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December 1, 2016, Vol 151, No. 12, Pages 1097-1193

Original Investigation

Variation in Medicare Expenditures for Treating Perioperative ComplicationsThe Cost of Rescue

Abstract Full Text
online only
JAMA Surg. 2016;151(12):e163340. doi:10.1001/jamasurg.2016.3340

This retrospective cohort study evaluates differences across hospitals in the costs of care for patients surviving perioperative complications after major inpatient surgery.

Implications of the Patient Protection and Affordable Care Act on Insurance Coverage and Rehabilitation Use Among Young Adult Trauma Patients

Abstract Full Text
online only
JAMA Surg. 2016;151(12):e163609. doi:10.1001/jamasurg.2016.3609

This population-based study evaluates insurance coverage and rehabilitation use among young adult trauma patients since implementation of the Patient Protection and Affordable Care Act, as well as the Dependent Coverage Provision and Medicaid expansion/open enrollment.

Invited Commentary

Assessing the Effect of the Affordable Care Act on Surgical Populations

Abstract Full Text
online only
JAMA Surg. 2016;151(12):e163635. doi:10.1001/jamasurg.2016.3635
In This Issue of JAMA Surgery

Highlights

Abstract Full Text
JAMA Surg. 2016;151(12):1097. doi:10.1001/jamasurg.2015.2958
Viewpoint

The Need for Postdischarge, Patient-Centered Data in Trauma

Abstract Full Text
JAMA Surg. 2016;151(12):1101-1102. doi:10.1001/jamasurg.2016.2343

This Viewpoint assesses the current status of postdischarge data collection in US trauma registries.

A Call to Action to Develop Programs for Bystanders to Control Severe Bleeding

Abstract Full Text
JAMA Surg. 2016;151(12):1103-1104. doi:10.1001/jamasurg.2016.2789

This Viewpoint discusses the importance of recommendations for all responders, including bystanders, to have the education and necessary equipment to stop severe bleeding, similar to use of cardiopulmonary resuscitation and automated external defibrillators.

Editorial

Announcing the New JAMASurgery.com

Abstract Full Text
free access
JAMA Surg. 2016;151(12):1105-1106. doi:10.1001/jamasurg.2016.4155

Efficacy of Local Anesthetic With Dexamethasone on the Quality of Recovery Following Total Extraperitoneal Bilateral Inguinal Hernia RepairA Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2016;151(12):1108-1114. doi:10.1001/jamasurg.2016.2905

This randomized clinical trial compares the efficacy of a transversus abdominis plane block with dexamethasone and preperitoneal instillation of local anesthetic with dexamethasone vs control on postoperative quality of recovery following a bilateral total extraperitoneal inguinal hernia repair.

Combined Epidural-General Anesthesia vs General Anesthesia Alone for Elective Abdominal Aortic Aneurysm Repair

Abstract Full Text
JAMA Surg. 2016;151(12):1116-1123. doi:10.1001/jamasurg.2016.2733

This study uses data from the Vascular Study Group of New England data registry to compare postoperative complication and long-term survival rates in patients who received general anesthesia with those who received combined epidural and general anesthesia for elective abdominal aortic aneurysm repair.

Nationwide Assessment of Trends in Choledocholithiasis Management in the United States From 1998 to 2013

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(12):1125-1130. doi:10.1001/jamasurg.2016.2059

This cohort study evaluates secular trends in the management of choledocholithiasis in the United States and compares hospital length of stay between patients with choledocholithiasis treated with endoscopic retrograde cholangiopancreatography with laparoscopic cholecystectomy vs laparoscopic common bile duct exploration with laparoscopic cholecystectomy.

External Validation of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) Risk Model to Predict Operative Risk in Perihilar Cholangiocarcinoma

Abstract Full Text
JAMA Surg. 2016;151(12):1132-1138. doi:10.1001/jamasurg.2016.2305

This cohort study investigates the ability of the original and modified Estimation of Physiologic Ability and Surgical Stress (E-PASS) risk models to discriminate mortality risk after resection for suspected perihilar cholangiocarcinoma.

Long-term Cost-effectiveness in the Veterans Affairs Open vs Endovascular Repair Study of Aortic Abdominal AneurysmA Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2016;151(12):1139-1144. doi:10.1001/jamasurg.2016.2783

This randomized clinical trial compares the use of health care services, costs, and cost-effectiveness between patients undergoing open and endovascular repair of abdominal aortic aneurysm.

Standard vs Distal Roux-en-Y Gastric Bypass in Patients With Body Mass Index 50 to 60A Double-blind, Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2016;151(12):1146-1155. doi:10.1001/jamasurg.2016.2798

This randomized clinical trial assesses the efficacy and safety of standard gastric bypass vs distal gastric bypass in patients with a BMI of 50 to 60.

Complications and Failure to Rescue After Inpatient Noncardiac Surgery in the Veterans Affairs Health System

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(12):1157-1165. doi:10.1001/jamasurg.2016.2920

This national cohort study uses data from the Veterans Affairs National Surgical Quality Improvement Program to report noncardiac postoperative outcomes in the Veterans Affairs health system for the past 15 years.

Improved Recovery After Laparoscopic Bilateral Inguinal Hernia RepairPerception vs Function Improvement?

Abstract Full Text
JAMA Surg. 2016;151(12):1114-1115. doi:10.1001/jamasurg.2016.2906

Increased Survival Secondary to Decreased Perioperative Complications in Open Aortic Aneurysm Repair Using Epidural Anesthesia The Long and the Short of It

Abstract Full Text
JAMA Surg. 2016;151(12):1123-1124. doi:10.1001/jamasurg.2016.2753

Surgical Management of CholedocholithiasisA Disappearing Skill

Abstract Full Text
JAMA Surg. 2016;151(12):1130-1131. doi:10.1001/jamasurg.2016.2087

The Balance of Open vs Endovascular Aneurysm RepairCost Equipoise

Abstract Full Text
JAMA Surg. 2016;151(12):1145. doi:10.1001/jamasurg.2016.2831

Bariatric Surgery in Patients With Body Mass Index Greater Than 50 Technique or Timing?

Abstract Full Text
JAMA Surg. 2016;151(12):1156. doi:10.1001/jamasurg.2016.2828

Codman, Hawthorne, and End Results of a Watched System

Abstract Full Text
JAMA Surg. 2016;151(12):1165. doi:10.1001/jamasurg.2016.2901

Sometimes Wrong, Always In DoubtIs There a Crisis of Confidence in General Surgery Residents?

Abstract Full Text
JAMA Surg. 2016;151(12):1176. doi:10.1001/jamasurg.2016.2825
Review

Confidence Crisis Among General Surgery ResidentsA Systematic Review and Qualitative Discourse Analysis

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(12):1166-1175. doi:10.1001/jamasurg.2016.2792

This study systematically reviews the quality of evidence collected on confidence levels in graduating general surgery residents and to critically analyze the language used to describe the findings using quantitative methods.

JAMA Surgery Clinical Challenge

A Massive Retroperitoneal Mass With Leukocytosis

Abstract Full Text
JAMA Surg. 2016;151(12):1177-1178. doi:10.1001/jamasurg.2016.3180

A man had worsening abdominal discomfort and a large recurrent umbilical hernia, early satiety but no nausea or vomiting, night sweats, and weight loss; examination revealed an umbilical hernia, palpable abdominal mass, and lower extremity edema. What is your diagnosis?

Acute Upper Abdominal Pain With a Distended Cecum in the Left Upper Quadrant

Abstract Full Text
JAMA Surg. 2016;151(12):1179-1180. doi:10.1001/jamasurg.2016.3185

A woman in her 60s presented with acute-onset, diffuse abdominal pain for 24 hours accompanied by nausea and retching and a distended cecum in the upper left quadrant. What is your diagnosis?

Research Letter

Development of a Conceptual Model for Surgical Quality Improvement CollaborativesFacilitating the Implementation and Evaluation of Collaborative Quality Improvement

Abstract Full Text
JAMA Surg. 2016;151(12):1181-1183. doi:10.1001/jamasurg.2016.2817

This literature review examines the creation of a conceptual model of a surgical quality improvement collaborative to facilitate the development, implementation, and systematic evaluation of the Illinois Surgical Quality Improvement Collaborative.

Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery

Abstract Full Text
JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839

This study documents and analyzes the first clinical use of the HUB, a computer-assisted system designed to support intraoperative team performance.

Outcomes of Patients Undergoing Endoscopic Endonasal Skull Base Surgery at a VA Hospital

Abstract Full Text
JAMA Surg. 2016;151(12):1186-1187. doi:10.1001/jamasurg.2016.2916

This study examines if outcomes of veterans undergoing endoscopic endonasal skull base surgery in the VA system rival those in other published studies.

Association Between Postoperative Admission and Location of Hernia SurgeryA Matched Case-Control Study in the Veterans Administration

Abstract Full Text
JAMA Surg. 2016;151(12):1187-1190. doi:10.1001/jamasurg.2016.3113

This case-control study examines postoperative outcomes following in Veterans Administration ambulatory surgery centers vs hospital outpatient departments in patients who underwent inguinal hernia surgery.

Comment & Response

Failure to Disclose Conflicts of Interest

Abstract Full Text
JAMA Surg. 2016;151(12):1190. doi:10.1001/jamasurg.2016.3003

Hernia Mesh Repair and Global Surgery

Abstract Full Text
JAMA Surg. 2016;151(12):1191. doi:10.1001/jamasurg.2016.3496

Hernia Mesh Repair and Global Surgery—Reply

Abstract Full Text
JAMA Surg. 2016;151(12):1191-1192. doi:10.1001/jamasurg.2016.3497

Safety-Net Hospitals CareNot the Same Care in a Different Place

Abstract Full Text
JAMA Surg. 2016;151(12):1192. doi:10.1001/jamasurg.2016.3646

Safety-Net Hospitals Care—Reply

Abstract Full Text
JAMA Surg. 2016;151(12):1192-1193. doi:10.1001/jamasurg.2016.3647
Correction

Omission of Conflicts of Interest

Abstract Full Text
free access
JAMA Surg. 2016;151(12):1193. doi:10.1001/jamasurg.2016.3018

Conflicts of Interest Omitted

Abstract Full Text
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JAMA Surg. 2016;151(12):1193. doi:10.1001/jamasurg.2016.3025

Correction of Axis Label in a Figure

Abstract Full Text
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JAMA Surg. 2016;151(12):1193. doi:10.1001/jamasurg.2016.3789
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2016;151(12):1099. doi:10.1001/jamasurg.2015.2959
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