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December 2019 - July 1920

Decade

Year

Issue

November 2019, Vol 154, No. 11, Pages 985-1079

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2019;154(11):985. doi:10.1001/jamasurg.2018.3845
Viewpoint

When a Vital Sign Leads a Country Astray—The Opioid Epidemic

Abstract Full Text
JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104

This Viewpoint describes the origins of the opioid epidemic, including clinicians’ involvement in overprescribing opioid drugs, as well as some means to prevent future substance use disorder.

What Surgeons Need to Know About the Bouffant Scandal

Abstract Full Text
JAMA Surg. 2019;154(11):989-990. doi:10.1001/jamasurg.2019.2107

This Viewpoint encourages the US surgical community to come to a consensus regarding surgical head attire in operating rooms.

Editorial

Transplant First, Dialysis Last

Abstract Full Text
JAMA Surg. 2019;154(11):991-992. doi:10.1001/jamasurg.2019.4286
Original Investigation

Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock: A Randomized Clinical Trial

Abstract Full Text
has active quiz has audio
JAMA Surg. 2019;154(11):994-1003. doi:10.1001/jamasurg.2019.2884

This randomized clinical trial assesses whether low-dose supplementation of arginine vasopressin during the resuscitation of hemorrhagic shock decreases the need for transfusions in patients with trauma.

Association of Discretionary Hospital Volume Standards for High-risk Cancer Surgery With Patient Outcomes and Access, 2005-2016

Abstract Full Text
JAMA Surg. 2019;154(11):1005-1012. doi:10.1001/jamasurg.2019.3017

This longitudinal cohort study evaluated Medicare claims of 516 392 patients who underwent high-risk cancer surgery from 2005 through 2016 to determine trends in 30-day mortality and postoperative complications in hospitals that met the Leapfrog volume standards vs those that did not meet the standards.

Novel Machine Learning Approach to Identify Preoperative Risk Factors Associated With Super-Utilization of Medicare Expenditure Following Surgery

Abstract Full Text
JAMA Surg. 2019;154(11):1014-1021. doi:10.1001/jamasurg.2019.2979

In this cohort study, health care expenditures among patients in the year preceding and following elective surgery are evaluated with a machine learning approach to identify clinical and comorbid patterns that may be associated with an increased risk of health care super-utilization in the year following surgery.

Career Goals, Salary Expectations, and Salary Negotiation Among Male and Female General Surgery Residents

Abstract Full Text
JAMA Surg. 2019;154(11):1023-1029. doi:10.1001/jamasurg.2019.2879

This survey-based study explores whether differences exist between the perspectives of male and female general surgery residents on future career goals, salary expectations, and salary negotiation that may contribute to disparity later in their careers.

Breast Cancer Recurrence in the Nipple-Areola Complex After Nipple-Sparing Mastectomy With Immediate Breast Reconstruction for Invasive Breast Cancer

Abstract Full Text
JAMA Surg. 2019;154(11):1030-1037. doi:10.1001/jamasurg.2019.2959

This cohort study assesses the incidence of and risk factors and outcomes associated with breast cancer recurrence of the nipple-areola complex among patients with invasive breast cancer who underwent nipple-sparing mastectomy and immediate breast reconstruction.

Patterns of Recurrence After Resection of Pancreatic Ductal Adenocarcinoma: A Secondary Analysis of the ESPAC-4 Randomized Adjuvant Chemotherapy Trial

Abstract Full Text
JAMA Surg. 2019;154(11):1038-1048. doi:10.1001/jamasurg.2019.3337

This secondary analysis of a randomized clinical trial investigates patterns of recurrence after adjuvant chemotherapy in pancreatic cancer and the association with survival.

Association of Decreased Postsurgical Opioid Prescribing With Patients’ Satisfaction With Surgeons

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(11):1049-1054. doi:10.1001/jamasurg.2019.2875

This study investigates whether decreased opioid prescribing is associated with a decrease in patient-reported satisfaction with their surgeon.

Association of Vessel-Sealant Devices vs Conventional Hemostasis With Postoperative Neck Hematoma After Thyroid Operations

Abstract Full Text
online only
JAMA Surg. 2019;154(11):e193146. doi:10.1001/jamasurg.2019.3146

This cohort study examines the association of vessel-sealant devices compared with conventional hemostasis in thyroid operations with the development of neck hematoma.

Population-Level Symptom Assessment Following Pancreaticoduodenectomy for Adenocarcinoma

Abstract Full Text
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JAMA Surg. 2019;154(11):e193348. doi:10.1001/jamasurg.2019.3348

This cohort study describes symptom burdens in Canadian patients with pancreatic adenocarcinoma who underwent resection.

Invited Commentary

Vasopressin as an Early Adjunct to Resuscitation in Hemorrhagic Shock: Crisis AVERTed?

Abstract Full Text
JAMA Surg. 2019;154(11):1003-1004. doi:10.1001/jamasurg.2019.2905

Volume Standards for High-risk Cancer Surgery

Abstract Full Text
JAMA Surg. 2019;154(11):1012-1013. doi:10.1001/jamasurg.2019.3018

Surgical Hot Spotting: Who Becomes a Super-Utilizer After Surgery?

Abstract Full Text
JAMA Surg. 2019;154(11):1021-1022. doi:10.1001/jamasurg.2019.2999

Pancreatic Ductal Adenocarcinoma—ESPAC…or It’s Back?

Abstract Full Text
JAMA Surg. 2019;154(11):1048. doi:10.1001/jamasurg.2019.3364

Implementation of Vessel-Sealing Devices in Thyroid Surgery

Abstract Full Text
online only
JAMA Surg. 2019;154(11):e193159. doi:10.1001/jamasurg.2019.3159
Review

Carotid Endarterectomy and Carotid Artery Stenting for Patients With Crescendo Transient Ischemic Attacks: A Systematic Review

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(11):1055-1063. doi:10.1001/jamasurg.2019.2952

This systematic review examines treatment of crescendo transient ischemia attacks with carotid endarterectomy or carotid artery stenting.

Surgical Innovation

Explainable Artificial Intelligence for Safe Intraoperative Decision Support

Abstract Full Text
JAMA Surg. 2019;154(11):1064-1065. doi:10.1001/jamasurg.2019.2821

This article describes innovations in explainable artificial intelligence and machine learning techniques.

JAMA Network Insights

Robotic Platform Use in General Thoracic Surgery

Abstract Full Text
JAMA Surg. 2019;154(11):1066-1067. doi:10.1001/jamasurg.2019.3361

This JAMA Network Insights article describes the use of a robot platform in minimally invasive thoracic surgery.

Research Letter

Variability in Opioid-Prescribing Patterns in Endocrine Surgery and Discordance With Patient Use

Abstract Full Text
JAMA Surg. 2019;154(11):1069-1070. doi:10.1001/jamasurg.2019.2518

This study examines the variations in opioid-prescribing habits in a single endocrine surgery practice.

Differing Risk of Mortality in Trauma Patients With Stab Wounds to the Torso: Treating Hospital Matters

Abstract Full Text
JAMA Surg. 2019;154(11):1070-1072. doi:10.1001/jamasurg.2019.2522

This observational study compares outcomes of patients with torso stab wounds who present to level I vs level II trauma centers.

Access to Urologic Care Through Clinical Integration in a Large, Underserved Population

Abstract Full Text
JAMA Surg. 2019;154(11):1072-1074. doi:10.1001/jamasurg.2019.2525

This study explores the near-term results of an effort to improve the access of a large, underserved urban population to appropriate urologic specialty care through clinical integration.

Comment & Response

Prediction of Lymph Node Metastasis in Early Gastric Cancer by Collagen Signature—Endoscopists’ Viewpoint

Abstract Full Text
JAMA Surg. 2019;154(11):1074-1075. doi:10.1001/jamasurg.2019.2292

Prediction of Lymph Node Metastasis in Early Gastric Cancer by Collagen Signature—Endoscopists’ Viewpoint—Reply

Abstract Full Text
JAMA Surg. 2019;154(11):1075. doi:10.1001/jamasurg.2019.2316

Adhesive Small-Bowel Obstruction—Surgery for All?

Abstract Full Text
JAMA Surg. 2019;154(11):1075-1076. doi:10.1001/jamasurg.2019.2306

Adhesive Small-Bowel Obstruction—Surgery for All?—Reply

Abstract Full Text
JAMA Surg. 2019;154(11):1076-1077. doi:10.1001/jamasurg.2019.2313

Racial Differences Influence Bariatric Surgery Outcomes

Abstract Full Text
JAMA Surg. 2019;154(11):1077. doi:10.1001/jamasurg.2019.2329

Racial Differences Influence Bariatric Surgery Outcomes—Reply

Abstract Full Text
JAMA Surg. 2019;154(11):1077-1078. doi:10.1001/jamasurg.2019.2330

Fractures While Walking Leashed Dogs

Abstract Full Text
JAMA Surg. 2019;154(11):1078. doi:10.1001/jamasurg.2019.2652

Fractures While Walking Leashed Dogs—Reply

Abstract Full Text
JAMA Surg. 2019;154(11):1078-1079. doi:10.1001/jamasurg.2019.2664
Correction

Typographical Error in Text

Abstract Full Text
free access
JAMA Surg. 2019;154(11):1079. doi:10.1001/jamasurg.2019.3477
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2019;154(11):986. doi:10.1001/jamasurg.2018.3846
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