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February 2017 - July 1920

Decade

Year

Issue

October 1, 2016, Vol 151, No. 10, Pages 893-992

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
JAMA Surg. 2016;151(10):893. doi:10.1001/jamasurg.2015.2946
Viewpoint

Disclosing Industry Relationships—A Patient-Centered Approach

Abstract Full Text
JAMA Surg. 2016;151(10):895-896. doi:10.1001/jamasurg.2016.1063

This Viewpoint discusses the need for changing the informed consent process to include physicians’ disclosures of industry relationships as a means to increase transparency and facilitate informed joint decision making.

Resilience—Back to the Future

Abstract Full Text
JAMA Surg. 2016;151(10):896-897. doi:10.1001/jamasurg.2016.1056

This Viewpoint discusses resilience as a response to work stressors and burnout, and argues that shifting the “frame” through which challenges are perceived can lead to more resilient leadership.

Original Investigation

Characterization of Mentorship Programs in Departments of Surgery in the United States

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(10):900-906. doi:10.1001/jamasurg.2016.1670

This survey study reports the status and structure of mentorship programs in departments of surgery in the United States.

Addressing the High Costs of Pancreaticoduodenectomy at Safety-Net Hospitals

Abstract Full Text
JAMA Surg. 2016;151(10):908-914. doi:10.1001/jamasurg.2016.1776

This decision analytic study models different techniques for reducing the cost of complex surgery performed at safety-net hospitals.

Association of Lymph Node Status With Survival in Patients After Liver Resection for Hilar Cholangiocarcinoma in an Italian Multicenter Analysis

Abstract Full Text
JAMA Surg. 2016;151(10):916-922. doi:10.1001/jamasurg.2016.1769

This multicenter study of patients after liver resection for hilar cholangiocarcinoma evaluates whether the number of positive lymph nodes or the lymph node ratio was most accurate for staging.

Outcome and Learning Curve in 159 Consecutive Patients Undergoing Total Laparoscopic Hemihepatectomy

Abstract Full Text
JAMA Surg. 2016;151(10):923-928. doi:10.1001/jamasurg.2016.1655

This study describes complications of laparoscopic hemihepatectomy at a single medical center and estimates the number of procedures after which they leveled off or declined.

Defining a Research Agenda for Patient-Reported Outcomes in SurgeryUsing a Delphi Survey of Stakeholders

Abstract Full Text
JAMA Surg. 2016;151(10):930-936. doi:10.1001/jamasurg.2016.1640

This report describes the Delphi process used by the Patient-Reported Outcomes in Surgery Conference to develop a consensus-based research agenda focusing on patient-reported outcomes.

Engaging Patients, Health Care Professionals, and Community Members to Improve Preoperative Decision Making for Older Adults Facing High-Risk Surgery

Abstract Full Text
JAMA Surg. 2016;151(10):938-945. doi:10.1001/jamasurg.2016.1308

This observational study and intervention develop a prototype of a tool to improve the preoperative decision-making process and manage postoperative expectations among older adults undergoing high-risk surgery.

Perioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients

Abstract Full Text
JAMA Surg. 2016;151(10):947-952. doi:10.1001/jamasurg.2016.1504

This study delineates the perioperative and long-term outcomes after carotid endarterectomy in dialysis-dependent patients in a large national database.

Glasgow Coma Scale Score in Survivors of Explosion With Possible Traumatic Brain Injury in Need of Neurosurgical Intervention

Abstract Full Text
JAMA Surg. 2016;151(10):954-958. doi:10.1001/jamasurg.2016.1742

This cross-sectional study evaluates the ability of the Glasgow Coma Scale and Simplified Motor Scores to identify patients with severe TBI from mass casualty explosions who require neurosurgical intervention.

Effectiveness of a Medical vs Revascularization Intervention for Intermittent Leg Claudication Based on Patient-Reported Outcomes

Abstract Full Text
online only
JAMA Surg. 2016;151(10):e162024. doi:10.1001/jamasurg.2016.2024

This cohort study compares clinical outcomes of patients with intermittent claudication and peripheral arterial disease treated with revascularization vs medical treatment.

Thrombelastography-Based Dosing of Enoxaparin for Thromboprophylaxis in Trauma and Surgical PatientsA Randomized Clinical Trial

Abstract Full Text
online only
JAMA Surg. 2016;151(10):e162069. doi:10.1001/jamasurg.2016.2069

This randomized clinical trial evaluates the effectiveness of thrombelastogram-adjusted prophylactic enoxaparin dosing among trauma and surgical patients.

Invited Commentary

Departments of Surgery and Mentorship

Abstract Full Text
JAMA Surg. 2016;151(10):907. doi:10.1001/jamasurg.2016.1741

Quality of Care and Cost at Safety-Net Hospitals—Is Redistribution of Cases Possible?

Abstract Full Text
JAMA Surg. 2016;151(10):914-915. doi:10.1001/jamasurg.2016.1798

The Learning Curve in Laparoscopic Major HepatectomyWhat Is the Magic Number?

Abstract Full Text
JAMA Surg. 2016;151(10):929. doi:10.1001/jamasurg.2016.1698

How Can a Valid Research Agenda for Patient-Reported Outcomes Be Defined Without Patient Input?

Abstract Full Text
JAMA Surg. 2016;151(10):936-937. doi:10.1001/jamasurg.2016.1695

Patient-Centered Outcomes Research—Opportunities for Novel, Innovative, and Transformative Partnerships With Patients and Their Families

Abstract Full Text
JAMA Surg. 2016;151(10):945-946. doi:10.1001/jamasurg.2016.1321

High-Risk Patients in the Evolving Landscape of Carotid Revascularization

Abstract Full Text
JAMA Surg. 2016;151(10):952-953. doi:10.1001/jamasurg.2016.1505

How Best to Approach Surgery for Primary Hyperparathyroidism—Can We All Agree?

Abstract Full Text
free access
JAMA Surg. 2016;151(10):969. doi:10.1001/jamasurg.2016.2360

Optimizing Venous Thromboembolic ProphylaxisIs Thromboelastography the Answer?

Abstract Full Text
online only
JAMA Surg. 2016;151(10):e162081. doi:10.1001/jamasurg.2016.2081

Decisive Steps Toward Patient-Reported Outcomes for Claudication—Tread Lightly or Full Steam Ahead?

Abstract Full Text
online only
JAMA Surg. 2016;151(10):e162084. doi:10.1001/jamasurg.2016.2084
Special Communication

The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism

Abstract Full Text
free access has active quiz
JAMA Surg. 2016;151(10):959-968. doi:10.1001/jamasurg.2016.2310

This Special Communication describes evidence-based guidelines to enhance the appropriate, safe, and effective practice of parathyroidectomy.

Review

Quality of Life and Burnout Rates Across Surgical SpecialtiesA Systematic Review

Abstract Full Text
has active quiz
JAMA Surg. 2016;151(10):970-978. doi:10.1001/jamasurg.2016.1647

This systematic review summarizes the literature on surgeon quality of life and burnout by surgical specialty.

JAMA Surgery Clinical Challenge

Chest Discomfort and Longstanding Dyspnea on Exertion

Abstract Full Text
JAMA Surg. 2016;151(10):979-980. doi:10.1001/jamasurg.2016.2043

A man in his early 40s was referred for surgical evaluation following abnormal imaging obtained during workup of recent left-sided chest discomfort and longstanding dyspnea on exertion. What is your diagnosis?

Inside or Outside of the Heart?

Abstract Full Text
JAMA Surg. 2016;151(10):981-982. doi:10.1001/jamasurg.2016.2049

A 61-year-old man with progressive shortness of breath for 1 week and myocardial infarction 1 month earlier had progressive dyspnea at rest, tachycardia, and tachypnea. Transthoracic echocardiography showed a hypoechoic mass and CT showed a large crescentic hypodense lesion. What is your diagnosis?

Research Letter

Examining the “Halo Effect” of Surgical Care Within Health Systems

Abstract Full Text
JAMA Surg. 2016;151(10):983-984. doi:10.1001/jamasurg.2016.1000

This study examines whether excellence in surgical outcomes transfers among procedures within health systems.

Variation in the Use of Vena Cava Filters for Venous Thromboembolism in Hospitals in Kentucky

Abstract Full Text
JAMA Surg. 2016;151(10):984-986. doi:10.1001/jamasurg.2016.1004

This study determines whether differences in the use of vena cava filters in hospitals in Kentucky can be explained by observable factors rather than potential reimbursement upcoding.

Outcomes After Anticoagulation for Traumatic Arterial Injuries of the Extremity

Abstract Full Text
JAMA Surg. 2016;151(10):986-987. doi:10.1001/jamasurg.2016.1686

This cohort study examines associations between anticoagulation during arterial repair or bypass and repair thrombosis or limb amputation among patients with traumatic vascular injury of the extremities.

Implementation of an Infection Prevention Bundle to Reduce Surgical Site Infections and Cost Following Spine Surgery

Abstract Full Text
JAMA Surg. 2016;151(10):988-990. doi:10.1001/jamasurg.2016.1794

This study compares surgical site infections and costs of care for patients undergoing spinal surgery before and after implementation of an infection prevention bundle in the neurosurgical unit of the Cleveland Clinic.

Comment & Response

Risk-Reduction Program for Cardiovascular and Limb Events in Patients With Peripheral Arterial Disease

Abstract Full Text
JAMA Surg. 2016;151(10):990. doi:10.1001/jamasurg.2016.2257

Risk-Reduction Program for Cardiovascular and Limb Events in Patients With Peripheral Arterial Disease—Reply

Abstract Full Text
JAMA Surg. 2016;151(10):990-991. doi:10.1001/jamasurg.2016.2260

Resolving Misconceptions About Liver Allocation and Redistricting Methodology

Abstract Full Text
JAMA Surg. 2016;151(10):991-992. doi:10.1001/jamasurg.2016.1315

Resolving Misconceptions About Liver Allocation and Redistricting Methodology—Reply

Abstract Full Text
JAMA Surg. 2016;151(10):992. doi:10.1001/jamasurg.2016.1318
Correction

Incorrect Figure Caption

Abstract Full Text
free access
JAMA Surg. 2016;151(10):992. doi:10.1001/jamasurg.2016.3785
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(10):894. doi:10.1001/jamasurg.2015.2947
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