June 1, 2016 Issue of JAMA Surgery

June 2016, Vol 151, No. 6, Pages 497-588

In This Issue of JAMA Surgery

Highlights

Abstract Full Text

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JAMA Surg. 2016;151(6):497. doi:10.1001/jamasurg.2015.2922

Viewpoint

Surgical Mesh Should Be Made Affordable to Low- and Middle-Income Countries

Joseph D. Forrester, MD, MSc; Jared A. Forrester, MD; George P. Yang, MD, PhD

Abstract Full Text

JAMA Surg. 2016;151(6):499-500. doi:10.1001/jamasurg.2015.5456

This Viewpoint discusses how to transform how technology is delivered to low- and middle-income countries.

A Novel Approach to Global Benchmarking of Risk-Adjusted Surgical Outcomes: Beyond Perioperative Mortality Rate

Richard T. Spence, MBChB, MPH; Jessica L. Mueller, BA; David C. Chang, MBA, MPH, PhD

Abstract Full Text

JAMA Surg. 2016;151(6):501-502. doi:10.1001/jamasurg.2016.0091

This Viewpoint describes a novel approach to measuring quality in risk-adjusted surgical outcomes for hospital-, regional-, and global-level benchmarking.

Original Investigation

Prevalence of Self-reported Symptoms After Gastric Bypass Surgery for Obesity

Sigrid Bjerge Gribsholt, MD; Ane Mathilde Pedersen, MD; Elisabeth Svensson, PhD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):504-511. doi:10.1001/jamasurg.2015.5110

This survey study examines patients鈥� self-reported presence and severity of symptoms and quality of life after Roux-en-Y gastric bypass surgery.

Reconsidering the Resources Needed for Multiple Casualty Events: Lessons Learned From the Crash of Asiana Airlines Flight 214

Eric M. Campion, MD; Catherine Juillard, MD, MPH; M. Margaret Knudson, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):512-517. doi:10.1001/jamasurg.2015.5107

This case series discusses the inpatient resources, including imaging, nursing overtime, and blood bank needs, that were used to treat 63 individuals injured in the Asiana Airlines flight 214 crash.

Blood Transfusion in Major Abdominal Surgery for Malignant Tumors: A Trend Analysis Using the National Surgical Quality Improvement Program

Brett L. Ecker, MD; Kristina D. Simmons, PhD; Salman Zaheer, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):518-525. doi:10.1001/jamasurg.2015.5094

The study evaluates trends in transfusion rates for major abdominal oncologic resections to assess changes in recent clinical practice (given the accumulating evidence of the deleterious effects of blood transfusion).

Invited Commentary
Evaluating Appropriate Blood Transfusion in Cancer Surgery
David D. Odell, MD, MMSc; Karl Y. Bilimoria, MD, MS

JAMA Surg

Comparison of the Value of Nursing Work Environments in Hospitals Across Different Levels of Patient Risk

Jeffrey H. Silber, MD, PhD; Paul R. Rosenbaum, PhD; Matthew D. McHugh, PhD, JD, RN, MPH; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):527-536. doi:10.1001/jamasurg.2015.4908

This matched-cohort study tests whether hospitals with better nursing work environments display better value than those with worse nursing environments and aims to determine patient risk groups associated with the greatest value.

Invited Commentary
Revisiting Nursing鈥檚 Effect on Surgical Quality and Cost
Amir A. Ghaferi, MD, MS; Christopher R. Friese, PhD, RN, AOCN

JAMA Surg

Association of Frailty and 1-Year Postoperative Mortality Following Major Elective Noncardiac Surgery: A Population-Based Cohort Study

Daniel I. McIsaac, MD, MPH, FRCPC; Gregory L. Bryson, MD, FRCPC, MSc; Carl van Walraven, MD, FRCPC, MSc

Abstract Full Text

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JAMA Surg. 2016;151(6):538-545. doi:10.1001/jamasurg.2015.5085

This population-based cohort study evaluates association between patient frailty and 1-year postoperative mortality following noncardiac surgery.

Invited Commentary
Frailty and Mortality After Noncardiac Surgery in Elderly Individuals: Metrics, Systems, and the Elephant
Jason M. Johanning, MD, MS; Daniel Hall, MD, MDiv, MS; Shipra Arya, MD, MS

JAMA Surg

Safety and Efficacy of Minimally Invasive Video-Assisted Ablation of Pilonidal Sinus: A Randomized Clinical Trial

Marco Milone, MD; Loredana Maria Sosa Fernandez, MD; Mario Musella, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):547-553. doi:10.1001/jamasurg.2015.5233

This randomized clinical trial validates the safety and efficacy of video-assisted ablation of pilonidal sinus.

Video Ratings of Surgical Skill and Late Outcomes of Bariatric Surgery

Christopher P. Scally, MD; Oliver A. Varban, MD; Arthur M. Carlin, MD; et al.

Abstract Full Text

free access online only has audio

JAMA Surg. 2016;151(6):e160428. doi:10.1001/jamasurg.2016.0428

This observational study examines the association between surgical skill and long-term outcomes of bariatric surgery.

Podcast: Video Ratings of Surgical Skill in Bariatric Surgery (JAMA Surgery)

Invited Commentary
A Video Is Worth a Thousand Words
John C. Alverdy, MD

JAMA Surg

Use of National Burden to Define Operative Emergency General Surgery

John W. Scott, MD, MPH; Olubode A. Olufajo, MD, MPH; Gabriel A. Brat, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):e160480. doi:10.1001/jamasurg.2016.0480

This observational study uses National Inpatient Sample data to examine the rates of complications, mortality, and costs associated with emergency general surgery.

Invited Commentary
The Public Health Crisis in Emergency General Surgery: Who Will Pay the Price and Bear the Burden?
Martin G. Paul, MD

JAMA Surg

Invited Commentary

Evaluating Appropriate Blood Transfusion in Cancer Surgery

David D. Odell, MD, MMSc; Karl Y. Bilimoria, MD, MS

Abstract Full Text

JAMA Surg. 2016;151(6):525-526. doi:10.1001/jamasurg.2015.5104

Revisiting Nursing鈥檚 Effect on Surgical Quality and Cost

Amir A. Ghaferi, MD, MS; Christopher R. Friese, PhD, RN, AOCN

Abstract Full Text

JAMA Surg. 2016;151(6):536-537. doi:10.1001/jamasurg.2015.4918

Frailty and Mortality After Noncardiac Surgery in Elderly Individuals: Metrics, Systems, and the Elephant

Jason M. Johanning, MD, MS; Daniel Hall, MD, MDiv, MS; Shipra Arya, MD, MS

Abstract Full Text

JAMA Surg. 2016;151(6):545-546. doi:10.1001/jamasurg.2015.5235

A Video Is Worth a Thousand Words

John C. Alverdy, MD

Abstract Full Text

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JAMA Surg. 2016;151(6):e160476. doi:10.1001/jamasurg.2016.0476

The Public Health Crisis in Emergency General Surgery: Who Will Pay the Price and Bear the Burden?

Martin G. Paul, MD

Abstract Full Text

online only

JAMA Surg. 2016;151(6):e160640. doi:10.1001/jamasurg.2016.0640

Special Communication

Setting a National Agenda for Surgical Disparities Research: Recommendations From the National Institutes of Health and American College of Surgeons Summit

Adil H. Haider, MD, MPH; Irene Dankwa-Mullan, MD, MPH; Allysha C. Maragh-Bass, PhD, MPH; et al.

Abstract Full Text

JAMA Surg. 2016;151(6):554-563. doi:10.1001/jamasurg.2016.0014

This Special Communication summarizes the National Institutes of Health and American College of Surgeons Summit on Surgical Disparities Research to develop a national surgical disparities research agenda and funding priorities.

Review

Peripheral Arterial Disease in Sub-Saharan Africa: A Review

Lily E. Johnston, MD, MPH; Barclay T. Stewart, MD, MscPH; Herve Yangni-Angate, MD, FWACS; et al.

Abstract Full Text

JAMA Surg. 2016;151(6):564-572. doi:10.1001/jamasurg.2016.0446

This review summarizes the epidemiology, prevalence, and managment of peripheral arterial disease in sub-Saharan Africa.

Surgical Innovation

Endoluminal Vacuum Therapy for Esophageal and Upper Intestinal Anastomotic Leaks

Steven G. Leeds, MD; James S. Burdick, MD; James W. Fleshman, MD

Abstract Full Text

JAMA Surg. 2016;151(6):573-574. doi:10.1001/jamasurg.2016.0255

This Surgical Innovation discusses the use of endoluminal vacuum therapy for esophageal, gastric, and small intestine leaks or perforations.

JAMA Surgery Clinical Challenge

Atypical Groin Pain

Ziad Abbassi, MD; Naiken Surennaidoo, MD; Toni Raffoul, MD

Abstract Full Text

JAMA Surg. 2016;151(6):575-576. doi:10.1001/jamasurg.2015.4427

A woman in her 40s with diabetes consulted an emergency department owing to a pain in the right groin, worsening since its onset 3 days before. What is your diagnosis?

Gastric Outlet Obstruction

Vincent E. de Meijer, MD, PhD; Casper H. J. van Eijck, MD, PhD; Bas Groot Koerkamp, MD, PhD

Abstract Full Text

JAMA Surg. 2016;151(6):577-578. doi:10.1001/jamasurg.2016.0232

A 72-year-old woman presented with a 6-month history of a dull, epigastric pain, 10 kg weight loss (from 52 kg to 42 kg), and nausea and vomiting. What is your diagnosis?

Research Letter

Improving Surgical Research by Involving Stakeholders

Peter C. Minneci, MD, MHSc; Kristine M. Nacion, MPH; Daniel L. Lodwick, MD, MS; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):579-580. doi:10.1001/jamasurg.2015.4898

This study discusses the effect of stakeholder involvement in an ongoing randomized clinical trial of pediatric appendicitis.

Engaging Stakeholders in Surgical Research: The Design of a Pragmatic Clinical Trial to Study Management of Acute Appendicitis

Anne P. Ehlers, MD; Giana H. Davidson, MD, MPH; Bonnie J. Bizzell, MBA, MEd; et al.

Abstract Full Text

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JAMA Surg. 2016;151(6):580-582. doi:10.1001/jamasurg.2015.5531

This study describes the development of a pragmatic clinical trial to address questions regarding the use of antibiotics vs appendectomy to treat acute appendicitis.