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Editor's e-Note
According to the first study to examine long-term clinical outcomes with surgeon skill, when surgeons were rated as highly skilled, five-year survival rates for their colon cancer patients improved. Published online in JAMA Oncology, the study indicates that not only were there fewer postoperative complications but there also was longer survival in the patients of the more highly skilled surgeons.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at www.TodaysGeriatricMedicine.com, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at TGMeditor@gvpub.com. Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Kate Jackson, editor
e-News Exclusive
Surgical Experience Improves Survival

Colon cancer patients achieve better five-year survival rates when the surgeons who treat them are rated as highly skilled, according to findings from what authors say is the first study to link a surgeon’s technical skills with improved long-term clinical outcomes. The study is published online in JAMA Oncology and virtually presented as part of the American College of Surgeons (ACS) Commission on Cancer’s Annual Research Paper Competition.

“In the last few years, studies have shown that patients of more highly skilled surgeons have fewer immediate postoperative complications. This study moves to the next level and shows that patients of more highly skilled surgeons not only have fewer complications in the short term, they survive longer,” says Brian C. Brajcich, MD, a clinical scholar with the ACS, research fellow at Northwestern University School of Medicine, and lead study author.

The study was conducted by the Illinois Surgical Quality Improvement Collaborative (ISQIC), a group of 56 hospitals that perform 80% of the complex surgical operations across the state. The ISQIC is a collaborative partner with the ACS National Surgical Quality Improvement Program.

“A previous study done by our group found that lapses in surgical technique can result in a complication within a few days of surgery. This study is striking because no one has looked directly at the relationship between surgical skill and improved survival at the five-year mark, and, yes, surgeons with better skill achieve considerably better survival rates for their patients,” says Karl Y. Bilimoria, MD, MS, FACS, director of the Surgical Outcomes and Quality Improvement Center at Northwestern Medicine in Chicago, and an ACS faculty scholar.

Excluding skin cancers, colorectal cancer is the third most common type of cancer diagnosed in both men and women in the United States. The American Cancer Society estimates nearly 105,000 cases of colon cancer and 45,000 cases of rectal cancer will be newly diagnosed in 2021. Surgery is a mainstay of treatment. The type of surgery depends on the extent and location of the cancer and the goal of treatment. During a laparoscopic colectomy, for example, the surgeon removes the cancerous area of the colon, a small segment of normal colon on either side, and nearby lymph nodes.

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The Ongoing Low-Fat, Low-Carb Debate
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Suing for Wrongful Life
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Medications to Treat Addictions Are Becoming Increasingly Important
According to The Philadelphia Inquirer, as the opioid addiction crisis worsens, it’s becoming increasingly clear that medications can help save lives. The paper reports on two studies funded by the National Institutes of Health, one looking at the use of buprenorphine to treat opioid addiction, with care provided at a community pharmacy. The other looked at the use of a combination of buproprion, an antidepressant, and naltrexone, an opioid-blocking drug, to treat methamphetamine addiction.

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