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October 2017 - July 1920

Decade

Year

Issue

November 2017, Vol 152, No. 11, Pages 993-1091

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(11):993. doi:10.1001/jamasurg.2016.3457
Viewpoint

Intraoperative Surgical Performance Measurement and OutcomesChoose Your Tools Carefully

Abstract Full Text
JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837

This Viewpoint considers tools for measuring intraoperative performance in relation to surgical outcomes.

Pregnancy and the Surgeon—Too Many Opinions, Too Little Evidence

Abstract Full Text
JAMA Surg. 2017;152(11):997-998. doi:10.1001/jamasurg.2017.2892

This Viewpoint discusses relevant literature regarding adverse pregnancy outcomes among female surgeons and surgical trainees and highlights some related international workplace policies for pregnancy.

Original Investigation

Pacific Coast Surgical Association

Outcomes and Costs of Managing Appendicitis at Safety-Net Hospitals

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(11):1001-1006. doi:10.1001/jamasurg.2017.2209

This database review evaluates the association of safety-net hospital burden with the outcomes of appendectomy.

Pacific Coast Surgical Association

Factors Associated With Underestimation of Invasive Cancer in Patients With Ductal Carcinoma In SituPrecautions for Active Surveillance

Abstract Full Text
JAMA Surg. 2017;152(11):1007-1014. doi:10.1001/jamasurg.2017.2181

This cohort study uses the National Cancer Database to examine the factors associated with underestimation of invasive cancer in patients with a clinical diagnosis of non–high-grade DCIS that would preclude active surveillance.

Potentially Avoidable Surgical Intensive Care Unit Admissions and Disposition Delays

Abstract Full Text
JAMA Surg. 2017;152(11):1015-1022. doi:10.1001/jamasurg.2017.2165

This study identifies sources of avoidable surgical intensive care unit days and determines strategies to minimize these days in preinterventional and postinterventional populations.

Pacific Coast Surgical Association

Distinction of Risk Factors for Superficial vs Organ-Space Surgical Site Infections After Pancreatic Surgery

Abstract Full Text
JAMA Surg. 2017;152(11):1023-1029. doi:10.1001/jamasurg.2017.2155

This study distinguishes risk factors for surgical site infection subtypes and examines the association with other clinical outcomes in patients undergoing pancreatic surgery.

Association Between Preoperative Hemoglobin A1c Levels, Postoperative Hyperglycemia, and Readmissions Following Gastrointestinal Surgery

Abstract Full Text
JAMA Surg. 2017;152(11):1031-1038. doi:10.1001/jamasurg.2017.2350

This cohort study examines the association between hemoglobin A1c and hospital readmissions among surgical patients with hyperglycemia.

A Nationwide Analysis of Cost Variation for Autologous Free Flap Breast Reconstruction

Abstract Full Text
JAMA Surg. 2017;152(11):1039-1047. doi:10.1001/jamasurg.2017.2339

This secondary cross-sectional analysis, performed using the Healthcare Cost and Utilization Project National Inpatient Sample database from 2008 to 2010, investigates factors that influence cost variation for autologous free flap breast reconstruction.

Association of Clinical Factors With a Major Pathologic Response Following Preoperative Therapy for Pancreatic Ductal Adenocarcinoma

Abstract Full Text
JAMA Surg. 2017;152(11):1048-1056. doi:10.1001/jamasurg.2017.2227

This study identifies clinical factors associated with major pathologic response in a large cohort of patients who underwent preoperative therapy and pancreatectomy for pancreatic ductal adenocarcinoma.

Factors Associated With Achieving a Body Mass Index of Less Than 30 After Bariatric Surgery

Abstract Full Text
JAMA Surg. 2017;152(11):1058-1064. doi:10.1001/jamasurg.2017.2348

This study uses data from a statewide clinical registry to identify factors associated with achieving a body mass index of less than 30 in patients who have undergone bariatric surgery.

Association of O6-Methylguanine-DNA Methyltransferase Protein Expression With Postoperative Prognosis and Adjuvant Chemotherapeutic Benefits Among Patients With Stage II or III Gastric Cancer

Abstract Full Text
online only
JAMA Surg. 2017;152(11):e173120. doi:10.1001/jamasurg.2017.3120

This study assesses whether the MGMT protein expression in patients with late-stage gastric cancer is associated with prognosis or the need for fluorouracil-based adjuvant chemotherapy.

Pacific Coast Surgical Association

Incidence of Myocardial Infarction After High-Risk Vascular Operations in Adults

Abstract Full Text
online only has active quiz
JAMA Surg. 2017;152(11):e173360. doi:10.1001/jamasurg.2017.3360

This cohort study uses data from the ACS NSQIP database to examine trends and prognostic implications of postoperative myocardial infarction among patients undergoing high-risk vascular operations.

Invited Commentary

Infection After Pancreatic SurgerySuperficial and Deep Thoughts

Abstract Full Text
JAMA Surg. 2017;152(11):1030. doi:10.1001/jamasurg.2017.2144

Neoadjuvant Treatment in Locally Advanced and Borderline Resectable Pancreatic Cancer vs Primary Resectable Pancreatic Cancer

Abstract Full Text
JAMA Surg. 2017;152(11):1057. doi:10.1001/jamasurg.2017.2228

It’s About the Weight Loss

Abstract Full Text
JAMA Surg. 2017;152(11):1065. doi:10.1001/jamasurg.2017.2349
Review

Prescription Opioid Analgesics Commonly Unused After SurgeryA Systematic Review

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831

This systematic review uses published studies cited in MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials to identify the extent of and reasons for the oversupply of prescribed opioids among adults who underwent a surgical procedure.

Surgical Innovation

Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Abstract Full Text
JAMA Surg. 2017;152(11):1072-1073. doi:10.1001/jamasurg.2017.3428

This article reports the development, benefits, and applications of resuscitative endovascular balloon occlusion of the aorta in the setting of hemorrhagic shock.

JAMA Surgery Clinical Challenge

Arm Swelling Following Attempted Peripherally Inserted Central Catheter

Abstract Full Text
JAMA Surg. 2017;152(11):1074-1075. doi:10.1001/jamasurg.2017.3372

An elderly woman developed pain and swelling in her upper extremity after an attempt was made to place a peripherally inserted central catheter. What is your diagnosis?

Acute Abdominal Pain in a Man in His 50s

Abstract Full Text
JAMA Surg. 2017;152(11):1076-1077. doi:10.1001/jamasurg.2017.3441

A man in his 50s with a history of smoking and chronic hypertension is admitted with sudden-onset upper abdominal pain, nausea, vomiting, moderate epigastric tenderness with rebound and guarding but no history of previous surgery or trauma, and hemodynamic instability. What is your diagnosis?

Research Letter

Evolution of Surgical Aortic Valve Replacement in the Era of Transcatheter Valve Technology

Abstract Full Text
JAMA Surg. 2017;152(11):1080-1083. doi:10.1001/jamasurg.2017.2344

This cohort study analyzes the cost and stabilization of disease in patients undergoing transcatheter and surgical aortic valve replacement.

Role of Preventability in Redefining Failure to Rescue Among Major Trauma Patients

Abstract Full Text
JAMA Surg. 2017;152(11):1083-1084. doi:10.1001/jamasurg.2017.2351

This cohort study assesses the role of preventability in the definition of failure to rescue when reviewing surgical performance for trauma patients who died after emergency surgery.

Beyond the Margins—Economic Costs and Complications Associated With Repeated Breast-Conserving Surgeries

Abstract Full Text
JAMA Surg. 2017;152(11):1084-1086. doi:10.1001/jamasurg.2017.2661

This study uses insurance claims data for patients who have undergone breast-conserving surgery to examine clinical complications and economic outcomes associated with repeated surgery.

Clinical and Genetic Implications of DNA Mismatch Repair Deficiency in Patients With Pancreatic Ductal Adenocarcinoma

Abstract Full Text
JAMA Surg. 2017;152(11):1086-1088. doi:10.1001/jamasurg.2017.2631

This cohort study examines the behavior and outcomes of deficient DNA mismatch repair in patients at elevated risk for malignant neoplasms, including pancreatic ductal adenocarcinoma.

Comment & Response

A Unique Program to Incorporate Volunteers Into a Nationwide Emergency Medical SystemMaximizing Preparedness for a Mass Casualty Incident

Abstract Full Text
JAMA Surg. 2017;152(11):1088-1089. doi:10.1001/jamasurg.2017.2232

A Unique Program to Incorporate Volunteers Into a Nationwide Emergency Medical System—Reply

Abstract Full Text
JAMA Surg. 2017;152(11):1089. doi:10.1001/jamasurg.2017.2233

Gender Confirmation Surgery and Terminology in Transgender Health

Abstract Full Text
JAMA Surg. 2017;152(11):1089-1090. doi:10.1001/jamasurg.2017.2345

Gender Confirmation Surgery and Terminology in Transgender Health

Abstract Full Text
JAMA Surg. 2017;152(11):1090-1091. doi:10.1001/jamasurg.2017.2346

Gender Confirmation Surgery and Terminology in Transgender Health—Reply

Abstract Full Text
JAMA Surg. 2017;152(11):1091. doi:10.1001/jamasurg.2017.2347

Undertriage of Firearm-Related Injuries Not Actually Assessed

Abstract Full Text
JAMA Surg. 2017;152(11):1091. doi:10.1001/jamasurg.2017.2352
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(11):994. doi:10.1001/jamasurg.2016.3458
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