Immediate breast reconstruction cuts length of stay, readmission for older women | Plastic surgeons can turn an outie back into an innie | Old EHRs are little help in transition to value-based care, expert says
Women older than 65 who had direct-to-implant breast reconstruction had shorter drain duration, fewer hospital readmissions and postoperative visits, and shorter hospital stays than women who had tissue expander/implant reconstruction, despite the younger average age in the comparison cohort. The study, published in Plastic and Reconstructive Surgery, also found similar complication and failure rates between the two cohorts, suggesting that direct-to-implant reconstruction is a safe option for older women.
Pregnancy, laparoscopic surgery, weight loss and piercings can produce undesired changes in the navel that can be repaired with abdominoplasty or umbilicoplasty, says plastic surgeon Larry Leverett. Trend-setting celebrities have recently endorsed navelplasty, suggesting demand for the procedure might rise.
Dr. Clark Schierle on the Power of Canfield’s 3D Imaging Showing a client before and after images in 2D is good, but 3D is much more powerful. The number one thing compelling the patient to come in is the ability to see their personal results in 3D. Seeing themselves in 3D is what closes the deal. Learn more.
The transition in the US from fee-for-service to value-based care poses a higher financial risk for health care providers, and legacy EHR systems lack the capability to help providers improve patient outcomes while reducing costs, Dr. Charles Saunders writes. The expense of investing in new EHR systems may seem daunting, but smaller practices can work together and share infrastructure costs as part of an alternative payment model, Saunders writes.
Four Strategies for Developing Leaders Learn how organizations can prioritize talent development, from retired brigadier general Bernard Banks, Associate Dean of Leadership Development at Kellogg School of Management. Learn more.
Helping patients understand and prepare for surgery can reduce post-acute care costs and help health care providers meet targets under bundled payment models, says Charlene Frizzera, who served as an acting administrator at the CMS. Prehabilitation involves explaining to patients what they can do to improve the odds their surgery will succeed, such as exercising and eating a healthy diet before surgery, and studies have shown that just one to two hours of presurgical counseling can reduce the cost of care by $1,215 per episode.
Abeona Therapeutics' experimental therapy for recessive dystrophic epidermolysis bullosa, which was recently designated a regenerative medicine advanced therapy by the FDA, involves genetically engineering autologous cells to produce the collagen protein missing in people with the disease, says Abeona CEO Timothy Miller. The RMAT designation grants priority review to the therapy, and Abeona is working with the FDA to design a Phase III clinical trial.
Scientists in Argentina say they are developing a 3D-printed wound dressing that can be embedded with antibiotics and customized to fit the wound shape and depth, potentially preventing infection and accelerating healing of diabetic, burn and other wounds.