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January 1, 2017, Vol 152, No. 1, Pages 1-116

Original Investigation

Assessment of a Revised Management Strategy for Patients With Intraductal Papillary Mucinous Neoplasms Involving the Main Pancreatic Duct

Abstract Full Text
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JAMA Surg. 2017;152(1):e163349. doi:10.1001/jamasurg.2016.3349

This cohort study investigates an appropriate cutoff of the main pancreatic duct diameter for surgery or surveillance in patients with intraductal papillary mucinous neoplasms.

Effect of a Decision Aid on Access to Total Knee Replacement for Black Patients With Osteoarthritis of the KneeA Randomized Clinical Trial

Abstract Full Text
online only
JAMA Surg. 2017;152(1):e164225. doi:10.1001/jamasurg.2016.4225

This randomized clinical trial assesses whether a decision aid improves access to total knee replacement surgery among black patients with osteoarthritis of the knee.

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
JAMA Surg. 2017;152(1):1. doi:10.1001/jamasurg.2016.3407
Viewpoint

Veterans Affairs Proposed Rule for Advanced Practice Registered Nurses in the Operating RoomA Step Forward or Overstepping?

Abstract Full Text
JAMA Surg. 2017;152(1):5-6. doi:10.1001/jamasurg.2016.3996

This Viewpoint raises 3 concerns about the Veteran Affairs proposed rule for advanced practice registered nurses in the operating room.

Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Trial

Abstract Full Text
JAMA Surg. 2017;152(1):7-8. doi:10.1001/jamasurg.2016.3198

This Viewpoint reports on the ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees Trial.

Editorial

A Brave New World of Research Ethics

Abstract Full Text
JAMA Surg. 2017;152(1):9. doi:10.1001/jamasurg.2016.3201

Evaluation of Rural vs Urban Trauma Patients Served by 9-1-1 Emergency Medical Services

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(1):11-18. doi:10.1001/jamasurg.2016.3329

This cohort study evaluates the differences in access to and outcomes of 9-1-1 emergency medical services’ response to injuries in rural and urban populations.

Association of Preoperative Risk Factors With Malignancy in Pancreatic Mucinous Cystic NeoplasmsA Multicenter Study

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(1):19-25. doi:10.1001/jamasurg.2016.3598

This multicenter study examines the preoperative risk factors for malignancy in resected mucinous cystic neoplasms and assesses outcomes of mucinous cystic neoplasm–associated adenocarcinoma.

Urologist-Level Correlation in the Use of Observation for Low- and High-Risk Prostate Cancer

Abstract Full Text
JAMA Surg. 2017;152(1):27-34. doi:10.1001/jamasurg.2016.2907

This population-based study uses SEER-Medicare database data to evaluate urologist-level rates of variation in the use of observation for men diagnosed with low- and high-risk prostate cancer between 2004 and 2009.

Association of Mechanism of Injury With Risk for Venous Thromboembolism After Trauma

Abstract Full Text
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JAMA Surg. 2017;152(1):35-40. doi:10.1001/jamasurg.2016.3116

This cohort study examines whether a blunt or penetrating mechanism of injury alters the risk of venous thromboembolism.

Effect of Lean Processes on Surgical Wait Times and Efficiency in a Tertiary Care Veterans Affairs Medical Center

Abstract Full Text
JAMA Surg. 2017;152(1):42-47. doi:10.1001/jamasurg.2016.2808

This study identifies whether lean processes can be used to improve wait times for surgical procedures in Veterans Affairs hospitals.

Implications of the Definition of an Episode of Care Used in the Comprehensive Care for Joint Replacement Model

Abstract Full Text
JAMA Surg. 2017;152(1):49-54. doi:10.1001/jamasurg.2016.3098

This study compares the Comprehensive Care for Joint Replacement program’s broad definition of an episode of care (ie, initial hospitalization until 90 days after hospital discharge) with a clinically narrow definition of an episode of care.

Evaluation of Patients With Hepatocellular Carcinomas That Do Not Produce α-Fetoprotein

Abstract Full Text
JAMA Surg. 2017;152(1):55-64. doi:10.1001/jamasurg.2016.3310

This study compares the characteristics and outcomes among liver transplant recipients with radiographically apparent hepatocellular carcinoma lesions with α-fetoprotein (AFP)–producing tumors with those of recipients with tumors that do not produce AFP.

Global Outreach Using a Systematic, Competency-Based Training Paradigm for Inguinal Hernioplasty

Abstract Full Text
JAMA Surg. 2017;152(1):66-73. doi:10.1001/jamasurg.2016.3323

This observational study describes an international competency-based training paradigm for hernia surgery in underserved countries.

Association Between Inferior Vena Cava Filter Insertion in Trauma Patients and In-Hospital and Overall Mortality

Abstract Full Text
JAMA Surg. 2017;152(1):75-81. doi:10.1001/jamasurg.2016.3091

This cohort study determines if inferior vena cava filter insertion in trauma patients affects overall mortality.

Association of Histopathologic Phenotype of Periampullary Adenocarcinomas With Survival

Abstract Full Text
JAMA Surg. 2017;152(1):82-88. doi:10.1001/jamasurg.2016.3466

This study of medical records in a prospectively maintained database identifies factors associated with survival in patients with periampullary adenocarcinomas and compares survival between those having intestinal-type or pancreaticobiliary-type cancers originating from the duodenum, ampulla, or distal common bile duct with those having pancreatic ductal adenocarcinoma.

Efficacy of Liposomal Bupivacaine Infiltration on the Management of Total Knee Arthroplasty

Abstract Full Text
JAMA Surg. 2017;152(1):90-95. doi:10.1001/jamasurg.2016.3474

This drug utilization study uses data from the Veterans Affairs Medical System to evaluate the effect of local infiltration of liposomal bupivacaine on perioperative outcomes in patients undergoing primary total knee arthroplasty.

Invited Commentary

Mucinous Cystic Neoplasms of the PancreasA Surgical Disease

Abstract Full Text
JAMA Surg. 2017;152(1):26. doi:10.1001/jamasurg.2016.3596

Advances, Pauses, and Future Opportunity for the Prevention of Venous Thromboembolism in the Trauma Population

Abstract Full Text
JAMA Surg. 2017;152(1):41. doi:10.1001/jamasurg.2016.3124

Building a Lean, Mean Patient Care Machine

Abstract Full Text
JAMA Surg. 2017;152(1):48. doi:10.1001/jamasurg.2016.2834

Promise and Pitfalls of Using α-Fetoprotein in Liver Transplantation Allocation for Hepatocellular Carcinoma

Abstract Full Text
JAMA Surg. 2017;152(1):64-65. doi:10.1001/jamasurg.2016.3495

Enhancing Local Resources in Low- and Middle-Income Countries Through Education

Abstract Full Text
JAMA Surg. 2017;152(1):73-74. doi:10.1001/jamasurg.2016.3365

Inferior Vena Cava Filters in Trauma Patients—For Whom the Benefit Tolls?

Abstract Full Text
JAMA Surg. 2017;152(1):81. doi:10.1001/jamasurg.2016.3121

Biology Trumps Anatomic Location in Periampullary Cancers

Abstract Full Text
JAMA Surg. 2017;152(1):89. doi:10.1001/jamasurg.2016.3482
Surgical Innovation

Time-Driven Activity-Based Costing for Surgical Episodes

Abstract Full Text
JAMA Surg. 2017;152(1):96-97. doi:10.1001/jamasurg.2016.3356

This commentary reports on an innovative approach for measuring costs across entire episodes of care, time-driven activity-based costing, which requires estimates of only 2 factors: the quantity of time and the cost per unit of each resource used to treat patients.

JAMA Surgery Clinical Challenge

Rapidly Growing, Bleeding Mass on a Golfer’s Back

Abstract Full Text
JAMA Surg. 2017;152(1):101-102. doi:10.1001/jamasurg.2016.3982

A professional golfer aged 69 years with a history of frequent outdoor sun exposure presented to the surgery clinic with a mass on his left upper back. Clinical examination revealed an 8 × 6 × 4-cm multilobulated, purplish lesion that was fungating and friable. What is your diagnosis?

An Inevitable Surgical Procedure

Abstract Full Text
JAMA Surg. 2017;152(1):99-100. doi:10.1001/jamasurg.2016.3977

A man in his 40s was referred from jail with abdominal pain for 5 days. Neither hernia nor surgical scars were seen on examination, and vital signs and results from laboratory tests were normal. What is your diagnosis?

Research Letter

Comparative Effectiveness of Preoperative Treatment Regimens in Patients With Potentially Resectable Esophageal Cancer

Abstract Full Text
JAMA Surg. 2017;152(1):103-105. doi:10.1001/jamasurg.2016.2821

This study assesses the effectiveness of both preoperative chemoradiation with cisplatin and fluorouracil or carboplatin and paclitaxel on recurrence-free survival and overall survival in patients with esophageal cancer.

Variation in Weight and Obesity Comorbidities After Open Roux-en-Y Gastric Bypass by Health InsuranceMedicaid vs Medicare vs Private vs Self-Pay in 4225 Bariatric Outcomes Longitudinal Database Patients

Abstract Full Text
JAMA Surg. 2017;152(1):105-109. doi:10.1001/jamasurg.2016.2932

This study identifies variation in open Roux-en-Y gastric bypass surgeries by health insurance status.

Investigating Teamwork in the Operating RoomEngaging Stakeholders and Setting the Agenda

Abstract Full Text
JAMA Surg. 2017;152(1):109-111. doi:10.1001/jamasurg.2016.3110

This exploratory qualitative study engaged stakeholders as part of an attempt to design and implement best practice guidelines or team training interventions to enhance communication and teamwork in the operating room.

Association of Uneven MitraClip Application and Leaflet Stress in a Finite Element Model

Abstract Full Text
JAMA Surg. 2017;152(1):111-114. doi:10.1001/jamasurg.2016.3360

This study investigates the effect of uneven MitraClip application on the anterior and posterior leaflets of the mitral valve to eliminate mitral regurgitation during mitral valve repair.

Comment & Response

In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair

Abstract Full Text
JAMA Surg. 2017;152(1):114. doi:10.1001/jamasurg.2016.4198

In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair—Reply

Abstract Full Text
JAMA Surg. 2017;152(1):114-115. doi:10.1001/jamasurg.2016.4199

An Inconvenient Truth Regarding Operative Emergencies in General Surgery

Abstract Full Text
JAMA Surg. 2017;152(1):115-116. doi:10.1001/jamasurg.2016.4247

An Inconvenient Truth Regarding Operative Emergencies in General Surgery—Reply

Abstract Full Text
JAMA Surg. 2017;152(1):116. doi:10.1001/jamasurg.2016.4259
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2017;152(1):3. doi:10.1001/jamasurg.2016.3408
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