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Increase Seen in Use of Double Mastectomy

Among women diagnosed with early-stage breast cancer in California, the percentage undergoing a double mastectomy increased substantially between 1998 and 2011, although this procedure was not associated with a lower risk of death than breast-conserving surgery plus radiation, according to a study in the September 3 issue of JAMA. The authors did find that surgery for the removal of one breast was associated with a higher risk of death than the other options examined in the study.

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Study Finds Change in Type of Procedure Most Commonly Used for Bariatric Surgery

In an analysis of the type of bariatric surgery procedures used in Michigan in recent years, sleeve gastrectomy (SG) surpassed Roux-en-Y gastric bypass (RYGB) in 2012 as the most common procedure performed for patients seeking this type of surgery, and SG became the predominant bariatric surgery procedure for patients with type 2 diabetes, according to a study in the September 3 issue of JAMA.

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Family Conflicts, Other Non-Physical Worries Before Cancer Surgery Raise Patients’ Complication Risk

How well patients recover from cancer surgery may be influenced by more than their medical conditions and the operations themselves. Family conflicts and other non-medical problems may raise their risk of surgical complications, a Mayo Clinic study has found.

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Medication Shows Mixed Results in Reducing Complications From Cardiac Surgery

Administration of colchicine, a plant-based medication commonly used to treat gout, before and after cardiac surgery showed mixed results in reducing potential complications from this type of surgery, but it did increase the risk of gastrointestinal adverse effects, according to a study published by JAMA.

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Study Finds Shortcomings in Doctor-Patient Discussions About Transplantation

• When dialysis patients reported discussions about transplantation with clinicians, they had a nearly 3-fold increased likelihood of being listed for transplantation, but clinician-reported discussions did not increase a patient’s likelihood of being listed. • In almost one-third of cases, clinicians reported that they had discussed transplantation with a particular dialysis patient, but the patient said that nobody had discussed it with them.

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New Technology May Identify Tiny Strains in Body Tissues Before Injuries Occur

Researchers at Washington University in St. Louis have developed algorithms to identify weak spots in tendons, muscles and bones prone to tearing or breaking. The technology, which needs to be refined before it is used in patients, one day may help pinpoint minor strains and tiny injuries in the body’s tissues long before bigger problems occur.

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Brain Benefits From Weight Loss Following Bariatric Surgery

Weight loss surgery can curb alterations in brain activity associated with obesity and improve cognitive function involved in planning, strategizing and organizing, according to a new study published in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM).

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Surgical Complications of DBS No Higher Risk for Older Parkinson’s Patients

Implantating deep brain stimulation devices poses no greater risk of complications to older patients than it does to younger patients with Parkinson’s disease, researchers at Duke Medicine report.

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Knee Surgery Not Needed for Mild Osteoarthritis

Middle-aged or older patients with mild or no osteoarthritis of the knee may not benefit from the procedure of arthroscopic knee surgery.

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University of Michigan First in Nation to Implant Device for Tricuspid Valve Replacement

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The University of Michigan Frankel Cardiovascular Center performs nation’s first transcather tricuspid heart valve replacement, providing an alternative to open heart surgery.

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