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October 2016 - July 1920




November 1, 2016, Vol 151, No. 11, Pages 997-1092

Original Investigation

Association of Intervals Between Neoadjuvant Chemoradiation and Surgical Resection With Pathologic Complete Response and Survival in Patients With Esophageal Cancer

Abstract Full Text
online only
JAMA Surg. 2016;151(11):e162743. doi:10.1001/jamasurg.2016.2743

This study uses disease registry data to examine the association between time intervals from the completion of neoadjuvant chemoradiotherapy to surgical procedure and rates of pathologic complete responses in patients with esophageal cancer.

Epidemiology of Fracture Nonunion in 18 Human Bones

Abstract Full Text
online only
JAMA Surg. 2016;151(11):e162775. doi:10.1001/jamasurg.2016.2775

This population-based study uses data from a large health claims database to evaluate the incidence of bone fracture and characteristics that may be associated with nonunion of the fractures.

Invited Commentary

Esophageal Resection for Cancer After Neoadjuvant ChemoradiationTo Wait or Not To Wait?

Abstract Full Text
online only
JAMA Surg. 2016;151(11):e162750. doi:10.1001/jamasurg.2016.2750
In This Issue of JAMA Surgery


Abstract Full Text
JAMA Surg. 2016;151(11):997. doi:10.1001/jamasurg.2015.2952

Strategies for Improving Surgical CareWhen Is Regionalization the Right Choice?

Abstract Full Text
JAMA Surg. 2016;151(11):1001-1002. doi:10.1001/jamasurg.2016.1059

This Viewpoint considers 3 nuances of the policy debate regarding the regionalization of high-risk surgery by restricting care to high-volume centers of excellence.

The Perioperative Surgical HomeCui Bono?

Abstract Full Text
JAMA Surg. 2016;151(11):1003-1004. doi:10.1001/jamasurg.2016.2056

This Viewpoint reports on the concept of the Perioperative Surgical Home.

Association Between Enoxaparin Dosage Adjusted by Anti–Factor Xa Trough Level and Clinically Evident Venous Thromboembolism After Trauma

Abstract Full Text
JAMA Surg. 2016;151(11):1006-1013. doi:10.1001/jamasurg.2016.1662

This cohort study compares the incidence of venous thromboembolism after trauma in patients whose enoxaparin dose was adjusted vs not adjusted using anti–factor Xa trough levels.

Surgeons’ Disclosures of Clinical Adverse Events

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787

This survey study assesses how often surgeons disclosed adverse events, what they revealed, and how they expressed the disclosure.

Determining If Sex Bias Exists in Human Surgical Clinical Research

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(11):1022-1030. doi:10.1001/jamasurg.2016.2032

This study of original peer-reviewed articles in major surgery journals characterizes equality of sex representation of participants in human surgical clinical research.

Implications of Intraoperative Vascular Surgery Assistance for Hospitals and Vascular Surgery Trainees

Abstract Full Text
JAMA Surg. 2016;151(11):1032-1038. doi:10.1001/jamasurg.2016.2247

This study describes the broad spectrum of nonvascular surgery cases that require intraoperative vascular surgery assistance.

Association of Admission Laboratory Values and the Timing of Endoscopic Retrograde Cholangiopancreatography With Clinical Outcomes in Acute Cholangitis

Abstract Full Text
JAMA Surg. 2016;151(11):1039-1045. doi:10.1001/jamasurg.2016.2329

This multicenter cohort analysis aims to validate previously identified prognostic factors in acute cholangitis, evaluate the effect of timing of endoscopic retrograde cholangiopancreatography on clinical outcomes, and compare recent experience with acute cholangitis vs a historical cohort.

Bariatric Surgery and Long-term Durability of Weight Loss

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(11):1046-1055. doi:10.1001/jamasurg.2016.2317

This study examines 10-year weight change in veterans who underwent Roux-en-Y gastric bypass compared with nonsurgical matches and the 4-year weight change in veterans who underwent Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy.

Evaluation of the Association Between Preoperative Clinical Factors and Long-term Weight Loss After Roux-en-Y Gastric Bypass

Abstract Full Text
JAMA Surg. 2016;151(11):1056-1062. doi:10.1001/jamasurg.2016.2334

This cohort study evaluates the association between preoperative clinical factors and long-term weight loss after Roux-en-Y gastric bypass.

Mapping Disparities in Access to Safe, Timely, and Essential Surgical Care in Zambia

Abstract Full Text
JAMA Surg. 2016;151(11):1064-1069. doi:10.1001/jamasurg.2016.2303

This study characterizes surgical care infrastructure, location, capacity, and availability in Zambia.

Anti–Factor Xa Assay—A Changing Standard for Venous Thromboprophylaxis?

Abstract Full Text
JAMA Surg. 2016;151(11):1014. doi:10.1001/jamasurg.2016.1851

Precision Health Outcomes Require Precise Patient Identification

Abstract Full Text
JAMA Surg. 2016;151(11):1030-1031. doi:10.1001/jamasurg.2016.2078

The Role of a Vascular Surgeon

Abstract Full Text
JAMA Surg. 2016;151(11):1038. doi:10.1001/jamasurg.2016.2263

Acute Cholangitis ManagementPrevention of Organ Failure and Death

Abstract Full Text
JAMA Surg. 2016;151(11):1045. doi:10.1001/jamasurg.2016.2351

Myths Surrounding Bariatric Surgery

Abstract Full Text
JAMA Surg. 2016;151(11):1055. doi:10.1001/jamasurg.2016.2301

The Difficulty of Predicting Long-term Weight Loss After Gastric Bypass

Abstract Full Text
JAMA Surg. 2016;151(11):1062-1063. doi:10.1001/jamasurg.2016.2302

Geospatial Mapping of Surgical Capacity in Zambia

Abstract Full Text
JAMA Surg. 2016;151(11):1069. doi:10.1001/jamasurg.2016.2304

The Current State of Critical Limb IschemiaA Systematic Review

Abstract Full Text
JAMA Surg. 2016;151(11):1070-1077. doi:10.1001/jamasurg.2016.2018

This narrative review summarizes recent advances in understanding the epidemiology, pathophysiology, diagnosis, and treatment of critical limb ischemia.

JAMA Surgery Clinical Challenge

Abdominal Pain Following Lower Gastrointestinal Bleeding

Abstract Full Text
JAMA Surg. 2016;151(11):1079-1080. doi:10.1001/jamasurg.2016.0994

A 67-year old man was evaluated for lower gastrointestinal tract bleeding. What is your diagnosis?

Fatty Tumor Compressing the Heart

Abstract Full Text
JAMA Surg. 2016;151(11):1081-1082. doi:10.1001/jamasurg.2016.1008

A man in his 40s training for weight-lifting presented with new-onset progressive dizziness, lightheadedness, and shortness of breath. What is your diagnosis?

Research Letter

Risks of Developing Persistent Opioid Use After Major Surgery

Abstract Full Text
JAMA Surg. 2016;151(11):1083-1084. doi:10.1001/jamasurg.2016.1681

This cohort study measures opioid use between 90 days and 1 year after major surgery..

Role of Operative Complexity Variables in Risk Adjustment for Patients With Cancer

Abstract Full Text
JAMA Surg. 2016;151(11):1084-1086. doi:10.1001/jamasurg.2016.2253

This study reports on the Oncology NSQIP National Cancer Center Collaborative collecting 3 additional case characteristics representing greater operative complexity and risk with the aim to improve patient risk prediction and case-mix adjustment.

Pancreatic Cancer Cell Lysis by Cell-Penetrating Peptide-MAGE-A3–Induced Cytotoxic T Lymphocytes

Abstract Full Text
JAMA Surg. 2016;151(11):1086-1088. doi:10.1001/jamasurg.2016.2346

This cell biology study compares cytotoxic T cell lysis of in vitro pancreatic cancer cells with vs without tumor antigen expression induced by cell-penetrating peptide.

Ten-Year Retrospective Review of Cubital Tunnel Surgery at the Malcom Randall Veterans Affairs Medical Center, 2005 to 2014

Abstract Full Text
JAMA Surg. 2016;151(11):1088-1089. doi:10.1001/jamasurg.2016.2306

This study determines whether a particular method of cubital tunnel surgery or a perioperative risk factor carries a greater risk of postoperative local complications.

Comment & Response

Economic Impact of Surgical Complications on Hospitals

Abstract Full Text
JAMA Surg. 2016;151(11):1089-1090. doi:10.1001/jamasurg.2016.2307

Economic Impact of Surgical Complications on Hospitals

Abstract Full Text
JAMA Surg. 2016;151(11):1090-1091. doi:10.1001/jamasurg.2016.2308

Economic Impact of Surgical Complications on Hospitals—Reply

Abstract Full Text
JAMA Surg. 2016;151(11):1091. doi:10.1001/jamasurg.2016.2309

Surgeon’s Responsibility for Patient Care

Abstract Full Text
JAMA Surg. 2016;151(11):1091-1092. doi:10.1001/jamasurg.2016.2354

Surgeon’s Responsibility for Patient Care—Reply

Abstract Full Text
JAMA Surg. 2016;151(11):1092. doi:10.1001/jamasurg.2016.2357
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(11):999. doi:10.1001/jamasurg.2015.2953