The cumulative risk of reoperation for hernia recurrence was significantly lower for patients who had
open mesh repair ( 12.3%) or laparoscopic mesh repair ( 10.6%) than for those who had nonmesh
repair ( 17.1%).
The mesh tradeoff: Lower risk
of recurrence vs. complications
providers will see
PQRS pay cut
BY ALICIA GALLEGOS
Frontline Medical News
About half of all physicians who participate in the Physi- cian Quality Reporting System (PQRS) soon will learn that their Medicare pay will be cut by up to 2% in 2017.
The Centers for Medicare & Medicaid Services has
completed its assessments for reporting year 2015 and has
begun notifying physicians that a 2.0% negative payment
adjustment is forthcoming for those who did not satisfactorily report PQRS quality measures or who failed to satisfactorily report qualified clinical data registry measures.
Doctors who don’t report any data for PQRS will see a
pay cut up to 6% of their 2017 payments on 2015 reporting. They will have just 2 months to challenge findings that
they believe were made in error to spare themselves the
2017 cut, according to a CMS announcement.
If doctors believe their 2017 PQRS pay cut is erroneous,
they can submit an informal review request by 11:59 p.m.
EST on Nov. 30. CMS will investigate the merits of all
review requests and issue a decision within 90 days. All
requests for informal review must be submitted via a Web-based tool on the quality reporting communication support
page ( https://goo.gl/HzjOuf ). There are no hardship exemp-
VOL. 12 • NO. 11
See PQRS Â page 4
10 l Commentary
Patrick V. Bailey, MD, FACS, offers an
overview of the impact on surgeons of
the finalized MACRA rule.
17 l Bariatric Surgery
Cyrus Jahansouz, MD, presented a
study at the Clinical Congress on gut
microbiome after bariatric surgery.
27 l Trauma
Ronnie Mubang, MD, presented a study
at the Clinical Congress on the Cranial
CT Scoring Tool.
Online & In-Depth
David J. Cohen, MD, interventional cardiologist
at Saint Luke’s Health System in Kansas City,
spoke at the Transcatheter Cardiovascular
Therapeutics annual meeting on the results of
the EXCEL and NOBLE trials. Watch the video
interview at https://goo.gl/QtkoEx.
BY MARY ANN MOON
Frontline Medical News
FROM THE ACS CLINICAL CONGRESS
WASHINGTON – A study of patients having
hernia repair surgery suggests that long-term
follow-up is needed to establish the complete
spectrum of risks for recurrence and mesh
Among patients undergoing elective incisional repair of abdominal wall hernias, the
use of mesh reinforcement decreases the
short-term recurrence rate by 5% but increases major complications by approximately the
same amount over the subsequent 5 years,
Dunja Kokotovic, MB, reported at the annual
clinical congress of the American College of
“Given the continuously increasing incidence of mesh-related complications with
time, it is expected that, with even longer
follow-up up than the 5 years observed in this
study, mesh-related complications continue to
accrue,” said Dr. Kokotovic of the Center for
Surgical Science, Zealand University Hospital,
The findings of this observational regis-try-based cohort study were presented at
the congress and simultaneously published
online in JAMA (2016 Oct 17. doi: 10.1001/
These results highlight the need to assess
the long-term safety of interventions before
making definitive conclusions about their
benefits and widely adopting them. In the
See Mesh Â page 8
Failure to report quality data is costly.
Pres orte d Sta n d ard
U . S . P o sta g e
Permit N o. 3 84
Lebanon Jct. K Y
ACSSURGERY N E W S C H A N GE SERVICE RE Q UESTE D
151 Fairchild A ve.,
S uite 2,
Plain vie w , N Y 1 1 8 0 3-1 7 0 9
The Co-Editors of ACS Surgery News, Karen E.
Deveney, MD, FACS, and Tyler G. Hughes, MD,
FACS, want the publication to be a source of
reliable, vetted information that gives surgeons
a place of intellectual security along the
Â Page 7