This study describes the characteristics, angiographic findings, and treatment patterns of patients with stable angina symptoms undergoing cardiac catheterization and/or percutaneous coronary intervention before noncardiac surgery in a large national registry.
This study examined functional status trajectories, changes in ambulatory status, and survival after lower extremity revascularization in nursing home residents. Of nursing home residents in the United States who undergo lower extremity revascularization, few are alive and ambulatory 1 year after surgery. Most who were still alive had gained little, if any, function.
This Special Communication discusses the changes in perioperative cardiovascular care during the past 3 decades and lessons learned to reduce morbidity and mortality.
This systematic review finds that most patients overestimate the benefits and underestimate the harms of screening, tests, and treatments.
Du et al compare early mortality after aortic valve replacement (AVR) between the recipients of mechanical and bioprosthetic aortic valves and between the subgroups who undergo isolated AVR vs concurrent coronary artery bypass graft.
Chen and colleagues describe the use of medical consultations for hospitalized surgical patients, factors associated with use, and practice variation across hospitals. Sharma provides an Invited Commentary.
Brinkman et al determine whether preoperative β-blocker use within 24 hours of coronary artery bypass grafting (CABG) surgery is associated with reduced perioperative mortality in a contemporary sample of patients. See also the Invited Commentary by Shahian.
Beaudoin et al describe an outbreak of severe group A Streptococcus infections among persons undergoing tumescent liposuction between July 1 and September 14, 2012, at 2 outpatient cosmetic surgery facilities (one in Maryland and the other in Pennsylvania) not subject to state or federal regulation. See the invited commentary by Morgan and Harris.
Schwartz et al develop claims-based measures of low-value services, examine service use (and associated spending) detected by these measures in Medicare, and determine whether patterns of use are related across different types of low-value services. See also the editor’s note by Katz et al.
Thilen et al assess temporal trends, explanatory factors, and geographic variation for preoperative consultation in Medicare beneficiaries undergoing cataract surgery, a common low-risk elective procedure. Fleisher provides an Invited Commentary.
Andersson et al assess the association of β-blocker treatment with major cardiovascular adverse events and all-cause mortality in patients with ischemic heart disease undergoing noncardiac surgery. Also see the invited commentary by Whelton and Bansal.
Fowler et al surveyed how patients 40 years and older describe the decision-making process for 10 common medical decisions, including 6 that are most often made in primary care. See the Invited Commentary by Lipkin.