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October 2024 - July 1920

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Issue

December 2022, Vol 157, No. 12, Pages 1072-1171

Viewpoint

Three Observations for Improving Efforts in Surgical Quality Improvement

Abstract Full Text
JAMA Surg. 2022;157(12):1073-1074. doi:10.1001/jamasurg.2022.3122

This Viewpoint assesses current deficits in surgical quality improvement efforts and describes ways to potentially improve these initiatives for better outcomes.

Failure and Rescue in Surgery—Surgical Covenant, Palliative Care, and Reimagining Quality

Abstract Full Text
JAMA Surg. 2022;157(12):1074-1075. doi:10.1001/jamasurg.2022.3181

This Viewpoint discusses the pitfalls of failure-to-rescue metrics and importance of palliative care within surgical care.

A Proposed Framework for Measuring Access to Surgical Care in the United States

Abstract Full Text
JAMA Surg. 2022;157(12):1075-1077. doi:10.1001/jamasurg.2022.3184

In this Viewpoint, the authors evaluate access to surgical care using the domains of timeliness, workforce density, infrastructure, safety, and affordability and discuss how such a framework could be applied in the United States.

Editorial

Randomized Clinical Trials in Surgery

Clinical Trials Design, Scientific Rigor, and Higher-Level Evidence in Surgery

Abstract Full Text
has audio
JAMA Surg. 2022;157(12):1078-1079. doi:10.1001/jamasurg.2022.4880
Original Investigation

Association of Patient Belief About Success of Antibiotics for Appendicitis and Outcomes: A Secondary Analysis of the CODA Randomized Clinical Trial

Abstract Full Text
open access
JAMA Surg. 2022;157(12):1080-1087. doi:10.1001/jamasurg.2022.4765

This secondary analysis of the Comparison of Outcomes of Antibiotic Drugs and Appendectomy (CODA) randomized clinical trial investigates the association between patients’ belief in treatment success and outcomes regarding antibiotic management for appendicitis.

Phase 2 Evaluation of Neoadjuvant Intensity-Modulated Radiotherapy in Centrally Located Hepatocellular Carcinoma: A Nonrandomized Controlled Trial

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1089-1096. doi:10.1001/jamasurg.2022.4702

This nonrandomized controlled trial evaluates the overall and disease-free survival rates as well as adverse events associated with combined neoadjuvant intensity-modulated radiotherapy and hepatectomy.

Rates of Surgical Consultations After Emergency Department Admission in Black and White Medicare Patients

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1097-1104. doi:10.1001/jamasurg.2022.4959

This study attempts to determine whether Black Medicare patients have similar rates of surgical consultations when compared with White Medicare patients after being admitted from the emergency department with an emergency general surgery condition.

Diagnostic Accuracy of Fine-Needle Biopsy in the Detection of Thyroid Malignancy: A Systematic Review and Meta-analysis

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1105-1113. doi:10.1001/jamasurg.2022.4989

This systematic review and meta-analysis estimates the accuracy of thyroid fine-needle biopsy for diagnosis of malignancy in adults with a newly diagnosed thyroid nodule and characterizes changes in accuracy over time.

Expansion of the Veterans Health Administration Network and Surgical Outcomes

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1115-1123. doi:10.1001/jamasurg.2022.4978

This nonrandomized regression discontinuity study investigates if expanded access to health care among previously separate health care systems—the Veterans Health Administration and non–Veterans Health Administration community—is associated with surgical outcomes.

Pacific Coast Surgical Association

Adherence to the TQIP Palliative Care Guidelines Among Patients With Serious Illness at a Level I Trauma Center in the US

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1125-1132. doi:10.1001/jamasurg.2022.4718

This cohort study measures the adherence to the American College of Surgeons Trauma Quality Improvement Program (TQIP) palliative care guidelines among patients with serious illness at a level I trauma center in the United States.

Current Status of National Institutes of Health Research Funding for Women Surgeon-Scientists

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1134-1140. doi:10.1001/jamasurg.2022.5157

This cross-sectional study compares the number of men and women surgeons who received research funding from the National Institutes of Health from 2010 to 2020 and the total grant funding they received.

Correlation Between Postoperative Antimicrobial Prophylaxis Use and Surgical Site Infection in Children Undergoing Nonemergent Surgery

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1142-1151. doi:10.1001/jamasurg.2022.4729

This study evaluates whether use of postoperative surgical prophylaxis is correlated with surgical site infection rates in children undergoing nonemergent surgery.

Association of Long-term Oncologic Prognosis With Minimal Access Breast Surgery vs Conventional Breast Surgery

Abstract Full Text
open access online only
JAMA Surg. 2022;157(12):e224711. doi:10.1001/jamasurg.2022.4711

This cohort study evaluates the association of oncologic prognosis with minimal access breast surgery vs conventional surgery.

Population-Based Estimates of 1-Year Mortality After Major Surgery Among Community-Living Older US Adults

Abstract Full Text
free access online only
JAMA Surg. 2022;157(12):e225155. doi:10.1001/jamasurg.2022.5155

This cohort study assesses population-based estimates for 1-year mortality after major surgery among community-living older US adults and whether these estimates differ according to key demographic, surgical, and geriatric characteristics.

Invited Commentary

Association Does Not Equal Causation—Does Thinking You Are Better Make You Better?

Abstract Full Text
JAMA Surg. 2022;157(12):1087-1088. doi:10.1001/jamasurg.2022.4781

Racial Inequities in Emergency Surgery Consultation in Medicare Patients

Abstract Full Text
JAMA Surg. 2022;157(12):1104. doi:10.1001/jamasurg.2022.4965

Accuracy of Fine-Needle Aspiration for Cytologic Categorization of Thyroid Nodules—Incremental Progress vs Quantum Improvement

Abstract Full Text
JAMA Surg. 2022;157(12):1113-1114. doi:10.1001/jamasurg.2022.4997

Association of Expanded Health Care Options for Community Care With Veterans’ Surgical Outcomes

Abstract Full Text
JAMA Surg. 2022;157(12):1123-1124. doi:10.1001/jamasurg.2022.4986

All Surgeons Should Be Palliative Care Surgeons

Abstract Full Text
JAMA Surg. 2022;157(12):1132-1133. doi:10.1001/jamasurg.2022.4725

Women Surgeon-Scientists—Applying an Intersectional Lens to the Current Status of National Institutes of Health Funding

Abstract Full Text
JAMA Surg. 2022;157(12):1140-1141. doi:10.1001/jamasurg.2022.5158

Patient Experience Following Surgery in the Geriatric Population—Increased Relevance and Importance of Longer-Term Surgical Outcomes

Abstract Full Text
online only
JAMA Surg. 2022;157(12):e225156. doi:10.1001/jamasurg.2022.5156
Guide to Statistics and Methods

Randomized Clinical Trials in Surgery

Practical Guide to Designing a Clinical Trial in Surgery

Abstract Full Text
has active quiz
JAMA Surg. 2022;157(12):1152-1153. doi:10.1001/jamasurg.2022.4883

This Guide to Statistics and Methods outlines the key elements that need to be considered during the design phase of a surgical clinical trial.

Randomized Clinical Trials in Surgery

Practical Guide to Design Choice of Randomized Clinical Trials in Surgery

Abstract Full Text
has active quiz
JAMA Surg. 2022;157(12):1154-1155. doi:10.1001/jamasurg.2022.4889

This Guide to Statistics and Methods provides an overview of the strengths and weaknesses of several randomized clinical trial design options.

Randomized Clinical Trials in Surgery

Practical Guide to Recruitment of Participants for Surgical Clinical Trials

Abstract Full Text
has active quiz
JAMA Surg. 2022;157(12):1156-1157. doi:10.1001/jamasurg.2022.4886

This Guide to Statistics and Methods proposes guidance for clinical trial recruitment to improve diverse population representation and overall generalizability.

Research Letter

Association Between Adverse Childhood Experiences and Posttraumatic Stress Disorder Symptoms in Adults With Injury

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1158-1159. doi:10.1001/jamasurg.2022.3116

This case-control study examines the risk factors associated with acute stress disorder in patients with severe injury.

Association Between Mental Health Conditions and Postoperative Complications After Gender-Affirming Surgery

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1159-1162. doi:10.1001/jamasurg.2022.3917

This cohort study assesses whether postoperative complications are associated with having been diagnosed with a mental health condition in patients who have undergone gender-affirming surgery.

Pacific Coast Surgical Association

Reevaluating Liver Donor Risk in the Era of Improved Hepatitis C Virus Treatment

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1162-1164. doi:10.1001/jamasurg.2022.3922

This cohort study examines the risk of graft failure associated with donors with hepatitis C virus (HCV) infection before and after the introduction of direct-acting antiviral medications.

Pacific Coast Surgical Association

Assessment of Potential Gender Bias in General Surgery Resident Milestone Evaluations

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1164-1166. doi:10.1001/jamasurg.2022.3929

This quality improvement study uses Accreditation Council for Graduate Medical Education Milestone evaluation scores to compare the scores of men and women surgical residents.

Comment & Response

Sex-Adjusted Model for End-stage Liver Disease Scores for Liver Transplant Allocation

Abstract Full Text
JAMA Surg. 2022;157(12):1166-1167. doi:10.1001/jamasurg.2022.4149

Sex-Adjusted Model for End-stage Liver Disease Scores for Liver Transplant Allocation—Reply

Abstract Full Text
JAMA Surg. 2022;157(12):1167. doi:10.1001/jamasurg.2022.4150

Payer Shifts for Gender-Affirming Chest Reconstruction

Abstract Full Text
JAMA Surg. 2022;157(12):1167-1168. doi:10.1001/jamasurg.2022.4305

Payer Shifts for Gender-Affirming Chest Reconstruction—Reply

Abstract Full Text
JAMA Surg. 2022;157(12):1168-1169. doi:10.1001/jamasurg.2022.4306

Treatment for Appendicitis

Abstract Full Text
JAMA Surg. 2022;157(12):1169. doi:10.1001/jamasurg.2022.4255

Treatment for Appendicitis

Abstract Full Text
JAMA Surg. 2022;157(12):1169-1170. doi:10.1001/jamasurg.2022.4258

Treatment for Appendicitis—Reply

Abstract Full Text
JAMA Surg. 2022;157(12):1170-1171. doi:10.1001/jamasurg.2022.4261
Correction

Error in Byline

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1171. doi:10.1001/jamasurg.2022.6572

Error in the Byline Order

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1171. doi:10.1001/jamasurg.2022.6879
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2022;157(12):1072. doi:10.1001/jamasurg.2021.5417
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