This cohort study investigates an appropriate cutoff of the main pancreatic duct diameter for surgery or surveillance in patients with intraductal papillary mucinous neoplasms.
This randomized clinical trial assesses whether a decision aid improves access to total knee replacement surgery among black patients with osteoarthritis of the knee.
This Viewpoint raises 3 concerns about the Veteran Affairs proposed rule for advanced practice registered nurses in the operating room.
This Viewpoint reports on the ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees Trial.
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.
This multicenter study examines the preoperative risk factors for malignancy in resected mucinous cystic neoplasms and assesses outcomes of mucinous cystic neoplasm–associated adenocarcinoma.
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.
This cohort study examines whether a blunt or penetrating mechanism of injury alters the risk of venous thromboembolism.
This study identifies whether lean processes can be used to improve wait times for surgical procedures in Veterans Affairs hospitals.
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.
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.
This observational study describes an international competency-based training paradigm for hernia surgery in underserved countries.
This cohort study determines if inferior vena cava filter insertion in trauma patients affects overall mortality.
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.
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.
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.
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?
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?
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.
This study identifies variation in open Roux-en-Y gastric bypass surgeries by health insurance status.
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.
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.