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February 2017, Vol 152, No. 2, Pages 121-211

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(2):121. doi:10.1001/jamasurg.2016.3412
Viewpoint

The Role of Academic Institutions in Global Health: Building Partnerships With Low- and Middle-Income Countries

Abstract Full Text
JAMA Surg. 2017;152(2):123-124. doi:10.1001/jamasurg.2016.3107

This Viewpoint discusses improving delivery of care to surgical/trauma patients in the developing world through collaborations with academic institutions, such as the University of Michigan–All India Institutes of Medical Sciences collaborative.

Medicare’s Shift to Mandatory Alternative Payment Models: Why Surgeons Should Care

Abstract Full Text
JAMA Surg. 2017;152(2):125-126. doi:10.1001/jamasurg.2016.4005

This Viewpoint discusses the recent implementation of Medicare’s Comprehensive Care for Joint Replacement program.

Original Investigation

Bariatric Surgery in Women of Childbearing Age, Timing Between an Operation and Birth, and Associated Perinatal Complications

Abstract Full Text
free access has multimedia has audio
JAMA Surg. 2017;152(2):128-135. doi:10.1001/jamasurg.2016.3621

This population-based cohort study examines the risk for perinatal complications in women with a history of bariatric surgery by comparing them with mothers without operations and examining the association of the operation-to-birth interval with perinatal outcomes.

Cost-effectiveness of Bariatric Surgery in Adolescents With Obesity

Abstract Full Text
free access
JAMA Surg. 2017;152(2):136-141. doi:10.1001/jamasurg.2016.3640

This cost-effectiveness analysis assesses quality-adjusted life-years and costs associated with bariatric surgery for adolescents with obesity using results from the Teen-Longitudinal Assessment of Bariatric Surgery study.

Association of Optimal Time Interval to Re-resection for Incidental Gallbladder Cancer With Overall Survival: A Multi-Institution Analysis From the US Extrahepatic Biliary Malignancy Consortium

Abstract Full Text
free access
JAMA Surg. 2017;152(2):143-149. doi:10.1001/jamasurg.2016.3642

This cohort study assesses the association of time interval from the initial cholecystectomy to reoperation with overall survival in patients with gallbladder cancer.

Effect of Polyglycolic Acid Mesh for Prevention of Pancreatic Fistula Following Distal Pancreatectomy: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA Surg. 2017;152(2):150-155. doi:10.1001/jamasurg.2016.3644

This randomized clinical trial evaluates the efficacy of polyglycolic acid mesh in preventing postoperative pancreatic fistula after distal pancreatectomy.

Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Noncardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators

Abstract Full Text
free access
JAMA Surg. 2017;152(2):157-166. doi:10.1001/jamasurg.2016.4065

This multicenter study examines the clinical and radiological postoperative pulmonary complications and respiratory insufficiency therapies in patients undergoing noncardiothoracic surgery requiring 2 hours or more of general anesthesia with mechanical ventilation.

Trends in Injury Outcomes Across Canadian Trauma Systems

Abstract Full Text
free access
JAMA Surg. 2017;152(2):168-174. doi:10.1001/jamasurg.2016.4212

This cohort study evaluates trends in mortality, hospital length of stay, and unplanned hospital readmission in Canadian trauma systems between 2006 and 2012.

Association of VA Surgeons

Development and Initial Validation of the Risk Analysis Index for Measuring Frailty in Surgical Populations

Abstract Full Text
free access
JAMA Surg. 2017;152(2):175-182. doi:10.1001/jamasurg.2016.4202

This cohort study evaluates the Risk Analysis Index, a 14-item instrument used to measure frailty in surgical patients.

Pacific Coast Surgical Association

Patterns of Care in Hospitalized Vascular Surgery Patients at End of Life

Abstract Full Text
free access
JAMA Surg. 2017;152(2):183-190. doi:10.1001/jamasurg.2016.3970

This cohort study assesses factors driving end-of-life decisions in hospitalized vascular surgery patients.

National Trends in Prostate Biopsy and Radical Prostatectomy Volumes Following the US Preventive Services Task Force Guidelines Against Prostate-Specific Antigen Screening

Abstract Full Text
free access
JAMA Surg. 2017;152(2):192-198. doi:10.1001/jamasurg.2016.3987

This study evaluates urologists practice patterns in prostate cancer diagnosis and treatment following the US Preventive Services Task Force recommendation against routine population-wide prostate-specific antigen screening.

Association of Radiologic Indicators of Frailty With 1-Year Mortality in Older Trauma Patients: Opportunistic Screening for Sarcopenia and Osteopenia

Abstract Full Text
free access online only
JAMA Surg. 2017;152(2):e164604. doi:10.1001/jamasurg.2016.4604

This cohort study evaluates whether sarcopenia and/or osteopenia are associated with 1-year mortality in an older trauma patient population.

Associations of Specific Postoperative Complications With Outcomes After Elective Colon Resection: A Procedure-Targeted Approach Toward Surgical Quality Improvement

Abstract Full Text
free access online only
JAMA Surg. 2017;152(2):e164681. doi:10.1001/jamasurg.2016.4681

This cohort study uses ACS NSQUIP data to identify associations specific postoperative complications on outcomes after elective colon resection.

Invited Commentary

Corrected vs Uncorrected Obesity in Childbearing Women—What Really Drives Fetal Risks?

Abstract Full Text
JAMA Surg. 2017;152(2):135. doi:10.1001/jamasurg.2016.3597

Our Role in the Battle Against Adolescent Obesity

Abstract Full Text
JAMA Surg. 2017;152(2):142. doi:10.1001/jamasurg.2016.3641

The Timing of Reoperation for Incidental Gallbladder Cancer: Sooner or Later?

Abstract Full Text
JAMA Surg. 2017;152(2):149. doi:10.1001/jamasurg.2016.3643

Polyglycolic Acid Mesh in Distal Pancreatectomy: A Tool for Preventing Postoperative Pancreatic Fistula?

Abstract Full Text
JAMA Surg. 2017;152(2):156. doi:10.1001/jamasurg.2016.3645

Postoperative Pulmonary Complications—A Multifactorial Outcome

Abstract Full Text
JAMA Surg. 2017;152(2):166-167. doi:10.1001/jamasurg.2016.4102

Limiting Care for Surgical Patients at the End of Life: Principles of Practice

Abstract Full Text
JAMA Surg. 2017;152(2):191. doi:10.1001/jamasurg.2016.4002

Trends in Prostate Cancer Screening Following Changes Made by the US Preventive Services Task Force: Are We Turning Back the Clock?

Abstract Full Text
JAMA Surg. 2017;152(2):198. doi:10.1001/jamasurg.2016.3999

Future Directions of Geriatric Trauma Care: Function and Quality of Life Beyond Survival

Abstract Full Text
online only
JAMA Surg. 2017;152(2):e164642. doi:10.1001/jamasurg.2016.4642
JAMA Surgery Clinical Challenge

An Unusual Cause of Intestinal Perforation

Abstract Full Text
JAMA Surg. 2017;152(2):199-200. doi:10.1001/jamasurg.2016.4614

A 52-year-old previously healthy man presented to the emergency department with gradual onset of severe right lower quadrant abdominal pain over the course of 24 hours without overt signs of peritonitis. The patient reported undergoing an appendectomy when he was 10 years old. What is your diagnosis?

Mobile Intramural Gastroesophageal Junction Mass

Abstract Full Text
JAMA Surg. 2017;152(2):201-202. doi:10.1001/jamasurg.2016.4633

A healthy 43-year-old woman presented with weight loss, heartburn, and progressively worsening dysphagia to solid food. Intriguingly, the heartburn was most severe while she was sitting up but lying supine relieved the symptoms. What is your diagnosis?

Research Letter

Association of VA Surgeons

Treatment of Dupuytren Contracture With Injectable Collagenase Within the Veterans Affairs System

Abstract Full Text
free access
JAMA Surg. 2017;152(2):204-205. doi:10.1001/jamasurg.2016.3605

This study examines changes in treatment for Dupuytren contracture during an 8-year period within the Veterans Affairs health system.

Use of the Modified Frailty Index in the American College of Surgeons National Surgical Improvement Program Database: Highlighting the Problem of Missing Data

Abstract Full Text
free access
JAMA Surg. 2017;152(2):205-207. doi:10.1001/jamasurg.2016.3479

This study examines the effect of missing data on the predictive ability of the modified frailty index using data from the ACS-NSQIP.

Association of VA Surgeons

Bronchoscopic Management of Prolonged Air Leaks With Endobronchial Valves in a Veteran Population

Abstract Full Text
free access
JAMA Surg. 2017;152(2):207-209. doi:10.1001/jamasurg.2016.3195

This study analyzes the effectiveness and safety of endobronchial valves in a high-risk veteran population with a history of smoking.

Comment & Response

Arteriography for Lower Gastrointestinal Hemorrhage: Clarity Needed in Defining Evidence Supporting Algorithm and Preceding Tests

Abstract Full Text
JAMA Surg. 2017;152(2):209. doi:10.1001/jamasurg.2016.4250

Arteriography for Lower Gastrointestinal Hemorrhage: Clarity Needed in Defining Evidence Supporting Algorithm and Preceding Tests

Abstract Full Text
JAMA Surg. 2017;152(2):209-210. doi:10.1001/jamasurg.2016.4253

Arteriography for Lower Gastrointestinal Hemorrhage—Reply

Abstract Full Text
JAMA Surg. 2017;152(2):210-211. doi:10.1001/jamasurg.2016.4262

US Democrats’ vs Republicans’ Views on Compensating Living Kidney Donors

Abstract Full Text
JAMA Surg. 2017;152(2):211. doi:10.1001/jamasurg.2016.4105

US Democrats’ vs Republicans’ Views on Compensating Living Kidney Donors—Reply

Abstract Full Text
JAMA Surg. 2017;152(2):211. doi:10.1001/jamasurg.2016.4108
Correction

Figure Key Error

Abstract Full Text
free access
JAMA Surg. 2017;152(2):211. doi:10.1001/jamasurg.2016.4815
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(2):122. doi:10.1001/jamasurg.2016.3413
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