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

April 2019

Turning Bystanders Into First Responders
New Yorker, April 8, 2019

"Jacobs was a regent of the American College of Surgeons, an organization with some eighty thousand members worldwide. At an A.C.S. meeting soon after Sandy Hook, he urged his colleagues to focus on mitigating losses in Intentional Mass Casualty Events. 'Obviously, prevention is the way to go,' he said. 'But, once something has happened, how can we increase survival?'"

March 2019

Frailty before surgery tied to more complications, higher costs
Reuters, March 28, 2019

"Much of the previous research linking frailty to worse surgical outcomes has focused on elderly patients or other high-risk groups, researchers note in the Journal of the American College of Surgeons.

In the current study, however, some relatively young people in their 40s and 50s had high levels of frailty, Isbell said."

Kentucky Medicaid expansion boosts colorectal cancer screening, survival rates
FierceHealthcare, March 25, 2019

"Under its Medicaid expansion, rates of patient screening for colorectal cancer (CRC) in Kentucky have increased dramatically, according to a new study.

Kentucky currently ranks No. 1 in the U.S. for incidence and mortality involving cancer. It was also one of the first states to adopt the Affordable Care Act’s (ACA) Medicaid expansion option, according to a study published in the Journal of the American College of Surgeons."

The Moose: A Rare But Often Deadly Road Hazard
U.S. News & World Report, March 19, 2019

"Moose collisions are most frequent after sunset and, to a lesser extent, near sunrise. However, the risk of a fatal collision with a moose is almost three times higher at midday than at other times during the day, perhaps because of speed and other driver factors. Seasonally, moose collisions are more common in the late spring and summer.

The study was published online in the Journal of the American College of Surgeons."

Outpatient, short-stay THA may be safe in healthy Medicare patients
Healio, March 13, 2019

"Greenky and his colleagues collected 30-day rates of complications, mortality, readmissions and reoperations for all patients aged 65 years or older undergoing primary THA who were recorded in the American College of Surgeons National Surgical Quality Improvement Program database between 2015 and 2016."

A lawmaker learned of an active shooter in her state during a hearing about gun violence prevention
CNN, March 7, 2019

"The American College of Surgeons 'supports an appropriations request of $50 million specifically for firearm morbidity and mortality prevention research through the CDC' as part of the 2020 fiscal year, Dr. Ronald Stewart, director of trauma programs at the American College of Surgeons Committee on Trauma, said in a prepared statement for delivery to lawmakers at the hearing."

February 2019

What it takes to get patients over 65 through surgery
Philadelphia Inquirer, February 27, 2019

"The John A. Hartford Foundation and the American College of Surgeons have been working to create geriatric surgery guidelines that take the physical, cognitive, emotional, and social needs of seniors into account. After being piloted in seven health systems, those standards, which encourage pre-surgical cognitive testing, are ready to roll out nationally in June, said Marcus Escobedo, senior program officer for the foundation."

Sweeping Study Finds Overlapping Surgeries Generally Safe — With Exceptions
WBUR, February 26, 2019

"The JAMA paper underscores that patients have the right to know if their surgery will overlap with another patient's.

That is already the emphatic position of the American College of Surgeons, says its executive director Dr. David Hoyt: 'We very strongly feel that this should be something discussed with the patient as part of the consent document,' he says."

Pregnant Women Should Delay Gallbladder Surgery, Study Finds
U.S. News & World Report, February 20, 2019

"Women who had the gallbladder surgery in the third trimester often stayed in the hospital longer (three days versus one day), incurred more costs (nearly $20,000 versus $17,500), and had higher 30-day readmission rates (10 percent versus 4 percent) than women who waited for their operation until after they gave birth, the study authors said.

The report was published online recently in the Journal of the American College of Surgeons."

Why patients should care about Enhanced Recovery After Surgery (ERAS)
Richmond Times-Dispatch, February 12, 2019

"The concept was started in the early 2000s in Europe; I was a National Clinic Adviser during its implementation. It’s now a standard of care in the U.K. Recognizing its benefit to patients, ERAS is now championed by the American College of Surgeons and taking hold in the U.S. ever since its introduction here in 2010."

Battle tested: Ottawa's tactical paramedics are using war-zone developed gear
Ottawa Citizen, February 9, 2019

"Battlefield lessons quickly translated into civilian use. It took only a few years for what is called 'pre-hospital trauma life support' to be endorsed by the American College of Surgeons, said Forestier, who works occasionally in the emergency room at the Queensway-Carleton Hospital."

More Nevadans Are Learning To Treat Gunshot Wounds
KUNR, February 4, 2019

"A few months later, the American College of Surgeons—a group of more than 80,000 surgeons worldwide—formed the Hartford Consensus under the guidance of Jacobs. Their work led to the creation of Stop the Bleed, which has adapted military protocols for treating injuries."

When Is the Surgeon Too Old to Operate?
New York Times, February 1, 2019

"A 2016 statement from the American College of Surgeons, for instance, recommended physical, visual and neurocognitive testing for older surgeons — but on an entirely voluntary basis, with no requirement that they disclose the results."

January 2019

Rates of HPV-positive oropharyngeal cancer rising regardless of sex, race
Healio, January 29, 2019

"Faraji and colleagues analyzed data from the National Cancer Database on patients diagnosed with head and neck squamous cell carcinoma of the oropharynx between 2010 and 2015 who had available data on HPV status."

CS/HIPEC Deemed Safer Than Other High-Risk Cancer Surgeries
Cancer Therapy Advisor, January 25, 2019

"A comparative outcome analysis of more than 30,000 patients from the the American College of Surgeons National Surgical Quality Improvement Project (ACS NSQIP) database who had undergone either cytoreductive surgery/hyperthermic intraperitoneal chemotherapy (CS/HIPEC) or specific high-risk cancer surgery showed lower surgical complication rates with the former procedure.1 This article was published online on January 4, 2019, in JAMA Network Open."

Race May Matter for Liver Transplant Success
U.S. News & World Report, January 15, 2019

"After accounting for other factors, the researchers concluded that a race-matched transplant independently predicted improved overall survival. Specifically, matched-race transplant recipients had a 34 percent better chance of long-term survival, while black patients who received a liver from a white donor had a 53 percent increased risk of death.

This survival advantage for race-matched liver recipients did not become apparent until one year after transplant, according to the study. The results were published online in the Journal of the American College of Surgeons."

Column: To better treat patients, hospitals should keep the family close
Tampa Bay Times, January 2, 2019

“Social health has a significant impact on physical health. An analysis of multiple studies conducted by Yale University researchers found that social interaction helps patients recovering from coronary artery disease or bypass surgery. The more a patient felt supported by his social network, the more quickly he recovered.

A separate study published by the Journal of the American College of Surgeons found that patients with smaller social networks were more likely than their peers with larger networks to stay in the hospital for longer than a week.”