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February 2016, Vol 151, No. 2, Pages 105-200

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2016;151(2):105. doi:10.1001/jamasurg.2015.2898
Viewpoint

Antibiotics vs Surgery for Acute Appendicitis: Toward a Patient-Centered Treatment Approach

Abstract Full Text
JAMA Surg. 2016;151(2):107-108. doi:10.1001/jamasurg.2015.4065

This Viewpoint reviews the study results of and reactions to the Salminen et al acute appendicitis trial and provides recommendations for surgeons who will be confronted by patients questioning whether they need surgery.

Methodological Challenges in Solving Geographic Disparity in Liver Allocation

Abstract Full Text
JAMA Surg. 2016;151(2):109-110. doi:10.1001/jamasurg.2015.3937

This Viewpoint discusses the current liver allocation policy, which has led to increasing geographic disparity in access to liver transplantation across the United States.

Original Investigation

Using Patient Outcomes to Evaluate General Surgery Residency Program Performance

Abstract Full Text
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JAMA Surg. 2016;151(2):111-119. doi:10.1001/jamasurg.2015.3637

This study finds that patients operated on by surgeons trained in residency programs that were ranked in the top tertile were significantly less likely to experience adverse events than were those operated on by surgeons trained in programs that were in the bottom tertile.

Effect of Hospital Safety-Net Burden on Cost and Outcomes After Surgery

Abstract Full Text
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JAMA Surg. 2016;151(2):120-128. doi:10.1001/jamasurg.2015.3209

This observational study assesses the effect of patient and hospital factors on mortality and readmission rates after surgical procedures and costs of surgery at safety-net hospitals.

Clinical Factors Associated With Remission of Obesity-Related Comorbidities After Bariatric Surgery

Abstract Full Text
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JAMA Surg. 2016;151(2):130-137. doi:10.1001/jamasurg.2015.3231

This study evaluated improvement in obesity-related comorbidities after bariatric surgery and identified clinical factors associated with these responses.

Association of VA Surgeons

Blood Transfusion and 30-Day Mortality in Patients With Coronary Artery Disease and Anemia Following Noncardiac Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(2):139-145. doi:10.1001/jamasurg.2015.3420

This cohort study reports findings that support a restrictive postoperative transfusion strategy in patients with stable coronary artery disease following noncardiac surgery.

Association of VA Surgeons

Systemic Inflammatory Disease and Its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair

Abstract Full Text
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JAMA Surg. 2016;151(2):147-153. doi:10.1001/jamasurg.2015.3219

This case series reports that patients with systemic inflammatory disease are at high risk for postoperative complications, type II endoleak, sac expansion, and additional interventions after endovascular aneurysm repair.

Factors Associated With Interhospital Variability in Inpatient Costs of Liver and Pancreatic Resections

Abstract Full Text
free access
JAMA Surg. 2016;151(2):155-163. doi:10.1001/jamasurg.2015.3618

This study of patients undergoing hepatopancreaticobiliary surgery reports significant variability in hospital costs associated with patient and hospital characteristics.

Serial Assessment of Trauma Care Capacity in Ghana in 2004 and 2014

Abstract Full Text
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JAMA Surg. 2016;151(2):164-171. doi:10.1001/jamasurg.2015.3648

This study compares the availability of trauma care resources in Ghana in 2004 vs 2014.

Invited Commentary

Making a Difference in Surgery Residency Programs

Abstract Full Text
JAMA Surg. 2016;151(2):119. doi:10.1001/jamasurg.2015.3653

The Uninsured and Underserved and the Hospitals That Care for Them: Who’s to Blame?

Abstract Full Text
JAMA Surg. 2016;151(2):129. doi:10.1001/jamasurg.2015.3216

Predicting Factors Associated With Comorbidity Remission Following Bariatric Surgery: Preliminary Progress

Abstract Full Text
JAMA Surg. 2016;151(2):137-138. doi:10.1001/jamasurg.2015.3237

Optimal Transfusion Trigger in Surgical Patients With Coronary Artery Disease

Abstract Full Text
JAMA Surg. 2016;151(2):146. doi:10.1001/jamasurg.2015.3399

Inflammation, Endoleaks, and Aortic Remodeling—The Chicken or the Egg

Abstract Full Text
JAMA Surg. 2016;151(2):154. doi:10.1001/jamasurg.2015.3246

Does Decreasing Variability Affect Quality?

Abstract Full Text
JAMA Surg. 2016;151(2):163. doi:10.1001/jamasurg.2015.3654

Surveillance and Data Capture to Assess Trauma Care Capacity in Low- and Middle-Income Countries

Abstract Full Text
JAMA Surg. 2016;151(2):171. doi:10.1001/jamasurg.2015.3634
Review

Palliative Care Interventions for Surgical Patients: A Systematic Review

Abstract Full Text
JAMA Surg. 2016;151(2):172-183. doi:10.1001/jamasurg.2015.3625

This systemic review assessed interventions to introduce or improve palliative care for surgical patients.

From the ÌÇÐÄvlog

Results of Yet Another Antibiotics vs Appendectomy Randomized Trial: Still Not Enough to Change My Practice

Abstract Full Text
JAMA Surg. 2016;151(2):191-192. doi:10.1001/jamasurg.2015.4218

Haut proposes that the findings from Salminen et al’s clinical trial are not enough to shift from the use of appendectomy to antibiotics in the treatment of appendicitis.

Surgical Innovation

The Future of Surgical Oncology: Image-Guided Cancer Surgery

Abstract Full Text
JAMA Surg. 2016;151(2):184-185. doi:10.1001/jamasurg.2015.3604

This article examines fluorescent labeling of tumor cells during surgery and its impact on intraoperative detection of cancer cells.

JAMA Surgery Clinical Challenge

Porta Hepatis Mass

Abstract Full Text
JAMA Surg. 2016;151(2):187-188. doi:10.1001/jamasurg.2015.2425

A 64-year-old man from the Philippines presented with 5 months of progressive fatigue, worsening jaundice, and a 13-kg weight loss and no fever, chills, or abdominal pain. What is your diagnosis?

Nodules in the Pouch of Douglas

Abstract Full Text
JAMA Surg. 2016;151(2):189-190. doi:10.1001/jamasurg.2015.4437

A pregnant woman in her 30s in the first trimester was evaluated for incidentally detected anemia. At colonoscopy, she was found to have a 3 × 4-cm ulceroproliferative lesion in the rectum 7 cm from the anal verge. A biopsy specimen was reported as moderately differentiated adenocarcinoma. No other lesion was found in the rest of colon. What is your diagnosis?

Research Letter

Association of VA Surgeons

A Successful Institutional Strategy to Increase the Number of Therapeutic Operations Among Patients With Lung Lesions

Abstract Full Text
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JAMA Surg. 2016;151(2):193-194. doi:10.1001/jamasurg.2015.3253

This study examines pulmonary resection as a diagnostic and therapeutic strategy for patients with known or suspected lung cancer.

Marital Status and Postoperative Functional Recovery

Abstract Full Text
free access
JAMA Surg. 2016;151(2):194-196. doi:10.1001/jamasurg.2015.3240

Using the University of Michigan Health and Retirement Study, this study reports on the association between marital status and postoperative function.

Comment & Response

Mass Treatment With Bariatric Surgery for Type 2 Diabetes Mellitus

Abstract Full Text
JAMA Surg. 2016;151(2):196-197. doi:10.1001/jamasurg.2015.3405

Mass Treatment With Bariatric Surgery for Type 2 Diabetes Mellitus—Reply

Abstract Full Text
JAMA Surg. 2016;151(2):197. doi:10.1001/jamasurg.2015.3408

Misclassification of Acceptable Venous Thromboembolism Prophylaxis Leading to Flawed Inferences and Recommendations Regarding Prevention Efforts

Abstract Full Text
JAMA Surg. 2016;151(2):197-198. doi:10.1001/jamasurg.2015.3411

Misclassification of Acceptable Venous Thromboembolism Prophylaxis Leading to Flawed Inferences and Recommendations Regarding Prevention Efforts—Reply

Abstract Full Text
JAMA Surg. 2016;151(2):198-199. doi:10.1001/jamasurg.2015.3428

Neurosurgeons’ Critical Role in Managing Traumatic Brain Injury

Abstract Full Text
JAMA Surg. 2016;151(2):199-200. doi:10.1001/jamasurg.2015.3642

Neurosurgeons’ Critical Role in Managing Traumatic Brain Injury—Reply

Abstract Full Text
JAMA Surg. 2016;151(2):200. doi:10.1001/jamasurg.2015.3645
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(2):106. doi:10.1001/jamasurg.2015.2899
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