Kaitlyn D’Onofrio

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A retrospective, multicenter study found that overlapping inpatient&nbsp;orthopaedic&nbsp;surgery does not create additional perioperative risk for certain complications.&nbsp;Between Jan. 1, 2015, and Dec. 31, 2015, 14,135&nbsp;orthopaedic&nbsp;surgical procedures were performed at five academic institutions. The study defined overlapping surgeries as &ldquo;2 skin incisions open simultaneously for 1 surgeon.&rdquo; The primary outcome was a 30-day perioperative complication; secondary outcomes were all-cause 30-day readmission, length of stay, and mortality.&nbsp;<blockquote class="twitter-tweet" data-width="500" data-dnt="true">
Understanding and Perception of Overlapping Surgery in an Orthopaedic Trauma Population: A Survey Study. <a href="https://t.co/u4AQDSGV5i">https://t.co/u4AQDSGV5i</a> <a href="https://t.co/R7mDExFdW9">pic.twitter.com/R7mDExFdW9</a>
&mdash; UVA Science Pubs (@UvaScience_Pubs) <a href="https://twitter.com/UvaScience_Pubs/status/1057217593910546433?ref_src=twsrc%5Etfw">October 30, 2018</a>
</blockquote><script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>Of the total operations, 40% were overlapping surgeries. Perioperative complication rates were 1% in the overlapping surgery group and 2% in the non-overlapping surgery group.&nbsp;&ldquo;The overlapping surgery group was non-inferior to the non-overlapping surgery group (odds ratio [OR], 0.61 [90% confidence interval (CI), 0.45 to 0.83]; p &lt; 0.001), with reduced odds of perioperative complications (OR, 0.61 [95% CI, 0.43 to 0.88]; p = 0.009),&rdquo; the researchers observed.&nbsp;The overlapping surgery group had a much lower risk of all-cause 30-day readmission than the overlapping surgery group&nbsp;(OR, 0.67 [95% CI, 0.52 to 0.87]; p = 0.003), as well as a shorter length of stay&nbsp;(e&beta;, 0.94 [95% CI, 0.89 to 0.99]; p = 0.012), but mortality rates did not differ between the groups.&nbsp;The study authors&nbsp;stated&nbsp;that&nbsp;choosing to perform overlapping surgery should happen &ldquo;on a case-by-case basis.&rdquo;&nbsp;&ldquo;Our results suggest that overlapping inpatient&nbsp;orthopaedic&nbsp;surgery does not introduce additional perioperative risk for the complications that we evaluated,&rdquo; they wrote.&nbsp;&ldquo;The suitability of this practice should be determined by individual surgeons on a case-by-case basis with appropriate informed consent.&rdquo;&nbsp;<a href="https://proddocwire.wpengine.com/future-of-medicine/improving-total-knee-replacements-with-robotic-arm-assisted-surgery/">Using Robots in Total Knee Replacements</a>&nbsp;<a href="https://proddocwire.wpengine.com/docwire-pick/total-knee-arthroplasty-tka-ipo-list/">Side Effects of Removing TKA from IPO List</a>&nbsp;<a href="https://proddocwire.wpengine.com/future-of-medicine/improving-total-knee-replacements-with-robotic-arm-assisted-surgery/">Risk of bias and the reporting of surgeons&rsquo; experience in randomized controlled trials of total hip and total knee arthroplasty: A systematic review</a>&nbsp;<a href="https://proddocwire.wpengine.com/abstracts/predicting-adverse-outcomes-after-total-hip-arthroplasty-a-comparison-of-demographics-the-american-society-of-anesthesiologists-class-the-modified-charlson-comorbidity-index-and-the-modified-frail/">Predicting Adverse Outcomes After Total Hip Arthroplasty: A Comparison of Demographics, the American Society of Anesthesiologists class, the Modified&nbsp;Charlson&nbsp;Comorbidity Index, and the Modified Frailty Index</a>&nbsp;Source:&nbsp;<a href="https://journals.lww.com/jbjsjournal/Abstract/2018/11210/Safety_of_Overlapping_Inpatient_Orthopaedic.2.aspx">The Journal of Bone &amp; Joint Surgery</a>

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Overlapping Inpatient Orthopaedic Surgery Safe, Study Finds

Orthopedics

A retrospective, multicenter study found that overlapping inpatient orthopaedic surgery does not create additional perioperative risk for certain complications.  ...

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