestern Medical Center, 5939 Harry Hines Boulevard, Suite 400, Dallas, TX 75390, USA. Electronic address:

Overall, dermatologic surgery performed in the outpatient setting is very low risk to patients and safer than similar procedures performed under general anesthesia, and is also more cost-effective. There are several approaches to mitigating the risk of complications while optimizing patient outcomes. Strict oversight of the dermatology clinic helps to ensure team members all adhere to standards of care. Read More

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http://dx.doi.org/10.1016/j.det.2019.02.006DOI Listing
July 2019
6 Reads
1.434 Impact Factor

Children and their parents' assessment of postoperative surgical pain: Agree or disagree?

Int J Pediatr Otorhinolaryngol 2019 Aug 2;123:84-92. Epub 2019 May 2.

UCI Center on Stress and Health, School of Medicine, University of California-Irvine, Irvine, CA, USA; Department of Anesthesiology and Perioperative Care, University of California-Irvine, USA, 333 City Blvd West, Orange, CA, USA; Child Study Center, Yale University School of Medicine, USA, 230 S Frontage Rd, New Haven, CT, USA; American College of Perioperative Medicine, Irvine, CA, 15333 Culver Drive Suite 340-253, Irvine, CA, USA. Electronic address:

Objective: The purpose of this study is to compare postoperative pain scores between children undergoing tonsillectomy and adenoidectomy (T&A) surgery and their parents, identify potential predictors for this disagreement, and determine possible impact on analgesic administration.

Methods: This is a prospective longitudinal study conducted with children undergoing outpatient T&A in 4 major tertiary hospitals and their parents. Children and their parents were enrolled prior to surgery and completed baseline psychological instruments assessing parental anxiety (STAI), parental coping style (MBSS), child temperament (EAS) and parental medication administration attitude questionnaire (MAQ). Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.04.005DOI Listing
August 2019
20 Reads

Updated Medical and Surgical Treatment for Common Benign Laryngeal Lesions.

Otolaryngol Clin North Am 2019 Aug 8;52(4):745-757. Epub 2019 May 8.

Rush University Medical Center, 1611 West Harrison, Suite 550, Chicago, IL 60612, USA. Electronic address:

Benign laryngeal lesions are often the result of phonotraumatic forces on the vocal folds and thus classically are treated with a combination of voice therapy and phonomicrosurgical techniques to minimize inadvertent additional trauma. Newer management strategies expand on these techniques with the use of the pKTP laser as well as intralesional injections, both in the operating room and in the awake outpatient setting. Read More

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http://dx.doi.org/10.1016/j.otc.2019.03.017DOI Listing
August 2019
4 Reads

Enhanced Recovery Programs in Outpatient Surgery.

Anesthesiol Clin 2019 Jun 15;37(2):225-238. Epub 2019 Mar 15.

Department of Anesthesiology & Critical Care Medicine, Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center, 1133 York Avenue, Suite 312, New York, NY 10065, USA.

Although enhanced recovery pathways were initially implemented in inpatients, their principles are relevant in the ambulatory setting. Opioid minimization and addressing pain and nausea through multimodal analgesia, regional anesthesia, and robust preoperative education programs are integral to the success of ambulatory enhanced recovery programs. Rather than measurements of length of stay as in traditional inpatient programs, the focus of enhanced recovery programs in ambulatory surgery should be on improved quality of recovery, pain management, and early ambulation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19322275193000
Publisher Site
http://dx.doi.org/10.1016/j.anclin.2019.01.007DOI Listing
June 2019
4 Reads

Real-World Study of Once-Daily, Extended-Release Tacrolimus Versus Twice-Daily, Immediate-Release Tacrolimus in Kidney Transplantation: Clinical Outcomes and Healthcare Resource Utilization.

Adv Ther 2019 06 2;36(6):1465-1479. Epub 2019 Apr 2.

Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center, Northwestern University, 676 N. St. Clair Street, 19th Floor, Chicago, IL, 60611, USA.

Introduction: Real-world data with extended-release tacrolimus (ER-T) are lacking in the USA. This study examined clinical outcomes and healthcare resource utilization in kidney transplant patients receiving ER-T in clinical practice.

Methods: This was a retrospective, single-center analysis (February-June 2016) using data from Northwestern University's Enterprise Data Warehouse. Read More

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http://dx.doi.org/10.1007/s12325-019-00904-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824361PMC
June 2019
7 Reads

Mechanisms of Improved Mortality Following Ablation: Does Ablation Restore Beta-Blocker Benefit in Atrial Fibrillation/Heart Failure?

Cardiol Clin 2019 May 27;37(2):177-183. Epub 2019 Feb 27.

Intermountain Medical Center Heart Institute, Intermountain Medical Center, 5169 Cottonwood St, Murray, UT 84017, USA.

Observational trials have shown that atrial fibrillation ablation favorably impacts long-term outcomes in systolic heart failure. These outcomes have been confirmed by randomized prospective trials highlighting the favorable impact of ablation on left ventricular function and remodeling, risk of heart failure hospitalization, and mortality. Ablation along with established heart failure medications is new and supported conceptually by the value of restoring sinus rhythm, avoiding long-term antiarrhythmic drugs, and minimizing drug-drug interactions. Read More

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http://dx.doi.org/10.1016/j.ccl.2019.01.011DOI Listing
May 2019
3 Reads

Adjuvant chemotherapy following stereotactic body radiotherapy for early stage non-small-cell lung cancer is associated with lower overall: A National Cancer Database Analysis.

Lung Cancer 2019 04 21;130:162-168. Epub 2019 Feb 21.

Department of Radiation and Cellular Oncology, The University of Chicago, 5758 S. Maryland Avenue, MC 9006, Chicago, IL, 60637, USA; Department of Radiation Oncology, University of Illinois at Chicago, Outpatient Care Center, 1801 West Taylor Street, Chicago, IL, 60612, USA. Electronic address:

Objectives: Adjuvant chemotherapy is routinely offered post-surgical resection for early stage non-small-cell lung cancer (NSCLC) ≥4 cm; however, its role following definitive stereotactic body radiotherapy (SBRT) has not been well defined. We investigated the association between receipt of adjuvant chemotherapy post-SBRT and overall survival (OS) for patients with T1-T3N0M0 NSCLC in the National Cancer Database (NCDB).

Materials And Methods: The NCDB was queried for patients with T1-T3N0M0 NSCLC treated with definitive SBRT from 2004 to 2014. Read More

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http://dx.doi.org/10.1016/j.lungcan.2019.02.023DOI Listing
April 2019
4 Reads

Utilization of Census Tract-Based Neighborhood Poverty Rates to Predict Non-adherence to Screening Colonoscopy.

Dig Dis Sci 2019 09 14;64(9):2505-2513. Epub 2019 Mar 14.

Division of Digestive Diseases, Department of Medicine, Rush University Medical Center, 1725 West Harrison Street, Suite 206, Chicago, IL, 60612, USA.

Objectives: Efforts to improve colorectal cancer (CRC) screening rates include recognizing predictors of colonoscopy non-adherence and identifying these high-risk patient populations. Past studies have focused on individual-level factors but few have evaluated the influence of neighborhood-level predictors. We sought to assess the effect of census tract-based neighborhood poverty rates on scheduled screening colonoscopy non-adherence. Read More

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http://dx.doi.org/10.1007/s10620-019-05585-8DOI Listing
September 2019
5 Reads

Reduced Opioid Use After Surgeon-Administered Genicular Nerve Block for Anterior Cruciate Ligament Reconstruction in Adults and Adolescents.

HSS J 2019 Feb 28;15(1):42-50. Epub 2019 Jan 28.

Florida Institute of Orthopaedic Surgical Specialists, 2307 West Broward Blvd. Suite 200, Fort Lauderdale, FL 33312 USA.

Background: Pain management after anterior cruciate ligament reconstruction (ACLR) may pose a risk of prolonged opioid use.

Questions/purposes: The purposes of this study in ACLR were to investigate the efficacy of a surgeon-administered local-regional block of specific genicular nerves on post-operative analgesia following ACLR and to quantify the outpatient opioid consumption and duration through the complete post-operative course.

Methods: Prospectively, all patients undergoing primary ACLR by a single surgeon were studied over a 10-month period. Read More

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http://link.springer.com/10.1007/s11420-018-09665-9
Publisher Site
http://dx.doi.org/10.1007/s11420-018-09665-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384209PMC
February 2019
30 Reads

S128: Active post discharge surveillance program as a part of Enhanced Recovery After Surgery protocol decreases emergency department visits and readmissions in colorectal patients.

Surg Endosc 2019 11 11;33(11):3816-3827. Epub 2019 Mar 11.

Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1550 N. Northwest Highway, Suite 107, Park Ridge, 60068, IL, USA.

Background: Enhanced Recovery After Surgery (ERAS) programs aim to standardize perioperative care to reduce morbidity and cost. Our study examined an Active Post-Discharge Surveillance (APDS) program in reducing avoidable readmissions and emergency department (ED) visits in postoperative colorectal ERAS patients.

Methods: Colectomy (right, subtotal and total) and low anterior resection cases performed at a tertiary care hospital between 2015 and 2018 were reviewed. Read More

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http://dx.doi.org/10.1007/s00464-019-06725-xDOI Listing
November 2019
14 Reads

Porous Polyethylene Ear Reconstruction.

Clin Plast Surg 2019 Apr 28;46(2):223-230. Epub 2018 Dec 28.

Craniofacial and Pediatric Plastic Surgery, Cedars Sinai Medical Center, 250 N. Robertson Boulevard, Suite 506, Beverly Hills, CA, 90211.

The use of a porous polyethylene implant covered with a well-vascularized fascial flap allows ear reconstruction at an early age (before school) with minimal morbidity and psychological trauma. Excellent outcomes with minimal morbidity can be obtained using this technique. This type of microtia reconstruction provides a more holistic approach because it is done at a younger age, in a single stage, as an outpatient and could address the functional hearing issues earlier. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.006DOI Listing
April 2019
5 Reads

Fifteen-Year Results of Total Hip Arthroplasty With Cobalt-Chromium Femoral Heads on Highly Cross-Linked Polyethylene in Patients 50 Years and Less.

J Arthroplasty 2019 06 5;34(6):1143-1149. Epub 2019 Feb 5.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Background: Highly cross-linked polyethylene (HXLPE) is the most commonly used bearing surface in total hip arthroplasty (THA) because of its superior wear properties, but long-term results in young patients are limited. Mid-term survivorship has been promising; however, polyethylene wear rates and need for revision surgeries remain a concern in this population. The purpose of our study is to investigate polyethylene wear rates, implant survivorship, wear-related revisions, and patient-reported outcomes in a young patient cohort at 15-year follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193011
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http://dx.doi.org/10.1016/j.arth.2019.01.071DOI Listing
June 2019
23 Reads
2.666 Impact Factor

An online survey on burden of illness among families with post-stem cell transplant mucopolysaccharidosis type I children in the United States.

Orphanet J Rare Dis 2019 02 18;14(1):48. Epub 2019 Feb 18.

Invitae, San Francisco, CA, USA.

Background: Severe mucopolysaccharidosis type I (also known as Hurler syndrome) is a rare devasting recessive genetic disease caused by the deficiency of an enzyme. Hematopoietic stem cell transplant is the standard of care in the United States, usually conducted before the child is 3 years of age, but little is known about the continued medical and educational needs of the child after transplant. A greater understanding of the burden of illness on the primary caregiver is also needed. Read More

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http://dx.doi.org/10.1186/s13023-019-1027-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378738PMC
February 2019
5 Reads

Cost-Effectiveness of a Guided Peripherally Inserted Central Catheter Placement System: A Single-Center Cohort Study.

J Vasc Interv Radiol 2019 May 15;30(5):709-714. Epub 2019 Feb 15.

Division of Interventional Radiology, Northwestern University, 737 N. Michigan Ave Suite 1600, Chicago, Illinois, 60611. Electronic address:

Purpose: To assess the cost-effectiveness of peripherally inserted central catheter (PICC) placements using an ultrasound and electrocardiogram-guided system versus external measurements and confirmatory chest X-rays (CXRs).

Materials And Methods: Sixty-eight guided PICC placements were performed in 63 outpatients (mean age, 43 ± 13 years; 50% male) and compared to 68 propensity score-matched PICC placements (mean age, 44 ± 13 years; 56% male) performed using external measurements by the same operators. Post-placement CXRs were used to confirm final catheter tip positioning. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.07.032DOI Listing
May 2019
3 Reads
2.149 Impact Factor

Evaluation of the Statewide Variability in the Current Role of Different Specialties in Lower Extremity Endovascular Revascularization for Medicare Beneficiaries.

J Vasc Interv Radiol 2019 02;30(2):250-256.e1

Department of Vascular and Interventional Radiology, UC Davis Medical Center, 4860 Y St, Suite 3100, Sacramento, California, 95817.

Purpose: To evaluate the statewide variability in the role of different specialties in lower extremity endovascular revascularization (LEER) and associated submitted charges of care and actual reimbursement for Medicare beneficiaries.

Methods: The 2015 "Medicare Provider Utilization and Payment Data: Physician and Other Supplier" data includes provider-specific information regarding the type of service, submitted average charges of care, and actual average Medicare reimbursements per Healthcare Common Procedure Coding System (HCPCS) code per provider. All HCPCS codes related to LEER were identified. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.10.029DOI Listing
February 2019
2 Reads

Overall survival according to immunotherapy and radiation treatment for metastatic non-small-cell lung cancer: a National Cancer Database analysis.

Radiat Oncol 2019 Jan 28;14(1):18. Epub 2019 Jan 28.

Department of Radiation and Cellular Oncology, The University of Chicago Medicine, 5758 S. Maryland Avenue, MC 9006, Chicago, IL, 60637, USA.

Background: Preclinical studies suggest enhanced anti-tumor activity with combined radioimmunotherapy. We hypothesized that radiation (RT) + immunotherapy would associate with improved overall survival (OS) compared to immunotherapy or chemotherapy alone for patients with newly diagnosed metastatic non-small-cell lung cancer (NSCLC).

Methods: The National Cancer Database was queried for patients with stage IV NSCLC receiving chemotherapy or immunotherapy from 2013 to 2014. Read More

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http://dx.doi.org/10.1186/s13014-019-1222-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348608PMC
January 2019
19 Reads

Anesthetic management for a patient with medium-chain acyl-CoA dehydrogenase deficiency in an outpatient setting using ketamine and fentanyl.

J Clin Anesth 2019 Sep 23;56:45-46. Epub 2019 Jan 23.

Triangle Implant Center, 5318 NC Highway 55 Suite 106, Durham, NC 27713, USA.

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http://dx.doi.org/10.1016/j.jclinane.2019.01.031DOI Listing
September 2019
2 Reads

Postpartum hemorrhage: Anesthesia management.

Semin Perinatol 2019 Feb 14;43(1):35-43. Epub 2018 Nov 14.

Department of Anesthesiology, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, 630 West 168th St PH-5, New York, NY 10032, United States. Electronic address:

As major stakeholders in the labor and delivery suite, obstetric anesthesiologists are frequently called upon to provide their unique skill sets and expertise to the management of postpartum hemorrhage, whether anticipated or not. Essential contributions of the anesthesia team ideally begin in the antenatal period with referral of women at high risk of postpartum hemorrhage to an outpatient obstetric anesthesia clinic where a tailored plan for both urgent or scheduled delivery for women with an anticipated complex delivery can be formulated. Maternal safety can be greatly improved if comorbidities are identified early and strategies to address these issues are proposed and known by the obstetric anesthesia team. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01460005183012
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http://dx.doi.org/10.1053/j.semperi.2018.11.007DOI Listing
February 2019
6 Reads

Patient Preferences in Office-Based Orthopedic Care: A Prospective Evaluation.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

Midwest Orthopaedics at Rush, 1611 W. Harrison Street, Suite 300, Chicago, IL 60612, USA. Email:

Patient satisfaction has become a topic of interest within orthopedics as the landscape of provider reimbursement continues to evolve to reward value of care. Online internet physician rating sites are becoming increasingly popular ways for patients to subjectively express their provider experience. Understanding what patients value during their episode of care is important in the modern healthcare environment. Read More

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http://dx.doi.org/10.12788/ajo.2018.0090DOI Listing
October 2018
27 Reads

Follow-up postoperative calls to reduce common postoperative complaints among urogynecology patients.

Int Urogynecol J 2019 10 9;30(10):1667-1672. Epub 2018 Nov 9.

FPMRS, Atlantic Health System, 435 South Street, Suite 370, Morristown, NJ, 07960, USA.

Introduction And Hypothesis: The purpose of our study was to identify the most common reasons why postoperative urogynecology patients called their surgeon within the first 6 weeks of surgery. We hypothesize that implementing a follow-up postoperative call (FPC) policy would decrease the number of patient-initiated calls within this postoperative period.

Methods: This is a prospective before-and-after cohort study that was conducted in two phases. Read More

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http://link.springer.com/10.1007/s00192-018-3809-x
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http://dx.doi.org/10.1007/s00192-018-3809-xDOI Listing
October 2019
2 Reads

A Tale of Two Eras: Mining Big Data from Electronic Health Records to Determine Limb Salvage Rates with Podiatry.

Curr Diabetes Rev 2019 ;15(6):497-502

Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, Domino's Farms (Lobby C, Suite 1300) 24 Frank Lloyd Wright Drive Ann Arbor, Michigan 48106, United States.

Aims/hypothesis: Diabetic foot complications remain very prevalent in the US and worldwide, and a major risk for devastating amputations. We evaluated the impact of establishing a fully integrated and specialized Podiatry service into a large tertiary academic health system to implement structured and targeted preventative foot care on limb salvage rates.

Methods: Cross-sectional cohorts' data mining analysis was conducted of all encounters for diabetes and any foot complications between 2000-2005 and 2010-2015, preceding and after full implementation of podiatry service, respectively. Read More

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http://dx.doi.org/10.2174/1573399814666181017104818DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531350PMC
February 2020
6 Reads

Outpatient Endovascular Tibial Artery Intervention in an Office-Based Setting Is as Safe and Effective as in a Hospital Setting.

J Endovasc Ther 2018 Dec 15;25(6):666-672. Epub 2018 Oct 15.

1 Division of Vascular Surgery, Eastern Virginia School of Medicine, Norfolk, VA, USA.

Purpose: To compare outcomes of outpatient tibial artery procedures between an office endovascular center and a hospital angiography suite.

Methods: A retrospective review was conducted of 204 outpatient tibial interventions performed on 161 patients (mean age 72±11.5 years; 81 men) in either an office (n=100) or hospital (n=104) angiography suite from April 2011 through September 2013. Read More

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http://journals.sagepub.com/doi/10.1177/1526602818806691
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http://dx.doi.org/10.1177/1526602818806691DOI Listing
December 2018
22 Reads

Glycemic Outcomes of Islet Autotransplantation.

Curr Diab Rep 2018 09 28;18(11):116. Epub 2018 Sep 28.

Division of Endocrinology, Diabetes & Metabolism, The Johns Hopkins University, 1830 East Monument Street, Suite 333, Baltimore, MD, 21287, USA.

Purpose Of Review: While there has been a growing utilization of total pancreatectomy with islet autotransplantation (TPIAT) for patients with medically refractory chronic pancreatitis over the past few decades, there remains a lack of consensus clinical guidelines to inform the counseling and management of patients undergoing TPIAT. In this article, we review the current clinical practice and published experience of several TPIAT centers, outline key aspects in managing patients undergoing TPIAT, and discuss the glycemic outcomes of this procedure.

Recent Findings: Aiming for lower inpatient glucose targets immediately after surgery (usually 100-120 mg/dl), maintaining all patients on subcutaneous insulin for at least 3 months to "rest" islets before an attempt is made to wean insulin, and close outpatient endocrinology follow-up after TPIAT particularly in the first year is common and related to better outcomes. Read More

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http://dx.doi.org/10.1007/s11892-018-1095-0DOI Listing
September 2018
42 Reads

Home intravenous versus oral antibiotics following appendectomy for perforated appendicitis in children: a randomized controlled trial.

Pediatr Surg Int 2018 Dec 14;34(12):1257-1268. Epub 2018 Sep 14.

Levine Children's Hospital, Carolinas Healthcare System, 1000 Blythe Blvd., Charlotte, NC, 28203, USA.

Purpose: To compare the effect of home intravenous (IV) versus oral antibiotic therapy on complication rates and resource utilization following appendectomy for perforated appendicitis.

Methods: This was a randomized controlled trial of patients aged 4-17 with surgically treated perforated appendicitis from January 2011 to November 2013. Perforation was defined intraoperatively and divided into three grades: I-contained perforation, II-localized contamination to right gutter/pelvis, and III-diffuse contamination. Read More

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http://dx.doi.org/10.1007/s00383-018-4343-0DOI Listing
December 2018
11 Reads

Defining growth potential and barriers to same day discharge total knee arthroplasty.

Int Orthop 2019 06 7;43(6):1387-1393. Epub 2018 Sep 7.

Division of Orthopaedic Surgey, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada.

Background: Outpatient arthroplasty programs are becoming well established. Adverse event rates have been demonstrated to be no worse than inpatient arthroplasty in the literature for selected patients. The purpose of this study was to determine our rate of outpatient total knee arthroplasty (TKA), examine justification for exclusions, and estimate the proportion of TKAs that can occur safely on an outpatient basis. Read More

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http://dx.doi.org/10.1007/s00264-018-4100-yDOI Listing
June 2019
1 Read

Can time to healing in pediatric blunt splenic injury be predicted?

Pediatr Surg Int 2018 Nov 7;34(11):1195-1200. Epub 2018 Sep 7.

Division of Pediatric Surgery, Alpert Medical School of Brown University and Hasbro Children's Hospital, 2, Dudley Street, Suite 190, Providence, RI, 02905, USA.

Background: Current consensus guidelines do not recommend routine follow-up imaging for blunt splenic injury (BSI) in children. However, repeat imaging is recommended based on persistent symptoms. Wide variation of practice continues to exist among surgeons. Read More

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http://dx.doi.org/10.1007/s00383-018-4341-2DOI Listing
November 2018
8 Reads

Symptomatic anterior cruciate ligament tears treated with percutaneous injection of autologous bone marrow concentrate and platelet products: a non-controlled registry study.

J Transl Med 2018 09 3;16(1):246. Epub 2018 Sep 3.

CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.

Background: Bone marrow concentrate (BMC) has shown promise in the treatment of several orthopedic conditions. This registry study investigated the use of autologous BMC and platelet products for percutaneous anterior cruciate ligament (ACL) treatment.

Methods: Twenty-nine patients presenting to a single outpatient interventional musculoskeletal and pain practice with symptomatic grade 1, 2, or 3 ACL tears with less than 1 cm retraction were enrolled. Read More

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http://dx.doi.org/10.1186/s12967-018-1623-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122476PMC
September 2018
14 Reads