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August 2019 - July 1920

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Issue

October 2014, Vol 149, No. 10, Pages 997-1090

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2014;149(10):997. doi:10.1001/jamasurg.2013.3504
Viewpoint

Team-Based Surgical Care: An Important Role for Academic Health Centers

Abstract Full Text
JAMA Surg. 2014;149(10):999-1000. doi:10.1001/jamasurg.2014.219

It’s Morning in American Health Care

Abstract Full Text
JAMA Surg. 2014;149(10):1001-1002. doi:10.1001/jamasurg.2014.226
Original Investigation

Association of VA Surgeons

Mandated Self-reporting of Ventilator-Associated Pneumonia Bundle and Catheter-Related Bloodstream Infection Bundle Compliance and Infection Rates

Abstract Full Text
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JAMA Surg. 2014;149(10):1003-1007. doi:10.1001/jamasurg.2014.1627

This retrospective review shows that mandated reporting for ventilator-associated pneumonia bundle and catheter-related bloodstream infection bundle compliance is poorly correlated with decreased infection rates.

Natural Course vs Interventions to Clear Common Bile Duct Stones: Data From the Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks)

Abstract Full Text
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JAMA Surg. 2014;149(10):1008-1013. doi:10.1001/jamasurg.2014.249

Möller et al evaluate the outcomes after various interventions to clear the bile ducts and compare these with the natural course of common bile duct stones (CBDSs) found during intraoperative cholangiography. See also the Invited Commentary by Montero and Schulick.

Access to Breast Reconstruction After Mastectomy and Patient Perspectives on Reconstruction Decision Making

Abstract Full Text
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JAMA Surg. 2014;149(10):1015-1021. doi:10.1001/jamasurg.2014.548

Morrow et al examine correlates of reconstruction and determine if a significant unmet need for reconstruction exists among women with breast cancer who undergo mastectomy.

Morbidity and Mortality Following Elective Splenectomy for Benign and Malignant Hematologic Conditions: Analysis of the American College of Surgeons National Surgical Quality Improvement Program Data

Abstract Full Text
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JAMA Surg. 2014;149(10):1022-1029. doi:10.1001/jamasurg.2014.285

To evaluate clinical and pathologic variables associated with morbidity and mortality following elective splenectomy for benign and malignant hematologic conditions, Bagrodia et al performed a review of the American College of Surgeons National Surgical Quality Improvement Program data for 2005 to 2011. See the Invited Commentary by Arcelus.

Improved Outcomes Associated With a Revised Quality Measure for Continuing Perioperative β-Blockade

Abstract Full Text
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JAMA Surg. 2014;149(10):1031-1037. doi:10.1001/jamasurg.2014.351

In a retrospective cohort study using national Veterans Affairs patient-level data for operations between 2005 and 2009, Richman et al determine whether adherence to the original or revised Surgical Care Improvement Project perioperative β-blocker continuation measure is associated with decreased adverse events. See the Invited Commentary by Britt.

Effect of Minimally Invasive Surgery on the Risk for Surgical Site Infections: Results From the National Surgical Quality Improvement Program (NSQIP) Database

Abstract Full Text
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JAMA Surg. 2014;149(10):1039-1044. doi:10.1001/jamasurg.2014.292

Gandaglia et al evaluate the role of the surgical approach on the risk for surgical site infections (SSIs) in a large cohort of patients undergoing open and minimally invasive surgery. See also the Invited Commentary by Kim and Smaldone.

The Preventive Surgical Site Infection Bundle in Colorectal Surgery: An Effective Approach to Surgical Site Infection Reduction and Health Care Cost Savings

Abstract Full Text
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JAMA Surg. 2014;149(10):1045-1052. doi:10.1001/jamasurg.2014.346

Keenan et al determine the effect of a preventive surgical site infection (SSI) bundle on SSI rates and costs in colorectal surgery. In a retrospective study of institutional clinical and cost data, the primary outcome was the rate of superficial SSIs before and after implementation of the bundle. See the Invited Commentary by Leeds and Wick.

SURGICAL CARE OF THE AGING POPULATION

Patterns of Injury, Outcomes, and Predictors of In-Hospital and 1-Year Mortality in Nonagenarian and Centenarian Trauma Patients

Abstract Full Text
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JAMA Surg. 2014;149(10):1054-1059. doi:10.1001/jamasurg.2014.473

Hwabejire et al determine the clinical outcomes and predictors of in-hospital and 1-year mortality among nonagenarian and centenarian trauma patients admitted to a level I academic trauma center between 2006 and 2010.The main outcomes were length of hospital stay, in-hospital mortality, and cumulative mortalities at 1, 3, 6, and 12 months after discharge.

Chronic Intestinal Failure After Crohn Disease: When to Perform Transplantation

Abstract Full Text
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JAMA Surg. 2014;149(10):1060-1066. doi:10.1001/jamasurg.2014.1072

Gerlach and coauthors explore the limitations of conventional surgery and the decision-making process for transplantation.

Neoadjuvant Chemotherapy and Short-term Morbidity in Patients Undergoing Mastectomy With and Without Breast Reconstruction

Abstract Full Text
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JAMA Surg. 2014;149(10):1068-1076. doi:10.1001/jamasurg.2014.1076

Abt and coauthors determine the effect of neoadjuvant chemotherapy on postoperative morbidity in women undergoing mastectomy with or without immediate breast reconstruction.

Pacific Coast Surgical Association

Role of Imaging in the Diagnosis of Occult Hernias

Abstract Full Text
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JAMA Surg. 2014;149(10):1077-1080. doi:10.1001/jamasurg.2014.484

Miller et al compare the effectiveness of ultrasonography, computed tomography, and magnetic resonance imaging in the diagnosis of occult inguinal hernia.

Brief Report

Resident's Forum

Determining Whether Excision of All Fibroepithelial Lesions of the Breast Is Needed to Exclude Phyllodes Tumor: Upgrade Rate of Fibroepithelial Lesions of the Breast to Phyllodes Tumor

Abstract Full Text
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JAMA Surg. 2014;149(10):1081-1085. doi:10.1001/jamasurg.2014.73

Van Osdol et al determine whether all fibroepithelial lesions of the breast require excision to exclude phyllodes tumor.

Invited Commentary

Clearing Common Bile Duct Stones: One Size Does Not Fit All

Abstract Full Text
JAMA Surg. 2014;149(10):1014. doi:10.1001/jamasurg.2014.195

Elective Splenectomy for Hematologic Diseases: Can We Predict Complications?

Abstract Full Text
JAMA Surg. 2014;149(10):1030. doi:10.1001/jamasurg.2014.310

β-Blockade Therapy in the Perioperative Period: Is There Convincing Evidence?

Abstract Full Text
JAMA Surg. 2014;149(10):1038. doi:10.1001/jamasurg.2014.386

Is a Minimally Invasive Approach the Solution for Reducing Surgical Site Infections?

Abstract Full Text
JAMA Surg. 2014;149(10):1044. doi:10.1001/jamasurg.2014.313

Bundling for High-Reliability Health Care

Abstract Full Text
JAMA Surg. 2014;149(10):1053. doi:10.1001/jamasurg.2014.389

Crohn Disease and Intestinal Transplantation: Benefit Balance

Abstract Full Text
JAMA Surg. 2014;149(10):1067. doi:10.1001/jamasurg.2014.1804
JAMA Surgery Clinical Challenge

Pancreatic Neoplasm With Metastatic Workup

Abstract Full Text
JAMA Surg. 2014;149(10):1087-1088. doi:10.1001/jamasurg.2014.846

Firm Flank Mass Decreasing in Size After Pregnancy

Abstract Full Text
JAMA Surg. 2014;149(10):1089-1090. doi:10.1001/jamasurg.2014.1632
Correction

Incorrect Word in Abstract and Results

Abstract Full Text
free access
JAMA Surg. 2014;149(10):1085. doi:10.1001/jamasurg.2014.2355

Misspelled Author Name

Abstract Full Text
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JAMA Surg. 2014;149(10):1085. doi:10.1001/jamasurg.2014.2612
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2014;149(10):998. doi:10.1001/jamasurg.2013.3505
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