0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
In This Issue of JAMA Surgery |

Highlights FREE

JAMA Surg. 2015;150(10):925. doi:10.1001/jamasurg.2014.2528.
Text Size: A A A
Published online

RESEARCH

Questions remain about the role and durability of bariatric surgery for type 2 diabetes mellitus (T2DM). Courcoulas and colleagues randomly assigned and treated 61 adults with a body mass index between 30 and 40 with either gastric bypass, adjustable gastric banding, or an intensive lifestyle intervention. Partial or complete T2DM remission at 3 years was achieved by 40% of adults who underwent a gastric bypass, 29% of adults who underwent adjustable gastric banding, and 0% of adults who underwent the intensive lifestyle intervention.

Appropriate risk stratification for venous thromboembolism (VTE) is essential to providing appropriate thromboprophylaxis and avoiding morbidity and mortality. Obi and colleagues performed a retrospective cohort study of 4844 adults (≥18 years old) admitted to a 20-bed surgical intensive care unit in a large tertiary care academic hospital during a 5-year period (July 1, 2007, through June 30, 2012) and found that the Caprini VTE risk assessment model was valid.

It is unknown whether adherence to national surveillance guidelines improves long-term outcomes after endovascular aortic aneurysm repair (EVAR). In an observational study using Medicare claims data, Garg et al examined surveillance patterns and long-term outcomes for 9503 patients. They found no overall survival advantage or aneurysm-related survival advantage for those who adhered to surveillance guidelines, which suggests that frequent surveillance may not be required for all patients.

It is unclear whether compliance with evidence-based guidelines can be used as a marker of hospital quality. Dawes et al studied all adult patients who presented to a regional consortium of 14 hospitals from January 1, 2009, through December 31, 2010, with severe traumatic brain injury (TBI) and calculated the hospitals’ compliance with 2 national guidelines. Despite face validity, they found no association between guideline compliance and risk-adjusted mortality.

Total hip replacement (THR) is successful in treating hip arthritis. Prosthetic survivorship may depend on characteristics of the implant, notably THR fixation technique and bearing surface type. In a cohort study of 100 191 French patients aged 40 years or older who received implants between April 2010 and December 2011, Colas et al assessed whether THR fixation technique and bearing surface were related to early prosthetic revision. Antibiotic-impregnated cemented THRs have a better prognosis; metal-on-metal THRs have a slightly worse one.

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

907 Views
0 Citations
×

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs