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Featured Articles

September 12, 2018

Utilization of Arteriovenous Grafts Secondary to Fistula Failure in Patients on Dialysis

Improvement of the clinical practice guidelines for chronic hemodialysis patients has become a priority for CMS.1,2 The use of an arteriovenous fistula has become widely endorsed as the optimal vascular access device. The other two commonly used access modalities include an arteriovenous graft and a central venous catheter. Read More

True Multidisciplinary Approach Essential for Limb Preservation

To prevent amputation, physicians must assemble a comprehensive multidisciplinary team to care for patients at risk for losing their limbs, Ramon Varcoe, MD, MBBS, MS, FRACS, PhD, said at AMP: The Amputation Prevention Symposium. A multidisciplinary approach to limb preservation begins with recognizing the major drivers of amputation. The global public health threat posed by the “tsunami of diabetes,” for instance, is a significant problem, he said. Read More

Behavioral Treatment Reduces Urinary Incontinence

A new group-administered behavioral treatment program was safe, cost-effective, reduced urinary incontinence frequency and severity, and improved quality of life among older women, according to a study published in JAMA Internal Medicine. “Urinary incontinence guidelines recommend behavioral interventions as first-line treatment using individualized approaches,” Ananias C. Diokno, MD, from the department of urology at Beaumont Hospital, Michigan, and colleagues wrote. “A one-time, group-administered behavioral treatment could enhance access to behavioral treatment.”  Read More

One-Third of Orthopedic Trauma Patients Did Not Meet New CDC SSI Definition

Patients with early vs late infection were not significantly different other than the need for flap coverage. About one-third patients at a level 1 trauma center did not meet the CDC definition for acute postoperative infection following fracture fixation, a presenter at the American Academy of Orthopaedic Surgeons Annual Meeting said. The CDC in 2016 changed the timeframe of its the definition of deep surgical site infections (SSIs) from within 1-year of the initial surgery to within 90 days of the initial surgery. Read More