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October 2024 - July 1920

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January 2015, Vol 150, No. 1, Pages 3-92

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
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JAMA Surg. 2015;150(1):3. doi:10.1001/jamasurg.2014.2483
Viewpoint

Conceptualizing Administrative Databases as Screening Tools for Health System Quality: Rethinking the Issue of Data Accuracy

Abstract Full Text
JAMA Surg. 2015;150(1):5-6. doi:10.1001/jamasurg.2014.1352
Editorial

Dawn of a New Decade for JAMA Surgery

Abstract Full Text
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JAMA Surg. 2015;150(1):7-8. doi:10.1001/jamasurg.2014.3564
Original Investigation

Nationwide Trends in Mastectomy for Early-Stage Breast Cancer

Abstract Full Text
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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.

Increasing Disparities in the Age-Related Incidences of Colon and Rectal Cancers in the United States, 1975-2010

Abstract Full Text
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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 .

Using Electronic Health Records for Surgical Quality Improvement in the Era of Big Data

Abstract Full Text
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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.

The Significance of Preoperative Impaired Sensorium on Surgical Outcomes in Nonemergent General Surgical Operations

Abstract Full Text
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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

The Role of the Cancer Center When Using Lymph Node Count as a Quality Measure for Gastric Cancer Surgery

Abstract Full Text
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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.

Factors Associated With Small Abdominal Aortic Aneurysm Expansion Rate

Abstract Full Text
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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

A Comparison of 2 Surgical Site Infection Monitoring Systems

Abstract Full Text
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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.

Care Fragmentation in the Postdischarge Period: Surgical Readmissions, Distance of Travel, and Postoperative Mortality

Abstract Full Text
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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.

Risk and Patterns of Secondary Complications in Surgical Inpatients

Abstract Full Text
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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.

Brief Report

Resident's Forum

Association of Geographic and Seasonal Variation With Diverticulitis Admissions

Abstract Full Text
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JAMA Surg. 2015;150(1):74-77. doi:10.1001/jamasurg.2014.2049

This study shows that low UV light exposure is associated with an increased rate of diverticulitis admissions and greater seasonal variation and supports a role for vitamin D in the pathogenesis of diverticulitis.

Invited Commentary

The Swinging Pendulum

Abstract Full Text
JAMA Surg. 2015;150(1):16. doi:10.1001/jamasurg.2014.2902

Screening Young Adults for Nonhereditary Colorectal Cancer

Abstract Full Text
JAMA Surg. 2015;150(1):22-23. doi:10.1001/jamasurg.2014.1765

Innovation in Safety: Safety in Innovation

Surgical Quality Measurement: The Good, the Bad, and the Ugly

Abstract Full Text
JAMA Surg. 2015;150(1):58. doi:10.1001/jamasurg.2014.2914
JAMA Surgery Clinical Challenge

Symptomatic Carotid Stenosis

Abstract Full Text
JAMA Surg. 2015;150(1):79-80. doi:10.1001/jamasurg.2014.376
Research Letter

Pacific Coast Surgical Association

Management of Symptomatic Polycystic Liver Disease With Hepatic Resection

Abstract Full Text
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JAMA Surg. 2015;150(1):81-82. doi:10.1001/jamasurg.2014.307

Pacific Coast Surgical Association

Identification of a High-Risk Subset of Patients Undergoing Infrainguinal Bypass Surgery

Abstract Full Text
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JAMA Surg. 2015;150(1):82-84. doi:10.1001/jamasurg.2014.504

Fifteen-Year Trends in Lower Limb Amputation, Revascularization, and Preventive Measures Among Medicare Patients

Abstract Full Text
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JAMA Surg. 2015;150(1):84-86. doi:10.1001/jamasurg.2014.1007
Announcement

New Editorial Board Members

Abstract Full Text
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JAMA Surg. 2015;150(1):90-92. doi:10.1001/jamasurg.2014.3604
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2015;150(1):4. doi:10.1001/jamasurg.2014.2484
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