April 2016, Vol 151, No. 4, Pages 305-396

In This Issue of JAMA Surgery

Highlights

Abstract Full Text

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JAMA Surg. 2016;151(4):305. doi:10.1001/jamasurg.2015.2910

Viewpoint

Contemporary Multidisciplinary Care—Who Is the Captain of the Ship, and Does It Matter?

Michael Nurok, MBChB, PhD; Nicholas Sadovnikoff, MD; Bruce Gewertz, MD

Abstract Full Text

JAMA Surg. 2016;151(4):309-310. doi:10.1001/jamasurg.2015.4421

This Viewpoint argues for the importance of interdisciplinary care in surgery and medicine, and proposes ways to incentivize physicians to move beyond assertion of individual control of patient care.

Improving the Quality of Quality Improvement Reporting: Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 Guidelines

Krislynn M. Mueck, MD, MPH; Luke R. Putnam, MD, MS; Lillian S. Kao, MD, MS

Abstract Full Text

JAMA Surg. 2016;151(4):311-312. doi:10.1001/jamasurg.2015.4719

This Viewpoint discusses Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 and how they can be used for to plan and design a quality improvement intervention.

Editorial

A Year in Review

Melina R. Kibbe, MD

Abstract Full Text

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JAMA Surg. 2016;151(4):313. doi:10.1001/jamasurg.2016.0047

Original Investigation

Association of VA Surgeons

Analysis of Morbidity and Mortality Outcomes in Postoperative Clostridium difficile Infection in the Veterans Health Administration

Xinli Li, PhD; Mark Wilson, MD, PhD; William Nylander, MD, MBA; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):314-322. doi:10.1001/jamasurg.2015.4263

This observational study analyzes and reports Clostridium difficile infection rates, risk factors, and associations with postoperative outcomes in surgery programs of the Veterans Health Administration.

Invited Commentary
The High Stakes of Postoperative Clostridium difficile Infection
Paul K. Waltz, MD; Brian S. Zuckerbraun, MD

Antibiotic Duration After Laparoscopic Appendectomy for Acute Complicated Appendicitis

Charles C. van Rossem, MD; Marc H. F. Schreinemacher, MD, PhD; Anna A. W. van Geloven, MD, PhD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):323-329. doi:10.1001/jamasurg.2015.4236

This observational cohort study reports that lengthening of postoperative antibiotic treatment to 5 days was not associated with a reduction in infectious complications after laparoscopic appendectomy for acute complicated appendicitis.

Defining Rates and Risk Factors for Readmissions Following Emergency General Surgery

Joaquim M. Havens, MD; Olubode A. Olufajo, MD, MPH; Zara R. Cooper, MD, MS; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):330-336. doi:10.1001/jamasurg.2015.4056

This study assesses the rates and risk factors for hospital readmissions following emergency general surgery.

Invited Commentary
Opportunities to Improve Care for Surgery Patients
O. Joe Hines, MD

Association of VA Surgeons

Associations of Socioeconomic Variables With Resection, Stage, and Survival in Patients With Early-Stage Pancreatic Cancer

Mia Shapiro, MD; Qi Chen, MD, PhD; Qin Huang, MD, PhD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):338-345. doi:10.1001/jamasurg.2015.4239

This cohort study investigates the associations between socioeconomic variables and surgical resection in patients with early-stage pancreatic cancer.

Invited Commentary
Outcome Disparities in Pancreatic Cancer: Need for Improved Regionalization of Care
Daniel A. Anaya, MD; Mokenge Malafa, MD

Clinical Observations and Molecular Variables of Primary Vascular Leiomyosarcoma

Christina L. Roland, MD; Genevieve M. Boland, MD, PhD; Elizabeth G. Demicco, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):347-354. doi:10.1001/jamasurg.2015.4205

This case series uses review of medical records to report on potential immunohistochemical prognostic molecular markers to determine their prognostic and therapeutic utility for patients with vascular leiomyosarcomas.

Invited Commentary
Finding the Common Thread in Rare Diseases
Eric K. Nakakura, MD, PhD

Nomogram for Preoperative Estimation of Microvascular Invasion Risk in Hepatitis B Virus–Related Hepatocellular Carcinoma Within the Milan Criteria

Zhengqing Lei, MD; Jun Li, MD; Dong Wu, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):356-363. doi:10.1001/jamasurg.2015.4257

This cohort study uses data on patients who underwent liver resection for hepatitis B virus–related hepatocellular carcinoma to develop a nomogram for preoperative estimation of microvascular invasion.

Invited Commentary
Microvascular Invasion in Hepatitis B Virus–Related Hepatocellular Carcinoma: Another Step Toward Preoperative Evaluation?
Ernesto Sparrelid, MD; Marco Del Chiaro, MD, PhD

Nomograms to Predict Recurrence-Free and Overall Survival After Curative Resection of Adrenocortical Carcinoma

Yuhree Kim, MD, MPH; Georgios A. Margonis, MD, PhD; Jason D. Prescott, MD, PhD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):365-373. doi:10.1001/jamasurg.2015.4516

Using a cohort of patients at 13 major US institutions, this study defines clinicopathological variables associated with recurrence-free and overall survival after adrenocortical carcinoma resection and proposes nomograms for individual risk prediction.

Invited Commentary
A Calculating Device to Predict Individualized Outcomes in Adrenocortical Carcinoma
Nancy D. Perrier, MD

Invited Commentary

The High Stakes of Postoperative Clostridium difficile Infection

Paul K. Waltz, MD; Brian S. Zuckerbraun, MD

Abstract Full Text

JAMA Surg. 2016;151(4):322. doi:10.1001/jamasurg.2015.4254

Opportunities to Improve Care for Surgery Patients

O. Joe Hines, MD

Abstract Full Text

JAMA Surg. 2016;151(4):337. doi:10.1001/jamasurg.2015.4062

Outcome Disparities in Pancreatic Cancer: Need for Improved Regionalization of Care

Daniel A. Anaya, MD; Mokenge Malafa, MD

Abstract Full Text

JAMA Surg. 2016;151(4):345-346. doi:10.1001/jamasurg.2015.4221

Finding the Common Thread in Rare Diseases

Eric K. Nakakura, MD, PhD

Abstract Full Text

JAMA Surg. 2016;151(4):355. doi:10.1001/jamasurg.2015.4215

Microvascular Invasion in Hepatitis B Virus–Related Hepatocellular Carcinoma: Another Step Toward Preoperative Evaluation?

Ernesto Sparrelid, MD; Marco Del Chiaro, MD, PhD

Abstract Full Text

JAMA Surg. 2016;151(4):364. doi:10.1001/jamasurg.2015.4267

A Calculating Device to Predict Individualized Outcomes in Adrenocortical Carcinoma

Nancy D. Perrier, MD

Abstract Full Text

JAMA Surg. 2016;151(4):373. doi:10.1001/jamasurg.2015.4655

Balancing Innovation and Value of Biological Meshes in Hernia: Who Is in Charge?

Benjamin K. Poulose, MD, MPH; Brent D. Matthews, MD; Michael J. Rosen, MD

Abstract Full Text

JAMA Surg. 2016;151(4):381-382. doi:10.1001/jamasurg.2015.5236

Review

Biological Mesh Implants for Abdominal Hernia Repair: US Food and Drug Administration Approval Process and Systematic Review of Its Efficacy

Sergio Huerta, MD; Anubodh Varshney, MD; Prachi M. Patel, BS; et al.

Abstract Full Text

JAMA Surg. 2016;151(4):374-381. doi:10.1001/jamasurg.2015.5234

This review examines the published evidence on the use of biological mesh materials and the US Food and Drug Administration approval history for these devices.

Invited Commentary
Balancing Innovation and Value of Biological Meshes in Hernia: Who Is in Charge?
Benjamin K. Poulose, MD, MPH; Brent D. Matthews, MD; Michael J. Rosen, MD

Surgical Innovation

Transversus Abdominis Release as an Alternative Component Separation Technique for Ventral Hernia Repair

Jeffrey A. Blatnik, MD; David M. Krpata, MD; Yuri W. Novitsky, MD

Abstract Full Text

JAMA Surg. 2016;151(4):383-384. doi:10.1001/jamasurg.2015.3611

This review describes the innovative use of transversus abdominis release as an alternative component separation technique for ventral hernia repair and addresses limitations of traditional reconstructive options.

JAMA Surgery Clinical Challenge

Anterior Mediastinal Mass

Daniel J. Gross, MD; Gainosuke Sugiyama, MD; Antonio Alfonso, MD

Abstract Full Text

JAMA Surg. 2016;151(4):385-386. doi:10.1001/jamasurg.2015.4432

An asymptomatic 47-year-old woman with a mediastinal mass complained of mild but worsening orthopnea that was exacerbated when she would lie down. What is your diagnosis?

A Woman With Right Hand and Leg Discoordination

Robert Jason Perry, MD; Gilbert R. Upchurch Jr, MD

Abstract Full Text

JAMA Surg. 2016;151(4):387-388. doi:10.1001/jamasurg.2015.4727

A 45-year-old woman had intermittent episodes of right hand and leg discoordination and paresthesia of increasing frequency. What is your diagnosis?

Research Letter

Addition of Statins to Treatment With β-Blockers to Improve Outcomes for Cardiac Surgery Patients: Beyond the Surgical Care Improvement Project

William Toppen, BA; Sohail Sareh, MS; Daniel Johansen, BA; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):389-391. doi:10.1001/jamasurg.2015.4212

This study reports on whether treatment with β-blockers, statins, or both before cardiac surgery is associated with a reduction in the risk of adverse events after surgery.

Survey of the Deficits in Surgeons’ Knowledge of Contralateral Prophylactic Mastectomy

Katharine Yao, MD; Jeff Belkora, PhD; Mark Sisco, MD; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):391-393. doi:10.1001/jamasurg.2015.3601

This survey examines surgeons’ knowledge of contralateral prophylactic mastectomy.

Defining the Need for Transitional Care From Pediatric to Adult Surgery for Young Adult Patients With Surgically Corrected Congenital Anomalies

Jane Y. Zhao, MD; Priscilla P. L. Chiu, MD, PhD; Roshni Dasgupta, MD, MPH; et al.

Abstract Full Text

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JAMA Surg. 2016;151(4):393-394. doi:10.1001/jamasurg.2015.4417

This study seeks to quantify the need for transitional surgical care for pediatric patients with surgically corrected congenital anomalies in the coming decades.

Comment & Response