Turner Osler, MD, MSc; Laurent G. Glance, MD; Wenjun Li, PhD; et al.
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.
Ingo Stoffels, MD; Joachim Dissemond, MD; Thorsten Pöppel, MD; et al.
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.
Lymphatic Mapping and Sentinel Node Biopsy in Melanoma
Charles M. Balch, MD; Merrick I. Ross, MD
Aslam Ejaz, MD, MPH; Steven M. Frank, MD; Gaya Spolverato, MD; et al.
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.
Caitlin W. Hicks, MD, MS; Elizabeth C. Wick, MD; Joseph K. Canner, MHS; et al.
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.
Hunter B. Moore, MD; Elizabeth Juarez-Colunga, PhD; Michael Bronsert, PhD, MS; et al.
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.
Junun Bae, MHS; Jaime Shade; Amanda Abraham; et al.
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.
Evaluating Changes in Health Care Policy: Methods Matter
Lauren Hersch Nicholas, PhD, MPP; Justin B. Dimick, MD, MPH
Christina L. Jacovides, MD; Gregory Nadolski, MD; Steven R. Allen, MD; et al.
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.
Mark L. Friedell, MD; Charles W. Van Way III, MD; Ron W. Freyberg, MS; et al.
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.
William C. Huang, MD; Coral L. Atoria, MPH; Marc Bjurlin, MsC, DO; et al.
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.
Standard of Care for Small Renal Masses in the 21st Century
Joshua J. Meeks, MD, PhD; Chris M. Gonzalez, MD, MBA