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October 2024 - July 1920

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June 2013, Vol 148, No. 6, Pages 488-578

Viewpoint

Patient Blood Management: Key for Accountable Care Organizations

Abstract Full Text
JAMA Surg. 2013;148(6):491-492. doi:10.1001/jamasurg.2013.69
Editorial

Online First: More of a Great Thing

Abstract Full Text
JAMA Surg. 2013;148(6):490. doi:10.1001/jamasurg.2013.1565
Original Article

Predicting Disease Progression After Regional Therapy for In-Transit Melanoma

Abstract Full Text
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JAMA Surg. 2013;148(6):493-498. doi:10.1001/jamasurg.2013.695

Using a prospectively maintained database to identify patients who either underwent a first-time melphalan-based isolated limb infusion or a first-time hyperthermic isolated limb perfusion for in-transit melanoma, Lidsky and coauthors identify patient-related clinical and pathological variables, as well as procedural factors, that correlate with disease progression. See invited critique by Kemeny.

Comparison of Radiation Exposure and Cost Between Dynamic Computed Tomography and Sestamibi Scintigraphy for Preoperative Localization of Parathyroid Lesions

Abstract Full Text
free access
JAMA Surg. 2013;148(6):500-503. doi:10.1001/jamasurg.2013.57

A retrospective review of 263 preoperative patients with hyperparathyroidism was conducted by Madorin et al between 2006 and 2010 to compare the radiation dose and financial cost of dynamic computed tomography with sestamibi scintigraphy. See Invited Critique by Coe.

Are Right-Sided Colectomy Outcomes Different From Left-Sided Colectomy Outcomes?Study of Patients With Colon Cancer in the ACS NSQIP Database

Abstract Full Text
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JAMA Surg. 2013;148(6):504-510. doi:10.1001/jamasurg.2013.1205

Kwaan and colleagues reviewed the American College of Surgeons National Surgical Quality Improvement Program database to determine whether the complication rate differs between right-sided and left-sided colectomy for cancer.

The Modern Surgery Department Chairman: The Job Description as Identified by Chairmen

Abstract Full Text
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JAMA Surg. 2013;148(6):511-515. doi:10.1001/jamasurg.2013.1230

In an Internet-based survey e-mailed to program chairmen of surgery departments to determine their perception of the job, Slakey and coauthors evaluate the chairmen鈥檚 responsibilities, methods of support, determinants of job performance success, and concerns. See the invited critique by Rikkers.

Delay in Surgical Treatment and Survival After Breast Cancer Diagnosis in Young Women by Race/Ethnicity

Abstract Full Text
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JAMA Surg. 2013;148(6):516-523. doi:10.1001/jamasurg.2013.1680

Smith et al examine the impact of treatment delay time, race/ethnicity, socioeconomic status, insurance status, cancer stage, and age on the survival from breast cancer among adolescent and young adult women. See the Invited Critique by Neumayer.

Comparative Effectiveness of Minimally Invasive and Open Distal Pancreatectomy for Ductal Adenocarcinoma

Abstract Full Text
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JAMA Surg. 2013;148(6):525-531. doi:10.1001/jamasurg.2013.1673

Magge et al determined the relative safety and oncologic efficacy of minimally invasive distal pancreatectomy compared with open procedures for early-stage pancreatic ductal carcinoma.

Risk Adjustment for Case Mix and the Effect of Surgeon Volume on Morbidity

Abstract Full Text
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JAMA Surg. 2013;148(6):532-536. doi:10.1001/jamasurg.2013.1509

Maas and colleagues conducted an observational cohort study to determine whether the relationship between surgeon volume and outcomes is an artifact of case mix using a prospective sample of carotid endarterectomy cases. Christopher J. Abularrage, MD, provides an invited critique.

Protective Effects of Tranexamic Acid on Clopidogrel Before Coronary Artery Bypass Grafting: A Multicenter Randomized Trial

Abstract Full Text
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JAMA Surg. 2013;148(6):538-547. doi:10.1001/jamasurg.2013.1560

In a multicenter randomized, blinded trial, Shi et al evaluate the influence and interaction of clopidogrel bisulfate and tranexamic acid on bleeding and transfusion outcomes in coronary artery bypass grafting. See the Invited Critique by Faraday.

Anticipating the Effects of Accountable Care Organizations for Inpatient Surgery

Abstract Full Text
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JAMA Surg. 2013;148(6):549-554. doi:10.1001/jamasurg.2013.1699

Miller and coauthors assessed whether existing integrated delivery systems are associated with improved quality and lower costs for episodes of inpatient surgery. See invited critique by Penson.

Impact of Bariatric Surgery on Health Care Costs of Obese Persons: A 6-Year Follow-up of Surgical and Comparison Cohorts Using Health Plan Data

Abstract Full Text
free access has audio
JAMA Surg. 2013;148(6):555-561. doi:10.1001/jamasurg.2013.1504

Weiner et al provide a comprehensive, multiyear analysis of health care costs by type of procedure within a large cohort of privately insured persons who underwent bariatric surgery compared with a matched nonsurgical cohort.

Invited Critique

Having Trouble Making Predictions: Comment on 鈥淧redicting Disease Progression After Regional Therapy for In-Transit Melanoma鈥

Abstract Full Text
JAMA Surg. 2013;148(6):499. doi:10.1001/jamasurg.2013.706

X-rayted and Overexposed: Comment on 鈥淐omparison of Radiation Exposure and Cost Between Dynamic Computed Tomography and Sestamibi Scintigraphy for Preoperative Localization of Prathyroid Lesions鈥

Abstract Full Text
JAMA Surg. 2013;148(6):503. doi:10.1001/jamasurg.2013.66

The Real Job: Recruit, Mentor, and Protect
Comment on 鈥淭he Modern Surgery Department Chairman鈥

Abstract Full Text
JAMA Surg. 2013;148(6):515. doi:10.1001/jamasurg.2013.1233

A Strong Argument for Improving Access Without Delay: Comment on 鈥淒elay in Surgical Treatment and Survival After Breast Cancer Diagnosis in Young Women by Race/Ethnicity鈥

Abstract Full Text
JAMA Surg. 2013;148(6):524. doi:10.1001/jamasurg.2013.1691

Risk Adjustment for Outcomes After Carotid Endarterectomy: Comment on 鈥淩isk Adjustment for Case Mix and the Effect of Surgeon Volume on Morbidity鈥

Abstract Full Text
JAMA Surg. 2013;148(6):537. doi:10.1001/jamasurg.2013.1512

Balancing Thrombotic and Bleeding Risks Related to Antiplatelet Therapy in Coronary Bypass Surgery: Comment on 鈥淧rotective Effects of Tranexamic Acid on Clopidogrel Before Coronary Artery Bypass Grafting鈥

Abstract Full Text
JAMA Surg. 2013;148(6):548. doi:10.1001/jamasurg.2013.1571

Accountable Care Organizations in Surgery: Location, Location, Location: Comment on 鈥淲ill Accountable Care Organizations Cut Costs and Improve Quality for Inpatient Surgery?鈥

Abstract Full Text
JAMA Surg. 2013;148(6):554. doi:10.1001/jamasurg.2013.21

Is Bariatric Surgery Worth It?Comment on 鈥淚mpact of Bariatric Surgery on Health Care Costs of Obese Persons鈥

Abstract Full Text
JAMA Surg. 2013;148(6):561. doi:10.1001/jamasurg.2013.1515
Review

The Human Gut Microbiome: A Review of the Effect of Obesity and Surgically Induced Weight Loss

Abstract Full Text
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JAMA Surg. 2013;148(6):563-569. doi:10.1001/jamasurg.2013.5

Sweeney and Morton review literature examining the changes in the distal gut microbiome composition as it relates to the lean and obese phenotypes, particularly after surgical weight loss.

Special Feature

Image of the Month鈥擰uiz Case

Abstract Full Text
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JAMA Surg. 2013;148(6):573. doi:10.1001/jamasurg.2013.304a

Image of the Month鈥擠iagnosis

Abstract Full Text
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JAMA Surg. 2013;148(6):574-575. doi:10.1001/jamasurg.2013.304b

Image of the Month鈥擰uiz Case

Abstract Full Text
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JAMA Surg. 2013;148(6):577. doi:10.1001/jamasurg.2013.303a

Image of the Month鈥擠iagnosis

Abstract Full Text
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JAMA Surg. 2013;148(6):578. doi:10.1001/jamasurg.2013.303b
Resident's Forum

Effect of Insurance Payer Status on the Surgical Treatment of Early Stage Breast Cancer: Data Analysis From a Single Health System

Abstract Full Text
JAMA Surg. 2013;148(6):570-572. doi:10.1001/jamasurg.2013.61

Adepoju and colleagues conducted a retrospective study examining the effect of insurance payer status on mastectomy rates of 1539 women treated within a single health system.

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