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When a patient is given surgery as her only option, Dr. Spies recommended that she ask about embolization and perhaps consult an expert in the technique, which is covered by insurance.
PAGE B13 Science Times Second Opinion Better Care Elsewhere Studies have confirmed that practice makes perfect in medicine, and the profession has known for at least three decades that outcomes for a given surgery are generally best at hospitals that perform that operation often.
In a recent study published in the Journal of the American Medical Association (JAMA), gastric bypass patients six years after surgery had on average lost 28% of their body weight, compared with a 0.2% weight gain in a control group that sought but was not given surgery.
It found that 80% of patients were given surgery within 48 hours - the recommended time-frame for treatment.
"We found 8% more patients died if they were operated on between 24 and 36 hours compared to those given surgery within 24 hours, and the risk increased to 20% for those receiving surgery after 48 hours," said Adrian Sayers, the lead author on the paper.
PHILADELPHIA--Last year, David Berd, an oncologist at Thomas Jefferson University here, found that melanoma patients given an injection of altered versions of their own tumor cells after surgery were nearly twice as likely to remain tumor-free as were patients given surgery alone.
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"It's kind of in now, it's kind of hip this year to give surgery," Ms. Rasin said.
"The wish-fulfillment format of these television shows has made it comfortable for people to give surgery to each other," he said.
"If we could confine cancer cells to the original tumor it would give surgery a much greater chance of success and reduce the risk of the disease reappearing in other parts of the body".
The researchers' colleagues divvied mice into three groups: those getting gastric bypass surgery; those given sham surgery; and those given sham surgery whose diet was restricted, to match what the bypass group weighed after the operation.
For the canceled surgeries, we use the given expected surgery durations.
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