geoffrey modest medical blogs

published 4/8/20 A recent observational study of 34 patients undergoing elective surgery found that those with unknown asymptomatic Covid-19 had stormy courses (see  covid surgery inc risk eclinmed2020  in dropbox, or  doi.org/10.1016/j.eclinm.2020.100331 )   Details: 34 patients at 4 hospitals in Wuhan China underwent elective surgeries likely during the incubation period of Covid, and were asymptomatic -- median age 55, 9% women -- surgery or was graded by intensity:      -- level I (low risk, simple procedure, low technical difficulty; e.g. breast mass excision): 1 patient      -- level II (mild risk, mild complexity of procedures and mild technical difficulty; e.g. laparoscopic appendectomy, debridement): 11 patients, 32%      -- level III (moderate risk, complex procedures, and more technically difficult; e.g. radical mastectomy, pancreatoduodenectomy): 20 patients, 59%      -- level...

2 articles just came out from the same research group looking at the long evity of both hip and knee replacements. -------------------------- Total hip replacement (see  hip replacement 25 yrs lancet2019 in dropbox, or Evans JT. Lancet 2019; 393: 647): Details: -- there were 2 data-sets that were analyzed for articles of patients with at least 15 years of survival after primary, conventional total hip replacement (THR) implants     -- a review of 44 series of patients reported, including journal articles and case series (13,212 THRs), with follow-up ranging from 15 to 40 years     -- analysis of national joint replacement registries, limited to those from Australia and Finland, with 215,676 THRs -- 60% female, 90% of THRs were done for osteoarthritis, and the typical patient in the UK was 69.8 years old if female, 67.6 years old if male, BMI was 28.8 -- Main outcome: all-cause implant survival Results: -- per ...