Surgery

Outcomes Worse for Minimally Invasive Hysterectomy vs Open Surgery

Outcomes Worse for Minimally Invasive Hysterectomy vs Open Surgery

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A comparison study of 2 approaches to radical hysterectomy found that disease-free and overall survival are worse with minimally invasive procedure than with abdominal open procedure, contradicting previous study findings.

Open Hysterectomy Survival Rates Edge Minimally Invasive Procedures for Cervical Cancer

Open Hysterectomy Survival Rates Edge Minimally Invasive Procedures for Cervical Cancer

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A population-based study compared open abdominal radical hysterectomy with minimally invasive robot-assisted radical hysterectomy, and found a slight edge in survival among those who underwent the open procedure.

Is Surgical Intervention Best Option for Elderly Female Nursing Home Residents With Breast Cancer?

Is Surgical Intervention Best Option for Elderly Female Nursing Home Residents With Breast Cancer?

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A retrospective study sought to determine the effectiveness of surgical intervention for elderly female nursing home residents with breast cancer.

Postoperative Radiotherapy Favorable as Adjuvant Treatment for Thymic Neuroendocrine Tumors

Postoperative Radiotherapy Favorable as Adjuvant Treatment for Thymic Neuroendocrine Tumors

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A propensity-score matched analysis was used to determine the effect of surgery and postoperative radiotherapy in patients with TNETs.

No Decrease in Pulmonary, Surgical Outcomes With Bleomycin in Good-Risk Germ Cell Cancers

No Decrease in Pulmonary, Surgical Outcomes With Bleomycin in Good-Risk Germ Cell Cancers

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Researchers investigated whether bleomycin posed concerns regarding pulmonary or operative outcomes following PC-RPLND in men treated with chemotherapy for IGCCCG good-risk germ cell cancers.

Treatment Strategies and Predicting Prognoses in Elderly Patients With Breast Cancer

Treatment Strategies and Predicting Prognoses in Elderly Patients With Breast Cancer

[Cancer Management and Research] Data from a total of 16,998 patients with breast cancer included in the SEER database were evaluated to determine the prognosis of various treatment options for elderly patients.

Self-Care Toolkits Ease Negative PostSurgery Experiences for Patients With Breast Cancer

Self-Care Toolkits Ease Negative PostSurgery Experiences for Patients With Breast Cancer

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Self-care toolkits were found to reduce pain and other negative postsurgical experiences for women undergoing surgical procedures for breast cancer.

Influence of Surgical Options for Early-Stage Lung Cancer on Opioid Use

Influence of Surgical Options for Early-Stage Lung Cancer on Opioid Use

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A research letter presents results of a study on opioid use among patients in the SEER database who underwent open resection vs VATS for non-small cell lung cancer.

Nonopioid Pain Medications Found to Control Postop Pain, Reduce Anxiety Effectively

Nonopioid Pain Medications Found to Control Postop Pain, Reduce Anxiety Effectively

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Researchers presented results of a project designed to reduce opioid use while effectively managing pain and anxiety in patients who had undergone surgery for urologic cancer at the 2018 ASCO Quality Care Symposium.

Lobectomy vs SBRT: A Comparison of Prognoses and Survival for Early-Stage NSCLC

Lobectomy vs SBRT: A Comparison of Prognoses and Survival for Early-Stage NSCLC

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A comparison study demonstrated the difference in survival rates between lobectomy and SBRT for early-stage non-small cell lung cancer.

Integrating Preoperative Oral Care Into Cancer Treatment Plans

Integrating Preoperative Oral Care Into Cancer Treatment Plans

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Oral care by a dentist was found to reduce pathogenic bacterial plaque thereby decreasing the risk of postoperative pneumonia, a potentially fatal adverse effect, in patients undergoing surgical procedures for cancer.

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.

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