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The Centers for Medicare & Medicaid Services (CMS) released final data on practices and individual clinicians impacted by the 2018 Value-Based Payment Modifier (VM). Such eligible professionals will see a positive, negative or neutral adjustment to their 2018 Medicare Part B Fee-For-Service payments. The payments are based upon whether a practice successfully participated in the Physician […]
Read MoreA study in Washington state found that in a single year more than 600,000 patients underwent treatment they didn’t need, at an estimated cost of $282 million. “Do no harm” should include the cost of care, too, the report author says. By Marshall Allen WASTED MEDICINE Squandered Health Care Dollars This story was co-published with NPR’s […]
Read MoreMigraine is associated with increased risks for numerous cardiovascular outcomes, a study in The BMJ finds. Using Danish health and population registries, researchers matched 51,000 patients with migraine diagnoses to 510,000 migraine-free individuals (median age, 35). During 19 years’ follow-up, cardiovascular events were significantly more common in the migraine cohort. Here are the incidences per 1000 population […]
Read MoreUPDATE: On January 29, Mr. Azar was officially sworn in as the as the next Secretary of the U.S. Department of Health and Human Services (HHS). Original Alert: On Wednesday, January 24, the United States Senate voted 55 – 43 to confirm Mr. Alex Azar as the next Secretary of the U.S. Department of Health and Human Services (HHS). […]
Read MoreAuthors:Elizabeth A.M. Frost, MD Professor of Anesthesiology Mount Sinai Medical Center New York, New York von Hippel-Lindau Disease What Is It? von Hippel-Lindau (vHL) disease, named after Eugene von Hippel (1904) and Arvid Lindau (1927), is an autosomal dominant inherited systemic cancer syndrome that results in cysts and hemangiomas in many organs, especially involving the […]
Read MoreBlood conservation strategies need to be more aggressive in revision cardiac surgery. When compared with first-time cardiac surgery, blood product utilization for revision cases was two to four times greater—a difference that is much greater than the 75% increase previously reported (Transfusion 1995;35:850-854). According to the researchers, understanding transfusion requirements should lead to better preparation […]
Read MoreUnited Press International · December 9, 2017 Hospital operating rooms produce thousands of tons of greenhouse gases each year, but changing the type of anesthesia used in surgery can help lower those emissions, researchers report. For the study, investigators assessed the carbon footprint of operating rooms at three hospitals: Vancouver General Hospital in Canada; University […]
Read MoreThe FDA published an open letter to health care providers highlighting the benefits of thermoregulation devices, such as forced-air warming systems, during surgery. The letter states that the FDA is aware of hesitation by many providers to use the technology due to a possible increased risk for infection. The FDA wrote the letter, after a “thorough review […]
Read MoreAuthors: Ezekiel J. Emanuel, MD, PhD et al JAMA. Published online January 29, 2018. Everyone wants the best physician. Patients want their physician to know medical information by heart, to possess diagnostic acumen, and to be well-versed in the latest tests and treatments. Finding the best physicians often involves looking for resumes with stellar attributes, such as having […]
Read MoreAuthors: R. Makaryusvet et al British Journal of Anesthesia February 2018 Volume 120, Issue 2, Pages 376–383 Abstract Perioperative fluid management impacts outcomes and plays a pivotal role in enhanced recovery pathways (ERPs). There have been major advances in understanding the effects of fluid therapy and administration during the perioperative period. Improving fluid management during this […]
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