May 1, 2024 Issue of JAMA Surgery

May 2024, Vol 159, No. 5, Pages 474-593

Viewpoint

Is Preoperative Optimization Right for Every Hernia Patient?It鈥檚 Time to Optimize the Optimization Process

Serena S. Bidwell, MPH; Brian T. Fry, MD, MS; Dana A. Telem, MD, MPH

Abstract Full Text

JAMA Surg. 2024;159(5):475-476. doi:10.1001/jamasurg.2023.7455

This Viewpoint discusses developing a more nuanced preoperative optimization strategy for hernia repair that considers patient and disease factors to determine the right operation for the right patient at the right time.

Metabolic Bariatric Surgery鈥擜 Vastly Underused Treatment

Bruce Schirmer, MD

Abstract Full Text

JAMA Surg. 2024;159(5):477-478. doi:10.1001/jamasurg.2023.7458

This Viewpoint discusses the disease of obesity: treatment options, disease management, and the need for legislation for obesity-related discrimination.

Editorial

JAMA Surgery鈥擳he Year in Review, 2023

Melina R. Kibbe, MD

Abstract Full Text

free access

JAMA Surg. 2024;159(5):479-481. doi:10.1001/jamasurg.2024.0288

Safety of Pregnancy After Breast Cancer in BRCA Mutation Carriers

Lisa A. Newman, MD, MPH; Emily Shippee Rockefeller, BA; Cheng-Har Yip, MD

Abstract Full Text

JAMA Surg. 2024;159(5):482-483. doi:10.1001/jamasurg.2024.0005

Original Investigation

Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy: A Randomized Clinical Trial by CHIR-Net

Tara Catharina Mueller, MD; Victoria Kehl, PhD; Rebekka Dimpel, MD; et al.

Abstract Full Text

open access has audio

JAMA Surg. 2024;159(5):484-492. doi:10.1001/jamasurg.2023.7985

This randomized clinical trial assesses the effect of intraoperative wound irrigation in preventing surgical site infection.

Podcast: Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy

Robotic Technology in Emergency General Surgery Cases in the Era of Minimally Invasive Surgery

Nicole Lunardi, MD, MSPH; Aida Abou-Zamzam, BA; Katherine L. Florecki, MD; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):493-499. doi:10.1001/jamasurg.2024.0016

This cohort study examines the trends over time in the use of robotic surgery for emergent or urgent cholecystectomy, colectomy, inguinal hernia repair, or ventral hernia repair.

Association of VA Surgeons

Outcomes of Women Undergoing Noncardiac Surgery in Veterans Affairs Compared With Non鈥揤eterans Affairs Care Settings

Elizabeth L. George, MD, MSc; Michael A. Jacobs, MS; Katherine M. Reitz, MD, MS; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):501-509. doi:10.1001/jamasurg.2023.8081

This study compares postoperative outcomes among women treated in Veterans Affairs hospitals vs private-sector hospitals.

Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis

Shannon L. Cramm, MD, MPH; Dionne A. Graham, PhD; Martin L. Blakely, MD, MS; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):511-517. doi:10.1001/jamasurg.2023.7754

This cohort study investigates if continuation of postoperative antibiotics in children with gangrenous, suppurative, or exudative appendicitis is associated with a reduction in surgical site infection risk and resource use.

Pathomics Signature for Prognosis and Chemotherapy Benefits in Stage III Colon Cancer

Wei Jiang, MD; Huaiming Wang, MD; Xiaoyu Dong, MD; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):519-528. doi:10.1001/jamasurg.2023.8015

This prognostic study describes the development and validation of a pathomics signature to estimate prognosis and benefit from chemotherapy among patients with stage III colon cancer using hematoxylin-eosin鈥搒tained slides.

Total Neoadjuvant Therapy With PD-1 Blockade for High-Risk Proficient Mismatch Repair Rectal Cancer

Yingjie Li, MD; Chaohu Pan, PhD; Yuye Gao, BS; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):529-537. doi:10.1001/jamasurg.2023.7996

This cohort study examines safety and efficacy data for 25 participants in a phase 2 trial of total neoadjuvant therapy with induction chemoimmunotherapy followed by long-course chemoradiation for high-risk rectal cancer.

Performance in Irish Selection and Future Performance in Surgical Training

Conor Toale, MSc; Marie Morris, PhD; Sara Gross, BSc; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):538-545. doi:10.1001/jamasurg.2024.0034

This study attempts to determine the association between measured candidate factors at the time of an Irish selection and assessment outcomes in surgical training.

Accreditation Council for Graduate Medical Education Milestone Training Ratings and Surgeons鈥� Early Outcomes

Brigitte K. Smith, MD, MHPE; Kenji Yamazaki, PhD; Ara Tekian, PhD, MHPE; et al.

Abstract Full Text

open access

JAMA Surg. 2024;159(5):546-552. doi:10.1001/jamasurg.2024.0040

This study evaluates the association of in-training Accreditation Council for Graduate Medical Education Milestone ratings in a surgical specialty with subsequent complication rates following a commonly performed operation, endovascular aortic aneurysm repair.

Electronic Patient-Reported Symptoms After Ambulatory Cancer Surgery

Jennifer R. Cracchiolo, MD; Amy L. Tin, MA; Melissa Assel, MS; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):554-561. doi:10.1001/jamasurg.2024.0133

This cohort study describes the patterns of postoperative recovery among patients undergoing ambulatory cancer surgery with remote symptom monitoring using an ePRO platform鈥攖he Recovery Tracker.

Modifier 22 Use in Fee-for-Service Medicare

Christopher P. Childers, MD, PhD; Naveen V. Manisundaram, MD, MPH; Chung-Yuan Hu, MPH, PhD; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):563-569. doi:10.1001/jamasurg.2024.0048

This cross-sectional study evaluates the association between the use of Medicare鈥檚 modifier 22 and compensation for common surgical procedures.

Invited Commentary

Surgical Site Infections鈥擳ime to Test Cost-Effective Prevention Strategies?

Jeffrey S. Upperman, MD; Eunice Y. Huang, MD

Abstract Full Text

JAMA Surg. 2024;159(5):492. doi:10.1001/jamasurg.2023.7979

Robotics for Emergency General Surgery鈥擲electing the Right Tool

Kyle H. Sheetz, MD; Dana A. Telem, MD; Liane S. Feldman, MD

Abstract Full Text

free access

JAMA Surg. 2024;159(5):500. doi:10.1001/jamasurg.2024.0023

The MISSION Act Needs Measurement

Philip P. Goodney, MD, MS; Aravind S. Ponukumati, MD; Laura E. Newton, MD

Abstract Full Text

JAMA Surg. 2024;159(5):509-510. doi:10.1001/jamasurg.2023.8082

Antibiotic Use in Gangrenous, Suppurative, or Exudative Appendicitis

Fari Fall, MD; Loren Berman, MD

Abstract Full Text

JAMA Surg. 2024;159(5):517-518. doi:10.1001/jamasurg.2023.7776

Standardizing Resident Assessment and Competency鈥擬ilestones Matter

Amanda C. Filiberto, MD; Amalia Cochran, MD

Abstract Full Text

JAMA Surg. 2024;159(5):553. doi:10.1001/jamasurg.2024.0045

What to Expect鈥hen You Are Having Surgery

Laleh G. Melstrom, MD, MSCI; Kelly Mahuron, MD; Virginia Sun, PhD

Abstract Full Text

JAMA Surg. 2024;159(5):562. doi:10.1001/jamasurg.2024.0142

Modifier 22鈥擨s It All Just a Catch-22?

Ali B. Abbasi, MD; Elizabeth C. Wick, MD

Abstract Full Text

JAMA Surg. 2024;159(5):570. doi:10.1001/jamasurg.2024.0060

Review

Entrustable Professional Activities in Surgery: A Review

Kelsey B. Montgomery, MD; John D. Mellinger, MD; Brenessa Lindeman, MD, MEHP

Abstract Full Text

has active quiz

JAMA Surg. 2024;159(5):571-577. doi:10.1001/jamasurg.2023.8107

This narrative review describes aspects of a competency-based education assessment framework that is being implemented as a tool for evaluating general surgery residents and increasingly adopted across medical specialties.

Guide to Statistics and Methods

Surgical Education Research

Practical Guide to Experimental and Quasi-Experimental Research in Surgical Education

Roy Phitayakorn, MD, MHPE; Todd A. Schwartz, DrPH; Gerard M. Doherty, MD

Abstract Full Text

has active quiz

JAMA Surg. 2024;159(5):578-579. doi:10.1001/jamasurg.2023.6693

This Guide to Statistics and Methods describes the methods and pitfalls of experimental and quasi-experimental study designs in surgical education.

Editorial
Improving the Integrity of Surgical Education Scholarship
Amalia Cochran, MD, MA; Dimitrios Stefanidis, MD, PhD; Melina R. Kibbe, MD

JAMA Surg

Surgical Education Research

Practical Guide to Assessment Tool Development for Surgical Education Research

Mohsen M. Shabahang, MD, PhD; Todd A. Schwartz, DrPH; Liane S. Feldman, MD

Abstract Full Text

has active quiz

JAMA Surg. 2024;159(5):580-581. doi:10.1001/jamasurg.2023.6696

This Guide to Statistics and Methods describes the process of validation and gathering validity evidence for assessment tool development for surgical education research.

Editorial
Improving the Integrity of Surgical Education Scholarship
Amalia Cochran, MD, MA; Dimitrios Stefanidis, MD, PhD; Melina R. Kibbe, MD

JAMA Surg

Surgical Education Research

Practical Guide to Pragmatic Clinical Trials in Surgical Education Research

Karl Y. Bilimoria, MD, MS; Jason S. Haukoos, MD, MSc; Gerard M. Doherty, MD

Abstract Full Text

has active quiz

JAMA Surg. 2024;159(5):582-583. doi:10.1001/jamasurg.2023.6690

This Guide to Statistics and Methods provides an overview of the key features of pragmatic trials within the context of surgical education research using examples from the Flexibility in Duty-Hour Requirements for Surgical Trainees trial.

Editorial
Improving the Integrity of Surgical Education Scholarship
Amalia Cochran, MD, MA; Dimitrios Stefanidis, MD, PhD; Melina R. Kibbe, MD

JAMA Surg

Surgical Innovation

Thoracic Lavage for Traumatic Hemothorax

Carl A. Beyer, MD; Nathaniel R. McLauchlan, SM; Jeremy W. Cannon, MD, SM

Abstract Full Text

has active quiz

JAMA Surg. 2024;159(5):584-585. doi:10.1001/jamasurg.2023.3822

This Surgical Innovation discusses thoracic lavage for traumatic hemothorax.

Research Letter

Electric Bicycle Injuries and Hospitalizations

Adrian M. Fernandez, MD; Kevin D. Li, BS; Hiren V. Patel, MD, PhD; et al.

Abstract Full Text

JAMA Surg. 2024;159(5):586-588. doi:10.1001/jamasurg.2023.7860

This cross-sectional study investigates injury trends associated with electric bicycles in the US from 2017 to 2022.

Nationwide Propensity-Matched Comparison of Surgical Site Infections in Safety Net Hospitals

Lisa Ngo, MD, MPH; Luis Quintero, MD; Joshua P. Parreco, MD

Abstract Full Text

JAMA Surg. 2024;159(5):588-590. doi:10.1001/jamasurg.2023.7863

This cohort study examines the rates and risks associated with surgical site infection during admission or readmission of socioeconomically marginalized patients undergoing gastrointestinal surgery.

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