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August 2018, Vol 153, No. 8, Pages 697-782

In This Issue of JAMA Surgery

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2018;153(8):697. doi:10.1001/jamasurg.2017.3687
Viewpoint

Culturally Competent Science

Abstract Full Text
JAMA Surg. 2018;153(8):699-700. doi:10.1001/jamasurg.2018.0877

This article explores cultural bias in medical research and care and the need for a more diverse community of physician-scientists.

Editorial

USPTF Prostate Cancer Screening Recommendations—A Step in the Right Direction

Abstract Full Text
JAMA Surg. 2018;153(8):701-702. doi:10.1001/jamasurg.2018.1283
Original Investigation

Multiple-Institution Comparison of Resident and Faculty Perceptions of Burnout and Depression During Surgical Training

Abstract Full Text
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JAMA Surg. 2018;153(8):705-711. doi:10.1001/jamasurg.2018.0974

This cross-sectional survey measures prevalence of burnout and depression among general surgery trainees at multiple institutions and characterizes how resident and attending surgeons perceive these conditions among respondents.

Association of Expectations of Training With Attrition in General Surgery Residents

Abstract Full Text
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JAMA Surg. 2018;153(8):712-717. doi:10.1001/jamasurg.2018.0611

This study identifies the expectations of general surgery residency associated with attrition from training in a national cohort of categorical general surgery interns.

Comparison of Rates and Outcomes of Readmission to Index vs Nonindex Hospitals After Major Cancer Surgery

Abstract Full Text
JAMA Surg. 2018;153(8):719-727. doi:10.1001/jamasurg.2018.0380

This study assesses rates of readmission to nonindex hospitals after major cancer surgery and compares outcomes between index and nonindex hospital readmissions.

Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosis Codes

Abstract Full Text
JAMA Surg. 2018;153(8):728-737. doi:10.1001/jamasurg.2018.0592

In this study, a Delphi panel assesses the likelihood that certain International Classification of Diseases, Ninth Revision diagnosis codes can indicate whether such readmissions are associated with surgical quality in the index admission.

Association Between Functional Health Literacy and Postoperative Recovery, Health Care Contacts, and Health-Related Quality of Life Among Patients Undergoing Day SurgerySecondary Analysis of a Randomized Clinical Trial

Abstract Full Text
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JAMA Surg. 2018;153(8):738-745. doi:10.1001/jamasurg.2018.0672

This study examines the association between postoperative recovery and functional health literacy in patients undergoing day surgery as part of a randomized clinical trial.

Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patient Outcomes

Abstract Full Text
JAMA Surg. 2018;153(8):747-756. doi:10.1001/jamasurg.2018.0985

This cohort study evaluates the association of hospital participation in the American College of Surgeons Trauma Quality Improvement Program (benchmark reporting) or the Michigan Trauma Quality Improvement Program (benchmark reporting and collaborative quality improvement) with outcomes compared with control hospitals that did not participate in either program.

Association of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients in a Large Integrated Health Care Delivery System

Abstract Full Text
JAMA Surg. 2018;153(8):757-763. doi:10.1001/jamasurg.2018.1039

This study of clinical and administrative data examines the incidence of opioid-related adverse drug events (ORADEs) in patients undergoing hospital-based surgical and endoscopic procedures and evaluates the association of ORADEs with clinical and cost outcomes.

Association of Plane of Total Mesorectal Excision With Prognosis of Rectal CancerSecondary Analysis of the CAO/ARO/AIO-04 Phase 3 Randomized Clinical Trial

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JAMA Surg. 2018;153(8):e181607. doi:10.1001/jamasurg.2018.1607

This secondary analysis of a randomized clinical trial investigates the prognostic role of the total mesorectal excision plane quality in patients with rectal cancer who were treated within the CAO/ARO/AIO-04 phase 3 randomized clinical trial.

Association of Medicaid Expansion Under the Affordable Care Act With Outcomes and Access to Rehabilitation in Young Adult Trauma Patients

Abstract Full Text
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JAMA Surg. 2018;153(8):e181630. doi:10.1001/jamasurg.2018.1630

This study assesses the association of Medicaid expansion with insurance coverage, in-hospital mortality, failure to rescue, access to rehabilitation, and unplanned readmissions among hospitalized young adult trauma patients.

Invited Commentary

Burnout and Depression Among General Surgery ResidentsImage Is Everything—It Alters Perception

Abstract Full Text
JAMA Surg. 2018;153(8):711. doi:10.1001/jamasurg.2018.1003

Reducing Surgical Resident Attrition

Abstract Full Text
JAMA Surg. 2018;153(8):717-718. doi:10.1001/jamasurg.2018.0619

Regionalization, Readmissions, and Repercussions of Major Cancer Surgery

Abstract Full Text
JAMA Surg. 2018;153(8):727. doi:10.1001/jamasurg.2018.0403

All Surgical Readmissions Are Not Created Equal

Abstract Full Text
JAMA Surg. 2018;153(8):737. doi:10.1001/jamasurg.2018.0616

Making the Case for Importance of Health Literacy in the Surgical Population

Abstract Full Text
JAMA Surg. 2018;153(8):745-746. doi:10.1001/jamasurg.2018.0673

Locally Advanced Rectal CancerIs It Time for a Paradigm Change?

Abstract Full Text
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JAMA Surg. 2018;153(8):e181620. doi:10.1001/jamasurg.2018.1620

Evaluating Outcomes in Trauma After Medicaid Expansion Under The Affordable Care Act

Abstract Full Text
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JAMA Surg. 2018;153(8):e181690. doi:10.1001/jamasurg.2018.1690
Guide to Statistics and Methods

Practical Guide to Surgical Data Sets: National Surgical Quality Improvement Program (NSQIP) and Pediatric NSQIP

Abstract Full Text
JAMA Surg. 2018;153(8):764-765. doi:10.1001/jamasurg.2018.0486

This Guide to Statistics and Methods summarizes the National Surgical Quality Improvement Program and its pediatric offshoot for use in surgical research.

Practical Guide to Surgical Data Sets: Metabolic and Bariatric Surgery Accreditation and Quality Program (MBSAQIP)

Abstract Full Text
JAMA Surg. 2018;153(8):766-767. doi:10.1001/jamasurg.2018.0495

This Guide to Statistics and Methods details the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program public user file data set for quality and outcomes reporting.

Practical Guide to Surgical Data Sets: Veterans Affairs Surgical Quality Improvement Program (VASQIP)

Abstract Full Text
JAMA Surg. 2018;153(8):768-769. doi:10.1001/jamasurg.2018.0504

This Guide to Statistics and Methods summarizes the advent, data considerations, utility and unique features, and statistical considerations of the Veterans Affairs National Surgical Quality Improvement Program for use in surgical quality improvement research.

Surgical Innovation

Automated Performance Metrics and Machine Learning Algorithms to Measure Surgeon Performance and Anticipate Clinical Outcomes in Robotic Surgery

Abstract Full Text
JAMA Surg. 2018;153(8):770-771. doi:10.1001/jamasurg.2018.1512

This article describes a machine training algorithm for evaluating surgeon performance in robotic surgery that was developed using automated performance metrics collected from the robotic device.

JAMA Surgery Clinical Challenge

Computed Tomography in a Patient With Blunt Trauma

Abstract Full Text
JAMA Surg. 2018;153(8):772-773. doi:10.1001/jamasurg.2018.0307

A man in his 60s with a renal cyst sustained blunt trauma that resulted in renal laceration with arterial extravasation. The patient underwent angioembolization but required 2 U of red blood cells within the next 24 hours. Contrast-enhanced computed tomography was performed to assess for continued bleeding. What is your diagnosis?

Research Letter

Factors Associated With Emergency Department Visits and Hospital Admissions After Invasive Outpatient Procedures in the Veterans Health Administration

Abstract Full Text
JAMA Surg. 2018;153(8):774-776. doi:10.1001/jamasurg.2018.0874

This study evaluates the prevalence of postprocedure emergency department visits and admissions and the association of these outcomes with relevant patient, procedure, and facility factors.

Association of Comorbidities With Adverse Outcomes After Enterostomy Closure in Premature Neonates

Abstract Full Text
JAMA Surg. 2018;153(8):776-778. doi:10.1001/jamasurg.2018.0880

This study uses the 2012-2015 American College of Surgeons National Surgical Quality Improvement Program–Pediatric database to examine the safety of enterostomy closure in premature neonates weighing less than 2 kg and identify risk factors for adverse outcomes.

Estimating Surgical Risk for Patients With Severe Comorbidities

Abstract Full Text
JAMA Surg. 2018;153(8):778-780. doi:10.1001/jamasurg.2018.1055

This study assesses whether estimates from the new American College of Surgeons Surgical Risk Calculator more closely match residents’ estimations of risk and determines outcomes of similar patients in the National Surgical Quality Improvement Project.

Comment & Response

Additional Risk Factors for Breast Implant–Associated Anaplastic Large Cell Lymphoma

Abstract Full Text
JAMA Surg. 2018;153(8):780. doi:10.1001/jamasurg.2018.1116

Additional Risk Factors for Breast Implant–Associated Anaplastic Large Cell Lymphoma

Abstract Full Text
JAMA Surg. 2018;153(8):780-781. doi:10.1001/jamasurg.2018.1119

Additional Risk Factors for Breast Implant–Associated Anaplastic Large Cell Lymphoma—Reply

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JAMA Surg. 2018;153(8):781-782. doi:10.1001/jamasurg.2018.1122

Considerations When Calculating Data Completeness

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JAMA Surg. 2018;153(8):782. doi:10.1001/jamasurg.2018.1159
Correction

Error in Table 2

Abstract Full Text
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JAMA Surg. 2018;153(8):782. doi:10.1001/jamasurg.2018.1905

Error in Table 1

Abstract Full Text
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JAMA Surg. 2018;153(8):782. doi:10.1001/jamasurg.2018.2792
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2018;153(8):698. doi:10.1001/jamasurg.2017.3688
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