ICE Hysterectomy Doc Named; ‘Trump Card’ Killed Drug Price Deal; Surviving COVID Winter

Welcome to the latest edition of Investigative Roundup, highlighting some of the best investigative reporting on healthcare each week.

ICE Hysterectomy Doc Named

The Daily Beast reported that Mahendra Amin, MD, is the ob/gyn at the center of the “excessive hysterectomy” scandal that arose out of a whistleblower complaint last week.

Though Amin wasn’t named in the original complaint — which said “high rates of hysterectomies” were performed on immigrant women in federal custody in Irwin County, Georgia — lawyers representing 17 detainees at the facility have since claimed that Amin performed unnecessary surgery on their clients.

The news outlet reported that Amin is not board-certified, which is a voluntary process. He does maintain an active medical license in Georgia.

Amin’s attorney said the doctor “vehemently den[ies]” the allegations.

The Washington Post, however, reported that Irwin County Hospital says its records show only two women in immigration custody had

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Stop Hysterectomy After Intraoperative Node Detection

Hysterectomy offered no advantage over primary chemoradiation for cervical cancer after intraoperative detection of positive lymph nodes, a large retrospective analysis showed.

Three-fourths of patients remained disease free at about 5 years, regardless of whether surgery continued after detection of nodal involvement or was abandoned in favor of chemoradiation. No other oncologic outcomes improved with surgery, and a subgroup analysis failed to identify any patients who benefited from continuation of surgery.

“The main strength of our study was the size of the cohort [n=515], since the largest cohorts so far in the literature are about 50 patients,” David Cibula, MD, of Charles University in Prague, Czech Republic, said during the 2020 European Society for Medical Oncology (ESMO) virtual congress.

“Additionally, only those patients with intraoperatively detected lymph node involvement were enrolled. In the literature, very often they mixed patients with preoperatively grossly enlarged lymph nodes.”

On the basis of the

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