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November 2014, Vol 149, No. 11, Pages 1097-1213 | Presentations From the Association of VA Surgeons

In This Issue of JAMA Surgery

Association of VA Surgeons

Highlights

Abstract Full Text
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JAMA Surg. 2014;149(11):1097. doi:10.1001/jamasurg.2013.3509
Viewpoint

Transitional Care From Pediatric to Adult Surgery

Abstract Full Text
JAMA Surg. 2014;149(11):1099-1100. doi:10.1001/jamasurg.2014.301

This Viewpoint discusses the need for structured transition of care from pediatric to adult surgery for patients with congenital anomalies and childhood cancers.

A “Doc Fix” for the Ages: The Value Proposition of Tomorrow’s Medicare

Abstract Full Text
JAMA Surg. 2014;149(11):1101-1102. doi:10.1001/jamasurg.2014.395

This Viewpoint reviews the central elements of the proposed SGR Repeal and Medicare Provider Payment Modernization Act of 2014.

Original Investigation

Association of VA Surgeons

Identification of Patients With Postoperative Complications Who Are at Risk for Failure to Rescue

Abstract Full Text
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JAMA Surg. 2014;149(11):1103-1108. doi:10.1001/jamasurg.2014.1338

Ferraris and colleagues conducted an observational study to evaluate failure to rescue in patients entered into the American College of Surgeons National Surgical Quality Improvement Program database. Surgical patients included in this study underwent a wide range of operations during a 5-year period in more than 200 acute care hospitals.

Association of VA Surgeons

Safety and Efficacy of Implementing a Multidisciplinary Heart Team Approach for Revascularization in Patients With Complex Coronary Artery Disease: An Observational Cohort Pilot Study

Abstract Full Text
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JAMA Surg. 2014;149(11):1109-1112. doi:10.1001/jamasurg.2014.2059

Chu et al determine the safety and efficacy of implementing the multidisciplinary heart team approach for revascularization in patients with complex coronary artery disease (CAD).

Association of VA Surgeons

Improved Adverse Postoperative Outcomes With Revised American College of Cardiology/American Heart Association Guidelines for Patients With Cardiac Stents

Abstract Full Text
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JAMA Surg. 2014;149(11):1113-1120. doi:10.1001/jamasurg.2014.2044

Graham et al examine the effect of the revised American College of Cardiology/American Heart Association (ACC/AHA) guidelines on postoperative major adverse cardiac events in noncardiac surgery subsequent to placement of cardiac stents.

Association of VA Surgeons

Surgical Palliative Care Consultations Over Time in Relationship to Systemwide Frailty Screening

Abstract Full Text
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JAMA Surg. 2014;149(11):1121-1126. doi:10.1001/jamasurg.2014.1393

This medical record review suggests that a systematic frailty-screening program effectively identifies at-risk surgical patients and is associated with a significant reduction in mortality for patients undergoing palliative care consultation.

Association of VA Surgeons

Training Outcomes of Preliminary Surgical Residents in a University and Veterans Affairs Surgical Residency

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1127-1132. doi:10.1001/jamasurg.2014.2054

Sarosi and colleagues examine the training outcomes of preliminary residents in a university and veterans affairs surgical residency and attempt to predict the characteristics that lead to successful placement into categorical general surgical residency.

Association of VA Surgeons

Paradigm Shift in the Surgical Management of Multigland Parathyroid Hyperplasia: An Individualized Approach

Abstract Full Text
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JAMA Surg. 2014;149(11):1133-1137. doi:10.1001/jamasurg.2014.1296

In this retrospective analysis, the technique of locoregional anesthesia, conscious sedation, and exploration via a limited incision was used to perform minimally invasive bilateral exploration in patients who have multigland hyperplasia.

Association of VA Surgeons

Mechanical Breath Profile of Airway Pressure Release Ventilation: The Effect on Alveolar Recruitment and Microstrain in Acute Lung Injury

Abstract Full Text
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JAMA Surg. 2014;149(11):1138-1145. doi:10.1001/jamasurg.2014.1829

In this study, rats were randomized to controlled mandatory ventilation or airway pressure release ventilation to determine whether airway pressure release ventilation affects alveolar recruitment and microstrain in acute lung injury.

Association of VA Surgeons

Frequent Silencing of RASSF1A via Promoter Methylation in Follicular Thyroid Hyperplasia: A Potential Early Epigenetic Susceptibility Event in Thyroid Carcinogenesis

Abstract Full Text
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JAMA Surg. 2014;149(11):1146-1152. doi:10.1001/jamasurg.2014.1694

This prospective cohort study examines the genetic and epigenetic events associated with follicular thyroid hyperplasia.

Association of VA Surgeons

The Effect of a Regional Hepatopancreaticobiliary Surgical Program on Clinical Volume, Quality of Cancer Care, and Outcomes in the Veterans Affairs System

Abstract Full Text
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JAMA Surg. 2014;149(11):1153-1161. doi:10.1001/jamasurg.2014.1711

This retrospective cohort study reports that implementation of a multidisciplinary hepatopancreaticobiliary surgical program leads to regionalization of care and improved quality of cancer care and surgical outcomes.

Association of VA Surgeons

Descriptive Analysis of 30-Day Readmission After Inpatient Surgery Discharge in the Veterans Health Administration

Abstract Full Text
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JAMA Surg. 2014;149(11):1162-1168. doi:10.1001/jamasurg.2014.1706

This retrospective observational study reports that 30-day readmission rates for surgical procedures performed in the Veterans Health Administration declined between 2001 and 2010.

Association of VA Surgeons

Use of Palliative Care and Hospice Among Surgical and Medical Specialties in the Veterans Health Administration

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1169-1175. doi:10.1001/jamasurg.2014.2101

This study reports that the Veterans Health Administration of surgical patients are less likely to receive either hospice or palliative care in the year prior to death compared with medical patients, yet surgical patients have a longer length of time and increased relative use of these services.

Association of VA Surgeons

Brilliant Blue FCF as an Alternative Dye for Saphenous Vein Graft Marking: Effect on Conduit Function

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1176-1181. doi:10.1001/jamasurg.2014.2029

This laboratory study reports that brilliant blue FCF is an alternative, nontoxic marking dye that may improve human saphenous vein conduit function and decrease intimal hyperplasia.

Association of VA Surgeons

Surgeon Judgment and Utility of Transit Time Flow Probes in Coronary Artery Bypass Grafting Surgery

Abstract Full Text
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JAMA Surg. 2014;149(11):1182-1187. doi:10.1001/jamasurg.2014.1891

This retrospective analysis found that intraoperative transit time flow probe data may help to predict long-term patency and whether a questionable graft should be revised for patients undergoing coronary artery bypass grafting (CABG) surgery.

Special Communication

The Role of the Investigative Surgeon: Asking Questions and Questioning Answers

Abstract Full Text
JAMA Surg. 2014;149(11):1188-1190. doi:10.1001/jamasurg.2014.724

Basson explores the notion of investigative surgeons and the advantages and disadvantages of assuming this role.

Summary of the Panel Session at the 38th Annual Surgical Symposium of the Association of VA Surgeons: What Is the Big Deal About Frailty?

Abstract Full Text
JAMA Surg. 2014;149(11):1191-1197. doi:10.1001/jamasurg.2014.2064

Owing to the phenomenon known as “global graying,” elderly-specific conditions, including frailty, will become more prominent among patients undergoing surgery. The concept of frailty, its effect on surgical outcomes, and its assessment and management were discussed during the 38th Annual Surgical Symposium of the Association of VA Surgeons panel session entitled “What’s the Big Deal about Frailty?” and held in New Haven, Connecticut, on April 7, 2014. This special communication summarizes the panel session topics and provides highlights of the expert panel’s discussions and relevant key points regarding care for the geriatric frail surgical patient.

Statement on Surgical Pre-Residency Preparatory Courses

Abstract Full Text
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JAMA Surg. 2014;149(11):1198-1199. doi:10.1001/jamasurg.2014.2419
JAMA Surgery Clinical Challenge

The Cocoon Abdomen

Abstract Full Text
JAMA Surg. 2014;149(11):1201-1202. doi:10.1001/jamasurg.2014.81

Bleeding Abdominal Mass in a Patient With Genetic Cutaneous Disorder

Abstract Full Text
JAMA Surg. 2014;149(11):1203-1204. doi:10.1001/jamasurg.2013.5701
Research Letter

Association of VA Surgeons

The Effect of Agent Orange on Nonmelanoma Skin Cancer Regression Rates

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1205-1206. doi:10.1001/jamasurg.2014.953

Association of VA Surgeons

Using a Composite Readmission Measure to Assess Surgical Quality in the Veterans Health Administration: How Well Does It Correlate With Established Surgical Measures?

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1206-1207. doi:10.1001/jamasurg.2014.1095

Association of VA Surgeons

The Use of Gamification to Boost Residents’ Engagement in Simulation Training

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1208-1209. doi:10.1001/jamasurg.2014.1779

Association of VA Surgeons

The Automated Operating Room: A Team Approach to Patient Safety and Communication

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1209-1210. doi:10.1001/jamasurg.2014.1825

Association of VA Surgeons

Measuring Surgical Quality: Which Measure Should We Trust?

Abstract Full Text
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JAMA Surg. 2014;149(11):1210-1212. doi:10.1001/jamasurg.2014.373

Association of VA Surgeons

Comprehensive Home-Based Acute Care Medical Program Initiative for Older Noncritical Surgical Patients

Abstract Full Text
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JAMA Surg. 2014;149(11):1212-1213. doi:10.1001/jamasurg.2014.1335
Correction

Missing Subtitle

Abstract Full Text
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JAMA Surg. 2014;149(11):1213. doi:10.1001/jamasurg.2014.2996
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2014;149(11):1098. doi:10.1001/jamasurg.2013.3510
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