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September 2021 - July 1920

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July 2015, Vol 150, No. 7, Pages 601-688

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2015;150(7):601. doi:10.1001/jamasurg.2014.2513
Viewpoint

Academic Global Surgery: A Moral Imperative

Abstract Full Text
JAMA Surg. 2015;150(7):605-606. doi:10.1001/jamasurg.2015.0408

This Viewpoint discusses global surgery initiatives in low- and middle-income countries.

Promoting Balance in the Lives of Resident Physicians: A Call to Action

Abstract Full Text
JAMA Surg. 2015;150(7):607-608. doi:10.1001/jamasurg.2015.0257

This Viewpoints report on a program to help residents cope with daily stress, provide tools to manage challenges after completing residency, and reduce the risk of burnout, depression, and suicide.

Original Investigation

Survival Rates in Trauma Patients Following Health Care Reform in Massachusetts

Abstract Full Text
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JAMA Surg. 2015;150(7):609-615. doi:10.1001/jamasurg.2014.2464

This retrospective cohort study shows that health care reform in Massachusetts did not affect insurance coverage for trauma patients but was associated with a transient increase in adjusted mortality rates. See also the Invited Commentary by Lee.

Intraoperative Fluorescence Imaging for Sentinel Lymph Node Detection: Prospective Clinical Trial to Compare the Usefulness of Indocyanine Green vs Technetium Tc 99m for Identification of Sentinel Lymph Nodes

Abstract Full Text
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JAMA Surg. 2015;150(7):617-623. doi:10.1001/jamasurg.2014.3502

This clinical trial analyzes the feasibility and clinical benefit of intraoperative near infrared fluorescence sentinel lymph node excision (SLNE) compared with standard technetium Tc 99m–guided SLNE in 80 patients with malignant melanoma on the trunk or extremities.

Potential Economic Impact of Using a Restrictive Transfusion Trigger Among Patients Undergoing Major Abdominal Surgery

Abstract Full Text
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JAMA Surg. 2015;150(7):625-630. doi:10.1001/jamasurg.2015.81

In this prospective study, the economic impact of using liberal vs restrictive blood transfusion triggers in patients undergoing pancreas, liver, or colorectal surgery is assessed.

Hospital-Level Factors Associated With Mortality After Endovascular and Open Abdominal Aortic Aneurysm Repair

Abstract Full Text
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JAMA Surg. 2015;150(7):632-636. doi:10.1001/jamasurg.2014.3871

This preliminary analysis of mortality after open abdominal aortic aneurysm repair and endovascular abdominal aortic aneurysm repair shows that outcomes depend on hospital-level effects, particularly hospital size and type. See also the Invited Commentary by Goodney.

Effect of Pregnancy on Adverse Outcomes After General Surgery

Abstract Full Text
free access
JAMA Surg. 2015;150(7):637-643. doi:10.1001/jamasurg.2015.91

This cohort study observes similar morbidity and mortality rates in pregnant and nonpregnant women undergoing general surgical operations.

Effect of Mandatory Centers of Excellence Designation on Demographic Characteristics of Patients Who Undergo Bariatric Surgery

Abstract Full Text
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JAMA Surg. 2015;150(7):644-648. doi:10.1001/jamasurg.2015.74

This retrospective review determined that the Center of Excellence certification requirement did not limit patients’ access to bariatric surgery based on demographic characteristics. See also the Invited Commentary by Dimick.

Arteriography for Lower Gastrointestinal Hemorrhage: Role of Preceding Abdominal Computed Tomographic Angiogram in Diagnosis and Localization

Abstract Full Text
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JAMA Surg. 2015;150(7):650-656. doi:10.1001/jamasurg.2015.97

This pre-post analysis of patients who received visceral angiography for acute lower gastrointestinal hemorrhage showed that preceding visceral angiography with computed tomographic angiography improves localization of the hemorrhage site. See also the Invited Commentary by Lightner and Russell.

β-Blockade and Operative Mortality in Noncardiac Surgery: Harmful or Helpful?

Abstract Full Text
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JAMA Surg. 2015;150(7):658-663. doi:10.1001/jamasurg.2015.86

This observational cohort study found that β-blockade was beneficial perioperatively in high-cardiac-risk patients undergoing noncardiac surgery but increased the risk of death in patients with no cardiac risk factors.

Management of Small Kidney Cancers in the New Millennium: Contemporary Trends and Outcomes in a Population-Based Cohort

Abstract Full Text
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JAMA Surg. 2015;150(7):664-672. doi:10.1001/jamasurg.2015.0294

This cohort study observes that use of nephron-sparing surgery exceeds that of radical nephrectomy for small kidney cancers; nonsurgical management is low.

Invited Commentary

Trauma Patients: Health Insurance Reform Is Only the Beginning

Abstract Full Text
JAMA Surg. 2015;150(7):616. doi:10.1001/jamasurg.2014.2470

Lymphatic Mapping and Sentinel Node Biopsy in Melanoma

Abstract Full Text
JAMA Surg. 2015;150(7):623-624. doi:10.1001/jamasurg.2015.0712

Use of Restrictive Transfusion in Abdominal Surgery: Should Evidence-Based Medicine Replace Art of Medicine?

Abstract Full Text
JAMA Surg. 2015;150(7):631. doi:10.1001/jamasurg.2015.111

Improving the Quality of Data in Surgical Registries

Abstract Full Text
JAMA Surg. 2015;150(7):636. doi:10.1001/jamasurg.2015.0630

This Invited Commentary discusses the need for better data to assess mortality in abdominal aortic aneurysm repair and improve practice patterns in vascular surgery.

Evaluating Changes in Health Care Policy: Methods Matter

Abstract Full Text
JAMA Surg. 2015;150(7):649. doi:10.1001/jamasurg.2015.120

The Evolving Role of Computed Tomographic Angiography for Lower Gastrointestinal Hemorrhage

Abstract Full Text
JAMA Surg. 2015;150(7):657. doi:10.1001/jamasurg.2015.117

This Invited Commentary discusses the increasing use of computed tomographic angiography prior to visceral angiography for lower gastrointestinal hemorrhage and raises questions about clinical outcomes and costs to be considered before it is used routinely.

Standard of Care for Small Renal Masses in the 21st Century

Abstract Full Text
JAMA Surg. 2015;150(7):672-673. doi:10.1001/jamasurg.2015.0440
Surgical Innovation

Using Telehealth to Enable Patient-Centered Care for Liver Transplantation

Abstract Full Text
JAMA Surg. 2015;150(7):674-675. doi:10.1001/jamasurg.2015.0676

A telehealth intervention is described in patients following liver transplantation.

JAMA Surgery Clinical Challenge

Incidentally Discovered Intraperitoneal Masses

Abstract Full Text
JAMA Surg. 2015;150(7):677-678. doi:10.1001/jamasurg.2015.0260

A 20-year-old woman had small free fluid within the pelvis and 2 large mesenteric masses adjacent to the liver, pancreas, and stomach. What is your diagnosis?

Child With Abdominal Pain and a Cystic Pelvic Mass

Abstract Full Text
JAMA Surg. 2015;150(7):679-680. doi:10.1001/jamasurg.2015.0266
Research Letter

The Preservation and Handling of Vein Grafts in Current Surgical Practice: Findings of a Survey Among Cardiovascular Surgeons of Top-Ranked US Hospitals

Abstract Full Text
free access
JAMA Surg. 2015;150(7):681-683. doi:10.1001/jamasurg.2015.0404

This anonymous, voluntary, electronic survey sought to characterize the techniques of vein graft preservation and handling among a large cohort of high-performing US cardiovascular hospitals.

Not Performing a Sentinel Node Biopsy for Older Patients With Early-Stage Invasive Breast Cancer

Abstract Full Text
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JAMA Surg. 2015;150(7):683-684. doi:10.1001/jamasurg.2015.0647

This study evaluates the safety of not performing a sentinel node biopsy for patients 70 years of age or older with clinically node-negative breast cancer.

Comment & Response

Selective vs Nonselective Nonsteroidal Anti-inflammatory Drugs and Anastomotic Leakage After Colorectal Surgery

Abstract Full Text
JAMA Surg. 2015;150(7):684-685. doi:10.1001/jamasurg.2015.0635

Selective vs Nonselective Nonsteroidal Anti-inflammatory Drugs and Anastomotic Leakage After Colorectal Surgery

Abstract Full Text
JAMA Surg. 2015;150(7):685. doi:10.1001/jamasurg.2015.0641

Selective vs Nonselective Nonsteroidal Anti-inflammatory Drugs and Anastomotic Leakage After Colorectal Surgery

Abstract Full Text
JAMA Surg. 2015;150(7):685-686. doi:10.1001/jamasurg.2015.0644

Selective vs Nonselective Nonsteroidal Anti-inflammatory Drugs and Anastomotic Leakage After Colorectal Surgery—Reply

Abstract Full Text
JAMA Surg. 2015;150(7):686-687. doi:10.1001/jamasurg.2015.0638

Selective vs Nonselective Nonsteroidal Anti-inflammatory Drugs and Anastomotic Leakage After Colorectal Surgery

Abstract Full Text
JAMA Surg. 2015;150(7):686. doi:10.1001/jamasurg.2015.0806

Helping Meet Surgical Needs in Under-resourced Settings: The Role of Task Shifting

Abstract Full Text
JAMA Surg. 2015;150(7):687-688. doi:10.1001/jamasurg.2015.0741

Surgical Missions: A View From Yet Another Side

Abstract Full Text
JAMA Surg. 2015;150(7):688. doi:10.1001/jamasurg.2015.0744
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2015;150(7):603. doi:10.1001/jamasurg.2014.2514
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