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December 2021 - July 1920

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Issue

May 2016, Vol 151, No. 5, Pages 401-493

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2016;151(5):401. doi:10.1001/jamasurg.2015.2916
Viewpoint

Potential Barriers to the Diffusion of Surgical Innovation

Abstract Full Text
JAMA Surg. 2016;151(5):403-404. doi:10.1001/jamasurg.2016.0030

This Viewpoint discusses the barriers that prevent surgical innovation from being implemented in practice.

The Ethics of Introducing New Surgical Technology Into Clinical Practice: The Importance of the Patient-Surgeon Relationship

Abstract Full Text
JAMA Surg. 2016;151(5):405-406. doi:10.1001/jamasurg.2016.0011

This Viewpoint reports on the ethical challenges of surgical innovation, emphasizing the importance of the patient-surgeon relationship.

Original Investigation

Effectiveness of Patient Choice in Nonoperative vs Surgical Management of Pediatric Uncomplicated Acute Appendicitis

Abstract Full Text
free access has audio
JAMA Surg. 2016;151(5):408-415. doi:10.1001/jamasurg.2015.4534

This cohort study examines the effectiveness of patient choice in nonoperative vs surgical management of uncomplicated acute appendicitis in children.

Association of VA Surgeons

Thirty-Day Postoperative Mortality Risk Estimates and 1-Year Survival in Veterans Health Administration Surgery Patients

Abstract Full Text
free access
JAMA Surg. 2016;151(5):417-422. doi:10.1001/jamasurg.2015.4882

This cohort study uses Veterans Health Administration data to compare postoperative mortality at 30, 90, and 180 days and at 1 year to determine if 30-day mortality is a valid quality metric.

Initial Surgery and Survival in Stage IV Breast Cancer in the United States, 1988-2011

Abstract Full Text
free access
JAMA Surg. 2016;151(5):424-431. doi:10.1001/jamasurg.2015.4539

This cohort study evaluates the changes in survival associated with patterns of receipt of initial breast surgery for patients with stage IV breast cancer in the United States, with particular attention to women who survived at least 10 years.

Discordance Between Perioperative Antibiotic Prophylaxis and Wound Infection Cultures in Patients Undergoing Pancreaticoduodenectomy

Abstract Full Text
free access
JAMA Surg. 2016;151(5):432-439. doi:10.1001/jamasurg.2015.4510

This observational study examines the databases of 3 institutions to compare the incidence of wound infections after pancreaticoduodenectomy as well as the microorganisms identified on cultures and the effectiveness of institution-based perioperative antibiotic protocols.

Association of VA Surgeons

Cardiovascular-Specific Mortality and Kidney Disease in Patients Undergoing Vascular Surgery

Abstract Full Text
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JAMA Surg. 2016;151(5):441-450. doi:10.1001/jamasurg.2015.4526

This single-center study of patients undergoing vascular surgery determines the association between kidney disease and long-term postoperative cardiovascular-specific mortality.

Long-term Results and Recurrence-Related Risk Factors for Crohn Disease in Patients Undergoing Side-to-Side Isoperistaltic Strictureplasty

Abstract Full Text
free access
JAMA Surg. 2016;151(5):452-460. doi:10.1001/jamasurg.2015.4552

This observational study evaluates the results obtained in a population of patients with Crohn disease who have undergone side-to-side isoperistaltic strictureplasty.

Association of VA Surgeons

Association of Coronary Stent Indication With Postoperative Outcomes Following Noncardiac Surgery

Abstract Full Text
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JAMA Surg. 2016;151(5):462-469. doi:10.1001/jamasurg.2015.4545

This cohort study determines whether the clinical indication for a coronary stent is associated with postoperative major adverse cardiac events in patients undergoing noncardiac surgery.

Effect of a Clinical Practice Guideline for Pediatric Complicated Appendicitis

Abstract Full Text
free access online only
JAMA Surg. 2016;151(5):e160194. doi:10.1001/jamasurg.2016.0194

This study evaluates whether a clinical practice guideline for complicated appendicitis is associated with improved clinical outcomes.

Bundled Payments for Surgical Colectomy Among Medicare Enrollees: Potential Savings vs the Need for Further Reform

Abstract Full Text
free access online only
JAMA Surg. 2016;151(5):e160202. doi:10.1001/jamasurg.2016.0202

This cross-sectional analysis investigates the potential effects of the Bundled Payments for Care Improvement Initiative on net margins among Medicare patients undergoing colectomy at a tertiary care hospital.

Invited Commentary

Should Patients Choose Their Care?

Abstract Full Text
JAMA Surg. 2016;151(5):415-416. doi:10.1001/jamasurg.2015.4656

Validation of the 30-Day Postoperative Mortality Standard and Its Relevance

Abstract Full Text
JAMA Surg. 2016;151(5):423. doi:10.1001/jamasurg.2015.4889

Surgery for Stage IV Breast Cancer: Domestic and International Disparities

Abstract Full Text
JAMA Surg. 2016;151(5):431. doi:10.1001/jamasurg.2015.4507

Wound Infections After Pancreaticoduodenectomy

Abstract Full Text
JAMA Surg. 2016;151(5):440. doi:10.1001/jamasurg.2015.4659

Transient Acute Kidney Injury in the Postoperative Period: It Is Time to Pay Closer Attention

Abstract Full Text
JAMA Surg. 2016;151(5):450-451. doi:10.1001/jamasurg.2015.4660

Long-term Results of Side-to-Side Isoperistaltic Strictureplasty for Crohn Disease

Abstract Full Text
JAMA Surg. 2016;151(5):461. doi:10.1001/jamasurg.2015.4661

Add Indication for Coronary Stent as a Risk Factor for Poor Outcome Following Noncardiac Surgery

Abstract Full Text
JAMA Surg. 2016;151(5):469-470. doi:10.1001/jamasurg.2015.4662

Clinical Practice Guidelines for Pediatric Complicated Appendicitis: The Value in Discipline

Abstract Full Text
online only
JAMA Surg. 2016;151(5):e160193. doi:10.1001/jamasurg.2016.0193
Review

Median Arcuate Ligament Syndrome—Review of This Rare Disease

Abstract Full Text
JAMA Surg. 2016;151(5):471-477. doi:10.1001/jamasurg.2016.0002

This review discusses the difficulties associated with diagnosis and treatment of median arcuate ligament syndrome and provides an algorithm to guide workup and intervention.

Surgical Innovation

Ambulatory Extracorporeal Membrane Oxygenation: A Surgical Innovation for Adult Respiratory Distress Syndrome

Abstract Full Text
JAMA Surg. 2016;151(5):478-479. doi:10.1001/jamasurg.2015.4951

This Surgical Innovation article discusses the use of ambulatory extracorporeal membrane oxygenation for treating patients with acute respiratory distress syndrome.

JAMA Surgery Clinical Challenge

Elderly Woman With Acute Abdomen and Gastric Mass on Imaging

Abstract Full Text
JAMA Surg. 2016;151(5):481-482. doi:10.1001/jamasurg.2015.4710

An elderly woman presented to the emergency department with sudden-onset upper abdominal pain and vomiting for 7 days. What is your diagnosis?

Headache and Facial Swelling

Abstract Full Text
JAMA Surg. 2016;151(5):483-484. doi:10.1001/jamasurg.2015.4722

A 49-year-old woman had headache, facial swelling, and elevated blood pressure. What is your diagnosis?

Research Letter

Assessment of a Central Line–Associated Bloodstream Infection Prevention Program in a Burn-Trauma Intensive Care Unit

Abstract Full Text
free access
JAMA Surg. 2016;151(5):485-486. doi:10.1001/jamasurg.2015.4445

This study evaluates a multimodal, multidisciplinary quality improvement project to reduce the number of central line–associated bloodstream infections in a dedicated burn-trauma intensive care unit.

Association of VA Surgeons

Analysis of Cases in Which a Biopsy Specimen Is Positive and an Excised Lesion Is Negative for Nonmelanoma Skin Cancer

Abstract Full Text
free access
JAMA Surg. 2016;151(5):486-488. doi:10.1001/jamasurg.2015.4449

This retrospective database study aims to determine the lesion and patient characteristics that would most strongly predict a histologically negative result for an excised lesion after a biopsy specimen had positive margins.

Barriers to Participation in Preoperative Risk-Reduction Programs Prior to Ventral Hernia Repair: An Assessment of Underserved Patients at a Safety-Net Hospital

Abstract Full Text
free access
JAMA Surg. 2016;151(5):488-490. doi:10.1001/jamasurg.2015.4452

This qualitative study identifies patient-reported barriers to successful implementation of a preoperative risk-reduction program at a safety-net hospital.

Comment & Response

Getting to Zero Transmission of ERCP Infections

Abstract Full Text
JAMA Surg. 2016;151(5):490. doi:10.1001/jamasurg.2015.4610

Getting to Zero Transmission of ERCP Infections—Reply

Abstract Full Text
JAMA Surg. 2016;151(5):490-491. doi:10.1001/jamasurg.2015.4613

A Military-Specific Injury Scoring System to Aid in Understanding the Golden Hour—Reply

Abstract Full Text
JAMA Surg. 2016;151(5):491-492. doi:10.1001/jamasurg.2015.4895

A Military-Specific Injury Scoring System to Aid in Understanding the Golden Hour

Abstract Full Text
JAMA Surg. 2016;151(5):491. doi:10.1001/jamasurg.2015.4915

Computed Tomography and Ventral Hernia Recurrence—Reply

Abstract Full Text
JAMA Surg. 2016;151(5):492-493. doi:10.1001/jamasurg.2015.4892

Computed Tomography and Ventral Hernia Recurrence

Abstract Full Text
JAMA Surg. 2016;151(5):492. doi:10.1001/jamasurg.2015.4905
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2016;151(5):402. doi:10.1001/jamasurg.2015.2917
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