April 1, 2018 Issue of JAMA Surgery

April 2018, Vol 153, No. 4, Pages 297-396

In This Issue of JAMA Surgery

Highlights

Abstract Full Text

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JAMA Surg. 2018;153(4):297. doi:10.1001/jamasurg.2017.3663

Viewpoint

Integrating the Genetics of Race and Ethnicity Into Cancer Research: Trailing Jane and John Q. Public

Lisa A. Newman, MD, MPH; John Carpten, PhD

Abstract Full Text

JAMA Surg. 2018;153(4):299-300. doi:10.1001/jamasurg.2017.5080

This Viewpoint describes how genetics and sociopolitical constructs of race/ethnicity are associated with cancer risk, treatment, and outcomes.

Original Investigation

Effect of Perioperative Gabapentin on Postoperative Pain Resolution and Opioid Cessation in a Mixed Surgical Cohort: A Randomized Clinical Trial

Jennifer Hah, MD, MS; Sean C. Mackey, MD, PhD; Peter Schmidt, MD; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):303-312. doi:10.1001/jamasurg.2017.4915

This randomized clinical trial evaluates the effects of perioperative administration of gabapentin on postoperative pain resolution and time to cessation of opioid use.

Invited Commentary
The Role of Gabapentin in Multimodal Postoperative Pain Management
Michael A. Ashburn, MD, MPH; Lee A. Fleisher, MD

JAMA Surg

Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases

Brian M. Howard, MD; Christopher M. Holland, MD, PhD; C. Christina Mehta, PhD, MSPH; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):313-321. doi:10.1001/jamasurg.2017.4502

This cohort study evaluates whether overlapping surgery is associated with worsened morbidity and mortality in a large series of neurosurgical cases.

Podcast: Is It Safe? What Happens When Your Surgeon Is Not Actually Doing Some of Your Operation?

Invited Commentary
Overlapping Surgery鈥擮pportunities in Neurosurgery Based on New Research
David B. Hoyt, MD

JAMA Surg

Accuracy of Prehospital Triage in Selecting Severely Injured Trauma Patients

Frank J. Voskens, MD; Eveline A. J. van Rein, BSc; Rogier van der Sluijs, BSc; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):322-327. doi:10.1001/jamasurg.2017.4472

This study prospectively evaluates the quality of the field triage system to identify severely injured adult trauma patients.

Invited Commentary
Undertriage Remains a Vexing Problem for Even the Most Highly Developed Trauma Systems: The Need for Innovations in Field Triage
Craig D. Newgard, MD, MPH; Tarsicio Uribe-Leitz, MD, MPH; Adil H. Haider, MD, MPH

JAMA Surg

Association of VA Surgeons

Assessment of Fluorodeoxyglucose F18鈥揕abeled Positron Emission Tomography for Diagnosis of High-Risk Lung Nodules

Amelia W. Maiga, MD, MPH; Stephen A. Deppen, PhD; Sarah Fletcher Mercaldo, BA; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):329-334. doi:10.1001/jamasurg.2017.4495

This study determines the performance of fluorodeoxyglucose F18鈥搇abeled positron emission tomography with computed tomography in diagnosing lung malignancy across different populations with varying cancer prevalence.

Pacific Coast Surgical Association

Use of Entrustable Professional Activities in the Assessment of Surgical Resident Competency

Justin P. Wagner, MD; Catherine E. Lewis, MD; Areti Tillou, MD, MSEd; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):335-343. doi:10.1001/jamasurg.2017.4547

This survey study identifies and compares the perceptions of surgical faculty members and residents about performance, capability, autonomy, and expectations surrounding entrustable professional activities.

Association Between Hospital Financial Distress and Immediate Breast Reconstruction Surgery After Mastectomy Among Women With Ductal Carcinoma In Situ

Catherine A. Richards, PhD, MPH; Andrew G. Rundle, DrPH; Jason D. Wright, MD; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):344-351. doi:10.1001/jamasurg.2017.5018

This cohort study uses data from several large databases to examine the association between hospital financial distress and immediate breast reconstruction surgery after mastectomy among women diagnosed with ductal carcinoma in situ.

Invited Commentary
Connections Between Hospital Financial Distress, Physician Incentive, and Patient Access to Breast Reconstruction
Tomer Avraham, MD; Cary P. Gross, MD; Brigid K. Killelea, MD, MPH

JAMA Surg

Association of VA Surgeons

Communication About the Probability of Cancer in Indeterminate Pulmonary Nodules

Amelia W. Maiga, MD, MPH; Stephen A. Deppen, PhD; Pierre P. Massion, MD; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):353-357. doi:10.1001/jamasurg.2017.4878

This single-institution cohort study investigates whether clinicians routinely document the pretest probability of malignancy in patients with high-risk indeterminate pulmonary nodules and compares these estimates with those generated by the Mayo Clinic Model.

Association of an Enhanced Recovery Pilot With Length of Stay in the National Surgical Quality Improvement Program

Julia R. Berian, MD, MS; Kristen A. Ban, MD, MS; Jason B. Liu, MD, MS; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):358-365. doi:10.1001/jamasurg.2017.4906

This cohort study evaluates the association of the Enhanced Recovery in National Surgical Quality Improvement Program pilot with length of stay after colectomy.

Invited Commentary
Using Clinical Registries to Enhance Implementation Research
Scott E. Regenbogen, MD, MPH; Justin B. Dimick, MD, MPH

JAMA Surg

Accuracy of Predictions of Patients With Breast Cancer of Future Well-being After Immediate Breast Reconstruction

Clara Nan-hi Lee, MD, MPP; Michael Patrick Pignone, MD, MPH; Allison M. Deal, MS; et al.

Abstract Full Text

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JAMA Surg. 2018;153(4):e176112. doi:10.1001/jamasurg.2017.6112

This cohort study assesses how well patients predict future well-being after mastectomy with or without immediate reconstruction and how prediction accuracy is associated with satisfaction and decision regret.

Understanding Costs of Care in the Operating Room

Christopher P. Childers, MD; Melinda Maggard-Gibbons, MD, MSHS

Abstract Full Text

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JAMA Surg. 2018;153(4):e176233. doi:10.1001/jamasurg.2017.6233

This cross-sectional analysis of annual financial disclosure documents calculates the cost of 1 minute of operating room time, assesses cost by setting and facility characteristics, and ascertains the proportion of costs that are direct and indirect.

Invited Commentary
How Should Surgeons Interpret Operating Room Costs?Valuing Our Time
Peter A. Najjar, MD, MBA; Stanley W. Ashley, MD

JAMA Surg

Invited Commentary

The Role of Gabapentin in Multimodal Postoperative Pain Management

Michael A. Ashburn, MD, MPH; Lee A. Fleisher, MD

Abstract Full Text

JAMA Surg. 2018;153(4):312. doi:10.1001/jamasurg.2017.4944

Overlapping Surgery鈥擮pportunities in Neurosurgery Based on New Research

David B. Hoyt, MD

Abstract Full Text

JAMA Surg. 2018;153(4):321. doi:10.1001/jamasurg.2017.4482

Undertriage Remains a Vexing Problem for Even the Most Highly Developed Trauma Systems: The Need for Innovations in Field Triage

Craig D. Newgard, MD, MPH; Tarsicio Uribe-Leitz, MD, MPH; Adil H. Haider, MD, MPH

Abstract Full Text

JAMA Surg. 2018;153(4):328. doi:10.1001/jamasurg.2017.4499

Connections Between Hospital Financial Distress, Physician Incentive, and Patient Access to Breast Reconstruction

Tomer Avraham, MD; Cary P. Gross, MD; Brigid K. Killelea, MD, MPH

Abstract Full Text

JAMA Surg. 2018;153(4):351-352. doi:10.1001/jamasurg.2017.5034

Using Clinical Registries to Enhance Implementation Research

Scott E. Regenbogen, MD, MPH; Justin B. Dimick, MD, MPH

Abstract Full Text

JAMA Surg. 2018;153(4):366. doi:10.1001/jamasurg.2017.4912

How Should Surgeons Interpret Operating Room Costs?Valuing Our Time

Peter A. Najjar, MD, MBA; Stanley W. Ashley, MD

Abstract Full Text

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JAMA Surg. 2018;153(4):e176234. doi:10.1001/jamasurg.2017.6234

Review

Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review

Jud C. Janak, PhD; Jonathan A. Sosnov, MD; Joan M. Bares, MLIS; et al.

Abstract Full Text

JAMA Surg. 2018;153(4):367-375. doi:10.1001/jamasurg.2017.6105

This systematic review compares methods for determining military and civilian preventable deaths to understand the best practices for evaluating preventable death.

Surgical Innovation

Transoral Endoscopic Thyroidectomy鈥擜n Emerging Remote Access Technique for Thyroid Excision

William B. Inabnet III, MD; Gustavo Fernandez-Ranvier, MD, PhD; Hyunsuk Suh, MD

Abstract Full Text

JAMA Surg. 2018;153(4):376-377. doi:10.1001/jamasurg.2017.5306

This article describes the transoral endoscopic thyroidectomy vestibular approach (TOETVA), a new remote access endoscopic technique for thyroid gland excision.

JAMA Surgery Clinical Challenge

Severe Abdominal Pain With Hypotension

Amy Lynne Rosenbluth, MD; Andrew Harrington, MD; Eugenius John Harvey, MD

Abstract Full Text

JAMA Surg. 2018;153(4):378-379. doi:10.1001/jamasurg.2017.6087

A 78-year-old man with a history of deep vein thrombosis and pulmonary embolism presented with severe abdominal pain. Blood testing revealed an elevated creatinine level, an elevated lactate level, an international normalized ratio of 4.6, a lowered hemoglobin level, and a lowered hematocrit level. What is your diagnosis?

Progression in a Patient With Previously Treated Atherosclerotic Disease

Sue Wang, BS; Devin S. Zarkowsky, MD; Charles M. Eichler, MD

Abstract Full Text

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JAMA Surg. 2018;153(4):380-381. doi:10.1001/jamasurg.2017.6097

A 71-year-old man with a history of coronary artery bypass graft using the left internal mammary artery to the left anterior descending in 1997 presented with frequent ventricular tachycardia on routine pacemaker interrogation. What is your diagnosis?

Video: Coronary Steal Syndrome

Research Letter

Association of Surgical Volume With Perioperative Outcomes for Esophagomyotomy for Esophageal Achalasia

Francisco Schlottmann, MD; Paula D. Strassle, MSPH; Marco G. Patti, MD

Abstract Full Text

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JAMA Surg. 2018;153(4):383-386. doi:10.1001/jamasurg.2017.4923

This population-based analysis examines the association between surgical volume and postoperative results in patients with esophageal achalasia who underwent esophagomyotomy.