Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for June 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
MSSP ACOs May Not Improve Spending, Quality of Care
WEDNESDAY, June 26, 2019 (HealthDay News) -- After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.
Americans Concerned About Clinician Burnout
WEDNESDAY, June 26, 2019 (HealthDay News) -- Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).
Anesthesia Tied to Neurocognitive Impairment in Childhood ALL Survivors
TUESDAY, June 25, 2019 (HealthDay News) -- Multiple exposures to general anesthesia may be associated with neurocognitive impairment and brain imaging abnormalities in long-term survivors of childhood acute lymphoblastic leukemia (ALL), according to a study published online June 20 in JAMA Oncology.
Colonoscopy Quality Not Affected by Sedation Method
MONDAY, June 24, 2019 (HealthDay News) -- Among patients at average risk undergoing screening colonoscopies, there is no benefit associated with deep sedation versus moderate sedation, according to a study recently published in Gastrointestinal Endoscopy.
New England Journal of Medicine Picks New Editor-in-Chief
THURSDAY, June 20, 2019 (HealthDay News) -- The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.
Health Care Workers With ARIs Often Work While Symptomatic
THURSDAY, June 20, 2019 (HealthDay News) -- Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.
Surgeons' Unprofessional Behavior Tied to Higher Complication Risk
WEDNESDAY, June 19, 2019 (HealthDay News) -- Patients whose surgeons have higher numbers of coworker reports about unprofessional behavior may be at increased risk for postsurgical complications, according to a study published online June 19 in JAMA Surgery.
Access to Health Care Has Little Impact on Longevity
MONDAY, June 10, 2019 (HealthDay News) -- Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.
Opioid Safety Initiative Can Decrease Opioid Prescriptions
FRIDAY, June 7, 2019 (HealthDay News) -- The Opioid Safety Initiative has been effective for decreasing opioid prescriptions among patients undergoing total knee arthroplasty, according to a study published online May 30 in Anesthesiology.
Rapid Cycling Work Roster Improves Resident Sleep Practices
THURSDAY, June 6, 2019 (HealthDay News) -- A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.
Survey Indicates Physician Misconduct Is Underreported
THURSDAY, June 6, 2019 (HealthDay News) -- Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).
Postop Delirium May Briefly Up Risk for Cognitive Dysfunction
WEDNESDAY, June 5, 2019 (HealthDay News) -- Older patients who develop delirium after surgery are more likely to show signs of cognitive dysfunction one month later, according to a study published online May 28 in Anesthesiology.
ACP Issues Position on Response to Physician Impairment
MONDAY, June 3, 2019 (HealthDay News) -- Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.