Surgery

Anxiety Not Relieved With Handholding, Stress Ball Use During Skin Cancer Excision

Anxiety Not Relieved With Handholding, Stress Ball Use During Skin Cancer Excision

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Most dermatologic procedures are performed with local anesthesia only. In this study, researchers sought to determine if hand-holding or squeezing a stress ball could ease patients' anxiety during skin excision procedures.

Choice of Breast Reconstruction After Mastectomy Affects Satisfaction, Quality of Life

Choice of Breast Reconstruction After Mastectomy Affects Satisfaction, Quality of Life

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A prospective trial with more than 2000 women who underwent mastectomy with immediate breast reconstruction sought to determine patient satisfaction with their breasts and quality of life annually over 4 years after their procedure.

Bariatric Surgery Reduced Risk of Some Cancers in Obese Patients

Bariatric Surgery Reduced Risk of Some Cancers in Obese Patients

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Weight loss associated with bariatric surgery could reduce risk of hormone-related cancers, but an increased risk for colorectal cancer was seen in patients who underwent gastric bypass.

Does a Diagnosis of Solid Tumor Prohibit Postsurgical ICU Admissions?

Does a Diagnosis of Solid Tumor Prohibit Postsurgical ICU Admissions?

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Using a comparator group, researchers sought to determine the impact of a diagnosis of solid tumor on outcomes among postsurgical ICU admissions in patients with cancer vs those without cancer.

Smoking During Primary Therapy Worsens Oncologic Outcomes in Prostate Cancer

Smoking During Primary Therapy Worsens Oncologic Outcomes in Prostate Cancer

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A meta-analysis of 11 studies revealed the effects of smoking outcomes of primary radical radiotherapy or radical prostatectomy for prostate cancer.

Skipping the SICU Post Head and Neck Cancer Surgery May Improve Outcomes

Skipping the SICU Post Head and Neck Cancer Surgery May Improve Outcomes

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A study presented at the 2018 ONS Annual Congress explored whether patients can safely bypass SICU after HNC surgery, transferring directly from PACU to a specialized unit within the SO.

Chronic Opioid Use Observed in More Than 50% of Oropharynx Cancer Cases

Chronic Opioid Use Observed in More Than 50% of Oropharynx Cancer Cases

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Results of a retrospective review assessing the prevalence of chronic opioid use among patients with oropharynx cancer after surgery was presented at the 2018 American Head & Neck Society Annual Meeting.

Benefit of Lymph Node Biopsies May Be Limited in Microinvasive Breast Cancer

Benefit of Lymph Node Biopsies May Be Limited in Microinvasive Breast Cancer

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Researchers sought to determine the benefit of managing microinvasive breast cancer similarly to invasive tumors in a retrospective study.

SEE-ACBT Method Improves Postsurgical Outcomes in Lung Cancer Resection

SEE-ACBT Method Improves Postsurgical Outcomes in Lung Cancer Resection

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In a quasi-experimental pre-post study, researchers demonstrate the efficacy of the SEE-ACBT rehabilitation method on health-related and cost outcomes in patients with NSCLC who underwent curative lung resection.

Opioid Use After Gynecologic Surgery Reduced With Prescription Protocol

Opioid Use After Gynecologic Surgery Reduced With Prescription Protocol

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Use of an opioid prescription protocol greatly reduced opioid use among patients who underwent gynecologic surgery, according to presentation at the 2018 Society of Gynecologic Oncology Annual Meeting on Women's Cancer.

Hemodialysis Indicative of Higher Mortality After Bladder Cancer Surgery

Hemodialysis Indicative of Higher Mortality After Bladder Cancer Surgery

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Patients on hemodialysis that underwent radical cystectomy for bladder cancer experienced increased mortality.

Preoperative Aspirin Use May Not Increase Risk of Bleeding in Thyroid Surgery

Preoperative Aspirin Use May Not Increase Risk of Bleeding in Thyroid Surgery

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This study sought to determine if continuing preoperative aspirin therapy would increase the risk of bleeding complications in patients undergoing thyroid surgery.

Evidence-Based Approach Improves Rate of Colon Surgical Site Infections

Evidence-Based Approach Improves Rate of Colon Surgical Site Infections

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Study results presented at the NACNS 2018 Annual Conference demonstrate the efficacy of SSI bundle element compliance and multidisciplinary clinical collaboration in reducing colon surgical site infections.

Clinical Nurse Specialists' Influence Enhances Outcomes for Patients, Staff, Organization

Clinical Nurse Specialists' Influence Enhances Outcomes for Patients, Staff, Organization

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Highlights of the role for the CNS in the multidisciplinary perioperative clinical team were presented at the NACNS 2018 Annual Conference.

Engaging Staff in Nurse Orientation Programs May Be Essential to Satisfaction, Retention

Engaging Staff in Nurse Orientation Programs May Be Essential to Satisfaction, Retention

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A revised orientation program that engaged CNS staff in new nurse orientation to the OR improved job satisfaction and staff retention.

Nephrectomy Outcomes Better With Partial Procedure vs Radical Procedure

Nephrectomy Outcomes Better With Partial Procedure vs Radical Procedure

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The employment of radical nephrectomy, vs partial nephrectomy, was found to cause a 2-fold greater decline in eGFR decline and greatly increased mortality.

Radical Cystectomy Outcomes Worsen With Higher Stage Chronic Kidney Disease 

Radical Cystectomy Outcomes Worsen With Higher Stage Chronic Kidney Disease 

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The presence of CKD may increase chances for poor outcomes following radical cystectomy for urothelial carcinoma of the bladder.

Adjuvant Vemurafenib Does Not Improve Disease-Free Survival in Melanoma

Adjuvant Vemurafenib Does Not Improve Disease-Free Survival in Melanoma

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Researchers report on finding of a double-blind phase 3 study on the efficacy of adjuvant vemurafenib in patients with resected stage IIC to IIIB melanoma.

Exercise Before Lung Cancer Surgery Greatly Reduces Complications

Exercise Before Lung Cancer Surgery Greatly Reduces Complications

Researchers conducted a systematic literature search to identify studies investigating the effectiveness of preoperative exercise on outcomes among oncology patients undergoing surgery.

Self-Predictions for Well-Being Influence Satisfaction After Mastectomy, Breast Reconstruction

Self-Predictions for Well-Being Influence Satisfaction After Mastectomy, Breast Reconstruction

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Observational study assessed the influence of patients' self-predictions for well-being after undergoing mastectomy for breast cancer with or without immediate breast reconstruction.

Sex, Age Associated With Mortality Risk in Renal Cell Cancer Treated With VEGF-TKIs

Sex, Age Associated With Mortality Risk in Renal Cell Cancer Treated With VEGF-TKIs

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Phase 3 study sought to assess the associations between adjuvant therapy with VEGF-tyrosine kinase inhibitors (TKIs) and benefit, sex, and age in patients with resected renal cell cancer.

Adjuvant Gemcitabine Regimen Improves PFS in Upper Tract Urothelial Cancer

Adjuvant Gemcitabine Regimen Improves PFS in Upper Tract Urothelial Cancer

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Investigators compared adjuvant gemcitabine plus cisplatin vs surveillance and subsequent chemotherapy if needed for patients who underwent nephron-ureterectomy for UTUC.

Preoperative Treatment for Gastric Cancer Varies by Race, Ethnicity

Preoperative Treatment for Gastric Cancer Varies by Race, Ethnicity

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Researchers conducted a retrospective study of US patients with gastric cancer to determine what factors influenced the use of preoperative chemotherapy in this patient population.

Comparative Study of Clinical Efficacy Using Three-dimensional and Two-dimensional Laparoscopies in the Treatment of Distal Gastric Cancer

Comparative Study of Clinical Efficacy Using Three-dimensional and Two-dimensional Laparoscopies in the Treatment of Distal Gastric Cancer

[OncoTargets and Therapy] This study investigated the safety and feasibility of 3D laparoscopic-assisted radical gastrectomy for distal advanced gastric cancer vs 2D laparoscopic surgery, results of this study have shown.

Adjuvant Radiotherapy Found Superior to Early-Salvage RT in Prostate Cancer

Adjuvant Radiotherapy Found Superior to Early-Salvage RT in Prostate Cancer

Propensity score-matched study compared adjuvant radiotherapy with surveillance and early-salvage radiotherapy after prostatectomy in men with prostate cancer.

Overall Survival Prolonged With HIPEC + Cytoreductive Surgery for Gastric Cancer

Overall Survival Prolonged With HIPEC + Cytoreductive Surgery for Gastric Cancer

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Data presented at the 2018 Gastrointestinal Cancers Symposium compared overall survival with cytoreductive surgery (CRS) alone for patients with gastric cancer and peritoneal carcinomatosis vs treatment with HIPEC plus CRS.

Better Postoperative Outcomes With RAMIE for Esophageal Cancer

Better Postoperative Outcomes With RAMIE for Esophageal Cancer

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Research presented at the 2018 Gastrointestinal Cancers Symposium described benefits seen with RAMIE vs chemotherapy or chemoradiotherapy plus OTE for esophageal cancer.

Anxiety, Depression Higher, QOL Lower Between Chemotherapy Cycles for Breast Cancer

Anxiety, Depression Higher, QOL Lower Between Chemotherapy Cycles for Breast Cancer

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A longitudinal study assessed psychological status of postoperative patients with breast cancer between adjuvant chemotherapy for anxiety and depression.

Fluorouracil Associated With Reduced Surgery for Squamous Cell Carcinoma

Fluorouracil Associated With Reduced Surgery for Squamous Cell Carcinoma

A reduced risk of squamous cell carcinoma, but not basal cell carcinoma, was observed for one year in at-risk individuals treated with fluorouracil.

Breast Implants Associated With Increased Risk of Breast Anaplastic Large-cell Lymphoma

Breast Implants Associated With Increased Risk of Breast Anaplastic Large-cell Lymphoma

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The safety of breast implants has not been confirmed despite widespread use.

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