American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Clinical Congress 2020 News Coverage

Antibiotics Found Noninferior to Surgery In Randomized Appendicitis Trial
General Surgery News, November 16, 2020

“‘[This] gives information to people so that, based on their characteristics, their preferences and their circumstances, including maybe COVID-19, they can figure out what’s right for them,’ Dr. Flum added.

He presented the results at the 2020 American College of Surgeons’ Clinical Congress, which was held virtually. The study was published in The New England Journal of Medicine”

Limited English-Language Proficiency May Affect Frequency of Screening Mammograms
ASCO Post, October 19, 2020

“Limited English-language proficiency may be a risk factor for receiving screening mammograms less often, according to new study results using national data. These findings, concerning women age 40 and older living in the United States, were presented at the American College of Surgeons Clinical Congress 2020, as well as published by Jose L. Cataneo, MD,  and colleagues in the Journal of the American College of Surgeons.”

Bariatric Surgery Tied to Lower Aortic Dissection Risk
Medscape, October 15, 2020

“‘It has an incredible impact on hyperlipidemia and hypertension,’ said Luis Felipe Okida, MD, from Cleveland Clinic Florida in Weston. ‘Those are the main risk factors for aortic dissection.’

He presented the finding at the virtual American Congress of Surgeons (ACS) Clinical Congress 2020. The study was also published online in the Journal of the American College of Surgeons.”

Do Hospitals That Primarily Serve Minority Patients Offer Standard Surgical Care for Patients With Breast Cancer
ASCO Post, October 14, 2020

“Among accredited cancer centers in the United States, hospitals serving primarily minority patients are as likely as other hospitals to offer the standard of surgical care for early-stage breast cancer, according to results presented at the virtual American College of Surgeons Clinical Congress 2020 and published by Olga Kantor, MD, MS, and colleagues in the Journal of the American College of Surgeons.

Virtual Care After Surgery May Be More Convenient (via HealthDay), October 8, 2020

“Total clinic time was longer for in-person visits than virtual visits (58 minutes versus 19 minutes), but patients in both groups spent the same amount of time with a member of their surgical team (8.3 minutes versus 8.2 minutes) discussing their recovery.

The findings were presented Saturday at a virtual meeting of the American College of Surgeons (ACS). Research presented at meetings is typically considered preliminary.”

Some Breast Surgery Won't Harm Ability to Breastfeed
U.S. News & World Report (via HealthDay), October 7, 2020

“Whether they'd had surgery or not, 80% were able to breastfeed or obtain breast milk for bottle-feeding, according to findings presented Saturday at a virtual meeting of the American College of Surgeons (ACS). Research presented at meetings should be considered preliminary until published in a peer-reviewed journal.”

Think enjoying a puff has no effect? Researchers say weed users may need more anaesthesia during surgery and have more pain afterward
GrowthOp, October 7, 2020

“During panel discussions at the virtual ACS Clinical Congress 2020, “experts underscored the importance of helping patients stop tobacco, vaping and marijuana use before having an operation,” notes a group statement. Even for routine procedures, experts noted that stop-smoking programs can reduce the risk of complications.”

Screening Mammography Less Common Among Spanish-Only Speakers

Diagnostic Imaging, October 5, 2020

“‘Spanish-only speakers appear to have a 27-percent less likelihood of having a screening mammogram than English speakers,’ said lead study investigator Jose L. Cataneo, M.D., a general surgery resident at the University of Illinois at Chicago (UIC/Metropolitan Group Hospitals.

Cataneo and his colleagues presented their findings, based on women ages 40 and above living in the United States, during the American College of Surgeons (ACS) Clinical Congress 2020.”

Pitt Trauma Experts Aim to Reduce Death With Blood-Clotting Agent
UPMC, October 5, 2020

Severely injured trauma patients who received a blood-clotting drug before arriving at the hospital had a better chance of surviving than those who didn’t, according to new research from the University of Pittsburgh School of Medicine. The results will be reported at the American College of Surgeons Clinical Congress 2020 and published in JAMA Surgery.”

December 2020

The Military Learned to Stop the Bleeding
The Wall Street Journal, December 20, 2020

Civilian trauma care has always benefited from military wartime experience, but the process can be slow. By 2010 tourniquets were routine in the military but rare outside it. Civilian tourniquet use increased significantly after 2013, when Hartford, Conn., trauma surgeon Lenworth Jacobs convened a group of experts to study ways of saving lives in civilian mass casualty incidents such as the Sandy Hook school shooting. The Hartford Consensus led the American College of Surgeons and the American College of Emergency Physicians to endorse tourniquet use by professional first responders.

Lung Cancer Screenings Drop, Biopsy Rates Rise During COVID-19
American Journal of Managed Care, December 18, 2020

Lung cancer screenings are critical for early detection and timely treatment, but the coronavirus disease 2019 (COVID-19) pandemic has made keeping up with routine care, including screenings, more difficult. A study published as an article in press by the Journal of the American College of Surgeons found that deferred care in the spring of 2020 as the COVID-19 pandemic first surged has worsened outcomes for patients with lung cancer.

The COVID-19 Results Are In: Lung Cancer Preventive Screenings Are Down, Patient Outcomes Worse
Diagnostic Imaging, December 17, 2020

Since the start of the pandemic, cross-sectional analyses have revealed a 46-percent plummet in new cancer diagnoses nationwide across six common forms of cancer, including lung cancer. In a study published Dec. 17 in the Journal of the American College of Surgeons, a team of investigators led by University of Cincinnati thoracic surgeon Robert Van Haren, M.D., who is also assistant professor of surgery, concentrated on the impact of not being able to provide low-dose CT (LDCT) screening for at-risk patients during this time.

Female Surgeons at Back of Bus for NIH Grants
MedPage Today, December 9, 2020

Disparities in research funding have previously been attributed to differences in academic status, but women and women of color in this study still received fewer research dollars after controlling for professional level, said Patricia L. Turner, MD, MBA, director of the American College of Surgeons' division of member services, who was not involved in the study.

November 2020

Medicaid expansion likely improved colon cancer care, study finds
United Press International, November 23, 2020

"Medicaid expansion has likely improved care of colon cancer, researchers said in a study published Monday in the Journal of the American College of Surgeons. The researchers compared states that expanded Medicaid health insurance in 2014 to non-expansion states and found that expansion led to earlier diagnosis, better access to care and improved surgical care."

Colon cancer detected earlier in states that expanded Medicaid, study finds
Becker's Hospital Review, November 23, 2020

"Patients who live in states that expanded Medicaid under the ACA were more likely to receive an earlier diagnosis of colon cancer than those who live in states that didn't expand the program, according to a study published Nov. 23 in the Journal of the American College of Surgeons." 

Cancer treatment delays caused by the COVID‐19 pandemic may not hinder outcomes
American Cancer Society Journals, November 10, 2020

“For patients and clinicians who may be uneasy about delaying cancer treatments during the COVID‐19 pandemic, 2 new studies that analyzed data from the National Cancer Data Base (NCDB) have offered some reassurance. Both investigations—a breast cancer study published in the Journal of the American College of Surgeons and a prostate cancer study that appeared in JAMA Oncology—concluded that, in many cases, delayed breast surgery and prostate radiotherapy after diagnosis will not lead to worse outcomes.”

Gun Violence Curriculum Benefits Surgical Trainees
HealthDay, November 6, 2020

“The Anatomy of Gun Violence (AGV) curriculum is well received and improves the knowledge and skills of surgical residents, according to a study published online Nov. 2 in the Journal of the American College of Surgeons

'Watch and Wait' Feasible for Some Rectal Cancer Patients
HealthDay, November 3, 2020

“A "watch-and-wait" (WW) strategy may be an option for carefully selected patients who achieve a complete response (CR) to neoadjuvant chemoradiation (nCRT) for rectal adenocarcinoma, according to a study published online Oct. 26 in the Journal of the American College of Surgeons.”

August 2020

New ACS study will capture detailed data on non-lethal firearm injuries
Trauma System News, August 28, 2020

“'U.S. trauma centers that participate in TQIP will have the opportunity to take part in the study by collecting additional data elements from patient charts that relate to individual patient and community risk factors for injury,' Dr. Kuhls said. 'Trauma registrars already review charts and enter data in the TQIP database, and by adding several other data elements, we will have a much more complete picture of risk factors and circumstances of firearm injuries.'"

Proposed cuts to Medicare will be devastating to surgeons and their patients
CNN, August 20, 2020

"The Covid-19 pandemic has thus far killed more than 170,000 Americans and infected more than 5.2 million. The country's doctors and health care workers have been on the frontlines for the past six months, often working longer hours without any added pay, sleep or complaint to meet the overwhelming demands of this outbreak. Our health care system has suffered greatly due to Covid-19, and now surgeons could be faced with ill-advised and dangerous pay cuts."

Prognosis for Early-Stage Breast Cancer Remains Good Despite Pandemic-Related Delays in Surgery
Cancer Therapy Advisor, August 20, 2020

"Endocrine therapy was recommended nationwide as the initial treatment of ER-positive breast cancer during pandemic-related surgical delays by the COVID-19 Pandemic Breast Cancer Consortium. The Consortium included representatives from the American Society of Breast Surgeons, the National Accreditation Program for Breast Centers, the National Comprehensive Cancer Network, the American College of Surgeons Commission on Cancer, and the American College of Radiology."

'We want people to understand why we're upset' — 5 surgery, specialty group leaders on CMS' proposed 2021 fee schedule
Becker's ASC Review, August 10, 2020

“David Hoyt, MD, executive director of the American College of Surgeons: ‘What Medicare reimburses surgeons does not completely cover costs. There are types of insurance that pay even less, like Medicaid, but the way a physician makes their living is to [see all those patients] in aggregate, and there is a point where you can't recover enough in aggregate to cover your cost. [When that happens,] you then have to eliminate staff or you may limit the access [that Medicare and Medicaid] patients have to your practice. There are absolutely surgeons around the country that don't take Medicare patients right now. Cutting reimbursement even more will only make that worse.’”

Survival Consistent for Women With Early-Stage Breast Cancer Despite Surgery Delays
American Journal of Managed Care, August 7, 2020

"Overall delays in surgical procedures to treat early-stage breast cancer, particularly estrogen-sensitive early-stage disease, as well as receiving neoadjuvant endocrine therapy (NET) because of such a delay, did not decrease odds of 5-year survival or increase odds of pathologic upstaging among a cohort of female patients, authors report in the Journal of the American College of Surgeons."

July 2020

'Race shouldn't be a factor': Healthy Black kids nearly 3.5 times more likely to die after surgery than white kids, study finds
Yahoo! News, July 20, 2020

"In the retrospective study, researchers analyzed the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database, focusing on more than 170,000 children under age 17 who had inpatient surgery from 2012 through 2017. The researchers looked at postsurgical complications and serious adverse events, such as “cardiac arrest, sepsis, readmission, or reoperation,” according to the study."

April 2020

Surgeons Often Warp Tumor Boards, Says Study
Medscape, April 21, 2020

"Approached for comment, Heidi Nelson, MD, medical director of cancer programs, American College of Surgeons, called the findings 'provocative.' But she wondered 'how representative' the new data were. The medical literature 'shows many advantages of tumor boards for improving care of patients,' she said."

March 2020

50 patient safety experts to know | 2020
Becker's Hospital Review, March 11, 2020

"Clifford Ko, MD. Director of the American College of Surgeons' Division of Research and Optimal Patient Care. As director of the division of research and optimal patient care at the American College of Surgeons, Dr. Ko oversees all the organization's quality improvement programs, including the cancer accreditation program and the trauma verification program. He is also director of the American College of Surgeons National Surgical Quality Improvement Program, an outcomes-based program that measures surgical care quality with the goal of improving it. Dr. Ko is the Robert and Kelly Day Professor of Surgery at University of California Los Angeles and has received millions of dollars in grant funding to study quality of care from several sources, including the National Institutes of Health and the CDC."

What it’s like to specialize in general surgery: Shadowing Dr. Welsh
American Medical Association, March 4, 2020

"The online resource students interested in general surgery should follow: I recommend Up to Date, YouTube and the American College of Surgeons general surgery community as online resources."

February 2020

U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia
Kaiser Health News, February 25, 2020

"In a statement published last fall, the American Academy of Neurology recommended that all patients 65 and older seen by neurologists get yearly cognitive health assessments. Also, the American Diabetes Association  recommends that all adults with diabetes age 65 and older be screened for cognitive impairment at an initial visit and annually thereafter 'as appropriate.' And the American College of Surgeons now recommends screening older adults for cognitive impairment before surgery."

Pass bills to reduce firearm violence through research, limiting magazine capacity
The Seattle Times, February 19, 2020

"Rather, the approach is in alignment with the American College of Surgeons’ recommendations to tackle firearm injury, death and disability as a public-health crisis rather than a divisive political problem. It would yield valuable information to help policymakers and the public find common ground."

‘Every five minutes there’s a road accident fatality in Pakistan’
Samaa News, February 15, 2020

"There are different levels of trauma centres and a good emergency care system consists of the proper balance of these.

Dr [Bulger] elaborated on the different levels of trauma centres required to deal with injuries and how research by the American College of Surgeons had shown the right balance lowered mortality by 23%."

Tourniquet Saved Life Of Baltimore Police Officer Shot Yesterday, Says Dr. Thomas Scalea Physician-In-Chief At Maryland Shock Trauma Center
Forbes, February 13, 2020

"The use of medical grade tourniquets, when applied correctly to a limb, are also an integral part of a campaign known as 'Stop the Bleed'. The goal of the campaign, developed by the American College of Surgeons Committee on Trauma in 2012 after the Sandy Hook tragedy, is to teach bleeding control techniques to those in the community, including application of tourniquets."

Virtual Cross-Matching May Speed Kidney Transplant Process
Physician's Weekly, February 11, 2020

"Virtual cross-matching may reduce cold ischemia time (CIT) for donor organs in kidney transplants, according to a study published online Feb. 5 in the Journal of the American College of Surgeons."

January 2020

What It Could Take To Cure Statewide Surgeon Shortage, Hawaii Doctors Weigh In
Hawaii Public Radio, January 28, 2020

"Hawaii is facing a major shortage of surgeons in the state, but it is especially acute in rural areas on Maui and Hawaii Island.

Dr. Whitney Limm, the governor of the Hawaii Chapter of American College of Surgeons, described the factors that are contributing to the shortage."

America can’t afford billions in surprise medical bills
The Washington Post, January 17, 2020

"We support efforts to prevent patients from receiving surprise medical bills. Patients should be kept out of disputes between insurers and physicians. And we continue to encourage legislation that protects patients from surprise medical bills, promotes access to appropriate medical care, and encourages insurers to negotiate in good faith with physicians to establish adequate provider networks and fair remuneration."

U.S. Cancer Mortality Rate Declines, But Disparities In Treatment Point To Access Problems
Forbes, January 9, 2020

"In “Disparities in Receiving Guideline-Concordant Treatment for Lung Cancer in the U.S.” Dr. Erik Blom and colleagues report that the probability of receiving the guideline-recommended treatments is even lower than 62% for African American patients and the elderly.

The findings are based on a review of nearly 442,000 lung cancer cases diagnosed between 2010 and 2014 in the U.S. National Cancer Database."

The 25 best jobs of 2020
U.S. News & World Report, January 7, 2020

"Surgeons may spend hours a day on their feet, operating on patients to treat injuries, diseases and deformities. In these high-stress jobs, working irregular hours isn’t uncommon, and you may be constantly on call. But the work you do could save someone’s life.

Surgeons must attend medical school and then complete a residency. According to the American College of Surgeons, surgical residencies last a minimum of five years."

Older People Need Geriatricians. Where Will They Come From?
The New York Times, January 3, 2020

“To some extent, this is already happening. Medical associations representing cardiologists and oncologists have begun focusing on older patients, Ms. Lundebjerg pointed out.

Health systems are adopting age-friendly approaches, like specialized emergency rooms. The American College of Surgeons’ new verification program sets standards hospitals should meet to improve results for older patients.”


COVID-19 News Coverage

Amid Surge, Hospitals Hesitate To Cancel Nonemergency Surgeries
Kaiser Health News, July 9, 2020

”The U.S. surgeon general, the Centers for Disease Control and Prevention and the American College of Surgeons also recommended health care facilities suspend nonemergency surgeries.

The suspension was always intended to be temporary, said Dr. David Hoyt, executive director of the American College of Surgeons. “When this all started, it was simply a matter of overwhelming the system,” he said.”

Rescheduling That Elective Surgery? Here’s What to Know
Next Avenue, June 9, 2020

”In a joint statement, the American College of Surgeons, the American Society of Anesthesiologists, the Association of Perioperative Registered Nurses and the American Hospital Association released guidance on the resumption of elective surgery. In addition, state departments of health have issued specific guidance on when their state health care providers are allowed to resume elective procedures.”

Cancer Care in the Time of COVID-19 and After
Managed Healthcare, May 20, 2020

”Oyer says research from early COVID-19 hot spots such as China, Italy and the Seattle area suggests that patients with lung, liver and some types of gastrointestinal tumors, as well as hematologic malignancies, are at greater risk of suffering COVID-19 than patients with other kinds of cancer. Sparse as these data may be, they should still guide decision-making by oncologists and healthcare leaders, Oyer says. Many professional associations are providing guidance to oncologists during the outbreak, including the Association of Community Cancer Centers (Oyer is the president), the American Society of Clinical Oncology, the American Society of Hematology, the American Society for Radiation Oncology and the American College of Surgeons.”

54% of US counties lack testing site; new guidance out on resuming surgeries — 7 COVID-19 updates 
Becker’s Hospital Review, May 20, 2020

”Industry groups shared additional guidance for resuming elective surgeries May 19. The Association of periOperative Registered Nurses, American Hospital Association and AdvaMed developed the guidance on how to ensure the safe reentry of device representatives into hospitals and other healthcare facilities. The guidance builds on the existing roadmap on resuming elective surgeries that AHA rolled out April 17 with AORN, the American College of Surgeons and American Society of Anesthesiologists.”

When will hospitals and doctors’ offices be open for normal business again? Here’s what health experts think
CNBC, May 7, 2020

“‘If you delay these procedures, that itself can lead to problems and complications,’ noted the American College of Surgeons in a recent statement. ‘If cancer surgery is postponed indefinitely, for example, there is the potential risk that the disease will become more advanced.’”

COVID-19 Reduces Surgeons’ Business, but Relief Is Available
General Surgery News, April 27, 2020

“The curtailment of elective surgery 'is causing a significant amount of distress and concern' for surgeons, said Patrick Bailey, MD, MLS, FACS, the medical director of advocacy for the American College of Surgeons (ACS).”

Elective surgeries set to resume, with complications and concerns
NBC News, April 25, 2020

“'Coronavirus is highly infectious, and if there's a procedure that would bring people together, just like in a restaurant or an airplane, then avoiding it if it can be avoided is the best practice,' Dr. David Hoyt, executive director of the American College of Surgeons, told NBC News. 'You have to balance that with patients that need surgery, but the urgency of it can be triaged, and that's what was done.'”

As California Hospitals Return To Normal, Patients Wonder When They Can Seek Care
Capitol Public Radio, April 23, 2020

“The American College of Surgeons issued the initial guidance on canceling elective surgeries, and created a scoring system with 21 considerations for hospitals trying to manage their resources.

'But there’s no cut-and-dry list for which surgeries to bring back,' said Dr. Clifford Ko, who works with the group and serves as vice chair of the UCLA Department of Surgery.”

Coronavirus: 10 Considerations for Resuming Elective Surgery
HealthLeaders, April 20, 2020

“The American College of Surgeons (ACS) has released recommendations to guide healthcare providers when they resume elective surgery that has been put on hold during the coronavirus pandemic.”

Will the Coronavirus Delay My Cancer Surgery?
The New York Times, April 15, 2020

“To weigh risks and benefits during the outbreak, the American College of Surgeons, the Commission on Cancer, other national and international organizations as well as hospitals and medical practices have created triage guidelines to determine whether to delay surgery and other medical procedures.”

As Coronavirus Strains Hospitals, Cancer Patients Face Treatment Delays, Uncertainty
NPR, April 2, 2020

“The American College of Surgeons has published guidance on how to triage surgical care for cancer patients. But Lichtenfeld says every decision ultimately depends on the availability of resources at the hospital and the pressures of COVID-19. In Washington state, which has been hit hard, hospitals are shifting surgical space and beds away from other kinds of treatment.”

Medical workers concerned some elective surgeries are still ongoing amid the coronavirus outbreak
USA Today, April 1, 2020

“The American College of Surgeons cited the financial pressure in ‘ethical guidelines’ it released recently.  

‘Health systems, and federal and state governments should begin developing comprehensive solutions to address the financial impact on hospitals, physicians, and other health care providers that result from canceled operations, so that these perceived financial risks do not influence some surgeons to continue to perform elective operations,’ read the guidelines.”

Hospitals Cancel Elective Surgeries Amid Coronavirus Outbreak
WBUR, March 31, 2020

Here & Now's Jeremy Hobson talks with Dr. David Hoyt, executive director of the American College of Surgeons, about qualifies as an elective surgery and why he thinks it's important to cancel them.”

These Doctors Have Specialties. Fighting Coronavirus Wasn’t One of Them.
The New York Times, March 23, 2020

“For specialists who treat high-risk demographics, the best medical advice for the coronavirus outbreak can feel contradictory: To stay safe, try to avoid the doctor’s office. Both the Surgeon General and the American College of Surgeons have advised that hospitals cancel elective procedures in the coming weeks, and some states have ordered postponements.”

Remarks by President Trump, Vice President Pence, and Members of the Coronavirus Task Force in Press Briefing
The White House, March 18, 2020

“And I want to thank the medical societies, such as the American College of Surgeons and the American Dental Association, that took a proactive approach and already posted these recommendations.  And we’ve also talked to the American Medical Association, and they have fully indicated their support for this recommendation.  We now invite the entire healthcare community to join us in this effort.”

White House Coronavirus Task Force Press Conference
The White House, March 18, 2020

In her remarks during this March 18 COVID-19 press briefing from the White House, CMS Administrator Seema Verma thanks the American College of Surgeons for its advocacy work on the non-emergent operations issue as it relates to preserving resources for critically ill patients.

Your elective surgery will be canceled. It’s for everyone’s good.
The Washington Post, March 16, 2020

“To aid in deciding urgent vs. non-urgent, hospitals should be developing a triage algorithm, says David Hoyt, executive director of the American College of Surgeons, whose organization plans to release a triage primer as a guide for hospitals. Algorithms can help hospitals assign patients into tiers based on low, intermediate and high acuity. An orthopedic surgery in a patient who has minimal symptoms probably can be delayed. A surgery for a low-risk cancer also could be delayed. But certain cancers have a time window and surgeries probably should not be postponed, Hoyt says. Each hospital has different resource capacities that also must be considered.”

Hospitals Push Off Surgeries to Make Room for Coronavirus Patients
The Wall Street Journal, March 16, 2020

“The American College of Surgeons Friday recommended hospitals be prepared to call off elective surgeries. ‘That doesn’t mean that everyone should cancel surgery tomorrow,’ said David Hoyt, the executive director. ‘Start thinking about it.’”

Surgeon General advises hospitals to cancel elective surgeries
POLITICO, March 14, 2020

“Adams was responding to new recommendations from the American College of Surgeons issued Friday. The group said hospitals, health systems and surgeons should ‘thoughtfully review’ all their scheduled operations and consider canceling or postponing them ‘until we have passed the predicted inflection point’ in the disease spread and ‘can be confident that our health care infrastructure can support a potentially rapid and overwhelming uptick in critical patient care needs.’”