Kristy L. Kummerow, MD; Liping Du, PhD; David F. Penson, MD, MPH; et al.
free access
has audio
JAMA Surg. 2015;150(1):9-16. doi:10.1001/jamasurg.2014.2895
This retrospective study demonstrates trends toward higher proportions of breast conservation surgery–eligible patients undergoing mastectomy, breast reconstruction, and bilateral mastectomy in the past decade. See also the Invited Commentary by Sun and Zenilman.
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Podcast:
Nationwide Trends in Mastectomy for Breast Cancer (JAMA Surgery)
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Invited Commentary
The Swinging Pendulum
Bonnie Sun, MD; Michael E. Zenilman, MD
JAMA Surg
Christina E. Bailey, MD, MSCI; Chung-Yuan Hu, MPH, PhD; Y. Nancy You, MD, MHSc; et al.
free access
JAMA Surg. 2015;150(1):17-22. doi:10.1001/jamasurg.2014.1756
This retrospective cohort study using the Surveillance, Epidemiology, and End Results registry reports that there has been a significant increase in the incidence of colorectal cancer diagnosed in young adults, with a decline in older patients. Turaga provides a related .
Jamie E. Anderson, MD, MPH; David C. Chang, PhD, MPH, MBA
free access
JAMA Surg. 2015;150(1):24-29. doi:10.1001/jamasurg.2014.947
This study reports that rigorous risk-adjusted surgical quality assessment can be performed solely with objective variables. By leveraging data already routinely collected for patient care, this approach allows for wider adoption of quality assessment systems in health care.
Csaba Gajdos, MD; Deidre Kile, MS; Mary T. Hawn, MD, MPH; et al.
free access
JAMA Surg. 2015;150(1):30-36. doi:10.1001/jamasurg.2014.863
This retrospective cohort study demonstrates that impaired sensorium significantly increases postoperative morbidity and mortality independent of other preoperative risk factors and comorbidities following nonemergent general surgical operations.
Pacific Coast Surgical Association
John W. Morgan, DrPH, CPH; Liang Ji, MBA; Garrett Friedman, MD; et al.
free access
JAMA Surg. 2015;150(1):37-43. doi:10.1001/jamasurg.2014.678
This retrospective review of data indicates that the survival outcome in patients undergoing surgery for gastric cancer is associated with lymph node count rather than with cancer program classification.
Rachel H. Bhak, MS; Michael Wininger, PhD; Gary R. Johnson, MS; et al.
free access
JAMA Surg. 2015;150(1):44-50. doi:10.1001/jamasurg.2014.2025
This study suggests that smoking cessation and control of diastolic blood pressure are direct actions that should be taken to reduce the rate of abdominal aortic aneurysm expansion.
Innovation in Safety: Safety in Innovation
Mila H. Ju, MD, MS; Clifford Y. Ko, MD, MS, MSHS; Bruce L. Hall, MD, PhD, MBA; et al.
free access
JAMA Surg. 2015;150(1):51-57. doi:10.1001/jamasurg.2014.2891
Based on a pilot sample of hospitals that participate in both the NHSN and the ACS NSQIP programs, colon surgical site infection rates from the 2 programs should not be used interchangeably to evaluate hospital performance and determine reimbursement. See the Invited Commentary by Hawn.
Thomas C. Tsai, MD, MPH; E. John Orav, PhD; Ashish K. Jha, MD, MPH
free access
JAMA Surg. 2015;150(1):59-64. doi:10.1001/jamasurg.2014.2071
This Medicare claims study found that 1 in 4 US patients is readmitted to a hospital other than the one where the initial operation was performed.
Elliot Wakeam, MD; Joseph A. Hyder, MD, PhD; Wei Jiang, MS; et al.
free access
JAMA Surg. 2015;150(1):65-73. doi:10.1001/jamasurg.2014.1795
This matched analysis study quantified the effect of index complications on patient risk of specific secondary complications.