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October 2018 - July 1920

Decade

Year

Issue

August 2017, Vol 152, No. 8, Pages 713-803

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(8):713. doi:10.1001/jamasurg.2016.3442
Viewpoint

A Framework for the Assessment of Graduate Medical Education

Abstract Full Text
JAMA Surg. 2017;152(8):715-716. doi:10.1001/jamasurg.2017.0827

This Viewpoint proposes a new framework for defining quality in surgical training that identifies potential metrics, conceptualizes their relationships, and ranks their relative importance.

Who Is Responsible for the Safe Introduction of New Surgical Technology?An Important Legal Precedent From the da Vinci Surgical System Trials

Abstract Full Text
JAMA Surg. 2017;152(8):717-718. doi:10.1001/jamasurg.2017.0841

This Viewpoint will review the Taylor v Intuitive legal case and discuss its important implications for hospitals, surgical leadership, and individual surgeons.

Surgical Outcomes Club

Cutting-edge Efforts in Surgical Patient Safety

Abstract Full Text
JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858

This Viewpoint considers the role of measures of surgeon performance and methods for continuous improvement in patient safety efforts for surgical outcomes.

Editorial

Striving for Clarity About the Best Approach to Thyroid Cancer Screening and TreatmentIs the Pendulum Swinging Too Far?

Abstract Full Text
free access
JAMA Surg. 2017;152(8):721-722. doi:10.1001/jamasurg.2017.1338

This Editorial proposes possible explanations other than overdiagnosis for the increasing incidence of thyroid cancer in light of the latest USPSTF recommendation against screening for the disease.

Original Investigation

Vena Cava Filter Use in Trauma and Rates of Pulmonary Embolism, 2003-2015

Abstract Full Text
free access has active quiz
JAMA Surg. 2017;152(8):724-732. doi:10.1001/jamasurg.2017.1018

This cohort study analyzes state and nationwide temporal trends in vena cava filter placement and pulmonary embolism occurrence in patients with traumatic injury from 2003 to 2015.

Association of Insurance Expansion With Surgical Management of Thyroid Cancer

Abstract Full Text
free access
JAMA Surg. 2017;152(8):734-740. doi:10.1001/jamasurg.2017.0461

This cohort study examines the association of insurance expansion in Massachusetts with the rate of surgical procedures for thyroid cancer.

Quality of Patient Decisions About Breast Reconstruction After Mastectomy

Abstract Full Text
free access
JAMA Surg. 2017;152(8):741-748. doi:10.1001/jamasurg.2017.0977

This cross-sectional survey study assesses the quality of patient decisions about breast reconstruction.

Association of the Modified Frailty Index With 30-Day Surgical Readmission

Abstract Full Text
free access has active quiz
JAMA Surg. 2017;152(8):749-757. doi:10.1001/jamasurg.2017.1025

This cohort study examines the association between frailty and 30-day postoperative unplanned readmission.

Association of Very Low-Volume Practice With Vascular Surgery Outcomes in New York

Abstract Full Text
free access
JAMA Surg. 2017;152(8):759-766. doi:10.1001/jamasurg.2017.1100

This cohort study investigates the existence and outcomes of open abdominal aortic aneurysm repair and carotid endarterectomy performed by very low-volume surgeons in New York.

Risk Associated With Complications and Mortality After Urgent Surgery vs Elective and Emergency SurgeryImplications for Defining “Quality” and Reporting Outcomes for Urgent Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(8):768-774. doi:10.1001/jamasurg.2017.0918

This cohort study uses data from the American College of Surgeons NSQIP to examine the risk associated with complications and mortality after urgent surgery compared with elective and emergency surgery.

Association of a Policy Mandating Physician-Patient Communication With Racial/Ethnic Disparities in Postmastectomy Breast Reconstruction

Abstract Full Text
free access
JAMA Surg. 2017;152(8):775-783. doi:10.1001/jamasurg.2017.0921

This study of inpatient data from California and New York evaluates whether mandated physician-patient communication is associated with racial/ethnic disparities in immediate postmastectomy breast reconstruction among women undergoing mastectomy.

Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients Undergoing Major Elective Noncardiac SurgeryA Randomized Clinical Trial

Abstract Full Text
free access online only
JAMA Surg. 2017;152(8):e171505. doi:10.1001/jamasurg.2017.1505

This randomized clinical trial evaluates whether an intraoperative infusion of dexmedetomidine reduces postoperative delirium in elderly patients undergoing major elective noncardiac surgery.

Association of Preoperative Anti–Tumor Necrosis Factor Therapy With Adverse Postoperative Outcomes in Patients Undergoing Abdominal Surgery for Ulcerative Colitis

Abstract Full Text
free access online only
JAMA Surg. 2017;152(8):e171538. doi:10.1001/jamasurg.2017.1538

This study examines inpatient and outpatient claims data from a large national database to determine the association of preoperative anti-TNF therapy with postoperative complications among surgical patients with ulcerative colitis.

Invited Commentary

The Role of Vena Cava Filters for Injured PatientsPlease Don’t Throw the Baby Out With the Bathwater

Abstract Full Text
JAMA Surg. 2017;152(8):732-733. doi:10.1001/jamasurg.2017.1052

Frailty—Going From Measurement to Action

Abstract Full Text
JAMA Surg. 2017;152(8):757-758. doi:10.1001/jamasurg.2017.1050

Optimal vs Feasible Volume Thresholds in Vascular Surgery

Abstract Full Text
JAMA Surg. 2017;152(8):766-767. doi:10.1001/jamasurg.2017.1081

Surgical Site Infection Prevention—What We Know and What We Do Not Know

Abstract Full Text
JAMA Surg. 2017;152(8):791-792. doi:10.1001/jamasurg.2017.0901

Confusion Regarding Surgical Delirium—Is Dexmedetomidine the Answer?

Abstract Full Text
online only
JAMA Surg. 2017;152(8):e171511. doi:10.1001/jamasurg.2017.1511
Special Communication

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

Abstract Full Text
free access has active quiz
JAMA Surg. 2017;152(8):784-791. doi:10.1001/jamasurg.2017.0904

This guideline provides new and updated evidence-based recommendations for the prevention of surgical site infections.

Surgical Innovation

Assessment of Intragastric Single-Port Surgery for Gastric Tumors

Abstract Full Text
JAMA Surg. 2017;152(8):793-794. doi:10.1001/jamasurg.2017.1602

This article discusses intragastric single-port surgery vs conventional laparoscopic or single-port surgery for treating gastric tumors.

JAMA Surgery Clinical Challenge

Acute Pancreatitis After Pancreaticoduodenectomy

Abstract Full Text
JAMA Surg. 2017;152(8):795-796. doi:10.1001/jamasurg.2017.1597

A man in his 70s with history of pancreatic adenocarcinoma who had undergone a Whipple procedure 2 years prior to presentation came to the emergency department with a 1-day history of waxing and waning sharp abdominal pain radiating to his back. What is your diagnosis?

Massive Intra-abdominal Mass

Abstract Full Text
JAMA Surg. 2017;152(8):797-798. doi:10.1001/jamasurg.2017.1591

A 60-year-old-woman presented with a history of abdominal discomfort and a palpable mass in the right iliac fossa. What is your diagnosis?

Research Letter

Breast Cancer Genetic Testing Among African Patients With Breast CancerDeoxyribonucleic Acid Extraction From Tumor Tissue and International Multidisciplinary Partnerships

Abstract Full Text
free access
JAMA Surg. 2017;152(8):800-801. doi:10.1001/jamasurg.2017.1090

This population-based study of Ghanian women with a family history of breast cancer analyzes breast cancer gene mutations to determine whether the triple-negative breast cancer phenotype is a risk factor for mutation carrier status.

Comment & Response

Acceptance of Surgical Treatment for Adolescent ObesityA UK Perspective

Abstract Full Text
JAMA Surg. 2017;152(8):801-802. doi:10.1001/jamasurg.2017.0477

Acceptance of Surgical Treatment for Adolescent Obesity—Reply

Abstract Full Text
JAMA Surg. 2017;152(8):802. doi:10.1001/jamasurg.2017.0471

A More Common Massive Retroperitoneal Mass

Abstract Full Text
JAMA Surg. 2017;152(8):802-803. doi:10.1001/jamasurg.2017.0546

A More Common Massive Retroperitoneal Mass—Reply

Abstract Full Text
JAMA Surg. 2017;152(8):803. doi:10.1001/jamasurg.2017.0547
Correction

Corrections to Numbering, Abstract, and Methods

Abstract Full Text
free access
JAMA Surg. 2017;152(8):803. doi:10.1001/jamasurg.2017.1943
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2017;152(8):714. doi:10.1001/jamasurg.2016.3443
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