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October 2024 - July 1920

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Issue

June 2017, Vol 152, No. 6, Pages 513-608

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(6):513. doi:10.1001/jamasurg.2016.3432
Viewpoint

Structural Causes of Urban Firearm Violence: A Trauma Surgeon鈥檚 View From Philadelphia

Abstract Full Text
JAMA Surg. 2017;152(6):515-516. doi:10.1001/jamasurg.2016.5752

This Viewpoint discusses firearm violence as a public health problem and the need to leverage resources to develop effective prevention strategies for firearm injury.

Reducing the Margins of Error During Breast-Conserving Surgery: Disruptive Technologies or Traditional Disruptions?

Abstract Full Text
JAMA Surg. 2017;152(6):517-518. doi:10.1001/jamasurg.2017.0029

This Viewpoint discusses breast-conserving surgery trends and emerging intraoperative margin assessment techniques.

Editorial

JAMA Surgery 2016 Year in Review

Abstract Full Text
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JAMA Surg. 2017;152(6):519-520. doi:10.1001/jamasurg.2017.0277
Original Investigation

Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications

Abstract Full Text
free access
JAMA Surg. 2017;152(6):522-529. doi:10.1001/jamasurg.2016.5703

This cohort study uses data from the American College of Surgeons NSQIP and the Vanderbilt Patient Advocacy Reporting System to examine whether patients of surgeons with a history of higher numbers of unsolicited patient observations are at greater risk for postoperative complications than patients whose surgeons generate fewer such unsolicited patient observations.

A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions: Best Case/Worst Case

Abstract Full Text
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JAMA Surg. 2017;152(6):531-538. doi:10.1001/jamasurg.2016.5674

This pre- and postintervention study evaluates the association of the Best Case/Worst Case framework with surgical communication when communicating to older patients about treament options in high-stakes surgical decisions.

Management of Severe Pancreatic Fistula After Pancreatoduodenectomy

Abstract Full Text
free access
JAMA Surg. 2017;152(6):540-548. doi:10.1001/jamasurg.2016.5708

This cohort study compares the morbidity and mortality associated with primary catheter draining vs primary relaparotomy in patients with severe pancreatic fistula.

Laparoscopic Total Pancreatectomy With Islet Autotransplantation and Intraoperative Islet Separation as a Treatment for Patients With Chronic Pancreatitis

Abstract Full Text
free access
JAMA Surg. 2017;152(6):550-556. doi:10.1001/jamasurg.2016.5707

This study examines the feasibility of using laparoscopic total pancreatectomy with islet autotransplantation in the treatment of chronic pancreatitis.

Association Between Incomplete Neoadjuvant Radiotherapy and Survival for Patients With Locally Advanced Rectal Cancer

Abstract Full Text
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JAMA Surg. 2017;152(6):558-564. doi:10.1001/jamasurg.2017.0010

This cohort study evaluates the outcomes of patients who receive complete vs incomplete doses of radiation following surgery for rectal adenocarcinoma.

Provider-Induced Demand in the Treatment of Carotid Artery Stenosis: Variation in Treatment Decisions Between Private Sector Fee-for-Service vs Salary-Based Military Physicians

Abstract Full Text
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JAMA Surg. 2017;152(6):565-572. doi:10.1001/jamasurg.2017.0077

This database study examines evidence of provider-induced demand in the management of carotid artery stenosis.

Association Between Ratio of Fresh Frozen Plasma to Red Blood Cells During Massive Transfusion and Survival Among Patients Without Traumatic Injury

Abstract Full Text
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JAMA Surg. 2017;152(6):574-580. doi:10.1001/jamasurg.2017.0098

This study reports on the use and benefits of ratio-based blood product transfusions among patients without traumatic injury.

Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Compared With Experts

Abstract Full Text
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JAMA Surg. 2017;152(6):581-588. doi:10.1001/jamasurg.2017.0092

This study measures resident surgeon technical and nontechnical skills for trauma core competencies before and after training and up to 18 months later and compares resident performance with the performance of expert traumatologists.

New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults

Abstract Full Text
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JAMA Surg. 2017;152(6):e170504. doi:10.1001/jamasurg.2017.0504

This population-based study determines the incidence of new persistent opioid use after minor and major surgical operations.

Allegations of Failure to Obtain Informed Consent in Spinal Surgery Medical Malpractice Claims

Abstract Full Text
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JAMA Surg. 2017;152(6):e170544. doi:10.1001/jamasurg.2017.0544

This cohort study investigates the failure to obtain informed consent as an allegation in medical malpractice claims for patients undergoing a spinal procedure.

Invited Commentary

Association of Unsolicited Patient Observations With the Quality of a Surgeon鈥檚 Care

Abstract Full Text
JAMA Surg. 2017;152(6):530. doi:10.1001/jamasurg.2016.5705

The Evolution of Informed Consent for Surgery Using the Best Case/Worst Case Framework

Abstract Full Text
JAMA Surg. 2017;152(6):538-539. doi:10.1001/jamasurg.2016.5654

鈥淪tep-Up Approach鈥 for the Treatment of Postoperative Severe Pancreatic Fistula: Is It Really Possible and Useful?

Abstract Full Text
JAMA Surg. 2017;152(6):548-549. doi:10.1001/jamasurg.2016.5710

Critical Issues in Surgical Approach and Isolation Site for Islet Autotransplantation

Abstract Full Text
JAMA Surg. 2017;152(6):556-557. doi:10.1001/jamasurg.2016.5709

Assessing the Appropriateness of Carotid Revascularization: In the Eye of the Beholder

Abstract Full Text
JAMA Surg. 2017;152(6):573. doi:10.1001/jamasurg.2017.0090

Applying Trauma Transfusion Practices to Nontrauma Care: A Cautionary Tale

Abstract Full Text
JAMA Surg. 2017;152(6):580. doi:10.1001/jamasurg.2017.0091

Surgical Training to Proficiency: Learning From Errors

Abstract Full Text
JAMA Surg. 2017;152(6):588. doi:10.1001/jamasurg.2017.0104
Review

The Role of Genetic Testing in Patients With Breast Cancer: A Review

Abstract Full Text
JAMA Surg. 2017;152(6):589-594. doi:10.1001/jamasurg.2017.0552

This review discusses the role of genetic testing in patients at risk for breast cancer.

Surgical Innovation

A Pilot Use of Patient-Generated Wound Data to Improve Postdischarge Surgical Site Infection Monitoring

Abstract Full Text
JAMA Surg. 2017;152(6):595-596. doi:10.1001/jamasurg.2017.0568

This article reviews the benefits of using a mobile health app to enhance and personalize postsurgical wound care after hospital discharge.

JAMA Surgery Clinical Challenge

Acute Large-Bowel Obstruction in an Institutionalized Man

Abstract Full Text
JAMA Surg. 2017;152(6):597-598. doi:10.1001/jamasurg.2017.0507

A 77-year-old man presents with bowel obstruction, dehydration, a distended abdomen, and a colonic distension. What is your diagnosis?

Small-Bowel Obstruction in a 45-Year-Old Woman

Abstract Full Text
has multimedia
JAMA Surg. 2017;152(6):599-600. doi:10.1001/jamasurg.2017.0545

A 45-year-old woman presented to the emergency department on the morning after Thanksgiving with sudden, severe, constant epigastric pain that migrated to the right upper quadrant as well as subjective fever and emesis since the previous evening. What is your diagnosis?

Research Letter

Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(6):602-603. doi:10.1001/jamasurg.2017.0015

This cross-sectional review evaluates how specific components of electronic health record systems were associated with the weekend effect for patients undergoing acute cholecystectomy, acute appendectomy, and acute hernia repair.

US Emergency Department Encounters for Law Enforcement鈥揂ssociated Injury, 2006-2012

Abstract Full Text
free access
JAMA Surg. 2017;152(6):603-605. doi:10.1001/jamasurg.2017.0574

This study uses a nationally representative database to determine whether the incidence of emergency department visits for law enforcement increased relative to total emergency department visits from 2006 to 2012.

Comment & Response

The Risks and Benefits of Treating Isolated Calf Deep Vein Thrombosis: Terms To Discuss With Your Patient

Abstract Full Text
JAMA Surg. 2017;152(6):605-606. doi:10.1001/jamasurg.2016.5560

The Risks and Benefits of Treating Isolated Calf Deep Vein Thrombosis鈥擱eply

Abstract Full Text
JAMA Surg. 2017;152(6):606. doi:10.1001/jamasurg.2016.5563

Never Stop Caring: Withdrawing Support, Not Care

Abstract Full Text
JAMA Surg. 2017;152(6):607. doi:10.1001/jamasurg.2017.0109

Never Stop Caring鈥擱eply

Abstract Full Text
JAMA Surg. 2017;152(6):607. doi:10.1001/jamasurg.2017.0110

Bariatric Surgery and Risk for Perinatal Complications

Abstract Full Text
JAMA Surg. 2017;152(6):607-608. doi:10.1001/jamasurg.2017.0113

Bariatric Surgery and Risk for Perinatal Complications鈥擱eply

Abstract Full Text
JAMA Surg. 2017;152(6):608. doi:10.1001/jamasurg.2017.0114
Peer Reviewers List

JAMA Surgery Peer Review List

Abstract Full Text
free access online only
JAMA Surg. 2017;152(6):e170213. doi:10.1001/jamasurg.2017.0213
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(6):514. doi:10.1001/jamasurg.2016.3433
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