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August 2019 - July 1920

Decade

Year

Issue

February 2019, Vol 154, No. 2, Pages 101-189

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2019;154(2):101. doi:10.1001/jamasurg.2018.3791
Viewpoint

Translating Research Findings Into Practice—The Unfulfilled and Unclear Mission of Observational Data

Abstract Full Text
JAMA Surg. 2019;154(2):103-104. doi:10.1001/jamasurg.2018.3118

This Viewpoint discusses differences between randomized clinical trials and observational studies and suggests 4 possible considerations for improvement of acceptance and clinical use of observational study results.

The High-Profile Patient—Ensuring Good Care for the Entire Hospital

Abstract Full Text
JAMA Surg. 2019;154(2):105-106. doi:10.1001/jamasurg.2018.3537

This Viewpoint discusses approaches to providing care for high-profile patients that ensures proper care for all patients in the hospital as well as protecting the privacy of high-profile patients.

Original Investigation

Effectiveness of Prophylactic Intraperitoneal Mesh Implantation for Prevention of Incisional Hernia in Patients Undergoing Open Abdominal Surgery: A Randomized Clinical Trial

Abstract Full Text
has active quiz has audio
JAMA Surg. 2019;154(2):109-115. doi:10.1001/jamasurg.2018.4221

This randomized clinical trial examines the incidence of incisional hernia in patients undergoing prophylactic intraperitoneal mesh implantation vs patients undergoing standard abdominal closure.

Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections

Abstract Full Text
has audio
JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861

This simulation study uses case vignettes to determine how wound photography affects surgeons’ abilities to diagnose surgical site infections in a pragmatic setting.

Prevalence of False-Negative Results of Intraoperative Consultation on Surgical Margins During Resection of Gastric and Gastroesophageal Adenocarcinoma

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(2):126-132. doi:10.1001/jamasurg.2018.3863

This study assesses the prevalence of false-negative results and the accuracy of intraoperative consultations on surgical margins in patients undergoing curative intent resection for gastric or gastroesophageal adenocarcinoma.

Prognostic Role of Lymph Node Positivity and Number of Lymph Nodes Needed for Accurately Staging Small-Bowel Neuroendocrine Tumors

Abstract Full Text
JAMA Surg. 2019;154(2):134-140. doi:10.1001/jamasurg.2018.3865

This case series evaluates demographic, perioperative, and pathologic data from the US Neuroendocrine Tumor Study Group database to identify the role of positive lymph nodes in small-bowel neuroendocrine tumors.

Nonoperative Management of Uncomplicated Appendicitis Among Privately Insured Patients

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(2):141-149. doi:10.1001/jamasurg.2018.4282

This cohort study compares the outcomes of nonoperatively managed appendicitis against appendectomy in patients with uncomplicated appendicitis from a private insurance claims database.

Fluorescent Lymphography–Guided Lymphadenectomy During Robotic Radical Gastrectomy for Gastric Cancer

Abstract Full Text
has multimedia
JAMA Surg. 2019;154(2):150-158. doi:10.1001/jamasurg.2018.4267

This single-arm study evaluates the role of fluorescent lymphography using near-infrared imaging as an intraoperative tool for achieving complete lymph node dissection and compares the number of lymph nodes retrieved with the use of near-infrared imaging and the number of lymph nodes retrieved without the use of near-infrared imaging.

Association of VA Surgeons

Association Between Antithrombotic Medication Use After Bioprosthetic Aortic Valve Replacement and Outcomes in the Veterans Health Administration System

Abstract Full Text
online only
JAMA Surg. 2019;154(2):e184679. doi:10.1001/jamasurg.2018.4679

This cohort study describes antithrombotic medication practices following bioprosthetic aortic valve replacement (bAVR) across the Veterans Health Administration and assesses the association between antithrombotic strategies and post-bAVR outcomes.

Association Between 6-Week Postdischarge Risk Classification and 12-Month Outcomes After Orthopedic Trauma

Abstract Full Text
online only
JAMA Surg. 2019;154(2):e184824. doi:10.1001/jamasurg.2018.4824

This cohort study of patients with severe orthopedic injuries examines whether risk and protective factors measured at 6 weeks after injury could classify individuals into risk clusters and evaluates whether these clusters explain variations in 12-month outcomes.

Invited Commentary

Is Mesh Prophylaxis the Answer to the Prevention of Incisional Hernia?

Abstract Full Text
JAMA Surg. 2019;154(2):116. doi:10.1001/jamasurg.2018.4246

Smartphone Photographs—Proceed, but With Caution

Abstract Full Text
JAMA Surg. 2019;154(2):125. doi:10.1001/jamasurg.2018.3862

Frozen Sections in Gastric Cancer: How Negative Is the False-Negative?

Abstract Full Text
JAMA Surg. 2019;154(2):132-133. doi:10.1001/jamasurg.2018.3864

Treating the Patient With Appendicitis, Not Just the Appendicitis

Abstract Full Text
JAMA Surg. 2019;154(2):149. doi:10.1001/jamasurg.2018.4300

Fluorescent-Guided Lymphography in Gastric Cancer Surgery: A Useful Adjunct for a Radical Lymph Node Dissection

Abstract Full Text
JAMA Surg. 2019;154(2):158. doi:10.1001/jamasurg.2018.4303
Review

Association of Surgical Risk With Exogenous Hormone Use in Transgender Patients: A Systematic Review

Abstract Full Text
JAMA Surg. 2019;154(2):159-169. doi:10.1001/jamasurg.2018.4598

This systematic review assesses studies of exogenous hormone use in patients of all gender identities to determine the safety of stopping or continuing these regimens in transgender patients in the perioperative period.

Surgical Innovation

Addressing Gaps in Modern Surgical Training—The Professional Development Course for Residents

Abstract Full Text
JAMA Surg. 2019;154(2):170-171. doi:10.1001/jamasurg.2018.4869

This Surgical Innovation reviews a 3-part curriculum that promotes the development of nonclinical professional and personal skills in surgical residents to examine its financial and temporal costs and its potential benefit to the residents.

JAMA Network Insights

Nonsurgical, Minimally Invasive, and Surgical Methods in Management of Acute Diverticulitis

Abstract Full Text
JAMA Surg. 2019;154(2):172-173. doi:10.1001/jamasurg.2018.3112

This Clinical Update discusses the risks and benefits of nonantibiotic medical, minimally invasive, and open surgical management for acute diverticulitis of various severities.

JAMA Surgery Clinical Challenge

A Not-So-Simple Groin Mass

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(2):174-175. doi:10.1001/jamasurg.2018.3352

A 55-year-old man with a history of Childs B cirrhosis presents with a 2.5-year history of right groin pain and increased urinary frequency with difficulty voiding. What is your diagnosis?

Abdominal Pain in Pregnancy

Abstract Full Text
has active quiz
JAMA Surg. 2019;154(2):176-177. doi:10.1001/jamasurg.2018.3860

A healthy 29-year- old pregnant woman, with 34 weeks’ gestational age, presented to the ER emergency room with diffused acute abdominal pain and vomiting. The pain was located in the periumbilical region and intensified within a few hours. What is your diagnosis?

Research Letter

Level of Reconciliation Payments by Safety-Net Hospital Status Under the First Year of the Comprehensive Care for Joint Replacement Program

Abstract Full Text
JAMA Surg. 2019;154(2):178-179. doi:10.1001/jamasurg.2018.3098

This study uses data from the Comprehensive Care for Joint Replacement program to assess the level of Medicare reconciliation payments and examine these levels by hospital size and teaching hospital status to understand hospital performance.

Association of VA Surgeons

Patient-Reported Outcomes and Factors Associated With Patient Satisfaction After Surgical Treatment of Facial Nonmelanoma Skin Cancer

Abstract Full Text
JAMA Surg. 2019;154(2):179-181. doi:10.1001/jamasurg.2018.3534

This study measures patient-reported outcomes and identifies factors associated with patient satisfaction after excision of facial nonmelanoma skin cancer in the veteran population.

Association of VA Surgeons

Value of Routine Gastrografin Upper Gastrointestinal Study After Sleeve Gastrectomy

Abstract Full Text
JAMA Surg. 2019;154(2):181-182. doi:10.1001/jamasurg.2018.3197

This study examines the effectiveness and cost of gastrografin upper gastrointestinal imaging test performed on patients after a laparoscopic sleeve gastrectomy.

African Clinicians’ Prioritization of Needs in International Breast Cancer Partnerships

Abstract Full Text
JAMA Surg. 2019;154(2):182-184. doi:10.1001/jamasurg.2018.4208

This study analyzes a survey conducted at a gathering of clinicians who specialize in breast cancer in sub-Saharan Africa to better understand what they need from international collaborators.

Comment & Response

Utility of Bladder-Sparing Therapy vs Radical Cystectomy for Muscle-Invasive Bladder Cancer

Abstract Full Text
JAMA Surg. 2019;154(2):184-185. doi:10.1001/jamasurg.2018.4370

Utility of Bladder-Sparing Therapy vs Radical Cystectomy for Muscle-Invasive Bladder Cancer

Abstract Full Text
JAMA Surg. 2019;154(2):185-186. doi:10.1001/jamasurg.2018.4371

Utility of Bladder-Sparing Therapy vs Radical Cystectomy for Muscle-Invasive Bladder Cancer—Reply

Abstract Full Text
JAMA Surg. 2019;154(2):186. doi:10.1001/jamasurg.2018.4372

When One Data Set Is Insufficient—Things to Consider When Linking Secondary Data

Abstract Full Text
JAMA Surg. 2019;154(2):186-187. doi:10.1001/jamasurg.2018.4750

When One Data Set Is Insufficient—Things to Consider When Linking Secondary Data—Reply

Abstract Full Text
JAMA Surg. 2019;154(2):187-188. doi:10.1001/jamasurg.2018.4751

Addressing Clinical Significance

Abstract Full Text
JAMA Surg. 2019;154(2):188-189. doi:10.1001/jamasurg.2018.4748

Addressing Clinical Significance—Reply

Abstract Full Text
JAMA Surg. 2019;154(2):189. doi:10.1001/jamasurg.2018.4749
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2019;154(2):102. doi:10.1001/jamasurg.2018.3792
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