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September 2019 - July 1920

Decade

Year

Issue

October 2019, Vol 154, No. 10, Pages 889-980

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2019;154(10):889. doi:10.1001/jamasurg.2018.3839
Viewpoint

Surgical Outcomes Club

How Implementation Science in Surgery Is Done

Abstract Full Text
JAMA Surg. 2019;154(10):891-892. doi:10.1001/jamasurg.2019.1515

This Viewpoint describes implementation science research as it applies to surgical topics.

Optimizing Joy in Surgery

Abstract Full Text
JAMA Surg. 2019;154(10):893-894. doi:10.1001/jamasurg.2019.1522

This Viewpoint describes 8 techniques that surgeons can use to cultivate joy in their work.

Editorial

US Preventive Services Task Force Breast Cancer Recommendation Statement on Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer

Abstract Full Text
JAMA Surg. 2019;154(10):895-896. doi:10.1001/jamasurg.2019.3184

This Editorial discusses the US Preventive Services Task Force recommendation statement on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer.

Original Investigation

Pacific Coast Surgical Association

Trends in Diverting Loop Ileostomy vs Total Abdominal Colectomy as Surgical Management for Clostridium difficile Colitis

Abstract Full Text
JAMA Surg. 2019;154(10):899-906. doi:10.1001/jamasurg.2019.2141

This cohort study describes US trends in adopting loop ileostomy for treating fulminant C difficile colitis.

Pacific Coast Surgical Association

Association Between Heart Failure and Postoperative Mortality Among Patients Undergoing Ambulatory Noncardiac Surgery

Abstract Full Text
JAMA Surg. 2019;154(10):907-914. doi:10.1001/jamasurg.2019.2110

This study compares the postoperative mortality risk among patients with vs without heart failure who undergo elective ambulatory surgery.

Pacific Coast Surgical Association

Association of Work Measures and Specialty With Assigned Work Relative Value Units Among Surgeons

Abstract Full Text
has audio
JAMA Surg. 2019;154(10):915-921. doi:10.1001/jamasurg.2019.2295

This cross-sectional study evaluates the current system for generating and updating the data used to quantify the relative value unit of a surgeon’s work for each surgical procedure.

Effectiveness of the American College of Surgeons Bleeding Control Basic Training Among Laypeople Applying Different Tourniquet Types: A Randomized Clinical Trial

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(10):923-929. doi:10.1001/jamasurg.2019.2275

This crossover randomized clinical trial assesses whether participants completing the American College of Surgeons Bleeding Control Basic training with Combat Application Tourniquets can effectively apply bleeding control principles using other tourniquet types.

Outcomes of Primary Chemotherapy for Borderline Resectable and Locally Advanced Pancreatic Ductal Adenocarcinoma

Abstract Full Text
JAMA Surg. 2019;154(10):932-942. doi:10.1001/jamasurg.2019.2277

This study examines treatment compliance, conversion to surgery, and survival outcomes of patients with borderline resectable and locally advanced pancreatic ductal adenocarcinoma undergoing primary chemotherapy.

Association Between Pancreatic Fistula and Long-term Survival in the Era of Neoadjuvant Chemotherapy

Abstract Full Text
JAMA Surg. 2019;154(10):943-951. doi:10.1001/jamasurg.2019.2272

This cohort study examines the rate of postoperative pancreatic fistula in patients with pancreatic ductal adenocarcinoma receiving upfront resection or neoadjuvant therapy.

Perceptions of Surgery Residents About Parental Leave During Training

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(10):952-958. doi:10.1001/jamasurg.2019.2985

This survey study explores perceptions about parental leave from US general surgery residents.

Association of Residents' Neural Signatures With Stress Resilience During Surgery

Abstract Full Text
online only
JAMA Surg. 2019;154(10):e192552. doi:10.1001/jamasurg.2019.2552

This cohort study compares prefrontal cortex activation between surgeons demonstrating stable performance under temporal stress with those exhibiting stress-related performance decline.

Pacific Coast Surgical Association

Defining Value for Pancreatic Surgery in Early-Stage Pancreatic Cancer

Abstract Full Text
online only
JAMA Surg. 2019;154(10):e193019. doi:10.1001/jamasurg.2019.3019

This cohort study identifies patient and hospital characteristics associated with improved overall survival, decreased costs, and greater value among patients with pancreatic cancer undergoing curative resection.

Invited Commentary

Loop Ileostomy vs Total Abdominal Colectomy—A Valid Alternative?

Abstract Full Text
JAMA Surg. 2019;154(10):906. doi:10.1001/jamasurg.2019.2146

Need for More Objective Data to Determine Relative Value Units for Surgical Effort

Abstract Full Text
JAMA Surg. 2019;154(10):922. doi:10.1001/jamasurg.2019.2319

Prehospital Hemorrhage Control—Leveraging Successes From Cardiac Arrest to Optimize Population-Level Effectiveness

Abstract Full Text
JAMA Surg. 2019;154(10):930-931. doi:10.1001/jamasurg.2019.2276

Neoadjuvant Therapy of Pancreatic Ductal Adenocarcinoma With Vascular Involvement Shows Promise

Abstract Full Text
JAMA Surg. 2019;154(10):942. doi:10.1001/jamasurg.2019.2278

Remembering the Hippocratic Oath in Surgical Training

Abstract Full Text
JAMA Surg. 2019;154(10):958-959. doi:10.1001/jamasurg.2019.3013

Aggregating Pancreatic Cancer Care to Specialized Centers—A High-Value Decision?

Abstract Full Text
online only
JAMA Surg. 2019;154(10):e193020. doi:10.1001/jamasurg.2019.3020
Review

Surgical Smoke Exposure in Operating Room Personnel: A Review

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(10):960-967. doi:10.1001/jamasurg.2019.2515

This narrative review discusses the research on the outcomes of exposure to surgical smoke and strategies used to lessen the exposure.

Surgical Innovation

Highly Accurate, Patient-Specific, 3-Dimensional Mixed-Reality Model Creation for Surgical Training and Decision-making

Abstract Full Text
has multimedia
JAMA Surg. 2019;154(10):968-969. doi:10.1001/jamasurg.2019.2546

This article describes innovations in imaging surgical anatomy with 3-dimensional mixed-reality modeling.

Research Letter

Validation of Zip Code–Based Estimates of Ambulance Driving Distance to Control for Access to Care in Emergency Surgery Research

Abstract Full Text
JAMA Surg. 2019;154(10):970-971. doi:10.1001/jamasurg.2019.2179

This study uses Medicaid data files to estimate the association of estimated driving distance and reported driven ambulance miles from an injury site to a hospital during emergency medical service calls as a means to assess data accuracy for use in future research.

Assessment of Surgical Specialty Societies' Choosing Wisely Recommendations

Abstract Full Text
JAMA Surg. 2019;154(10):971-973. doi:10.1001/jamasurg.2019.2309

This research study assesses Choosing Wisely deimplementation recommendations from surgical specialty societies to ascertain how many are directly applicable to surgical procedures or under surgeons’ control.

Efficacy of Prehospital Criteria in Identifying Trauma Patients Susceptible to Undertriage

Abstract Full Text
JAMA Surg. 2019;154(10):973-974. doi:10.1001/jamasurg.2019.2497

This study examined emergency department medical records to identify cases of inappropriately low trauma-level activation and factors associated with the risk of such undertriage.

Comment & Response

Revisions of Gastric Bypass—A Moral Obligation

Abstract Full Text
JAMA Surg. 2019;154(10):975. doi:10.1001/jamasurg.2019.1740

Revisions of Gastric Bypass—A Moral Obligation—Reply

Abstract Full Text
JAMA Surg. 2019;154(10):975-976. doi:10.1001/jamasurg.2019.1741

Cancer and Other Outcomes After Surgery With Fluoridated Anesthesia

Abstract Full Text
JAMA Surg. 2019;154(10):976. doi:10.1001/jamasurg.2019.1747

Cancer and Other Outcomes After Surgery With Fluoridated Anesthesia—Reply

Abstract Full Text
JAMA Surg. 2019;154(10):976-977. doi:10.1001/jamasurg.2019.1748

Hawthorne Effect Should Be Controlled for in Quality Control Studies

Abstract Full Text
JAMA Surg. 2019;154(10):977. doi:10.1001/jamasurg.2019.2159

Hawthorne Effect Should Be Controlled for in Quality Control Studies—Reply

Abstract Full Text
JAMA Surg. 2019;154(10):978. doi:10.1001/jamasurg.2019.2166

Safety and Benefit of Using Liver Grafts From Older Donors

Abstract Full Text
JAMA Surg. 2019;154(10):978. doi:10.1001/jamasurg.2019.2183

Safety and Benefit of Using Liver Grafts From Older Donors

Abstract Full Text
JAMA Surg. 2019;154(10):978-979. doi:10.1001/jamasurg.2019.2186

Safety and Benefit of Using Liver Grafts From Older Donors—Reply

Abstract Full Text
JAMA Surg. 2019;154(10):979-980. doi:10.1001/jamasurg.2019.2189
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2019;154(10):890. doi:10.1001/jamasurg.2018.3840
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