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

ACS in the News 2017

December 2017

13 best physicians of 2017, as named by Medscape
Becker's Hospital Review, December 21, 2017

"Timothy Chuter, DM. Chuter was honored with the 2017 Jacobson Innovation Award from the American College of Surgeons for his work in the development of endovascular aneurysm repair."

Too Many Older Patients Get Cancer Screenings
New York Times, December 19, 2017

"A variety of medical specialties — from the American College of Surgeons to the Society of General Internal Medicine — have advised doctors against screening patients with limited time left. For example, the American Cancer Society recommends prostate and breast cancer screenings only in patients expected to live 10 years or more."

If We’re Not Going To Stop Mass Shootings, These Doctors Want To Teach Civilians How To Save Lives
Huffington Post, December 13, 2017

"Jacobs took his concerns to the American College of Surgeons, which established a committee to create a national policy on enhancing 'survivability' for mass shootings and other high-casualty events. At the committee’s first meeting in April 2013, members agreed that stopping blood loss as fast as possible and quickly transporting the wounded to a hospital was critical to saving lives in mass-casualty shootings. No one, they believed, should die from uncontrolled bleeding."

Leaving the hospital with less pain medication
Foster's Daily Democrat, December 3, 2017

"A report set to be released in the Journal of the American College of Surgeons by a Dartmouth-Hitchcock Medical Center doctor supports the idea that too many opioids are prescribed for patients, and shows that far fewer can be used, reducing the stream of prescribed narcotics by 40 percent."

November 2017

More and More Americans Are Learning Basic First Aid for Gunshot Wounds
Slate, November 30, 2017

"These sorts of lessons have been gathering steam for years. In the wake of the Sandy Hook shootings in December 2012, the American College of Surgeons pulled together first-response experts from law enforcement, the medical community, and the military. Their recommendations, known as the Hartford Consensus, stemmed from the realization that injuries from mass shootings are similar to those found in combat. The resulting five-point response plan was based in part on military trauma guidelines and led to the 'Stop the Bleed' campaign, launched by the White House in 2015, to 'encourage bystanders to become trained, equipped, and empowered to help in a bleeding emergency before professional help arrives.'"

Rural Unintentional Injuries: They’re Not Accidents – They’re Preventable
RHIhub, November 28, 2017

"A recent CDC MMWR Rural Health Series report reviewed 5 rural categories of potentially preventable deaths. The categories included heart disease, stroke, chronic lower respiratory disease and cancer. In the 5th category – unintentional injuries – a significant disparity is highlighted: the rural death rate is 50% greater than the urban rate. The report goes on to suggest that the number one cause contributing to this disparity is motor vehicle trauma. Dr. Richard Sidwell, a Des Moines, Iowa trauma surgeon and chair of the American College of Surgeons Rural Trauma Subcommittee, said no database makes those rural motor vehicle trauma statistics look better."

October 2017

Belly Fat Widens Odds of Emergency Surgery Troubles
HealthDay, October 30, 2017

“Excess belly fat dramatically increases the risk of complications and death after emergency surgery, a new study finds.

The research included more than 600 patients who had emergency surgery and underwent CT scans of the abdomen and pelvis before surgery. These scans were used to calculate waist-to-hip ratios, a measure of belly fat. A healthy ratio should not exceed .90 in men and .85 in women, according to the World Health Organization.”

Treating Appendicitis Without Surgery: Fears Raised
Medscape, October 27, 2017

“By managing older, sicker patients' appendicitis without surgery, US physicians may be increasing their risk for death by a slight but statistically significant degree, data suggest.

‘Mortality, we were surprised to find, was significantly higher in the patients managed nonoperatively,’ said lead author Isaiah Turnbull, MD, PhD, an assistant professor of surgery at Washington University in Saint Louis, Missouri.”

More than 80% of women with a high risk of breast cancer are not getting screened, study warns
Daily Mail, October 27, 2017

“Earlier MRI screening is recommended for women with genetic predisposition to breast cancer, or personal or family history of the disease.

But the study presented at the American College of Surgeons Clinical Congress in San Diego found the vast majority of these women choose not to get it.”

Checklist aims to help prevent surgical infections in Africa
Scope, October 26, 2017

“For the last year, Stanford surgery resident Jared Forrester, MD, has been living in Ethiopia, tackling one of surgery’s most troubling issues – how to prevent infections after an operation. Infection is always a risk with surgery, but those risks can be as much as five times higher among patients in low- and middle-income countries, Forrester said.”

Many high-risk women skip breast cancer screenings, even if they're free
United Press International, October 26, 2017

“Knowing they're at increased risk for breast cancer isn't enough to persuade many women to get MRI screenings -- even if they're free.

Researchers studied more than 1,000 women in a U.S. military health system who had a 20 percent or greater lifetime risk of breast cancer due to genetics or personal or family history.”

Vegas doctors share shooting experiences at San Diego conference
San Diego Union-Tribune, October 25, 2017

"'Many people left the scene on foot and started to wander. They wandered until they found an acute (care hospital).' Fildes said, during a Tuesday morning session at the American College of Surgeon’s 2017 Clinical Congress."

Gunshot Sensors Improve Odds for Shooting Victims
HealthDay, October 24, 2017

“Gunshot sensors may help speed treatment of shooting victims and potentially improve outcomes for those with the most serious injuries, a new study suggests.

About 90 U.S. cities have installed the sensors to help pinpoint shooting scenes and find victims. Fewer than 20 percent of shots fired are reported to police, according to the researchers.”

Surgery Process Maps May Reduce Infection Risks in Low Resource Settings
Medscape, October 24, 2017

“Process maps can reduce the risk for perioperative infection in low-income countries by pinpointing barriers to good procedures, researchers say.

A process map implemented at a pilot site in Jimma, Ethiopia, significantly improved such measures as hand-washing and the timing of prophylactic antibiotics, said Jared Forrester, MD, a surgical fellow at Stanford Health Care in Palo Alto, California. ‘This can be a powerful tool,’ he said.”

Giving antibiotics prior to low-risk surgery may prevent resistance
United Press International, October 10, 2017

"The study, published today in the Journal of the American College of Surgeons, found patients had the same risk of developing an antibiotic-resistant infection regardless of prophylactic treatment with antibiotics -- roughly 47 percent of patients with an antibiotic-resistant infection had no antibiotic prophylaxis, while 49 percent of patients with an infection received prophylaxis."

September 2017

Bariatric surgeries helps hundreds lose weight
Seattle Times, September 24, 2017

"Accreditation is awarded to a bariatric surgical center only after a thorough review process, during which the institution must prove it maintains high practice standards and provides the physical and human resources needed to meet patient needs. To demonstrate ongoing compliance, accredited centers report patient outcomes to a national database maintained by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program."

Study: Ambulance ride may lower survival chance for some injuries
United Press International, September 20, 2017

"'Unlike CPR and defibrillation for heart attacks, the type of damage done in penetrating trauma often can't be reversed in a prehospital setting,' said Dr. Michael Wandling, an American College of Surgeons Clinical Scholar in Residence and general surgery resident at the Northwestern University Feinberg School of Medicine, said in a press release. 'This study supports other studies that prehospital interventions can actually result in less favorable outcomes for certain types of injuries.'"

How the Trump administration is reshaping health care — without Congress
Politico, September 13, 2017

"'We have been shooting for the moon, just bringing up every possible issue we think they have the ability to change,' said Vinita Ollapally, manager of regulatory affairs for the American College of Surgeons. 'This is the first time that any administration has seemed to be so focused on regulatory relief.'"

What should doctors and nurses do when a shooter is in the hospital?
Reuters, September 6, 2017

"'The public’s belief that hospitals are at lower risk might be grounded in the perception of hospitals as sanctuaries of caring and healing,' study co-authors Dr. Lenworth Jacobs and Karyl Burns of Hartford Hospital in Connecticut write in the Journal of the American College of Surgeons."

August 2017

Suffolk native to lead health care study
Suffolk News-Herald, August 31, 2017

"Britt, who now is the chair and professor of surgery at Eastern Virginia Medical School, will lead the historic effort by the American College of Surgeons to confront the problem. A $2.5 million grant from the National Institutes of Health will fund research into why disparities exist so that these disparities can be mitigated."

Norfolk surgeon will head $2.5M national study looking into disparities in health care
Virginian-Pilot, August 25, 2017

"The surgeon, now 66, just landed the grant of a lifetime to study health care disparities in surgery patients across the country.

He’ll be the principal investigator of an American College of Surgeons study funded by a $2.5 million grant from the National Institutes of Health, considered the gold standard of research dollars."

3 Ways Virtual Reality Is Transforming Medical Care
NBC News, August 22, 2017

"'We are seeing more and more of this incorporated faster than ever before,' said Dr. Ajit Sachdeva, Director of Education with the American College of Surgeons. 'VR has reached a tipping point in medicine.'"

Why U.S.-Trained Surgeons Often Aren't Ready For Humanitarian Work Abroad
NPR, August 15, 2017

"Other programs to help train volunteer surgeons for humanitarian missions, according to the World Journal of Surgery paper, include the American College of Surgeons' annual training program called Operation Giving Back, directed by Dr. Girma Tefera."

July 2017

'Nipple-Sparing' Mastectomies Don't Raise Odds of Cancer's Return: Study
U.S. News & World Report, July 19, 2017

"'Our study, which has one of the longest reported follow-ups after therapeutic nipple-sparing mastectomy in the United States, provides additional support that it's safe to leave the nipple intact during mastectomy with only a few exceptions,' [Barbara L. Smith, MD, PhD, FACS,] said in a news release from the Journal of the American College of Surgeons. It published the findings online July 17."

Same-day discharge after uncomplicated appendectomy in kids safe: study
M.D./alert, July 12, 2017

"To see if this is also the case in children, they did a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program–Pediatric database, which provides 'high-quality' surgical outcomes data from more than 80 participating U.S. hospitals."

Postoperative Care With Online Portals
Physician's Weekly, July 11, 2017

"For a study published in the Journal of the American College of Surgeons, Dr. Kummerow Broman and colleagues evaluated patient and surgeon acceptance of online postoperative care after elective general surgical operations. The prospective pilot study involved 50 patients and compared online and in-person postoperative visits. Study enrollment and activities were completed over a 6 month period. Patients in the analysis underwent elective laparoscopic cholecystectomy, laparoscopic ventral hernia repair, umbilical hernia repair, or inguinal hernia repair, which was carried out by one of five surgeons."

June 2017

What are the chances of surviving 25-foot fall?
USA Today, June 26, 2017

"Falls from more than 20 feet usually result in a trip to the emergency room, but even low-level falls can cause serious head injuries, according to the American College of Surgeons."

Aftermath
Proto Magazine, June 13, 2017

"One way to lift up smaller communities may be to include them in a national response network, says Ronald Stewart, chair of the department of surgery at the University of Texas Health Science Center at San Antonio and head of the committee on trauma for the American College of Surgeons. He believes the nation needs a plan for communication and cooperation among all emergency medical personnel and nurses, emergency room physicians, trauma surgeons and trauma centers."

May 2017

Surgeons on board with teaching public to stop bleeding in emergencies
Reuters, May 18, 2017

"After the shooting at Sandy Hook Elementary School in Connecticut in 2012, the American College of Surgeons created the Joint Committee to Create a National Policy to Enhance Survivability from Mass Casualty Shooting Events. Following the Boston Marathon bombing in 2013, the committee expanded their focus to all mass casualty events, as well as everyday events that result in severe bleeding, such as car accidents or kitchen knife mishaps."

Not All Hospitals Equal When It Comes to Pancreatic Cancer Care
U.S. News & World Report, May 8, 2017

"When it comes to treating pancreatic cancer, where you have your surgery may have some impact on how long you live, according to a new study...The study findings were published online recently in the Journal of the American College of Surgeons."

April 2017

New tool used to more accurately predict parathyroid cancer return
United Press International, April 28, 2017

"Researchers at the University of Texas MD Anderson Cancer Center have created a new prognostic tool to predict the risk of recurrence of parathyroid cancer in patients...The study was published in the Journal of the American College of Surgeons."

Getting in Shape for Surgery
Healthline, April 24, 2017

"Now, the American College of Surgeons is ramping up a program called Strong for Surgery.

The idea is simple.

'In all other areas of life you show up prepared. You should do the same thing for surgery' said Dr. Thomas K. Varghese Jr., general thoracic surgeon, an associate professor at the University of Utah School of Medicine, and a fellow with the American College of Surgeons."

Surgeons Challenge Research on Limits of Risk Calculator
HealthLeaders Media, April 10, 2017

"ACS researchers have looked at 21 studies challenging the tool's validity and determined that the studies had design limitations. As a result, they 'should not disqualify the SRC for its intended goal—to provide a general purpose estimate of complication risk across a wide variety of operations.'"

New hospital care standards for surgery on older adults: 6 things to know
Becker's Healthcare, April 7, 2017

"According to the CDC, 38 percent of surgeries performed in 2010 were on patients age 65 or older, and that is only poised to grow as baby boomers age. To address the growing group of elderly surgical patients, the Annals of Surgery published the first comprehensive set of hospital-level surgical care standards specifically for older adults on Thursday.

The standards were put together after two years of evaluation performed by the Coalition of Quality in Geriatric Surgery, which represents the American College of Surgeons and 58 stakeholder organizations."

March 2017

Statewide Trauma System Cuts Preventable Deaths By Half
HealthLeaders Media, March 22, 2016

"The analysis, appearing this month in the Journal of the American College of Surgeons, found that over the past five years, the statewide trauma system has reduced preventable deaths by 48%, saved 79 lives in a 12-month period, and saved $186 million, providing taxpayers with a nine-fold return on investment."

Kidney Transplant Survival Up Among Babies, Kids
HealthDay, March 6, 2017

"Long-term outcomes have also improved. Only 42 percent of kids who got a new kidney between 1963 and 1983 still had a functioning transplant 10 years later. That compares to 58 percent who had transplants between 1984 and 2001, and 70 percent since then, the researchers found.

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

February 2017

Self-Checks Help Spot Melanoma's Return
U.S. News & World Report, February 20, 2017

"Patient-detected symptoms such as changes on their skin, coughing blood, or seizures were the most common ways that recurrence was detected, accounting for 40 percent of cases.

Thirty percent were detected by scheduled doctor exams and 26 percent were spotted in routine imaging tests, according to the study published recently in the Journal of the American College of Surgeons."

Why Weight Loss Surgery Works When Diets Don’t
New York Times, February 14, 2017

"[Jon C. Gould, MD, FACS,] suggested that people interested in bariatric surgery seek out programs that have been jointly accredited by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery, which have combined forces to promote quality control."

ACS and Johns Hopkins aim to cut surgery stays in half with $16 million study
DOTmed, February 13, 2017

"The American College of Surgeon and Johns Hopkins Armstrong Institute for Patient Safety and Quality are looking for 750 hospitals that are willing to radically shake up the way they deliver surgical care."

January 2017

Cancer patients with depression have resources
Reuters, January 20, 2017

"The Commission on Cancer, an accreditation group that is part of the American College of Surgeons and issues guidelines for cancer care, expanded its emphasis on treating psychosocial distress and mental health in a 2015 guideline update. Since then, cancer centers have stepped up their assessments of mental health, she said."