MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'elective'. Sat, 03 Sep 2011 02:25:31 +0100 http://www.medworm.com/index.php?rid=4331013&cid=t_209087_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftired-surgeons-how-long-was-the-patient-asleep%2F2011.01.10 In a recent New England Journal of Medicine, a perspective piece on what to do with fatigued surgeons is generating debate. The issue of work-hour restrictions has been a controversial issue when it comes to doctors in training, something that I wrote about earlier in the year in USA Today. But once doctors graduate and practice in the real world, there are no rules. As summarized in the WSJ’s Health Blog, the perspective piece argues for more regulation for tired surgeons: … self-regulation is not sufficient. Instead, “we recommend that institutions implement policies to minimize the likelihood of sleep deprivation before a clinician performs elective surgery and to facilitate priority rescheduling of elective procedures when a clinician is sleep-deprived,” they write. For exampl... Better Health blogs http://www.medworm.com/rss/comments.php?id=4331013 Mon, 10 Jan 2011 20:00:40 +0100 4331013 http://www.medworm.com/index.php?rid=3640951&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F08%2Fnhs-inpatient-and-outpatient-waiting-elective-admission-events-occurring-during-the-quarter-ending-31-march-2010%2F Title: NHS inpatient and outpatient waiting: elective admission events occurring during the quarter ending 31 March 2010 Skinny: The key points from the latest release are: Inpatient events The number of decisions to admit has increased by 64,000 (5.2%) to 1.3 million since the equivalent quarter last year. Similarly, the number of admissions from the list has increased by 55,000 (4.9%) to 1.2 million since the equivalent quarter last year. Outpatient referrals and attendances In quarter 4 of 2009-10: The number of GP referrals made has increased by 72,000 (2.6%) to 2.8 million against the same period last year. The number of other referrals made has increased by 52,000 (3.4%) to 1.6 million against Q4 2008-09. First attendances at consultant outpatient clinics have increased by 237,000... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3640951 Tue, 08 Jun 2010 13:44:41 +0100 3640951 http://www.medworm.com/index.php?rid=3552246&cid=t_209087_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffaith-in-healthcare-is-falling%2F2010.05.10 A newly-created index of consumer healthcare confidence has fallen steadily this year, reports The Thomson Reuters Consumer Healthcare Sentiment Index. Consumers report declining confidence in their ability to access, use, and pay for healthcare. The index, set at a baseline of 100 in December 2009, is now at 97. More consumers reported difficulty paying for services and insurance, or reported a reduction or cancellation of their insurance. More delayed or failed to fill a prescription in the past three months or canceled a diagnostic test (such as blood work, X-ray or mammogram). Further, consumers expect the situation to worsen in the next three months, including putting off elective surgery. Thomson will report figures monthly and has published their methodology online. *This bl... Better Health blogs http://www.medworm.com/rss/comments.php?id=3552246 Mon, 10 May 2010 20:00:00 +0100 3552246 http://www.medworm.com/index.php?rid=3533777&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F05%2F05%2Fthe-primary-care-trusts-and-strategic-health-authorities-waiting-times-directions-2010%2F Title: The Primary Care Trusts and Strategic Health Authorities (Waiting Times) Directions 2010 Skinny: Regulations for Strategic Health Authorities and Primary Care Trusts ensuring they must make arrangements to ensure that any provider providing services to persons for whom that Trust or Authority is responsible complies with the operational standards relating to patients on an 18 week referral to treatment pathway. Publisher: DH Size of Publication: 6p. Published: 08/03/2010 Filed under: Clinical Governance, Governance, Legislation, Primary Care, Quality, Scheduled Care/Elective Care, Waiting Times Tagged: Legislation, Primary Care, Regulations, Strategic Health Authorities, Waiting Times (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3533777 Wed, 05 May 2010 06:59:41 +0100 3533777 http://www.medworm.com/index.php?rid=3023118&cid=t_209087_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2F9BgVPJIVN08%2F The following post represents my personal opinion and not that of any groups or organizations with which I am affiliated. Okay, it’s enough already! Why is it that women are always the target? First it’s abortions, then mammograms, pap smears following closely, behind and now cosmetic surgery (although that’s not only women!) It looks like the Congress is desperate to find any savings anywhere. Why not tell it like it is, it’s raising taxes. Whether it is through so called elective procedures or levying taxes on devices and diagnostics, to be passed on to the patients, it’s a tax. Instead of rewriting the rules on mammograms which will cost lives, maybe not that many, but if it is your life that’s all that matters and focusing on false positives and unnecessary screening, ... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=3023118 Mon, 23 Nov 2009 18:05:21 +0100 3023118 http://www.medworm.com/index.php?rid=2367336&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Fglaucoma-diagnosis-and-management-of-chronic-open-angle-glaucoma-and-ocular-hypertension%2F Title: Glaucoma: diagnosis and management of chronic open angle glaucoma and ocular hypertension Source: NICE The Skinny: Guideline to improve the diagnosis and management of chronic open angle glaucoma (COAG) and ocular hypertension (OHT). Documents For healthcare professionals: CG85 Glaucoma: NICE guideline (37p, 247.73 Kb ) CG85 Glaucoma: NICE guideline (MS Word format) (37p, 635.5 Kb) CG85 Glaucoma: full guideline (261p, 5.28 Mb) CG85 Glaucoma: full guideline appendices (281p, 6.64 Mb) CG85 Glaucoma: quick reference guide (16p, 477.46 Kb) Documents For patients, carers and the public: CG85 Glaucoma: understanding NICE guidance (12p, 597.32 Kb) CG85 Glaucoma: understanding NICE guidance (large print) (20p, 88.95 Kb) Date of publication: April 2009 Publication type: Clinical Guidelin... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367336 Sat, 25 Apr 2009 06:00:04 +0100 2367336 http://www.medworm.com/index.php?rid=2367339&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Frivaroxaban-for-the-prevention-of-venous-thromboembolism%2F Title: Rivaroxaban for the prevention of venous thromboembolism Source: NICE The Skinny: This guidance is about when rivaroxaban should be used to reduce the risk of thromboembolism in adults who have surgery to replace their hip or knee joints in the NHS in England and Wales. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It does not cover using rivaroxaban to reduce the risk of venous thromboembolism in adults who have had other types of surgery. Documents For healthcare professionals: TA170 Venous thromboembolism - rivaroxaban: guidance (23p, 190.93 Kb) TA170 Venous thromboembolism - rivaroxaban: guidance (MS Word format) (23p, 553.5 Kb) TA170 Venous thromboembolism - rivaroxaban: quick ref guide(2p, 42.73 Kb) Documents For patient... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367339 Sat, 25 Apr 2009 05:57:47 +0100 2367339 http://www.medworm.com/index.php?rid=2367341&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Fcombined-bony-and-soft-tissue-reconstruction-for-hip-joint-stabilisation-in-proximal-focal-femoral-deficiency-pffd%2F Title: Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD) Source: NICE The Skinny: Children are sometimes born with defects of the hip joint and upper thigh bone, called proximal femoral focal deficiency, often abbreviated to PFFD. Surgical treatment, aiming to produce as functional a leg as possible, may be appropriate. This may also involve a corrective operation on the hip joint (sometimes referred to as the ‘superhip’ procedure). The initial operation may be combined with other surgery to lengthen the leg and treat other problems such as poor knee function at the same time or at a later date. Full guidance to the NHS in England, Wales, Scotland and Northern Ireland on ex-vivo hepatic resection and reimplantation ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367341 Sat, 25 Apr 2009 05:56:12 +0100 2367341 http://www.medworm.com/index.php?rid=2367343&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Fex-vivo-hepatic-resection-and-reimplantation-for-liver-cancer%2F Title: Ex-vivo hepatic resection and reimplantation for liver cancer Source: NICE The Skinny: This procedure involves removing the liver from the body, cutting away the diseased tissue, and reimplanting the remaining tumour-free liver into the patient. The liver may be affected by cancer, either spreading from other parts of the body or developing from within the organ. In some patients, the tumour may develop in parts of the liver that are dangerous or impossible to treat with surgery, for example, when the tumour is very close to major veins that connect to the liver. Full guidance to the NHS in England, Wales, Scotland and Northern Ireland on ex-vivo hepatic resection and reimplantation for liver cancer. Documents: IPG 298 Ex-vivo hepatic resection and reimplantation for liver cancer: ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367343 Sat, 25 Apr 2009 05:55:11 +0100 2367343 http://www.medworm.com/index.php?rid=2367345&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F25%2Fendoscopic-mastectomy-and-endoscopic-wide-local-excision-for-breast-cancer%2F Title: Endoscopic mastectomy and endoscopic wide local excision for breast cancer Source: NICE The Skinny: Treatment for early breast cancer usually involves surgery to remove all or part of the breast. In this keyhole procedure, part or all of the breast tissue is removed using special instruments inserted through small skin incisions. The skin envelope of the breast and nipple are left intact, ready for an implant that can be inserted during the same operation. Full guidance to the NHS in England, Wales, Scotland and Northern Ireland on ex-vivo hepatic resection and reimplantation for liver cancer. Documents: IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: guidance (2p,52.69 Kb ) IPG296 Endoscopic mastectomy and endoscopic wide local excision for breas... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367345 Sat, 25 Apr 2009 05:54:35 +0100 2367345 http://www.medworm.com/index.php?rid=2367377&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fendovascular-stent-grafts-for-the-treatment-of-abdominal-aortic-aneurysms%2F Title: Endovascular stent - grafts for the treatment of abdominal aortic aneurysms Source: NICE The Skinny: Endovascular stent-grafts are recommended as a possible treatment for people with abdominal aortic aneurysms if: the aneurysm is below their kidney and has not burst, surgery is appropriate, and the person and their specialist have discussed the risks and benefits of this and other procedures and decided that endovascular stent–grafts are appropriate. Aneurysm repair using endovascular stent–grafts should only be carried out in specialist centres by staff experienced in treating people with abdominal aortic aneurysms. Endovascular stent–grafts are not recommended for people whose abdominal aortic aneurysm has burst unless they are taking part in research with the data collect... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367377 Wed, 15 Apr 2009 09:30:08 +0100 2367377 http://www.medworm.com/index.php?rid=2367380&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fautologous-blood-injection-for-tendinopathy%2F Title: Autologous blood injection for tendinopathy Source: NICE The Skinny: Guidance to the NHS in England, Wales, Scotland and Northern Ireland on autologous blood injection for tendinopathy.  Tendonitis is the inflammation of the tendon - the fibrous tissue that connects muscles to bones - which may occur through overuse. In this treatment, blood is taken from the patient (which is sometimes treated in the laboratory) and then re-injected around the affected tendon to supply growth factors that initiate healing. Documents: IPG279 Autologous blood injection for tendinopathy: guidance (2-p, 35.76 Kb) IPG279 Autologous blood injection for tendinopathy: understanding NICE guidance (4p, 55.16 Kb) IPG279 Autologous blood injection for tendinopathy: understanding NICE guidance (MS Word form... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367380 Wed, 15 Apr 2009 09:23:27 +0100 2367380 http://www.medworm.com/index.php?rid=2367383&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fultrasound-guided-regional-nerve-block%2F Title: Ultrasound-guided regional nerve block Source: NICE The Skinny: Guidance to the NHS in England, Wales, Scotland and Northern Ireland on ultrasound-guided regional nerve block. There are a number of conditions for which regional anaesthesia to allow surgery is required for a specific part of the body. This technique aims to provide accurate placement of local anaesthetic by using ultrasound guidance to position needles that deliver the local anaesthetic in the correct place next to the nerves. Documents: Ultrasound-guided regional nerve block: guidance (2p, 35.27 Kb) Ultrasound-guided regional nerve block: understanding NICE guidance (4p, 55.79 Kb) Ultrasound-guided regional nerve block: understanding NICE guidance (MS Word format)(4p, 407 Kb) Ultrasound-guided regional nerve block:... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367383 Wed, 15 Apr 2009 09:22:53 +0100 2367383 http://www.medworm.com/index.php?rid=2367386&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fthoracoscopic-epicardial-radiofrequency-ablation-for-atrial-fibrillation%2F Title: Thoracoscopic epicardial radiofrequency ablation for atrial fibrillation Source: NICE The Skinny: Guidance to the NHS in England, Wales, Scotland and Northern Ireland on thoracoscopic epicardial radiofrequency ablation for atrial fibrillation.  Atrial fibrillation is a condition that affects the heart, causing an irregular pulse. It occurs when the electrical impulses controlling the heartbeat become disorganised, so that the heart beats irregularly and too fast. When this happens, the heart cannot efficiently pump blood around the body. This may cause symptoms such as palpitations, chest pain or discomfort, shortness of breath, dizziness and fainting. Atrial fibrillation increases the risk of blood clots and stroke. In thoracoscopic epicardial radiofrequency ablation, selected are... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367386 Wed, 15 Apr 2009 09:21:31 +0100 2367386 http://www.medworm.com/index.php?rid=2367391&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fcochlear-implants-for-severe-to-profound-deafness-in-children-and-adults%2F Title: Source: NICE The Skinny: A cochlear implant in one ear is recommended as a possible option for everyone with severe to profound deafness if they do not get enough benefit from hearing aids after trying them for 3 months. Cochlear implants in both ears are recommended for the following groups with severe to profound deafness only if they do not get enough benefit from hearing aids after trying them for 3 months and the implants are placed during the same operation: children adults who are blind or have other disabilities which mean that they depend upon hearing sounds for spatial awareness. An assessment should be carried out to find out if an implant would help before considering a cochlear implant. Any disabilities or difficulties in communicating, which might mean that the usua... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367391 Wed, 15 Apr 2009 09:19:05 +0100 2367391 http://www.medworm.com/index.php?rid=2367393&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Forgan-preservation-renal-machine-perfusion-and-static-storage%2F Title: Organ preservation (renal) - machine perfusion and static storage Source: NICE The Skinny: Technology appraisal recommending the following techniques for storing kidneys from donors who have died: machine perfusion using the LifePort kidney transporter cold static storage using Belzer UW storage solution or Marshall’s hypertonic citrate solution. The choice of storage method should be based on: the expertise and equipment available to the teams collecting the kidney how the teams are organised, and the distances involved. If more than one of the storage methods are equally suitable the least costly should be used. Documents For healthcare professionals: TA165 Organ preservation (renal) - machine perfusion and static storage: guidance (30p, 208.09 Kb) TA165 Organ preservat... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367393 Wed, 15 Apr 2009 09:18:57 +0100 2367393 http://www.medworm.com/index.php?rid=2308721&cid=t_209087_93_f&fid=36982&url=http%3A%2F%2Fprep4md.blogspot.com%2F2009%2F03%2Fbookmark-and-share.html Remember the summer elective I told you about sometime ago? I sent the application on Saturday and according to Aramex's website it has been delivered to them today. Hopefully Ill get an affermative reply soon. Keep your fingers crossed for me :)Thanks for reading :) ... http://prep4md.blogspot.com/ (Source: My M.D. Journey!) My M.D. Journey! blogs http://www.medworm.com/rss/comments.php?id=2308721 Mon, 30 Mar 2009 12:37:00 +0100 2308721 http://www.medworm.com/index.php?rid=2096178&cid=t_209087_93_f&fid=36982&url=http%3A%2F%2Fprep4md.blogspot.com%2F2009%2F01%2Fi-need-your-advice-regarding-medical.html If you were a medical student that just finished your basic sciences classes and had a 2 month summer vacation that you wanted to do something constructive with and you decided to take a basic science elective which would you choose?Biochem:Micro:Pharma:Please let me know what you think. And if you have any better suggestions please go ahead and leave a comment.Thanks for reading :) ... http://prep4md.blogspot.com/ (Source: My M.D. Journey!) My M.D. Journey! blogs http://www.medworm.com/rss/comments.php?id=2096178 Mon, 12 Jan 2009 03:45:00 +0100 2096178 http://www.medworm.com/index.php?rid=2513565&cid=t_209087_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FAAQc7i36suA%2Fdoctor-cold-tubal-reversal.html Many doctors will give you less than a warm response when you ask about tubal ligation reversal. Ever wonder why? I hope my personal experience can illustrate why general ob/gyn doctors may not support their patients who want to have their tubal ligations reversed, and why reproductive specialists mostly do IVF. I view tubal ligation reversal as a disappearing surgical skill that may not be available to patients in the future. This is why I asked to join Dr. Berger's staff at Chapel Hill Tubal Reversal Center. To help women with tubal ligations who want to get pregnant is the reason why I have embarked on the path to become a tubal ligation reversal specialist. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513565 Mon, 26 May 2008 18:56:21 +0100 2513565 http://www.medworm.com/index.php?rid=1460868&cid=t_209087_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F21%2Fhealthier-horizons-for-the-north-west%2F ‘Healthier Horizons for the North West’ calls for NHS services in the community and in hospitals to “raise their game” in terms of the quality of care they provide and to listen more to their patients and the public they serve.  It is the North West response to the Darzi Review. In 2008-09, North West NHS services have received £565 million in new growth money, which will now be used to deliver the aspirations set out in the report.  The report calls on the NHS in the North West, its stakeholders and members of the public to shift their focus much more towards the promotion of health and the prevention of illness.  The ‘Clinical Pathway Group reports 2008′ the full report from the eight clinical pathway groups feeding into this response is also available. (Source: F... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1460868 Wed, 21 May 2008 15:45:58 +0100 1460868 http://www.medworm.com/index.php?rid=1909218&cid=t_209087_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469509%2Finfection-risks-tubal-reversal.html In a recent email inquiry, someone asked if it would be safer to have tubal reversal surgery in a hospital. My response - “It is much safer to have tubal reversal surgery performed at Chapel Hill Tubal Reversal Center than in a hospital.” Infection and Medication Error Risks in Hospitals Roughly 100,000 people wind up with a [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909218 Wed, 16 Jan 2008 23:20:38 +0100 1909218 http://www.medworm.com/index.php?rid=1909219&cid=t_209087_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469510%2Ftubal-ligation-informed-consent.html I received an email message today from a patient that prompted me to write about informed consent for tubal ligation. (See my previous blog about informed consent for tubal reversal.) Here is the message that was sent to me. Hello, Dr. Berger, You performed tubal reversal surgery on me on 10/29/07, and I just found out [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909219 Tue, 15 Jan 2008 19:37:16 +0100 1909219 http://www.medworm.com/index.php?rid=463420&cid=t_209087_113_f&fid=34624&url=http%3A%2F%2Fblogs.bsti.com%2Fhealthcare%2F%3Fp%3D522 Not so critical, but (at least) interesting and (sometimes) useful news items: Government news: Bush to seek more health IT funds for rapid learning systems to help medical research, Lawmakers Push To Restart Health IT Legislation, Medicaid ‘transformation’ grants translate mostly to IT, Experts see need for federal financing of NHIN, Interim National Coordinator continues stay at ONC. AHIC should be provide the focus of oversight for federal healthcare IT efforts. MGMA: Slow Down on NPI Deadline. Commonwealth Fund reports  “appropriate deployment of modern IT” can slow the growth of healthcare costs. State Alliance for e-Health formally starts. Lots of ERH news: Health Affairs examines potential for EHRs to advance medical research, CCHIT certifies 18 add... Healthcare IT blogs http://www.medworm.com/rss/comments.php?id=463420 Fri, 02 Feb 2007 18:44:45 +0100 463420