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December 2014, Vol 149, No. 12, Pages 1217-1338

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
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JAMA Surg. 2014;149(12):1217. doi:10.1001/jamasurg.2013.3514
Viewpoint

Is Reference Pricing the Next Big Thing in Payment Reform?

Abstract Full Text
JAMA Surg. 2014;149(12):1219-1220. doi:10.1001/jamasurg.2014.392

This Viewpoint discusses the implications of reference pricing, where patients are financially responsible for any excess difference in cost between the agreed-on price for a specific service and the provider’s actual price.

Clinical Uncertainty at the Intersection of Advancing Technology, Evidence-Based Medicine, and Health Care Policy

Abstract Full Text
JAMA Surg. 2014;149(12):1221-1222. doi:10.1001/jamasurg.2014.382
Editorial

After 10 Years: Mission Accomplished

Abstract Full Text
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JAMA Surg. 2014;149(12):1223. doi:10.1001/jamasurg.2014.3184
Original Investigation

Analgesia After Open Abdominal Surgery in the Setting of Enhanced Recovery Surgery: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Surg. 2014;149(12):1224-1230. doi:10.1001/jamasurg.2014.210

This meta-analysis reports that compared with alternative analgesic techniques, epidurals may be associated with superior pain control. However, this does not translate into improved recovery or reduced morbidity when used within an enhanced recovery protocol.

Cost-effectiveness of Cervical Total Disc Replacement vs Fusion for the Treatment of 2-Level Symptomatic Degenerative Disc Disease

Abstract Full Text
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JAMA Surg. 2014;149(12):1231-1239. doi:10.1001/jamasurg.2014.716

This cost-effectiveness analysis reports that the incremental cost-effectiveness ratio of cervical total disc replacement compared with traditional anterior cervical discectomy and fusion is lower than the commonly accepted threshold of $50 000 per quality-adjusted life-year. Hervey-Jumper and Park provide a related Article .

Pacific Coast Surgical Association

Coexistence of Arterial Compression in Patients With Neurogenic Thoracic Outlet Syndrome

Abstract Full Text
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JAMA Surg. 2014;149(12):1240-1243. doi:10.1001/jamasurg.2014.280

This retrospective review shows that arterial compression can coexist with neurogenic thoracic outlet syndrome and can be elucidated in most patients by medical record review and physical examination, along with confirmation by a duplex scan.

Lobectomy, Sublobar Resection, and Stereotactic Ablative Radiotherapy for Early-Stage Non–Small Cell Lung Cancers in the Elderly

Abstract Full Text
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JAMA Surg. 2014;149(12):1244-1253. doi:10.1001/jamasurg.2014.556

This population-based registry study suggests that stereotactic ablative radiotherapy for non–small cell lung cancer may be a good option among elderly patients with multiple comorbidities.

SURGICAL CARE OF THE AGING POPULATION

The Association Between Hospital Care Intensity and Surgical Outcomes in Medicare Patients

Abstract Full Text
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JAMA Surg. 2014;149(12):1254-1259. doi:10.1001/jamasurg.2014.552

This retrospective cohort study using national Medicare data reports that high hospital care intensity hospitals had higher rates of major complications following major cardiovascular, orthopedic, or general surgical operations compared with low hospital care intensity centers.

Perioperative Mortality Following Repair of Abdominal Aortic Aneurysms: Application of a Randomized Clinical Trial to Real-World Practice Using a Validated Nationwide Data Set

Abstract Full Text
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JAMA Surg. 2014;149(12):1260-1265. doi:10.1001/jamasurg.2014.275

This study shows that perioperative mortality determined by the Open Vs Endovascular Repair Veterans Affairs Cooperative trial underestimates the findings after repair of abdominal aortic aneurysms from vascular practice outside the restriction of randomized clinical trials.

Assessing Normal Growth of Hepatic Hemangiomas During Long-term Follow-up

Abstract Full Text
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JAMA Surg. 2014;149(12):1266-1271. doi:10.1001/jamasurg.2014.477

This retrospective cohort study demonstrates that nearly 40% of hepatic hemangiomas grow over time.

Variation in Readmission by Hospital After Colorectal Cancer Surgery

Abstract Full Text
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JAMA Surg. 2014;149(12):1272-1277. doi:10.1001/jamasurg.2014.988

This hierarchical multivariable logistic regression analysis of observational data found little risk-adjusted variation in hospital readmission rates after colorectal surgery. See also the Invited Commentary by Opelka.

Comparative Effectiveness of Laparoscopic Adjustable Gastric Banding vs Laparoscopic Gastric Bypass

Abstract Full Text
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JAMA Surg. 2014;149(12):1279-1287. doi:10.1001/jamasurg.2014.1674

This retrospective cohort study found that Roux-en-Y gastric bypass resulted in greater weight loss than adjustable gastric banding but a higher risk of short-term complications and long-term subsequent hospitalizations. See also the Invited Commentary by Dimick and Finks.

Design of the Revascularization With Open Bypass vs Angioplasty and Stenting of the Lower Extremity Trial (ROBUST): A Randomized Clinical Trial

Abstract Full Text
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JAMA Surg. 2014;149(12):1289-1295. doi:10.1001/jamasurg.2014.369

This prospective randomized clinical trial may help to establish guidelines for the treatment of superficial femoral artery lesions.

Repeat Surgery After Breast Conservation for the Treatment of Stage 0 to II Breast Carcinoma: A Report From the National Cancer Data Base, 2004-2010

Abstract Full Text
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JAMA Surg. 2014;149(12):1296-1305. doi:10.1001/jamasurg.2014.926

This database analysis found that approximately one-fourth of patients undergoing initial breast conservation surgery for breast cancer will have a subsequent operative intervention. See also the Invited Commentary by Margenthaler and Vaughan.

Pacific Coast Surgical Association

Breast Cancer Following Ovarian Cancer in BRCA Mutation Carriers

Abstract Full Text
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JAMA Surg. 2014;149(12):1306-1313. doi:10.1001/jamasurg.2014.1081

This retrospective database review reports that the risk of metachronous breast cancer is low in patients with known BRCA mutations and epithelial ovarian cancer. A majority of these cases of breast cancer at an early stage are detected by use of mammography.

Surgeon’s 30-Day Outcomes Supporting the Carotid Revascularization Endarterectomy versus Stenting Trial

Abstract Full Text
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JAMA Surg. 2014;149(12):1314-1318. doi:10.1001/jamasurg.2014.1762

This retrospective analysis shows that both carotid endarterectomy and carotid artery stenting can be performed safely by a vascular surgeon in properly selected patients.

Brief Report

Resident's Forum

Laparoscopic Management of Duodenal Obstruction Resulting From Superior Mesenteric Artery Syndrome

Abstract Full Text
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JAMA Surg. 2014;149(12):1319-1322. doi:10.1001/jamasurg.2014.1409

This retrospective review provides evidence that laparoscopic duodenojejunostomy is safe and effective for duodenal obstruction from superior mesenteric artery syndrome.

Invited Commentary

Examining the Cost-effectiveness of 2-Level Cervical Total Disc Replacement

Abstract Full Text
JAMA Surg. 2014;149(12):1239. doi:10.1001/jamasurg.2014.721

It Is More Than Payment Accountability: It Is About Improvement, Too

Abstract Full Text
JAMA Surg. 2014;149(12):1278. doi:10.1001/jamasurg.2014.994

The Beginning of the End for Laparoscopic Banding

Abstract Full Text
JAMA Surg. 2014;149(12):1287-1288. doi:10.1001/jamasurg.2014.1717

Breast Conservation Surgery and the Definition of Adequate Margins: More Is Not Better…It’s Just More

Abstract Full Text
JAMA Surg. 2014;149(12):1305. doi:10.1001/jamasurg.2014.950

An Updated National Institutes of Health Consensus Panel on Bariatric Surgery

Abstract Full Text
JAMA Surg. 2014;149(12):1329-1330. doi:10.1001/jamasurg.2014.2443
Special Communication

Long-term Outcomes of Bariatric Surgery: A National Institutes of Health Symposium

Abstract Full Text
JAMA Surg. 2014;149(12):1323-1329. doi:10.1001/jamasurg.2014.2440

This review of findings discussed at a multidisciplinary workshop on bariatric surgery notes there is evidence showing that bariatric surgery results in greater weight loss than nonsurgical treatments. Finks and Dimick provide a related Article .

JAMA Surgery Clinical Challenge

A Rare Cause of Cachexia and Chronic Diarrhea

Abstract Full Text
JAMA Surg. 2014;149(12):1333-1334. doi:10.1001/jamasurg.2014.101

Occult Gastrointestinal Bleeding

Abstract Full Text
JAMA Surg. 2014;149(12):1335-1336. doi:10.1001/jamasurg.2014.109

Colicky Epigastric and Right Upper Quadrant Pain

Abstract Full Text
has multimedia
JAMA Surg. 2014;149(12):1337-1338. doi:10.1001/jamasurg.2014.316
Correction

Incorrect Information in Text

Abstract Full Text
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JAMA Surg. 2014;149(12):1271. doi:10.1001/jamasurg.2014.3447

Errors in Table 1 and Figure

Abstract Full Text
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JAMA Surg. 2014;149(12):1295. doi:10.1001/jamasurg.2014.3262

Error in Byline and Author Contributions

Abstract Full Text
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JAMA Surg. 2014;149(12):1313. doi:10.1001/jamasurg.2014.3243
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2014;149(12):1218. doi:10.1001/jamasurg.2013.3515
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