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Medical management

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13-03-2013 | Surgery | Article

Surgical volumes effect challenged

Case mix may be largely responsible for the supposed effect of operator volumes on surgical outcomes, a prospective, single-center study suggests.

11-03-2013 | Legal medicine | Article

CT imaging risk communication deficits exposed

Survey results highlight the inadequacy of risk communication to patients undergoing computed tomography imaging, with most patients receiving no or poor quality information from their physician.

05-03-2013 | Surgery | Article

Improved bariatric surgery outcomes not due to restricted Medicare coverage

Substantial improvements in perioperative outcomes of bariatric surgery over the past decade are not attributable to a restriction in Medicare coverage to patients receiving the weight loss operation at centers of excellence, report researchers.

05-03-2013 | Internal medicine | Article

Palliative specialists support UK care pathway

An overwhelming majority of UK doctors believe that the Liverpool care pathway represents the best practice for care of a dying patient, according to an email survey with over 600 respondents.

28-02-2013 | Pathology | Article

CPOE systems ‘cut drug errors by half’

The use of computerized provider order entry systems in US hospitals approximately halves the number of medication errors, research shows.

28-02-2013 | Internal medicine | Article

Team-based geriatric inpatient consultation benefits unclear

Comprehensive geriatric assessment of inpatients on nongeriatric wards may be of limited benefit when delivered via a team rather than a ward, conclude the authors of a meta-analysis.

27-02-2013 | Legal medicine | Article

Telehealth enthusiasm dampened

A home-based telehealth system being pushed by the UK Government does not benefit patients with long-term conditions in terms of their quality of life or psychologic wellbeing, research has shown.

26-02-2013 | Legal medicine | Article

Methodology masking true variations in Medicare spend

Variations in regional mortality and spending rates in the US Medicare system are being blurred by inadequate risk adjustment methodology, researchers suggest.

25-02-2013 | Surgery | Article

Surgeons told to pull the plug on robotically assisted hysterectomy

US researchers are calling for curbs on the rapidly increasing use of robotically assisted hysterectomy after an extensive study of the technique showed that it fails to improve outcomes over laparoscopy.

24-02-2013 | Gastroenterology | Article

Antioxidant boosts liver transplant outcomes

Infusion of N-acetylcysteine in liver donors can significantly improve the outcome of transplantation, research shows.

20-02-2013 | Legal medicine | Article

Advanced communication skills may not improve clinician empathy

Attending an advanced communication skills training course may not improve clinicians' ability to empathize with their palliative care patients, according to the results of a UK study.

20-02-2013 | Legal medicine | Article

Trade in health ‘credits’ proposed to reach Millennium Development Goals

A global market based around the cost effectiveness of health interventions could help countries get back on track with their Millennium Development Goals for 2015, health policy experts propose.

19-02-2013 | Medical management | Article

Dress to impress in the ICU

Dressing in “traditional” medical attire may help physicians in the intensive care unit to get relationships with their patients’ families off to a good start, research suggests.

14-02-2013 | Internal medicine | Article

Structured training program improves lymph node biopsy standards

An established training program in sentinel lymph node biopsy ensures patient safety during the adoption of a new technique by enabling surgeons to achieve a very high localization rate and low false-negative rate throughout their training.

13-02-2013 | Legal medicine | Article

Defensive medicine under attack

Around one-eighth of all requests for tests and procedures by gastroenterologists are attributable to the practice of defensive medicine, Italian research shows.

13-02-2013 | Cardiology | Article

Crowded emergency department has psychologic impact

The likelihood for patients with acute coronary syndromes developing post-traumatic stress disorder rises with emergency department crowding, research suggests.

12-02-2013 | Legal medicine | Article

Hospital mortality performance not boosted by readmission failure

Researchers say they have found no evidence of a link between hospital performance as measured by 30-day mortality rates and that by 30-day readmission rates in US hospitals.

06-02-2013 | Pharmacology | Article

Four-step process delivers specific, reliable clinical rules

Dutch researchers have developed a four-step strategy for formulating clinical decision support systems, which they say could help reduce “alert fatigue.”

05-02-2013 | Legal medicine | Article

Empowered patients cost health systems less

Patients who feel confident and engaged in decisions about their health and taking care of themselves incur lower healthcare costs as a result of their improved outcomes, suggests a study in

Health Affairs

.

04-02-2013 | Legal medicine | Article

Advanced care planning improves end-of-life care

Advance care planning for older adults results in improved quality of care at the end of life, with less in-hospital death and the increased use of hospice services, the results of a study indicate.