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October 2024 - July 1920

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Issue

May 2017, Vol 152, No. 5, Pages 417-508

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(5):417. doi:10.1001/jamasurg.2016.3427
Viewpoint

Preparing for the Next Terrorism Attack: Lessons From Paris, Brussels, and Boston

Abstract Full Text
JAMA Surg. 2017;152(5):419-420. doi:10.1001/jamasurg.2016.4990

This Viewpoint discusses the preparedness and planning challenges of health care facilities responding to a multisite terrorist attack.

Original Investigation

Effect of Incentive Spirometry on Postoperative Hypoxemia and Pulmonary Complications After Bariatric Surgery: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA Surg. 2017;152(5):422-428. doi:10.1001/jamasurg.2016.4981

This randomized clinical trial assesses the effect of postoperative incentive spirometry vs clinical observation on hypoxemia, oxygen saturation, and pulmonary complications among patients undergoing bariatric surgery.

Long-term Postprocedural Outcomes of Palliative Emergency Stenting vs Stoma in Malignant Large-Bowel Obstruction

Abstract Full Text
free access
JAMA Surg. 2017;152(5):429-435. doi:10.1001/jamasurg.2016.5043

This cohort study compares outcomes after palliative stenting vs stoma creation in patients with malignant large-bowel obstruction requiring emergency management in New York State.

Risk Factors and Risk Stratification for Adverse Obstetrical Outcomes After Appendectomy or Cholecystectomy During Pregnancy

Abstract Full Text
free access
JAMA Surg. 2017;152(5):436-441. doi:10.1001/jamasurg.2016.5045

This cohort study examines maternal risk factors and pregnancy-, surgery-, and disease-associated risk factors for adverse obstetrical outcomes after appendectomy and cholecystectomy during pregnancy and stratifies the risk of such outcomes.

Surgical Management of Adolescents and Young Adults With Gastrointestinal Stromal Tumors: A US Population-Based Analysis

Abstract Full Text
free access
JAMA Surg. 2017;152(5):443-451. doi:10.1001/jamasurg.2016.5047

This cohort study uses SEER data to describe a group of adolescent and young adult patients with gastrointestinal stromal tumors and compares gastrointestinal stromal tumor鈥搒pecific and overall survival rates in this group with that of older patients.

Chemotherapy Use and Survival Among Young and Middle-Aged Patients With Colon Cancer

Abstract Full Text
free access
JAMA Surg. 2017;152(5):452-459. doi:10.1001/jamasurg.2016.5050

This cohort study examines receipt of adjuvant postoperative chemotherapy by age category and assesses whether age differences are associated with survival among patients with colon cancer who received surgery vs surgery and chemotherapy in an equal-access health care system.

Association of VA Surgeons

Factors Associated With Long-term Outcomes of Umbilical Hernia Repair

Abstract Full Text
free access
JAMA Surg. 2017;152(5):461-466. doi:10.1001/jamasurg.2016.5052

This cohort study examines risk factors associated with hernia recurrence and death rates following unbilical hernia repair.

Undertriage of Firearm-Related Injuries in a Major Metropolitan Area

Abstract Full Text
free access
JAMA Surg. 2017;152(5):467-474. doi:10.1001/jamasurg.2016.5049

This study analyzes the undertriage of patients with firearm-related injuries to facilities without specialized trauma units in Cook County, Illinois.

Association Between Smoking Status, Preoperative Exhaled Carbon Monoxide Levels, and Postoperative Surgical Site Infection in Patients Undergoing Elective Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(5):476-483. doi:10.1001/jamasurg.2016.5704

This case-control study evaluates if abstinence from smoking on the day of surgery is associated with a decreased frequency of surgical site infection in patients who smoke cigarettes.

Development and Validation of a Prognostic Score for Intrahepatic Cholangiocarcinoma

Abstract Full Text
free access online only
JAMA Surg. 2017;152(5):e170117. doi:10.1001/jamasurg.2017.0117

This study of California Cancer Registry records assesses the prognostic determinants of overall survival among patients undergoing liver resection for intrahepatic cholangiocarcinoma and develops a prognostic score for this purpose.

Costs and Consequences of Early Hospital Discharge After Major Inpatient Surgery in Older Adults

Abstract Full Text
free access online only
JAMA Surg. 2017;152(5):e170123. doi:10.1001/jamasurg.2017.0123

This cross-sectional cohort study evaluates the association between early postoperative discharge practices and overall surgical episode spending and expenditures for postdischarge care use and readmissions.

Invited Commentary

Incentive Spirometry After Bariatric Surgery: Yes or No?

Abstract Full Text
JAMA Surg. 2017;152(5):428. doi:10.1001/jamasurg.2016.4999

Changing Outcomes in Pregnant Surgical Patients

Abstract Full Text
JAMA Surg. 2017;152(5):442. doi:10.1001/jamasurg.2016.5046

Gastrointestinal Stromal Tumors in Younger Patients: A Start but More to Do!

Abstract Full Text
JAMA Surg. 2017;152(5):451. doi:10.1001/jamasurg.2016.5048

A Plea to Expand the Scope of Tumor Boards

Abstract Full Text
JAMA Surg. 2017;152(5):460. doi:10.1001/jamasurg.2016.5051

Complexity of the 鈥淪imple鈥 Umbilical Hernia Repair

Abstract Full Text
JAMA Surg. 2017;152(5):466. doi:10.1001/jamasurg.2016.5053

Undertriage of Firearm-Related Injuries or Insufficient Granularity of Data?

Abstract Full Text
JAMA Surg. 2017;152(5):475. doi:10.1001/jamasurg.2016.5309

Smoking and Postoperative Surgical Site Infection: Where There鈥檚 Smoke, There鈥檚 Fire

Abstract Full Text
JAMA Surg. 2017;152(5):484. doi:10.1001/jamasurg.2016.5706

Staging for Intrahepatic Cholangiocarcinoma: Are We Getting Close to Understanding the True Tumor Biology?

Abstract Full Text
online only
JAMA Surg. 2017;152(5):e170108. doi:10.1001/jamasurg.2017.0108
Review

Health Disparities and Triple-Negative Breast Cancer in African American Women: A Review

Abstract Full Text
JAMA Surg. 2017;152(5):485-493. doi:10.1001/jamasurg.2017.0005

This review summarizes the field of oncologic anthropology鈥攁 transdisciplinary field of research on the racial/ethnic variations in cancer鈥攁nd discusses breast cancer in white American, African American, and African women.

Surgical Innovation

Incorporating Metrics of Surgical Proficiency Into Credentialing and Privileging Pathways

Abstract Full Text
JAMA Surg. 2017;152(5):494-495. doi:10.1001/jamasurg.2017.0025

This article reviews the benefits of incorporating a more objective method to assess surgical competency for credentialing.

JAMA Surgery Clinical Challenge

Multiple Injuries in Blunt Abdominal Trauma

Abstract Full Text
JAMA Surg. 2017;152(5):497-498. doi:10.1001/jamasurg.2017.0019

A 24-year-old man was brought to the emergency department after a high-speed motor vehicle collision

Repeated Lower Gastrointestinal Bleeding

Abstract Full Text
JAMA Surg. 2017;152(5):499-500. doi:10.1001/jamasurg.2017.0038

A 45-year-old woman with factor 1 deficiency presented with a history of multiple episodes of lower gastrointestinal bleeding, occurring every 3 to 4 months for 4 years and associated with crampy abdominal pain. What is your diagnosis?

Research Letter

Association of Nativity Status With Quality of Breast Cancer Care for Hispanic Women and Non-Hispanic White Women in the United States

Abstract Full Text
free access
JAMA Surg. 2017;152(5):502-503. doi:10.1001/jamasurg.2016.5536

This study evaluates the effect of nativity status on clinical outcomes among Hispanic patients with breast cancer.

Surgery for Herniated Lumbar Disk in Individuals 65 Years of Age or Older: A Multicenter Observational Study

Abstract Full Text
free access
JAMA Surg. 2017;152(5):503-506. doi:10.1001/jamasurg.2016.5557

This study compares patient-reported outcomes following lumbar microdiskectomy among patients at least 65 years of age vs younger patients.

Comment & Response

Appropriate Management of Patients With Peripheral Arterial Disease

Abstract Full Text
JAMA Surg. 2017;152(5):506. doi:10.1001/jamasurg.2017.0032

Self-Efficacy as a Measure of Confidence

Abstract Full Text
JAMA Surg. 2017;152(5):506-507. doi:10.1001/jamasurg.2017.0035

Wearable Recording Devices for Surgical Training

Abstract Full Text
JAMA Surg. 2017;152(5):507-508. doi:10.1001/jamasurg.2016.5657

Self-Efficacy as a Measure of Confidence鈥擱eply

Abstract Full Text
JAMA Surg. 2017;152(5):507. doi:10.1001/jamasurg.2017.0044

Wearable Recording Devices for Surgical Training鈥擱eply

Abstract Full Text
JAMA Surg. 2017;152(5):508. doi:10.1001/jamasurg.2016.5658
Correction

Corrections to Text, Tables, and Figure

Abstract Full Text
free access
JAMA Surg. 2017;152(5):508. doi:10.1001/jamasurg.2017.0438
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(5):418. doi:10.1001/jamasurg.2016.3428
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