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October 2024 - July 1920

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September 2016, Vol 151, No. 9, Pages 789-884

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2016;151(9):789. doi:10.1001/jamasurg.2015.2940
Viewpoint

Surgical Outcomes Club

Innovative Approaches for Modifying Surgical Culture

Abstract Full Text
JAMA Surg. 2016;151(9):791-792. doi:10.1001/jamasurg.2016.0425

This Viewpoint highlights various initiatives for improving nontechnical surgical culture and also several studies on the association between improved surgical culture and its effects on quality of patient care.

Effect of 3-Dimensional Vision on Surgeons Using the da Vinci Robot for Laparoscopy: More Than Meets the Eye

Abstract Full Text
JAMA Surg. 2016;151(9):793-794. doi:10.1001/jamasurg.2016.0412

This Viewpoint discusses the differences between 3-dimensional robotic surgery and conventional 2-dimensional laparoscopic surgery.

Challenges in Surgical Quality at Safety-Net Hospitals

Abstract Full Text
JAMA Surg. 2016;151(9):795-796. doi:10.1001/jamasurg.2016.0986

This Viewpoint explores the changes that can be made to more equitably evaluate and improve surgical quality at safety-net hospitals, which provide care for a large proportion of Medicaid, uninsured, underinsured, or otherwise vulnerable patients but have been shown to have worse surgical quality outcomes.

Original Investigation

Bariatric Surgery for Patients With Early-Onset vs Late-Onset Type 2 Diabetes

Abstract Full Text
free access
JAMA Surg. 2016;151(9):798-805. doi:10.1001/jamasurg.2016.1130

This cohort study compares the short- and long-term outcomes of bariatric surgery, with a specific focus on the rate of remission of type 2 diabetes in patients with early- and late-onset type 2 diabetes.

Pacific Coast Surgical Association

Evaluation of Cervical Spine Clearance by Computed Tomographic Scan Alone in Intoxicated Patients With Blunt Trauma

Abstract Full Text
free access
JAMA Surg. 2016;151(9):807-813. doi:10.1001/jamasurg.2016.1248

This observational study analyzes cervical spine clearance practices and the utility of computed tomographic scans of the cervical spine in intoxicated patients with blunt trauma.

Results of a Nationwide Capacity Survey of Hospitals Providing Trauma Care in War-Affected Syria

Abstract Full Text
free access
JAMA Surg. 2016;151(9):815-822. doi:10.1001/jamasurg.2016.1297

This nationwide survey study identifies the number of trauma hospitals operating in Syria and delineates their capacities.

Hospital and Payer Costs Associated With Surgical Complications

Abstract Full Text
free access
JAMA Surg. 2016;151(9):823-830. doi:10.1001/jamasurg.2016.0773

This observational study evaluates the costs associated with surgical quality and the relative financial burden on hospitals and payers.

Assessing the Accuracy and Readability of Online Health Information for Patients With Pancreatic Cancer

Abstract Full Text
free access
JAMA Surg. 2016;151(9):831-837. doi:10.1001/jamasurg.2016.0730

This study compares the readability and accuracy of patient-oriented online resources for pancreatic cancer by treatment modality and website affiliation.

Comprehensive Assessment of Factors Associated With In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair

Abstract Full Text
free access
JAMA Surg. 2016;151(9):838-845. doi:10.1001/jamasurg.2016.0782

This study describes the association of patient- and hospital-level factors on in-hospital mortality after elective abdominal aortic aneurysm repair.

Hierarchic Interaction of Factors Associated With Liver Decompensation After Resection for Hepatocellular Carcinoma

Abstract Full Text
free access
JAMA Surg. 2016;151(9):846-853. doi:10.1001/jamasurg.2016.1121

This study assesses the hierarchy and interaction of factors associated with the risk for liver decompensation in patients undergoing liver resection for hepatocellular carcinoma.

Pacific Coast Surgical Association

Analysis of Risk Factors for Patient Readmission 30 Days Following Discharge From General Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(9):855-861. doi:10.1001/jamasurg.2016.1258

This study identifies risk factors for readmission within 30 days of discharge from a general surgery service.

Pacific Coast Surgical Association

Association of Loss of Independence With Readmission and Death After Discharge in Older Patients After Surgical Procedures

Abstract Full Text
free access online only
JAMA Surg. 2016;151(9):e161689. doi:10.1001/jamasurg.2016.1689

This cohort study uses American College of Surgeons National Surgical Quality Improvement Program data to investigate the association between loss of independence among older adult patients after surgical procedures and readmission and death after discharge.

Pacific Coast Surgical Association

Therapeutic Anticoagulation for Isolated Calf Deep Vein Thrombosis

Abstract Full Text
free access online only
JAMA Surg. 2016;151(9):e161770. doi:10.1001/jamasurg.2016.1770

This cohort study compares risk for proximal deep vein thrombosis (DVT) or pulmonary embolism after incident isolated calf DVT in patients treated vs not treated with anticoagulation.

Invited Commentary

Is Early Bariatric Surgery the Answer for Diabetes in Obesity?

Abstract Full Text
JAMA Surg. 2016;151(9):806. doi:10.1001/jamasurg.2016.1148

Does the Computed Tomographic Scan Tell the Whole Story for Cervical Spine Clearance?

Abstract Full Text
JAMA Surg. 2016;151(9):813-814. doi:10.1001/jamasurg.2016.1271

Complications, Costs, and Financial Incentives for Quality

Abstract Full Text
JAMA Surg. 2016;151(9):830. doi:10.1001/jamasurg.2016.0811

Aortic Centers of Excellence: Shifting the Focus

Abstract Full Text
JAMA Surg. 2016;151(9):845. doi:10.1001/jamasurg.2016.0838

Decision Tree for Liver Resection for Hepatocellular Carcinoma

Abstract Full Text
JAMA Surg. 2016;151(9):853-854. doi:10.1001/jamasurg.2016.1149

30-Day Readmission Rate—A Blunt Instrument That Needs Honing

Abstract Full Text
JAMA Surg. 2016;151(9):861. doi:10.1001/jamasurg.2016.1229

Focus on Surgical Outcomes That Matter to Older Patients

Abstract Full Text
online only
JAMA Surg. 2016;151(9):e161701. doi:10.1001/jamasurg.2016.1701

Significance of Isolated Calf Vein Thrombosis—Further Evidence

Abstract Full Text
online only
JAMA Surg. 2016;151(9):e161799. doi:10.1001/jamasurg.2016.1799
Review

Therapeutic Advances in Localized Pancreatic Cancer

Abstract Full Text
JAMA Surg. 2016;151(9):862-868. doi:10.1001/jamasurg.2016.1113

This narrative review summarizes recent advances in the management of localized pancreatic cancer, including the rationale for neoadjuvant treatment sequencing and new diagnostic biomarkers in development.

Surgical Innovation

Hands-on Training in the Operating Room as a Method of Continuing Education for Surgeons in Practice

Abstract Full Text
JAMA Surg. 2016;151(9):869-870. doi:10.1001/jamasurg.2016.1053

This article discusses a hands-on training program that allows surgeons in practice to scrub alongside an expert, providing 1-on-1 exposure to new techniques and surgical skills.

JAMA Surgery Clinical Challenge

Progressive Abdominal Pain Following Laparoscopic Cholecystectomy

Abstract Full Text
JAMA Surg. 2016;151(9):871-872. doi:10.1001/jamasurg.2016.0980

A 51-year-old man presented to the emergency department with a 2-day history of progressive abdominal pain, nausea, and vomiting 6 weeks after gallbladder removal and 1 month after removal of a lost gallstone. What is your diagnosis?

Young Adult With Abdominal Lump

Abstract Full Text
JAMA Surg. 2016;151(9):873-874. doi:10.1001/jamasurg.2016.0989

A young adult presented with a progressively growing abdominal lump that left him feeling a dull ache and heavy. Ten weeks previously he was hospitalized and conservatively managed for acute pancreatitis. What is your diagnosis?

Research Letter

Trends in Inpatient and Outpatient Hysterectomy and Oophorectomy Rates Among Commercially Insured Women in the United States, 2000-2014

Abstract Full Text
free access
JAMA Surg. 2016;151(9):876-877. doi:10.1001/jamasurg.2016.0804

This study analyzes the trends in inpatient and outpatient hysterectomy and oophorectomy rates among commercially insured women in the United States from 2000 to 2014.

Short- and Long-term Results of Unroofing and Marsupialization for Adolescent Pilonidal Disease

Abstract Full Text
free access
JAMA Surg. 2016;151(9):877-879. doi:10.1001/jamasurg.2016.0850

This case series compares unroofing and marsupialization vs wide local excision as surgical therapy for pilonidal disease.

Assessment of Patient-Reported Experiences of Hospital Care and the July Phenomenon

Abstract Full Text
free access
JAMA Surg. 2016;151(9):879-880. doi:10.1001/jamasurg.2016.0402

This case series examines surgical patients’ perceptions of care in July and August, with the influx of new surgical residents, vs the rest of the year.

Evaluation of Patient Information Posters Directing Patients to Access a Health Information Website

Abstract Full Text
free access
JAMA Surg. 2016;151(9):880-881. doi:10.1001/jamasurg.2016.1235

This study compares the frequency of website visits prompted by posters in a waiting room between publically insured patients and privately insured patients.

Comment & Response

Predicting Venous Thromboembolism in Pediatric Trauma Patients

Abstract Full Text
JAMA Surg. 2016;151(9):881-882. doi:10.1001/jamasurg.2016.0481

Predicting Venous Thromboembolism in Pediatric Trauma Patients—Reply

Abstract Full Text
JAMA Surg. 2016;151(9):882. doi:10.1001/jamasurg.2016.0482

No Surgeon Is an Island

Abstract Full Text
JAMA Surg. 2016;151(9):882-883. doi:10.1001/jamasurg.2016.0727

Do Surgeons or Hospital Economics Ultimately Decide Operative Approach?

Abstract Full Text
JAMA Surg. 2016;151(9):883-884. doi:10.1001/jamasurg.2016.0830

Do Surgeons or Does Hospital Economics Ultimately Decide Operative Approach?—Reply

Abstract Full Text
JAMA Surg. 2016;151(9):884. doi:10.1001/jamasurg.2016.0835
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(9):790. doi:10.1001/jamasurg.2015.2941
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