Surgery

Oncological Safety and Cosmetic Outcomes in Oncoplastic Breast Conservation Surgery, a Review of the Best Level of Evidence Literature

Oncological Safety and Cosmetic Outcomes in Oncoplastic Breast Conservation Surgery, a Review of the Best Level of Evidence Literature

[Breast Cancer: Targets and Therapy] This review examines oncological safety in oncoplastic breast conservation surgery, local recurrence and patient outcome, postoperative complications, and cosmetic outcomes.

CAR, PNI Levels Correlate with Outcomes in Pancreatic Cancer

CAR, PNI Levels Correlate with Outcomes in Pancreatic Cancer

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An association was found between low PNI/high CAR levels and poor outcomes in operable pancreatic ductal adenocarcinoma, even in patients who undergo curative resection.

Geriatric Consults Rare in Kidney Cancer Care

Geriatric Consults Rare in Kidney Cancer Care

Although use of medical co-management and rehabilitation services increasing for older patients with kidney cancer, consultation remains sparse for those undergoing surgery.

Breast Conservation Improves Survival vs Mastectomy in Breast Cancer

Breast Conservation Improves Survival vs Mastectomy in Breast Cancer

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Results of a recent study demonstrated overall survival was better among women who underwent breast-conserving surgery vs mastectomy. Furthermore, best overall survival was achieved with adjuvant radiotherapy in the former group and systemic therapy in the latter group.

Breast-Conserving Surgery Recommended For Younger Women With Breast Cancer

Breast-Conserving Surgery Recommended For Younger Women With Breast Cancer

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A study finds that report that overall outcomes and prognosis have significantly improved over time for women aged 40 years and younger with breast cancer who undergo breast conserving surgery, and the procedure should be recommended to these patients.

Adjuvant Partial Breast Radiotherapy Noninferior in Preventing Relapse in Local Breast Cancer

Adjuvant Partial Breast Radiotherapy Noninferior in Preventing Relapse in Local Breast Cancer

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Partial-breast and reduced-dose radiotherapy was found to be noninferior in preventing local relapse compared with whole-breast radiation therapy in patients with early stage breast cancer with a lower-than-average risk of relapse.

Bilateral Mastectomy Without Proper Genetic Counseling

Bilateral Mastectomy Without Proper Genetic Counseling

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Many women with breast cancer with genetic variants of uncertain significance (VUS) undergo testing and bilateral mastectomy without receiving genetic counseling.

Risk for Prostate Cancer Not Associated With Vasectomy, Meta-analysis Affirms

Risk for Prostate Cancer Not Associated With Vasectomy, Meta-analysis Affirms

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Meta-analysis of data from more than 50 studies reaffirms that vasectomy is not associated with increased risk of prostate cancer.

Opioids Overprescribed in Patients Undergoing Surgery

Opioids Overprescribed in Patients Undergoing Surgery

A significant variation in opioid prescribing practices was observed for each of 25 common elective procedures.

Fat Grafting May Lead to Better Outcomes in Postmastectomy Breast Reconstruction

Fat Grafting May Lead to Better Outcomes in Postmastectomy Breast Reconstruction

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Fat grafting provides benefits to women with breast cancer considering their options for postmastectomy breast reconstruction, even though this study shows that patient-reported outcomes are similar among women who did and did not undergo the procedure.

Novel 3D Marker Reduces Radiation, Improves Cosmesis in Breast Conserving Surgery

Novel 3D Marker Reduces Radiation, Improves Cosmesis in Breast Conserving Surgery

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Two recent studies examined the benefits of using a 3D bioabsorbable marker to indicate the tumor bed in women with breast cancer who underwent breast conserving surgery (BCS).

Wait Times From Cancer Diagnosis to First Treatment Longer, Negative Impact on Survival

Wait Times From Cancer Diagnosis to First Treatment Longer, Negative Impact on Survival

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Data from the National Cancer Database are indicating that wait times from cancer diagnosis to initial treatment were substantially longer over a 5-year period.

Adjuvant + Neoadjuvant Pembrolizumab Safe in Patients Undergoing HNSCC Surgery

Adjuvant + Neoadjuvant Pembrolizumab Safe in Patients Undergoing HNSCC Surgery

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Study also provides evidence supporting an anti-tumor effect associated with a single preoperative dose of pembrolizumab.

Comprehensive After Surgery Recovery Program Reduces Complication Rates and Improves Surgical Outcomes

Comprehensive After Surgery Recovery Program Reduces Complication Rates and Improves Surgical Outcomes

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Postoperative program improves complication rates, opioid prescribing, and hospital mortality and increases home discharge rates after colorectal or hip fracture surgery.

Risk of Bladder Recurrence Reduced With Chemotherapy Flush After Tumor Resection

Risk of Bladder Recurrence Reduced With Chemotherapy Flush After Tumor Resection

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Flushing the bladder with a chemotherapeutic agent after tumor resection significantly reduced recurrence rates of bladder cancer.

Mastectomy vs BCT: Understanding Women's Treatment Choice for Early-Stage Breast Cancer

Mastectomy vs BCT: Understanding Women's Treatment Choice for Early-Stage Breast Cancer

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Canadian investigators sought to understand the factors that influence the treatment choices of women with early-stage breast cancer.

Complete vs Incomplete Metastasectony for mRCC: Improved Survival, Decreased All-Cause Mortality

Complete vs Incomplete Metastasectony for mRCC: Improved Survival, Decreased All-Cause Mortality

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Complete surgical metastasectomy correlated with increased survival in patients with metastatic renal cell carcinoma (mRCC) compared with incomplete surgical metastasectomy.

Follow-up Surgery Not Needed When Breast Cancer Responds to Neoadjuvant Chemotherapy

Follow-up Surgery Not Needed When Breast Cancer Responds to Neoadjuvant Chemotherapy

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Women with triple-negative or HER2-positive breast cancer who achieve a pathologic complete response from neoadjuvant chemotherapy may be able to avoid follow-up breast or lymph node surgery.

Multimodal Strategy Shows Promise in Metastatic Prostate Cancer

Multimodal Strategy Shows Promise in Metastatic Prostate Cancer

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New paradigm of hormone therapy, surgery, and radiation therapy was shown effective at achieving undetectable disease in patients with metastatic prostate cancer.

CQGS Releases Standards for Surgical Care of Older Adults

CQGS Releases Standards for Surgical Care of Older Adults

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The Coalition for Quality in Geriatric Surgery (CQGS) released its standards of surgical care in older adults with the goal of ensuring high-quality and safe surgical care for older adults in an interdisciplinary setting.

Health Care Expansion Tied to Increased Rates of Surgical Treatment of Thyroid Cancer

Health Care Expansion Tied to Increased Rates of Surgical Treatment of Thyroid Cancer

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Thyroid is more likely to be managed with surgical intervention when patients have access to expanded health insurance.

Recommendations Against Contralateral Prophylactic Mastectomy Not Tied to Patient Satisfaction

Recommendations Against Contralateral Prophylactic Mastectomy Not Tied to Patient Satisfaction

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Study finds patients are not more likely to report dissatisfaction, seek a second opinion, or change doctors due to physician recommendations against CPM.

Pre-Op Training Program Improves Patient Outcomes

Pre-Op Training Program Improves Patient Outcomes

Program provides physical, nutritional, and psychological guidance

National Databases Reports on Racial, Socioeconomic Disparities for Breast Reconstruction Vary

National Databases Reports on Racial, Socioeconomic Disparities for Breast Reconstruction Vary

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Reporting of overall immediate breast reconstruction and of racial disparities varies significantly between SEER and 2 large US databases.

Abdominal vs Laparoscopic Hysterectomy: Outcomes Similar for Endometrial Cancer

Abdominal vs Laparoscopic Hysterectomy: Outcomes Similar for Endometrial Cancer

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Disease-free survival and overall survival were similar in a study comparing total abdominal vs total laparoscopy hysterectomy approaches in women with stage I endometrial cancer.

Contralateral Prophylactic Mastectomies for Early Stage Invasive Breast Cancer Vary by State

Contralateral Prophylactic Mastectomies for Early Stage Invasive Breast Cancer Vary by State

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The proportion of women with invasive early-stage unilateral breast cancer electing CPM has increased significantly, and varies across US states.

Little Difference in QoL Between Various Treatments, Active Surveillance in Prostate Cancer

Little Difference in QoL Between Various Treatments, Active Surveillance in Prostate Cancer

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QoL after radical prostatectomy, EBRT, or brachytherapy vs active surveillance for prostate cancer are similar.

Postoperative Outcomes Similar With Mobile App Follow-up for Ambulatory Breast Reconstruction

Postoperative Outcomes Similar With Mobile App Follow-up for Ambulatory Breast Reconstruction

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Follow-up via mobile app similar to in-person postoperative visits for low-risk ambulatory patients after breast reconstruction.

Comorbidities May Predict Non-Home Discharge After Hysterectomy

Comorbidities May Predict Non-Home Discharge After Hysterectomy

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Presence of 1 risk factor or 2 or more risk factors is associated with non-home discharge after hysterectomy for gynecologic malignancy.

Some Quality Metrics Inconsistent With Long-Term Clinical Outcomes Goals

Some Quality Metrics Inconsistent With Long-Term Clinical Outcomes Goals

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Study finds that instituting a health system-wide quality metric, such as postoperative hospital readmission rate, may be inconsistent with long-term clinical outcomes goals.

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