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September 2020 - July 1920

Decade

Year

Issue

May 2015, Vol 150, No. 5, Pages 381-492

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2015;150(5):381. doi:10.1001/jamasurg.2014.2503
Viewpoint

Disrupting Disruptive Physicians

Abstract Full Text
JAMA Surg. 2015;150(5):385-386. doi:10.1001/jamasurg.2014.2911

Separating the Need for Intraoperative Consultation From the Fear of Out-of-Network Billing: The Myth of Drive-by Doctoring

Abstract Full Text
JAMA Surg. 2015;150(5):386-387. doi:10.1001/jamasurg.2014.3521

This Viewpoint describes the necessity of intraoperative consultation and the need to avoid unnecessary or unexpected out-of-network billing.

Clinical Documentation Improvement and the Agency for Healthcare Research and Quality Accidental Puncture or Laceration Patient Safety Indicator

Abstract Full Text
JAMA Surg. 2015;150(5):388-389. doi:10.1001/jamasurg.2014.2385

This Viewpoint reports on a recently convened panel of coding and quality experts who are part of the UHC PSI Documentation Project to develop consensus on what constitutes an “accidental puncture or laceration” to enhance the comparability of performance data and to support members’ quality improvement initiatives.

Original Investigation

Association of VA Surgeons

Effect of a Preoperative Decontamination Protocol on Surgical Site Infections in Patients Undergoing Elective Orthopedic Surgery With Hardware Implantation

Abstract Full Text
free access
JAMA Surg. 2015;150(5):390-395. doi:10.1001/jamasurg.2014.3480

This study reports that universal decontamination using a low-cost preoperative protocol may be considered as an additional prevention strategy for surgical site infections in patients undergoing orthopedic surgery with hardware implantation.

Association of VA Surgeons

Distractions During Resident Handoffs: Incidence, Sources, and Influence on Handoff Quality and Effectiveness

Abstract Full Text
free access
JAMA Surg. 2015;150(5):396-401. doi:10.1001/jamasurg.2014.2459

This observational study reports that distractions are very common during surgery resident handoffs.

Overtreatment of Young Adults With Colon Cancer: More Intense Treatments With Unmatched Survival Gains

Abstract Full Text
free access
JAMA Surg. 2015;150(5):402-409. doi:10.1001/jamasurg.2014.3572

This nationwide cohort study defines stage-specific treatments and prognosis of colon cancer diagnosed in young adults (ages 18-49 years) vs older adults (ages 65-75 years).

Effect of Laparoscopic Surgery on Health Care Utilization and Costs in Patients Who Undergo Colectomy

Abstract Full Text
free access
JAMA Surg. 2015;150(5):410-415. doi:10.1001/jamasurg.2014.3171

This retrospective multivariate regression analysis shows that laparoscopic colectomy results in a significant reduction in health care costs and utilization in the short- and long-term postoperative periods.

Innovation in Safety: Safety in Innovation

Assessment of Quality Outcomes for Robotic Pancreaticoduodenectomy: Identification of the Learning Curve

Abstract Full Text
free access
JAMA Surg. 2015;150(5):416-422. doi:10.1001/jamasurg.2015.17

This retrospective review of perioperative outcome parameters supports the safe implementation of robotic pancreaticoduodenectomy. See also the Invited Commentary by Edil.

Long-term Quality of Life and Risk Factors for Recurrence After Laparoscopic Repair of Paraesophageal Hernia

Abstract Full Text
free access
JAMA Surg. 2015;150(5):424-431. doi:10.1001/jamasurg.2015.25

This analysis of data from an ongoing prospective trial determines that laparoscopic repair of paraesophageal hernia results in excellent long-term quality of life (QOL). See also the invited commentary by Oleynikov.

Association of Postoperative Hyperglycemia With Outcomes Among Patients With Complex Ventral Hernia Repair

Abstract Full Text
free access
JAMA Surg. 2015;150(5):433-440. doi:10.1001/jamasurg.2014.3160

This medical record review cites postoperative hyperglycemia is a meaningful predictor of outcomes in patients with major comorbidities undergoing open ventral hernia repair (VHR).

Trends in Incident Hemodialysis Access and Mortality

Abstract Full Text
free access
JAMA Surg. 2015;150(5):441-448. doi:10.1001/jamasurg.2014.3484

This retrospective cohort study reported that current practice guidelines recommending 50% or greater arteriovenous fistula rates in incident hemodialysis patients fall short. Huber provides a related Article .

A Competing Risk Analysis for Hospital Length of Stay in Patients With Burns

Abstract Full Text
free access
JAMA Surg. 2015;150(5):450-456. doi:10.1001/jamasurg.2014.3490

This competing risk analysis analyzes the effects of burn outcome predictors on hospital length of stay and mortality in patients with acute burn injuries. See also the Invited Commentary by Cochran and Faraklas.

Unconscious Race and Social Class Bias Among Acute Care Surgical Clinicians and Clinical Treatment Decisions

Abstract Full Text
free access
JAMA Surg. 2015;150(5):457-464. doi:10.1001/jamasurg.2014.4038

This cross-sectional study concludes that unconscious class and race biases are not associated with clinical decision making among surgical clinicians.

Clinical Significance of Microscopic Melanoma Metastases in the Nonhottest Sentinel Lymph Nodes

Abstract Full Text
free access
JAMA Surg. 2015;150(5):465-472. doi:10.1001/jamasurg.2014.3843

Findings from this retrospective review show the importance of removing the less radioactive nodes in patients with cutaneous melanoma.

Sustainability and Long-term Effectiveness of the WHO Surgical Safety Checklist Combined With Pulse Oximetry in a Resource-Limited Setting: Two-Year Update From Moldova

Abstract Full Text
free access
JAMA Surg. 2015;150(5):473-479. doi:10.1001/jamasurg.2014.3848

This prospective study found that sustained use of a surgical safety checklist was observed with continued improvements in process measures and reductions in 30-day surgical complications almost 2 years after a structured implementation effort that demonstrated marked, short-term reductions in harm.

Risk of Discharge to Postacute Care: A Patient-Centered Outcome for the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator

Abstract Full Text
free access
JAMA Surg. 2015;150(5):480-484. doi:10.1001/jamasurg.2014.3176

This retrospective cohort study examines the risk of discharge to a postacute care setting as a patient-centered outcome for the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator.

Invited Commentary

Innovation in Safety: Safety in Innovation

Challenges of Minimally Invasive Pancreas Surgery Growth With Such a High Learning Curve

Abstract Full Text
JAMA Surg. 2015;150(5):423. doi:10.1001/jamasurg.2015.32

Outcomes of Paraesophageal Hernia Repair

Abstract Full Text
JAMA Surg. 2015;150(5):431-432. doi:10.1001/jamasurg.2015.39

A Call to Action for Pre–End-Stage Renal Disease Care

Abstract Full Text
JAMA Surg. 2015;150(5):449. doi:10.1001/jamasurg.2014.3499

Competing Risks and Burn Outcomes: More Questions Than Answers

Abstract Full Text
JAMA Surg. 2015;150(5):456. doi:10.1001/jamasurg.2014.3512
JAMA Surgery Clinical Challenge

Urinary Retention and Episodic Paresthesias

Abstract Full Text
has multimedia
JAMA Surg. 2015;150(5):485-486. doi:10.1001/jamasurg.2014.1720

Woman With Abdominal Pain

Abstract Full Text
JAMA Surg. 2015;150(5):487-488. doi:10.1001/jamasurg.2014.1851
Research Letter

Hospital Cost Implications of Increased Use of Minimally Invasive Surgery

Abstract Full Text
free access
JAMA Surg. 2015;150(5):489-490. doi:10.1001/jamasurg.2014.4052

This study was designed to calculate the projected cost savings that could be possible with the increased use of minimally invasive surgery in hospitals.

Comment & Response

Effect of Breast Cancer After Ovarian Cancer on Mortality for BRCA Mutation Carriers

Abstract Full Text
JAMA Surg. 2015;150(5):490-491. doi:10.1001/jamasurg.2015.0193

Effect of Breast Cancer After Ovarian Cancer on Mortality for BRCA Mutation Carriers—Reply

Abstract Full Text
JAMA Surg. 2015;150(5):491-492. doi:10.1001/jamasurg.2015.0196

Omitted Citation to Related Article

Abstract Full Text
JAMA Surg. 2015;150(5):492. doi:10.1001/jamasurg.2015.68
Correction

Incorrect Table Title

Abstract Full Text
free access
JAMA Surg. 2015;150(5):492. doi:10.1001/jamasurg.2015.0663
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2015;150(5):383. doi:10.1001/jamasurg.2014.2504
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