COVIDprotocols.org: A New Approach to Developing Clinical Guidelines During a Crisis

COVIDprotocols.org, the world’s first and most comprehensive searchable website for step-by-step COVID-19 clinical guidelines, has its roots at the Brigham. Managing editor Edy Yong Kim, MD, PhD, of the Division of Pulmonary Care and Critical Care Medicine, provides a behind-the-scenes look at this valuable resource.

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Total Joint Arthroplasty: Should Patients Stay or Should They Go?

Doctor shaking hands with patient

Historically an inpatient procedure, total joint arthroplasties (TJAs) were recently removed from the U.S. Centers for Medicare & Medicaid Services’ inpatient-only list. Now the Brigham is leading the trend toward same-day discharge TJAs. Antonia F. Chen, MD, MBA, explains how the Brigham is managing this transition.

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Socioeconomic Disparities Evident in Access to Ambulatory Otolaryngologic Surgery

Male patient in hospital bed recovering

A new study of otolaryngologic procedures by Shekhar K. Gadkaree, MD, Regan W. Bergmark, MD, and colleagues shows socioeconomic factors—including race/ethnicity and type of insurance—are associated with surgical settings independent of comorbidity status.

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Translating Discoveries Into Better Treatments for Inflammatory Bowel Disease

Profile photo of Scott B. Snapper, MD, PhD

Developing better treatments for IBD requires understanding the underlying biological causes driving different forms of the disease. The Brigham’s Scott B. Snapper, MD, PhD, has devoted his research to this topic, which currently ranges from the creation of better mouse models to fostering early-stage clinical trials.

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Technical Note: Thoracoscopic Radial Diaphragm Plication

Medical hand reaching for surgical tools

Numerous approaches to diaphragm plication procedures have been reported, with no consensus on the ideal technique. Surgeons at Brigham and Women’s Hospital have developed a radial diaphragm plication technique that makes use of thoracoscopic instruments to increase lung volume with long-term benefits.

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Novel Metrics for GERD Evaluation Have Prognostic Value in Idiopathic Pulmonary Fibrosis

Older woman holding chest, GERD symptoms/discomfort

Previous studies of GERD have relied on multichannel intraluminal impedance and pH testing, which has substantial limitations including the need to count reflux episodes. Now, researchers at Brigham and Women’s Hospital have linked more advanced impedance metrics to the prognosis of patients with IPF.

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Review: Team Approach to Optimizing Metabolic Conditions Before Total Joint Replacement

X-ray of total knee joint replacement / knee arthroplasty front view and side view

Mass General Brigham’s Antonia F. Chen, MD, MBA, Christina Liu, MD, and colleagues detail the effects of metabolic disease on total joint arthroplasty outcomes. They also reviewed the literature on preoperative management of osteoporosis, vitamin D deficiency, and diabetes mellitus.

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