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September 2019, Vol 154, No. 9, Pages 789-884

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2019;154(9):789. doi:10.1001/jamasurg.2018.3833
Viewpoint

Use of Artificial Intelligence to Represent Emergent Systems and Augment Surgical Decision-making

Abstract Full Text
JAMA Surg. 2019;154(9):791-792. doi:10.1001/jamasurg.2019.1510

This Viewpoint describes the use of artificial intelligence models for phenotyping and assessing sepsis risk as well as enhancing surgical decision making.

Surgical Outcomes Club

From Policy to Patient Care—The Cycle of Health Policy Research

Abstract Full Text
JAMA Surg. 2019;154(9):793-794. doi:10.1001/jamasurg.2019.1518

This Viewpoint describes 2 pathways by which surgeons can use their clinical knowledge to advocate for health care policies that will benefit patients.

Editorial

Screening for Pancreatic Cancer Gets a D, but the Student Is Improving

Abstract Full Text
has audio
JAMA Surg. 2019;154(9):795-797. doi:10.1001/jamasurg.2019.2832

This Editorial discusses the importance of the US Preventive Services Task Force recommendation statement on screening for pancreatic cancer.

Original Investigation

Factors Associated With Lymphedema in Women With Node-Positive Breast Cancer Treated With Neoadjuvant Chemotherapy and Axillary Dissection

Abstract Full Text
JAMA Surg. 2019;154(9):800-809. doi:10.1001/jamasurg.2019.1742

This cohort study examines factors associated with lymphedema after neoadjuvant chemotherapy and axillary lymph node dissection in women with node-positive breast cancer.

Comparison of Targeted vs Systematic Prostate Biopsy in Men Who Are Biopsy Naive: The Prospective Assessment of Image Registration in the Diagnosis of Prostate Cancer (PAIREDCAP) Study

Abstract Full Text
JAMA Surg. 2019;154(9):811-818. doi:10.1001/jamasurg.2019.1734

This paired cohort study seeks to determine the cancer detection rate of biopsy methods targeting magnetic resonance imaging–visible lesions vs systematic prostate sampling in the diagnosis of clinically significant prostate cancer in men who were biopsy naive.

Effect of Targeting Mean Arterial Pressure During Cardiopulmonary Bypass by Monitoring Cerebral Autoregulation on Postsurgical Delirium Among Older Patients: A Nested Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2019;154(9):819-826. doi:10.1001/jamasurg.2019.1163

This nested randomized clinical trial compares the incidence of postsurgical delirium in older patients whose mean cerebral perfusion was optimized with those who received usual care during cardiopulmonary bypass in cardiac surgery.

Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients

Abstract Full Text
has active quiz has audio
JAMA Surg. 2019;154(9):828-834. doi:10.1001/jamasurg.2019.1738

This cohort study assesses the association between surgeons with higher numbers of reports from coworkers about unprofessional behaviors and the risk for postoperative complications in their patients.

Contributors to Postinjury Mental Health in Urban Black Men With Serious Injuries

Abstract Full Text
JAMA Surg. 2019;154(9):836-843. doi:10.1001/jamasurg.2019.1622

This cohort study of black men who were hospitalized with serious injuries assesses how risk and protective factors from childhood and adulthood contribute to depression and posttraumatic stress symptom severity 3 months after discharge.

Assessment of Use of Arteriovenous Graft vs Arteriovenous Fistula for First-time Permanent Hemodialysis Access

Abstract Full Text
JAMA Surg. 2019;154(9):844-851. doi:10.1001/jamasurg.2019.1736

This study uses Medicare claims data to explore contemporary practice patterns and physician characteristics associated with high rates of use of arteriovenous grafting compared with arteriovenous fistula for hemodialysis access.

Outcomes After Inguinal Hernia Repair With Mesh Performed by Medical Doctors and Surgeons in Ghana

Abstract Full Text
JAMA Surg. 2019;154(9):853-859. doi:10.1001/jamasurg.2019.1744

This cohort study compares the outcomes associated with inguinal hernia repair performed by medical doctors vs surgeons in Ghana.

Pacific Coast Surgical Association

Association of US News & World Report Top Ranking for Gastroenterology and Gastrointestinal Operation With Patient Outcomes in Abdominal Procedures

Abstract Full Text
JAMA Surg. 2019;154(9):861-866. doi:10.1001/jamasurg.2019.2327

This study examines 1 year of administrative, clinical, and financial data from US hospitals ranked in the top 50 for gastroenterology and gastrointestinal surgical procedures by US News & World Report and compares their abdominal operations outcomes with those of hospitals not included on the list.

Lateral Nodal Features on Restaging Magnetic Resonance Imaging Associated With Lateral Local Recurrence in Low Rectal Cancer After Neoadjuvant Chemoradiotherapy or Radiotherapy

Abstract Full Text
online only
JAMA Surg. 2019;154(9):e192172. doi:10.1001/jamasurg.2019.2172

This cohort study investigates the factors on primary and restaging magnetic resonance imaging that are associated with lateral local recurrence in low rectal cancer after chemoradiotherapy or radiotherapy and to formulate specific guidelines on which patients might benefit from a lateral lymph node dissection.

Comparison of Injured Older Adults Included in vs Excluded From Trauma Registries With 1-Year Follow-up

Abstract Full Text
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JAMA Surg. 2019;154(9):e192279. doi:10.1001/jamasurg.2019.2279

This cohort study evaluates patient characteristics, injury patterns, surgical interventions, mortality, and causes of death up to 1 year after the index event among injured older adults who were included in compared with those who were excluded from trauma registries.

Invited Commentary

Lymphedema After Breast Cancer Treatment—Not Just the Surgeon’s Fault

Abstract Full Text
JAMA Surg. 2019;154(9):810. doi:10.1001/jamasurg.2019.1743

Closing the Loop on the Role of Multiparametric Magnetic Resonance Imaging–Targeted Prostate Biopsy

Abstract Full Text
JAMA Surg. 2019;154(9):818. doi:10.1001/jamasurg.2019.1735

Cerebral Perfusion Goals During Cardiopulmonary Bypass—The Goldilocks Effect

Abstract Full Text
JAMA Surg. 2019;154(9):827. doi:10.1001/jamasurg.2019.1164

Time for Changes in the Surgical Community—Promoting Professionalism as #MeToo 2.0

Abstract Full Text
JAMA Surg. 2019;154(9):835. doi:10.1001/jamasurg.2019.1739

Refining How We Identify High-Value Surgical Care

Abstract Full Text
JAMA Surg. 2019;154(9):852. doi:10.1001/jamasurg.2019.1737

Task Shifting in Surgery—What US Health Care Can Learn From Ghana

Abstract Full Text
JAMA Surg. 2019;154(9):860. doi:10.1001/jamasurg.2019.1745

The Relevance of Hospital Rankings in the Laparoscopic Era

Abstract Full Text
JAMA Surg. 2019;154(9):867. doi:10.1001/jamasurg.2019.2328

Lateral Lymph Nodes as the Achilles Heel of Low Rectal Cancer Surgery After Neoadjuvant Chemoradiation Therapy: Are We Close to Solving the Riddle?

Abstract Full Text
online only
JAMA Surg. 2019;154(9):e192220. doi:10.1001/jamasurg.2019.2220

The True Outcomes of Geriatric Trauma—If We Do Not Count Them, We Will Never Know

Abstract Full Text
online only
JAMA Surg. 2019;154(9):e192324. doi:10.1001/jamasurg.2019.2324
Special Communication

Recognizing and Reacting to Microaggressions in Medicine and Surgery

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(9):868-872. doi:10.1001/jamasurg.2019.1648

This Special Communication elaborates on the concept of microaggressions and provides suggestions for how recipients or bystanders can respond to them.

JAMA Network Clinical Guideline Synopsis

Review of the Tokyo Guidelines 2018: Antimicrobial Therapy for Acute Cholangitis and Cholecystitis

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(9):873-874. doi:10.1001/jamasurg.2019.2169

This Clinical Guideline Synopsis reviews the Tokyo Guidelines 2018 on antimicrobial therapy for acute cholangitis and cholecystitis.

Research Letter

Pacific Coast Surgical Association

Use of a Statewide Public Health Tool to Estimate Miles Driven by Intoxicated Drivers

Abstract Full Text
JAMA Surg. 2019;154(9):875-876. doi:10.1001/jamasurg.2019.1720

This study uses data from the Place of Last Drink database and Google maps to assess the association of blood alcohol concentration with distance traveled and driver’s age among intoxicated drivers in Minnesota.

Surgeon Awareness of the Relative Costs of Common Surgical Instruments

Abstract Full Text
JAMA Surg. 2019;154(9):877-878. doi:10.1001/jamasurg.2019.1746

This study surveys surgeons’ cost knowledge and ability to distinguish subtle price variations between surgical tools with similar functions or indications.

Trends in the Inclusion of Black and Female Surgeons in Invited Visiting Professorships

Abstract Full Text
JAMA Surg. 2019;154(9):878-879. doi:10.1001/jamasurg.2019.2137

This study examines the changes in the composition of visiting professorships by race and sex at 25 academic surgical programs from 2007 through 2017.

Pacific Coast Surgical Association

Assessment of Routine Esophagram for Detecting Anastomotic Leak After Esophagectomy

Abstract Full Text
JAMA Surg. 2019;154(9):879-881. doi:10.1001/jamasurg.2019.2162

This study assesses the value of routine esophagrams in detecting anastomotic leaks after esophagectomy.

Comment & Response

Understanding Limitations of the National Inpatient Sample to Facilitate its Proper Use

Abstract Full Text
JAMA Surg. 2019;154(9):881-882. doi:10.1001/jamasurg.2019.1172

Understanding Limitations of the National Inpatient Sample to Facilitate its Proper Use—Reply

Abstract Full Text
JAMA Surg. 2019;154(9):882. doi:10.1001/jamasurg.2019.1173

Potential Benefit of Nonsurgical Management to Periappendicular Abscess

Abstract Full Text
JAMA Surg. 2019;154(9):882-883. doi:10.1001/jamasurg.2019.1682

Potential Benefit of Nonsurgical Management to Periappendicular Abscess—Reply

Abstract Full Text
JAMA Surg. 2019;154(9):883-884. doi:10.1001/jamasurg.2019.1685

Concerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes

Abstract Full Text
JAMA Surg. 2019;154(9):884. doi:10.1001/jamasurg.2019.1717

Concerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes—Reply

Abstract Full Text
JAMA Surg. 2019;154(9):884. doi:10.1001/jamasurg.2019.1727
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2019;154(9):790. doi:10.1001/jamasurg.2018.3834
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