May 1, 2018 Issue of JAMA Surgery

May 2018, Vol 153, No. 5, Pages 401-498

In This Issue of JAMA Surgery

Highlights

Abstract Full Text

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JAMA Surg. 2018;153(5):401. doi:10.1001/jamasurg.2017.3669

Viewpoint

The Problem of Burnout Among Surgeons

Marco G. Patti, MD; Francisco Schlottmann, MD; Michael G. Sarr, MD

Abstract Full Text

JAMA Surg. 2018;153(5):403-404. doi:10.1001/jamasurg.2018.0047

This Viewpoint reports on the problem of burnout among surgeons and its multifactorial origin.

Editorial

JAMA Surgery鈥擳he Year in Review, 2017

Melina R. Kibbe, MD

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JAMA Surg. 2018;153(5):405-406. doi:10.1001/jamasurg.2017.5633

Original Investigation

Evaluation of Validity Evidence for Personality, Emotional Intelligence, and Situational Judgment Tests to Identify Successful Residents

Aimee K. Gardner, PhD; Brian J. Dunkin, MD

Abstract Full Text

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JAMA Surg. 2018;153(5):409-416. doi:10.1001/jamasurg.2017.5013

This study assesses whether personality, emotional intelligence, and situational judgment test screening results in residents can identify successful performance 1 year later in a large general surgery residency program.

Invited Commentary
Choosing Successful Residents
David A. Harris, MD; Stanley W. Ashley, MD; Jennifer L. Irani, MD

JAMA Surg

Association of Surgical Practice Patterns and Clinical Outcomes With Surgeon Training in University- or Nonuniversity-Based Residency Program

Morgan M. Sellers, MD; Luke J. Keele, PhD; Catherine E. Sharoky, MD; et al.

Abstract Full Text

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JAMA Surg. 2018;153(5):418-425. doi:10.1001/jamasurg.2017.5449

This cohort study analyzes the claims data of patients who underwent general surgery and the practice and training information of surgeons in the 糖心vlog Physician Masterfile to determine the association of surgical residency training with patient outcomes.

Invited Commentary
Nonuniversity-Based Surgeons Coming Up Anything but Short in Solutions to the Future Surgeon Shortage
Kathryn J. Balinger, MD; Lillian S. Kao, MD, MS

JAMA Surg

Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study

Anita P. Courcoulas, MD, MPH; Wendy C. King, PhD; Steven H. Belle, PhD; et al.

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JAMA Surg. 2018;153(5):427-434. doi:10.1001/jamasurg.2017.5025

This multicenter longitudinal study examines long-term weight change and health status following Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding.

Invited Commentary
The Reality of Long-term Follow-up of Bariatric/Metabolic Surgery Patients鈥擜 Conundrum
Kelvin D. Higa, MD; Jacques Himpens, MD, PhD

JAMA Surg

Pacific Coast Surgical Association

Evaluation of Early Allograft Function Using the Liver Graft Assessment Following Transplantation Risk Score Model

Vatche G. Agopian, MD; Michael P. Harlander-Locke, MPH; Daniela Markovic, MS; et al.

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JAMA Surg. 2018;153(5):436-444. doi:10.1001/jamasurg.2017.5040

This study examines the laboratory data of patients who underwent a primary liver transplant to identify the variables most associated with posttransplant graft failure and create an accurate risk-scoring model.

Invited Commentary
Determinants of Failure in Hepatic Transplant
Jorge D. Reyes, MD

JAMA Surg

Association of Informal Clinical Integration of Physicians With Cardiac Surgery Payments

Russell J. Funk, PhD; Jason Owen-Smith, PhD; Samuel A. Kaufman, MA; et al.

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JAMA Surg. 2018;153(5):446-453. doi:10.1001/jamasurg.2017.5150

This study of Medicare beneficiaries examines how physician interaction patterns vary between health systems and assesses whether variation in informal clinical integration among physicians is associated with care delivery payments.

Invited Commentary
The Value of Established Relationships Between Primary Care Clinicians and Specialists
Larry R. Kaiser, MD; Verdi J. DiSesa, MD, MBA

JAMA Surg

Association of Integrated Care Coordination With Postsurgical Outcomes in High-Risk Older Adults: The Perioperative Optimization of Senior Health (POSH) Initiative

Shelley R. McDonald, DO, PhD; Mitchell T. Heflin, MD, MHS; Heather E. Whitson, MD, MHS; et al.

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JAMA Surg. 2018;153(5):454-462. doi:10.1001/jamasurg.2017.5513

This quality improvement case-control study assesses clinical outcomes for older adults undergoing elective abdominal surgery via a collaborative intervention by surgery, geriatrics, and anesthesia focused on perioperative health optimization.

Invited Commentary
Personalized Surgical Care for Older Adults
Gerard M. Doherty, MD

JAMA Surg

Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Unit: A Stepped-Wedge Cluster Randomized Clinical Trial

Brodie Parent, MD, MS; Lacey N. LaGrone, MD, MPH; Mohamed T. Albirair, MD, MPH; et al.

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JAMA Surg. 2018;153(5):464-470. doi:10.1001/jamasurg.2017.5440

This cluster randomized clinical trials explores whether the UW-IPASS standardized handoff curriculum improves clinician preparedness in intensive care units.

Invited Commentary
Standardized Handoffs in the Intensive Care Unit: Hope or Hype for Improving Critical Care?
Amalia Cochran, MD

JAMA Surg

Association of VA Surgeons

Patient Preferences for Surgery or Antibiotics for the Treatment of Acute Appendicitis

Alexis L. Hanson, BA; Ross D. Crosby, PhD; Marc D. Basson, MD, PhD, MBA

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JAMA Surg. 2018;153(5):471-478. doi:10.1001/jamasurg.2017.5310

This study uses an online survey and a sensitivity survey to determine which treatment option鈥攕urgical or nonsurgical therapy鈥攊ndividuals are likely to choose in the event of acute appendicitis and to identify targets to make antibiotic treatment more appealing.

Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center

Eiman Zargaran, MD, MHSc; Richard Spence, MD, MPH, PhD; Lauren Adolph, MD; et al.

Abstract Full Text

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JAMA Surg. 2018;153(5):e180087. doi:10.1001/jamasurg.2018.0087

This quality improvement study compares use of electronic vs paper documentation of care within the emergency department.

Association of Frailty With Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery

Rupen Shah, MD; Kristopher Attwood, PhD; Shipra Arya, MD, SM; et al.

Abstract Full Text

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JAMA Surg. 2018;153(5):e180214. doi:10.1001/jamasurg.2018.0214

This cohort study assesses the association of frailty with failure to rescue in patients undergoing inpatient surgery.

Invited Commentary
From Preoperative Assessment to Preoperative Optimization of Frailty
Liane S. Feldman, MD; Franco Carli, MD

JAMA Surg

Invited Commentary

Choosing Successful Residents

David A. Harris, MD; Stanley W. Ashley, MD; Jennifer L. Irani, MD

Abstract Full Text

JAMA Surg. 2018;153(5):416-417. doi:10.1001/jamasurg.2017.5022

Nonuniversity-Based Surgeons Coming Up Anything but Short in Solutions to the Future Surgeon Shortage

Kathryn J. Balinger, MD; Lillian S. Kao, MD, MS

Abstract Full Text

JAMA Surg. 2018;153(5):426. doi:10.1001/jamasurg.2017.5471

The Reality of Long-term Follow-up of Bariatric/Metabolic Surgery Patients鈥擜 Conundrum

Kelvin D. Higa, MD; Jacques Himpens, MD, PhD

Abstract Full Text

JAMA Surg. 2018;153(5):435. doi:10.1001/jamasurg.2017.5010

Determinants of Failure in Hepatic Transplant

Jorge D. Reyes, MD

Abstract Full Text

JAMA Surg. 2018;153(5):444-445. doi:10.1001/jamasurg.2017.5042

The Value of Established Relationships Between Primary Care Clinicians and Specialists

Larry R. Kaiser, MD; Verdi J. DiSesa, MD, MBA

Abstract Full Text

JAMA Surg. 2018;153(5):453. doi:10.1001/jamasurg.2017.5175

Personalized Surgical Care for Older Adults

Gerard M. Doherty, MD

Abstract Full Text

JAMA Surg. 2018;153(5):463. doi:10.1001/jamasurg.2017.5528

Standardized Handoffs in the Intensive Care Unit: Hope or Hype for Improving Critical Care?

Amalia Cochran, MD

Abstract Full Text

JAMA Surg. 2018;153(5):470. doi:10.1001/jamasurg.2017.5468

From Preoperative Assessment to Preoperative Optimization of Frailty

Liane S. Feldman, MD; Franco Carli, MD

Abstract Full Text

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JAMA Surg. 2018;153(5):e180213. doi:10.1001/jamasurg.2018.0213

Review

Venous Thromboembolism Prevention in Emergency General Surgery: A Review

Patrick B. Murphy, MD, MSc, MPH; Kelly N. Vogt, MD; Brandyn D. Lau, MPH; et al.

Abstract Full Text

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JAMA Surg. 2018;153(5):479-486. doi:10.1001/jamasurg.2018.0015

This review applies the existing literature on venous thromboembolism prophylaxis to emergency general surgery patients and offers recommendations using the available evidence.

Surgical Innovation

Near-Infrared Sentinel Lymph Node Identification in Non鈥揝mall Cell Lung Cancer

Christopher S. Digesu, MD; Kathleen D. Weiss, MD; Yolonda L. Colson, MD, PhD

Abstract Full Text

JAMA Surg. 2018;153(5):487-488. doi:10.1001/jamasurg.2017.5928

This Surgical Innovation describes sentinal lymph node mapping with near-infrared imaging to target the first tumor-draining lymph node for sampling and for in-depth pathologic analysis in non鈥搒mall cell lung cancer.

JAMA Surgery Clinical Challenge

A Large Abdominal Mass in a Young Man

Yu Xi Terence Law, BSc(Hons), MBBS, MRCS(Edin); Lui Shiong Lee, MBBS, MRCS, MMed(Surg)

Abstract Full Text

JAMA Surg. 2018;153(5):489-490. doi:10.1001/jamasurg.2018.0050

A man in his 30s presented with abdominal pain associated with unintentional weight loss in the preceding 6 months, large intraperitoneal and retroperitoneal masses, and elevated serum lactate dehydrogenase and 尾 human chorionic gonadotrophin levels. What is your diagnosis?

Abdominal Trauma Related to a Bicycle Accident

Alban Zarzavadjian Le Bian, MD, PhD; Philippe Wind, MD, PhD

Abstract Full Text

JAMA Surg. 2018;153(5):491-492. doi:10.1001/jamasurg.2018.0055

A man presents to the emergency department with abdominal pain, nausea, and vomiting after a bicycle accident. What would you do?

Research Letter

Failures of Sacral Neuromodulation for Incontinence

Bilal Chughtai, MD; Dominique Thomas, BS; Tianyi Sun, MS; et al.

Abstract Full Text

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JAMA Surg. 2018;153(5):493-494. doi:10.1001/jamasurg.2017.6093

This study examines the reintervention rate associated with treatment failures and device malfunctions at 1, 3, and 5 years after sacral neuromodulation surgery.