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May 2019 - July 1920




January 2019, Vol 154, No. 1, Pages 1-96

In This Issue of JAMA Surgery


Abstract Full Text
free access
JAMA Surg. 2019;154(1):1. doi:10.1001/jamasurg.2018.3785

Risk Calculators and Decision Aids Are Not Enough for Shared Decision Making

Abstract Full Text
JAMA Surg. 2019;154(1):3-4. doi:10.1001/jamasurg.2018.2446

This Viewpoint describes decision-support tools for surgeons and patients and recommends a strategy for shared decision making between surgeons and patients.

Framework for Faculty Development in Resident Autonomy and Entrustment in the Operating Room

Abstract Full Text
JAMA Surg. 2019;154(1):5-6. doi:10.1001/jamasurg.2018.3529

This Viewpoint promotes psychological theories as a framework for faculty development that would improve resident autonomy.

Original Investigation

Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia: The IRIS Randomized Clinical Trial

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(1):9-17. doi:10.1001/jamasurg.2018.3577

This randomized clinical trial investigates whether the incidence of pulmonary aspiration is increased when cricoid pressure is not performed.

Association of System-Level Factors With Secondary Overtriage in Trauma Patients

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(1):19-25. doi:10.1001/jamasurg.2018.3209

This cohort study evaluates whether the distribution of trauma centers in a statewide trauma system is associated with secondary overtriage and identifies clinical and demographic factors that may lead to secondary overtriage among trauma patients.

Pacific Coast Surgical Association

Biliary-Enteric Drainage vs Primary Liver Transplant as Initial Treatment for Children With Biliary Atresia

Abstract Full Text
JAMA Surg. 2019;154(1):26-32. doi:10.1001/jamasurg.2018.3180

This study uses the California Office of Statewide Health Planning and Development database to compare the short- and long-term outcomes of biliary-enteric drainage and primary liver transplant in young children with biliary atresia.

Pacific Coast Surgical Association

Evaluation of Clinical Outcomes of Sutureless vs Sutured Closure Techniques in Gastroschisis Repair

Abstract Full Text
JAMA Surg. 2019;154(1):33-39. doi:10.1001/jamasurg.2018.3216

This cohort study investigates the clinical processes and outcomes of the sutureless and sutured closure methods to correct gastroschisis in newborns.

Radioguided Surgery With Gallium 68 Dotatate for Patients With Neuroendocrine Tumors

Abstract Full Text
JAMA Surg. 2019;154(1):40-45. doi:10.1001/jamasurg.2018.3475

This cohort study evaluates what intraoperative techniques and thresholds define positive lesions that warrant resection during gallium 68–dotatate radioguided surgery for abdominal neuroendocrine tumors.

Long-term Oncological and Functional Outcomes of Chemoradiotherapy Followed by Organ-Sparing Transanal Endoscopic Microsurgery for Distal Rectal Cancer: The CARTS Study

Abstract Full Text
JAMA Surg. 2019;154(1):47-54. doi:10.1001/jamasurg.2018.3752

This phase II feasibility study explores the long-term oncological outcomes and health-related quality of life of patients with cT1-3N0M0 rectal cancer who underwent neoadjuvant chemoradiotherapy followed by transanal endoscopic microsurgery.

Long-term Follow-up of Autologous Fat Transfer vs Conventional Breast Reconstruction and Association With Cancer Relapse in Patients With Breast Cancer

Abstract Full Text
JAMA Surg. 2019;154(1):56-63. doi:10.1001/jamasurg.2018.3744

This matched cohort study investigates whether exposure to autologous fat transfer vs conventional breast reconstruction is associated with increased rates of cancer relapse in patients with breast cancer.

Association of Aspirin With Prevention of Venous Thromboembolism in Patients After Total Knee Arthroplasty Compared With Other Anticoagulants: A Noninferiority Analysis

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(1):65-72. doi:10.1001/jamasurg.2018.3858

This cohort study examines whether aspirin as a single agent is inferior to other anticoagulation agents for reducing the risk of venous thromboembolism or major bleeding events after unilateral primary total knee arthroplasty.

Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan

Abstract Full Text
online only
JAMA Surg. 2019;154(1):e184234. doi:10.1001/jamasurg.2018.4234

This study describes opioid prescribing and consumption for a variety of surgical procedures and investigates factors associated with opioid consumption after surgery.

Patient Preferences for Bariatric Surgery: Findings From a Survey Using Discrete Choice Experiment Methodology

Abstract Full Text
online only
JAMA Surg. 2019;154(1):e184375. doi:10.1001/jamasurg.2018.4375

This survey study identifies patient self-reported preferences for risks, benefits, and other attributes of treatment options available to individuals who are candidates for bariatric surgery.

Invited Commentary

Is 30 Newtons of Prevention Worth a Pound of a Cure?—Cricoid Pressure

Abstract Full Text
JAMA Surg. 2019;154(1):18. doi:10.1001/jamasurg.2018.3590

Every Trauma System Is Perfectly Designed to Get the Results It Gets

Abstract Full Text
JAMA Surg. 2019;154(1):25. doi:10.1001/jamasurg.2018.3230

Radioguided Surgery With Gallium for Neuroendocrine Tumors

Abstract Full Text
JAMA Surg. 2019;154(1):45-46. doi:10.1001/jamasurg.2018.3480

Chemoradiotherapy and Local Excision for Organ Preservation in Early Rectal Cancer—The End of the Beginning?

Abstract Full Text
JAMA Surg. 2019;154(1):54-55. doi:10.1001/jamasurg.2018.3760

The Third Postmastectomy Reconstruction Option—Autologous Fat Transfer

Abstract Full Text
JAMA Surg. 2019;154(1):63-64. doi:10.1001/jamasurg.2018.3757

Should Aspirin Be Routinely Used for Venous Thromboembolism Prophylaxis After Total Knee Arthroplasty?Even the Authors of This Commentary Cannot Agree

Abstract Full Text
JAMA Surg. 2019;154(1):72-73. doi:10.1001/jamasurg.2018.3859

The Fragility Index in Randomized Clinical Trials as a Means of Optimizing Patient Care

Abstract Full Text
JAMA Surg. 2019;154(1):74-79. doi:10.1001/jamasurg.2018.4318

This narrative review explains the importance of the Fragility Index score, a measure of the robustness of randomized clinical trials, and describes the relative robustness of articles in surgery, general medicine, and cardiology.

Surgical Innovation

Minimum Specifications for a Lifebox Surgical Headlight for Resource-Constrained Settings

Abstract Full Text
JAMA Surg. 2019;154(1):80-82. doi:10.1001/jamasurg.2018.4205

This Surgical Innovation describes the essential elements of an affordable, rechargeable, built-for-purpose surgical headlight for use in resource-constrained settings.

JAMA Surgery Clinical Challenge

Chronic Bowel Obstruction in a Middle-aged Man

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(1):83-84. doi:10.1001/jamasurg.2018.2582

A man in his 50s with a history of prostate cancer treated with robotic prostatectomy presented with progressively worsening postprandial nausea or vomiting, epigastric abdominal pain, anorexia, and weight loss. What is your diagnosis?

Patient With Unexplained Weight Loss, Anorexia, and Back Pain

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(1):85-86. doi:10.1001/jamasurg.2018.3191

A 74-year-old man presented with a 3-month history of weight loss, anorexia, and back pain. Physical examination revealed poor dental hygiene and findings in the lower extremity suggestive of postthrombotic syndrome. What is your diagnosis?

Research Letter

Postmortem Incidence of Acute Surgical- and Trauma-Associated Pathologic Conditions in Prison Inmates in Miami Dade County, Florida

Abstract Full Text
JAMA Surg. 2019;154(1):87-88. doi:10.1001/jamasurg.2018.2443

This study quantifies the postmortem incidence of acute surgical- and trauma-associated pathologic conditions of inmates in Miami Dade County, Florida.

Pacific Coast Surgical Association

Association of Hospital Length of Stay and Complications With Readmission After Open Pancreaticoduodenectomy

Abstract Full Text
JAMA Surg. 2019;154(1):88-90. doi:10.1001/jamasurg.2018.3213

This study uses data from the American College of Surgeons National Quality Improvement Program databases to evaluate associations between hospital length of stay and postoperative complications with hospital readmission among patients who underwent open pancreaticoduodenectomy.

Frequency of Misinterpretation of Inconclusive Noninferiority Trials: The Case of the Laparoscopic vs Open Resection for Rectal Cancer Trials

Abstract Full Text
JAMA Surg. 2019;154(1):90-92. doi:10.1001/jamasurg.2018.3222

This cross-sectional analysis of 71 articles discussing the ACOSOG Z6051 and ALaCaRT trials of laparoscopic vs open resection for rectal cancer evaluates the frequency of misinterpretation of these inconclusive trials and determines whether interpretations were concordant with the findings of the primary studies.

Systolic and Diastolic Blood Pressure Variability as Risk Factors for Adverse Events After Coronary Artery Bypass Grafting

Abstract Full Text
JAMA Surg. 2019;154(1):92-94. doi:10.1001/jamasurg.2018.3233

This study assesses whether blood pressure variability is associated with adverse outcomes after coronary artery bypass grafting surgery.

Comment & Response

Avoidable Blood Transfusions

Abstract Full Text
JAMA Surg. 2019;154(1):94. doi:10.1001/jamasurg.2018.3866

Avoidable Blood Transfusions—Reply

Abstract Full Text
JAMA Surg. 2019;154(1):94-95. doi:10.1001/jamasurg.2018.3867

Prehospital Advanced Life Support for Out-of-Hospital Cardiac Arrest in Blunt Trauma Patients

Abstract Full Text
JAMA Surg. 2019;154(1):95-96. doi:10.1001/jamasurg.2018.4291

Interpreting the Long-term Prognostic Value of Total Mesorectal Excision Plane Quality in Rectal Adenocarcinoma

Abstract Full Text
JAMA Surg. 2019;154(1):96. doi:10.1001/jamasurg.2018.3540

Error in Byline

Abstract Full Text
free access
JAMA Surg. 2019;154(1):96. doi:10.1001/jamasurg.2018.5449
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2019;154(1):2. doi:10.1001/jamasurg.2018.3786