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November 2018, Vol 153, No. 11, Pages 977-1064

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2018;153(11):977. doi:10.1001/jamasurg.2017.3705
Viewpoint

Surgical Outcomes Club

Common Issues in the Unique Environment of Global Surgical Health Services Research

Abstract Full Text
JAMA Surg. 2018;153(11):979-980. doi:10.1001/jamasurg.2018.1981

This Viewpoint describes the unique challenges of health services research in low- and middle-income countries.

Surgical Outcomes Club

Leveraging Health Information Technologies to Support Surgical Practice

Abstract Full Text
JAMA Surg. 2018;153(11):981-982. doi:10.1001/jamasurg.2018.1978

This Viewpoint discusses the use of health information technologies to support health care delivery, outcomes research, and learning health care systems.

Editorial

Reporting of Sex as a Variable in Research Published in Surgical Journals

Abstract Full Text
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JAMA Surg. 2018;153(11):983. doi:10.1001/jamasurg.2018.2450

Multitiered Questions Regarding Multigene Testing for Cancer Susceptibility

Abstract Full Text
JAMA Surg. 2018;153(11):983-984. doi:10.1001/jamasurg.2018.4064
Original Investigation

Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative DeliriumThe STRIDE Randomized Clinical Trial

Abstract Full Text
has active quiz
JAMA Surg. 2018;153(11):987-995. doi:10.1001/jamasurg.2018.2602

This randomized clinical trial evaluates the effect of lighter vs higher sedation levels during spinal anesthesia on incident delirium in patients who were undergoing hip fracture repair.

Pacific Coast Surgical Association

Association of Compensation From the Surgical and Medical Device Industry to Physicians and Self-declared Conflict of Interest

Abstract Full Text
has active quiz has audio
JAMA Surg. 2018;153(11):997-1002. doi:10.1001/jamasurg.2018.2576

This bibliometric analysis assesses conflict of interest statements in articles published by physicians who receive the highest compensation from the surgical and medical device industry and the discrepancy between these reports and the Open Payments Database.

Pacific Coast Surgical Association

Factors Associated With Residency and Career Dissatisfaction in Childbearing Surgical Residents

Abstract Full Text
has active quiz
JAMA Surg. 2018;153(11):1004-1011. doi:10.1001/jamasurg.2018.2571

This survey study identifies factors associated with professional dissatisfaction among childbearing residents in surgery.

Association of Lowering Default Pill Counts in Electronic Medical Record Systems With Postoperative Opioid Prescribing

Abstract Full Text
JAMA Surg. 2018;153(11):1012-1019. doi:10.1001/jamasurg.2018.2083

This prepost intervention study investigates the association of lowering the default number of pills when prescribing opioids in an electronic medical record (EMR) system with the amount of opioid prescribed after procedures among patients undergoing common outpatient procedures.

Pacific Coast Surgical Association

Association of Intraoperative Findings With Outcomes and Resource Use in Children With Complicated Appendicitis

Abstract Full Text
JAMA Surg. 2018;153(11):1021-1027. doi:10.1001/jamasurg.2018.2085

This multicenter cohort study examines the influence of intraoperative findings as a measure of disease severity on complication rates and use of health care resources in children with complicated appendicitis.

Laparoscopic vs Open Surgery for Colorectal Liver Metastases

Abstract Full Text
JAMA Surg. 2018;153(11):1028-1035. doi:10.1001/jamasurg.2018.2107

This cohort study uses propensity score matching analysis to compare outcomes of laparoscopic surgery with those of open surgery among patients with liver metastases from colorectal cancer.

Pacific Coast Surgical Association

Risk Factors Associated With Perioperative Complications and Prolonged Length of Stay After Laparoscopic Adrenalectomy

Abstract Full Text
JAMA Surg. 2018;153(11):1036-1041. doi:10.1001/jamasurg.2018.2648

This single-center cohort study investigates factors associated with perioperative complications and hospital length of stay in adults undergoing laparoscopic adrenalectomy.

Negative Pressure Wound Therapy for Closed Laparotomy Incisions in General and Colorectal SurgeryA Systematic Review and Meta-analysis

Abstract Full Text
online only
JAMA Surg. 2018;153(11):e183467. doi:10.1001/jamasurg.2018.3467

This meta-analysis evaluates the association of prophylactic negative pressure wound therapy with rates of surgical site infection among patients with closed laparotomy incisions performed for general and colorectal surgery in elective and emergency settings.

Invited Commentary

Depth of Propofol Sedation and Postoperative DeliriumThe Jury Is Still Out

Abstract Full Text
JAMA Surg. 2018;153(11):996. doi:10.1001/jamasurg.2018.2618

Safeguarding Against Conflicts of Interest in the Surgical Literature

Abstract Full Text
JAMA Surg. 2018;153(11):1002-1003. doi:10.1001/jamasurg.2018.2587

How to Combat the Opioid Epidemic, 1 Nudge at a Time

Abstract Full Text
JAMA Surg. 2018;153(11):1020. doi:10.1001/jamasurg.2018.2084

Not All Complicated Appendicitis Is the Same

Abstract Full Text
JAMA Surg. 2018;153(11):1027. doi:10.1001/jamasurg.2018.2086

Laparoscopic Transabdominal Adrenalectomy—A Procedure That Has Stood the Test of Time

Abstract Full Text
JAMA Surg. 2018;153(11):1042. doi:10.1001/jamasurg.2018.2674

Understanding the Benefits of Bariatric SurgeryHow Much Evidence Is Enough?

Abstract Full Text
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JAMA Surg. 2018;153(11):e183332. doi:10.1001/jamasurg.2018.3332
Review

Comparative Effectiveness and Safety of Bariatric Procedures in Medicare-Eligible PatientsA Systematic Review

Abstract Full Text
online only
JAMA Surg. 2018;153(11):e183326. doi:10.1001/jamasurg.2018.3326

This systematic review discusses studies of bariatric procedures in terms of their association with weight loss, postoperative complications, mortality, metabolic, cardiovascular, respiratory, orthopedic, and renal outcomes, and medication use in the US Medicare-eligible population.

Surgical Innovation

A Facilitated-Group Approach to Wellness in Surgical Residency

Abstract Full Text
JAMA Surg. 2018;153(11):1043-1044. doi:10.1001/jamasurg.2018.3109

This article reviews the benefits of using facilitated group therapy to help with stress, burnout, and wellness of surgical trainees.

JAMA Network Insights

Completion Node Dissection After Sentinel Node Biopsy in Melanoma

Abstract Full Text
JAMA Surg. 2018;153(11):1045-1046. doi:10.1001/jamasurg.2018.1516

This Insights discusses the necessity of completion node dissection after sentinel node biopsy in patients with melanoma.

JAMA Surgery Clinical Challenge

Right Lower Quadrant Pain With Melena

Abstract Full Text
JAMA Surg. 2018;153(11):1047-1048. doi:10.1001/jamasurg.2018.1062

A woman in her early 50s with a history of polycystic ovarian syndrome, diabetes, stroke, and coronary artery disease presented to the emergency department with 12 hours of sudden-onset, constant, right lower quadrant abdominal pain associated with vomiting and melena. What is your diagnosis?

Acute Abdominal Pain in a Postmenopausal Woman

Abstract Full Text
JAMA Surg. 2018;153(11):1049-1050. doi:10.1001/jamasurg.2018.2016

A postmenopausal woman presented with severe abdominal pain. Computed tomography revealed solid extracolonic implants, and magnetic resonance imaging showed 2 corresponding areas of focus. What is your diagnosis?

Research Letter

Pacific Coast Surgical Association

Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit

Abstract Full Text
JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752

This pre-post study examines whether reducing the quantity of computers on wheels enhances communication patterns during multidisciplinary rounds in the surgical intensive care unit.

Pacific Coast Surgical Association

Incidence of Gastroschisis in California

Abstract Full Text
JAMA Surg. 2018;153(11):1053-1055. doi:10.1001/jamasurg.2018.1744

This population-based study examines the incidence of gastroschisis in California over time and by county.

Association of Immunologic Markers With Survival in Upfront Resectable Pancreatic Cancer

Abstract Full Text
JAMA Surg. 2018;153(11):1055-1057. doi:10.1001/jamasurg.2018.1757

This cohort study assesses the association of immunologic variables and survival in patients with resectable pancreatic ductal adenocarcinoma.

Pacific Coast Surgical Association

Association of Early vs Delayed Cholecystectomy for Mild Gallstone Pancreatitis With Perioperative Outcomes

Abstract Full Text
JAMA Surg. 2018;153(11):1057-1059. doi:10.1001/jamasurg.2018.2614

This study uses 2011-2014 ACS NSQIP data to compare perioperative outcomes for early vs delayed cholecystectomy treatment among 1937 adult patients with mild gallstone pancreatitis.

Comment & Response

Concern Regarding Age Distribution of Breast Cancer

Abstract Full Text
JAMA Surg. 2018;153(11):1060-1061. doi:10.1001/jamasurg.2018.2087

Concern Regarding Age Distribution of Breast Cancer—Reply

Abstract Full Text
JAMA Surg. 2018;153(11):1061. doi:10.1001/jamasurg.2018.2088

Questioning Prediction of Lumbar Spine Surgery Outcome—Why We Need to Pay Attention

Abstract Full Text
JAMA Surg. 2018;153(11):1061-1062. doi:10.1001/jamasurg.2018.2500

Questioning Prediction of Lumbar Spine Surgery Outcome—Why We Need to Pay Attention—Reply

Abstract Full Text
JAMA Surg. 2018;153(11):1062-1063. doi:10.1001/jamasurg.2018.2503

Reducing the Rate of Minimally Invasive Hysterectomy for Fibroids in Favor of Abdominal Surgery—There Is Always Something Evil in Good Intentions

Abstract Full Text
JAMA Surg. 2018;153(11):1063. doi:10.1001/jamasurg.2018.2732

Reducing the Rate of Minimally Invasive Hysterectomy for Fibroids in Favor of Abdominal Surgery—There Is Always Something Evil in Good Intentions—Reply

Abstract Full Text
JAMA Surg. 2018;153(11):1063-1064. doi:10.1001/jamasurg.2018.2733

Errors in Table

Abstract Full Text
JAMA Surg. 2018;153(11):1064. doi:10.1001/jamasurg.2018.2999
Correction

Errors in Table

Abstract Full Text
free access
JAMA Surg. 2018;153(11):1064. doi:10.1001/jamasurg.2018.3150
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2018;153(11):978. doi:10.1001/jamasurg.2017.3706
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