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October 2024 - July 1920

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Issue

November 2015, Vol 150, No. 11, Pages 1021-1100

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1021. doi:10.1001/jamasurg.2014.2533
Viewpoint

Raising the Bar for Failure to Rescue: Critical Appraisal of Current Measurement and Strategies to Catalyze Improvement

Abstract Full Text
JAMA Surg. 2015;150(11):1023-1024. doi:10.1001/jamasurg.2015.1933

This Viewpoint discusses failure to rescue as a surgical quality metric.

Call for Organized Statewide Networks for Management of Acute Myocardial Infarction–Related Cardiogenic Shock

Abstract Full Text
JAMA Surg. 2015;150(11):1025-1026. doi:10.1001/jamasurg.2015.2412

This Viewpoint discusses the current state of acute cardiogenic shock management and proposes a 3-level statewide network model.

Original Investigation

Evidence for a Standardized Preadmission Showering Regimen to Achieve Maximal Antiseptic Skin Surface Concentrations of Chlorhexidine Gluconate, 4%, in Surgical Patients

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1027-1033. doi:10.1001/jamasurg.2015.2210

This cohort study compares the level of antisepsis achieved with varying numbers and time until rinsing for preadmission showers using chlorhexidine gluconate, 4%.

Lung Cancer Resection at Hospitals With High vs Low Mortality Rates

Abstract Full Text
free access has audio
JAMA Surg. 2015;150(11):1034-1040. doi:10.1001/jamasurg.2015.2199

This cohort study evaluated the perioperative care practices and outcomes related to differences in mortality rates after lung cancer resection between hospitals with very high and very low mortality rates.

Understanding Variation in 30-Day Surgical Readmission in the Era of Accountable Care: Effect of the Patient, Surgeon, and Surgical Subspecialties

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1042-1049. doi:10.1001/jamasurg.2015.2215

This population epidemiology study investigates whether a variability in 30-day readmission is attributable to patient, surgeon, or surgical subspecialty levels in patients undergoing a major surgical procedure.

Long-term Metabolic Effects of Laparoscopic Sleeve Gastrectomy

Abstract Full Text
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JAMA Surg. 2015;150(11):1051-1057. doi:10.1001/jamasurg.2015.2202

This cohort study evaluates the long-term effects of laparoscopic sleeve gastrectomy on obesity-related comorbidities.

Pacific Coast Surgical Association

Association of an Endovascular-First Protocol for Ruptured Abdominal Aortic Aneurysms With Survival and Discharge Disposition

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1058-1065. doi:10.1001/jamasurg.2015.1861

This cohort study evaluates the effect of an endovascular-first protocol for patients with a ruptured abdominal aortic aneurysm on perioperative mortality and associated early clinical outcomes.

Pacific Coast Surgical Association

Damage Control as a Strategy to Manage Postreperfusion Hemodynamic Instability and Coagulopathy in Liver Transplant

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1066-1072. doi:10.1001/jamasurg.2015.1853

This case serues of patients undergoing liver transplant reports on damage control as a viable strategy for liver transplant recipients with coagulopathy or hemodynamic instability after allograft reperfusion.

Pacific Coast Surgical Association

A Consortium Approach to Surgical Education in a Developing Country: Educational Needs Assessment

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1074-1078. doi:10.1001/jamasurg.2015.2205

This survey assessed if the Alliance for Global Clinical Training is effectively responding to the educational needs of surgeons at the Muhimbili University of Health and Allied Sciences and Muhimbili National Hospital in Dar es Salaam, Tanzania.

Surgical Care of Pediatric Patients in the Humanitarian Setting: The Médecins Sans Frontières Experience, 2012-2013

Abstract Full Text
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JAMA Surg. 2015;150(11):1080-1085. doi:10.1001/jamasurg.2015.1928

This cohort study reports that the proportion of violence-related injuries was significantly lower among preteens cared for in the setting of humanitarian aid and conflict zones, while surgical interventions in the teenage group were primarily caused by trauma-related injuries.

Invited Commentary

Chlorhexidine Gluconate, 4%, Showers and Surgical Site Infection Reduction

Abstract Full Text
JAMA Surg. 2015;150(11):1033. doi:10.1001/jamasurg.2015.2219

Failure to Rescue Metric in Lung Surgery: A Needed Breath of Fresh Air

Abstract Full Text
JAMA Surg. 2015;150(11):1040-1041. doi:10.1001/jamasurg.2015.2237

Variation Reduction to Reduce Readmission: A Figment of Imagination or Reality of the Future?

Abstract Full Text
JAMA Surg. 2015;150(11):1049-1050. doi:10.1001/jamasurg.2015.2234

No Rush to Judgment for Bariatric Surgery

Abstract Full Text
JAMA Surg. 2015;150(11):1057. doi:10.1001/jamasurg.2015.2222

Bundles of Care for Patients With Ruptured Abdominal Aortic Aneurysms: Is Endovascular Repair the Solution?

Abstract Full Text
JAMA Surg. 2015;150(11):1065. doi:10.1001/jamasurg.2015.1872

Saving Supersick Patients Undergoing Liver Transplant

Abstract Full Text
JAMA Surg. 2015;150(11):1073. doi:10.1001/jamasurg.2015.1881

The Conundrum of Training in Global Surgery: Are We There Yet?

Abstract Full Text
JAMA Surg. 2015;150(11):1079. doi:10.1001/jamasurg.2015.2225

Building Evidence for Global Surgery One Experience at a Time

Abstract Full Text
JAMA Surg. 2015;150(11):1085. doi:10.1001/jamasurg.2015.1942
Surgical Innovation

Crowdsourcing to Assess Surgical Skill

Abstract Full Text
JAMA Surg. 2015;150(11):1086-1087. doi:10.1001/jamasurg.2015.2405

This article discusses the potential use of crowdsourcing using large groups of decentralized, independent people providing aggregated feedback to assess surgical skills.

JAMA Surgery Clinical Challenge

Giant Perianal Mass

Abstract Full Text
JAMA Surg. 2015;150(11):1089-1090. doi:10.1001/jamasurg.2015.0968

A 65-year-old man had a painful anal mass and fecal incontinence. The anal lesion appeared 1 year earlier and grew slowly to the current size. The patient reported bleeding from the rectum after defecation and denied weight loss or fever. What is your diagnosis?

Unusual Cause of a Hepatic Mass

Abstract Full Text
JAMA Surg. 2015;150(11):1091-1092. doi:10.1001/jamasurg.2015.0987

A woman in her 40s was referred to our service because findings on routine abdominal ultrasonography showed a hepatic mass in the right lobe composing approximately 50% of the liver parenchyma. The patient was asymptomatic, and there were no significant findings on abdominal physical examination—the liver was not palpable. What is your diagnosis?

Research Letter

Pacific Coast Surgical Association

Morbidity and Mortality Associated With Elective or Emergency Paraesophageal Hernia Repair

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1094-1096. doi:10.1001/jamasurg.2015.1867

This study reports on the morbidity and mortality rates among patients who undergo an elective or emergency paraesophageal hernia repair.

Effect of Roux-en-Y Gastric Bypass Surgery: Converting 2 Alcoholic Drinks to 4

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1096-1098. doi:10.1001/jamasurg.2015.1884

This study evaluates the effect of Roux-en-Y gastric bypass on the pharmacokinetics and subjective effects of ingested alcohol, using arterialized blood samples and a validated questionnaire.

Comment & Response

Effect of Gastric Bypass vs Duodenal Switch on High-Density Lipoprotein Cholesterol Level

Abstract Full Text
JAMA Surg. 2015;150(11):1098-1099. doi:10.1001/jamasurg.2015.1951

Identification of Race and Ethnicity in Large Databases

Abstract Full Text
JAMA Surg. 2015;150(11):1099. doi:10.1001/jamasurg.2015.2228

Identification of Race and Ethnicity in Large Databases—Reply

Abstract Full Text
JAMA Surg. 2015;150(11):1099-1100. doi:10.1001/jamasurg.2015.2231

Communication: Improving the View From This Side

Abstract Full Text
JAMA Surg. 2015;150(11):1100. doi:10.1001/jamasurg.2015.1954
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2015;150(11):1022. doi:10.1001/jamasurg.2014.2534
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