Specialty Focus  
Volume IX | Issue 3                                      
January 21, 2020
                Practice specific news, analysis and commentary for Florida's Medical Specialists
Robotic surgeries surge to 15% of all procedures, despite limited evidence
Susan Kelly
Healthcare Dive

Robot-assisted procedures accounted for 15.1% of all general surgeries in 2018, up from just 1.8% in 2012, according to a study published Friday in J AMA Network Open. Researchers analyzed clinical registry data for 169,404 patients from Jan. 1, 2012 through June 30, 2018 who underwent robotic, open or laparoscopic procedures at 73 hospitals across Michigan. The data is from the Michigan Surgical Quality Collaborative, a partnership between the hospitals and Blue Cross/Blue Shield of Michigan that focuses on quality improvement for surgical care. The rapid uptake highlights a need for close monitoring of practice patterns in the adoption of robotic surgery to ensure enthusiasm for the technology does not get ahead of evidence showing clinical benefit, according to the study's authors.
Medical Office Space 2020
Amanda Bhikhari
As commercial real estate continues to grow, the medical office space is evolving to cater to new trends which affect the practice of medicine as well as the real estate industry as a whole. The healthcare sector is beginning to lean toward efficient spaces, and creating greater availability in spaces. Energy Efficiency, 'Home' Design, Technology and Outpatient Centers will be hot topics in the new year.



The one word that carries so much weight in the cancer experience
Anne Katz, RN, PhD 
The patient was well over 6 feet tall and looked like he had recently lost weight. When he took off his winter coat and hung it over the back of the chair, I could see his scapulae like wings under his sweater. He folded himself into the chair and carefully crossed his legs. He sighed softly as he arranged his arms across his chest and looked up at me.

"How can I help you?" I asked. This is my usual opening statement, even when I think I know the reason for the appointment. Most of my patients are referred to me by oncologists or the nurses who work with them, and before seeing the patient, I review the notes in the EHR. But it's important for me to hear from the patient why  they think they are seeing me. And I do want to help them in any way I can.

The man's eyes told me part of his story. He looked tired, beat up, and hovering on the point of hopeless. He was at the tail end of a brutal regimen for his colorectal cancer comprising anterior resection followed by weeks of radiation therapy and concurrent chemotherapy. He'd had all the expected side effects and was tired of all of it. So why was he seeing a sexuality counselor?
Adult Physical Inactivity Prevalence Maps by Race/Ethnicity
According to new state maps of adult physical inactivity, all states and territories had more than 15 percent of adults who were physically inactive and this estimate ranged from 17.3 to 47.7 percent. Inactivity levels vary among adults by race/ethnicity and location. Physical inactivity is defined as self-report of engaging in no leisure-time physical activity during the past month. The data come from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing state-based, telephone interview survey conducted by CDC and state health departments. The maps use combined data from 2015 through 2018 and show noticeable differences in the prevalence of physical inactivity by race/ethnicity.
Inside FloridaHealthIndustry.com