American College of Surgeons, Oct. 3-7

The 105th Annual American College of Surgeons Clinical Congress

The annual meeting of the American College of Surgeons was held virtually this year from Oct. 3 to 7 and attracted participants from around the world, including surgeons, medical experts, allied health professionals, and administrators. The conference included hundreds of general and specialty sessions, postgraduate courses, scientific paper presentations, video-based education presentations, and posters focusing on the latest advances in surgical care.

In one study, Jose L. Cataneo, M.D., of the University of Illinois at Chicago/Metropolitan Group Hospitals, and colleagues found that women in the United States with limited English-language proficiency (LEP), especially Spanish speakers, appear to be at risk for lower rates of screening mammogram, regardless of their socioeconomic and breast cancer risk factors.

The authors analyzed 2015 data from the National Health Interview Survey that included 9,653 women, aged 40 to 75 years, who cited their primary language. The researchers found that 1,040 women presented with LEP, with most only speaking Spanish (756 women). In addition, among the 936 LEP women who provided mammogram data, the rate of screening mammogram was lower among LEP woman (78 percent) compared with proficient English-speaking women (90 percent).

“Nearly 2.5 million women from 40 to 75 years of age have limited English proficiency in the United States, and through the findings from this study, they appear to be a vulnerable group,” Cataneo said. “Focused efforts to transmit the importance and benefits from having a screening mammogram has to be communicated in patients’ native language. In addition, this information has to be conveyed in a manner that is completely understandable to potentially discover the barriers causing this disparity.”

Press Release

In a randomized clinical trial, Comparison of the Outcomes of antibiotic Drugs and Appendectomy, David Flum, M.D., of the University of Washington School of Medicine in Seattle, and colleagues found that many adults with appendicitis may effectively manage their condition with a course of antibiotics and avoid appendectomy for a few months.

The authors evaluated 1,552 adults with appendicitis across 25 U.S. medical centers to determine if a course of antibiotics was as effective as appendectomy. The researchers found that the health of patients who received a course of antibiotics was similar to the health of those who underwent appendectomy one month after the intervention.

“In the COVID era, it’s particularly important to know that nearly half of the patients in the antibiotics arm of the trial did not require hospitalization for their initial treatment and that seven in 10 patients avoided appendectomy by three months. This may be appealing to many patients,” Flum said. “People with appendicitis who want to avoid operation now have options and evidence to support that choice.”

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