October 6, 2015 Issue of JAMA

October 6, 2015, Vol 314, No. 13, Pages 1315-1418

This Week in JAMA

Highlights

Abstract Full Text

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JAMA. 2015;314(13):1315-1317. doi:10.1001/jama.2014.12005

Podcast: Minimally invasive surgery for rectal cancer and diverticulitis, rehabilitation after immobilization for ankle fracture, long-term outcomes after carpal tunnel release, and more.

Original Investigation

Effect of Laparoscopic-Assisted Resection vs Open Resection of Stage II or III Rectal Cancer on Pathologic Outcomes: The ACOSOG Z6051 Randomized Clinical Trial

James Fleshman, MD; Megan Branda, MS; Daniel J. Sargent, PhD; et al.

Abstract Full Text

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JAMA. 2015;314(13):1346-1355. doi:10.1001/jama.2015.10529

This randomized trial compared differences between laparoscopic and open resection on completeness of excision and negative margins in patients with stage II or III rectal cancer.

Podcast: Laparoscopic vs Open Resection for Rectal Cancer

Editorial
Minimally Invasive Approaches to Rectal Cancer and Diverticulitis: Does Less Mean More?
Scott A. Strong, MD; Nathaniel J. Soper, MD

JAMA

Effect of Laparoscopic-Assisted Resection vs Open Resection on Pathological Outcomes in Rectal Cancer: The ALaCaRT Randomized Clinical Trial

Andrew R. L. Stevenson, MB BS, FRACS; Michael J. Solomon, MB BCh, MSc, FRCSI, FRACS; John W. Lumley, MBBS, FRACS; et al.

Abstract Full Text

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JAMA. 2015;314(13):1356-1363. doi:10.1001/jama.2015.12009

This randomized trial compared differences between laparoscopic and open resection on completeness of excision and on negative margins among adult patients from Australia and New Zealand with T1-T3 rectal adenocarcinoma less than 15 cm from the anal verge.

Editorial
Minimally Invasive Approaches to Rectal Cancer and Diverticulitis: Does Less Mean More?
Scott A. Strong, MD; Nathaniel J. Soper, MD

JAMA

Laparoscopic Lavage vs Primary Resection for Acute Perforated Diverticulitis: The SCANDIV Randomized Clinical Trial

Johannes Kurt Schultz, MD; Sheraz Yaqub, MD, PhD; Conny Wallon, MD, PhD; et al.

Abstract Full Text

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JAMA. 2015;314(13):1364-1375. doi:10.1001/jama.2015.12076

This randomized trial compared postoperative outcomes among patients undergoing emergency laparoscopic lavage vs primary colon resection procedures for acute perforated diverticulitis.

Editorial
Minimally Invasive Approaches to Rectal Cancer and Diverticulitis: Does Less Mean More?
Scott A. Strong, MD; Nathaniel J. Soper, MD

JAMA

Rehabilitation After Immobilization for Ankle Fracture: The EXACT Randomized Clinical Trial

Anne M. Moseley, PhD; Paula R. Beckenkamp, BPhysio; Marion Haas, PhD; et al.

Abstract Full Text

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JAMA. 2015;314(13):1376-1385. doi:10.1001/jama.2015.12180

This randomized trial compares the effects of a supervised exercise program and advice vs advice alone on activity limitation and quality of life among adults with isolated ankle fracture.

Research Letter

Return to Acute Care Following Ambulatory Surgery

Claudia A. Steiner, MD, MPH; Melinda Maggard-Gibbons, MD, MSHS; Susan Oehme Raetzman, MSPH; et al.

Abstract Full Text

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JAMA. 2015;314(13):1397-1399. doi:10.1001/jama.2015.12210

This population epidemiology study used data from the Healthcare Cost and Utilization Project database to characterize rates of all-cause unplanned visits within 30 days of ambulatory surgery and the relationships between the cause for the revisit and the preceding operation.

Extended Follow-up of a Randomized Clinical Trial of Open vs Endoscopic Release Surgery for Carpal Tunnel Syndrome

Isam Atroshi, MD, PhD; Manfred Hofer, BSc; Gert-Uno Larsson, MD; et al.

Abstract Full Text

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JAMA. 2015;314(13):1399-1401. doi:10.1001/jama.2015.12208

This study uses follow-up data from a randomized trial comparing open and endoscopic release surgery for carpal tunnel syndrome to compare outcomes 11 to 16 years after surgery.

Viewpoint

Facilitating Quality Improvement: Pushing the Pendulum Back Toward Process Measures

Karl Y. Bilimoria, MD, MS

Abstract Full Text

JAMA. 2015;314(13):1333-1334. doi:10.1001/jama.2015.12470

This Viewpoint defends the use measures in quality improvement initiatives and outlines lessons from past experiences that could make their future use as quality measures more successful.

Hospital Networks and Value-Based Payment: Fertile Ground for Regionalizing High-Risk Surgery

Karan R. Chhabra, AB; Justin B. Dimick, MD, MPH

Abstract Full Text

JAMA. 2015;314(13):1335-1336. doi:10.1001/jama.2015.9803

This Viewpoint describes the shifts made by hospital networks toward a new type of surgical regionalization to improve surgical outcomes and overall clinical quality.

The Potential Hazards of Hospital Consolidation: Implications for Quality, Access, and Price

Tim Xu, MPP; Albert W. Wu, MD, MPH; Martin A. Makary, MD, MPH

Abstract Full Text

JAMA. 2015;314(13):1337-1338. doi:10.1001/jama.2015.7492

This Viewpoint discusses the implications of the growing trend of hospital consolidation for quality, access, and price of care.

J-Shaped Curves and Public Health

Dave A. Chokshi, MD, MSc; Abdulrahman M. El-Sayed, MD, DPhil; Nicholas W. Stine, MD

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JAMA. 2015;314(13):1339-1340. doi:10.1001/jama.2015.9566

This Viewpoint discusses approaches to public health communication challenges posed by J-shaped associations between health effects and major modifiable risk factors.

A Piece of My Mind

All for One

Aaron L. Berkowitz, MD, PhD

Abstract Full Text

JAMA. 2015;314(13):1341-1342. doi:10.1001/jama.2015.4888

Editorial

Minimally Invasive Approaches to Rectal Cancer and Diverticulitis: Does Less Mean More?

Scott A. Strong, MD; Nathaniel J. Soper, MD

Abstract Full Text

JAMA. 2015;314(13):1343-1345. doi:10.1001/jama.2015.11454

From the 糖心vlog

Challenges in Reducing Surgical 鈥淣ever Events鈥�

Elizabeth R. Berger, MD; Caprice C. Greenberg, MD, MPH; Karl Y. Bilimoria, MD, MS

Abstract Full Text

JAMA. 2015;314(13):1386-1387. doi:10.1001/jama.2015.12327

This commentary describes 3 types of interventions to reduce the occurrence of wrong-site surgeries, retained surgical items, and operating room fires in response to a systematic review published in JAMA Surgery.

Eliminating the Confusion Surrounding Concussions in Sports

Michael W. Wandling, MD; Oscar D. Guillamondegui, MD, MPH

Abstract Full Text

JAMA. 2015;314(13):1388-1389. doi:10.1001/jama.2015.12329

This commentary describes the difficulties in studying concussion injury with regards to a study published in JAMA Pediatrics involving data for football players at the youth league, high school, and collegiate levels.

JAMA Clinical Challenge

Recurrent Painful Abdominal Rash

Julia G. Ridgeway-Diaz, MS; Julie C. Philp, MD; Jeffrey P. North, MD

Abstract Full Text

JAMA. 2015;314(13):1390-1391. doi:10.1001/jama.2015.9308

An 80-year-old woman with diabetes, hypertension, and TIAs presented with a painful rash on her flank. She had no fever, systemic symptoms, joint pain, or skin thickening; a punch biopsy showed a vacuolar interface dermatitis pattern. What would you do next?

Medical News & Perspectives

Exploring the Promise of Mindfulness as Medicine

Laura Buchholz

Abstract Full Text

JAMA. 2015;314(13):1327-1329. doi:10.1001/jama.2015.7023

This Medical News & Perspectives article explores the opportunities for and challenges of incorporating mindfulness interventions into clinical practice.

News From the Food and Drug Administration