We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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(11):1021. doi:10.1001/jamasurg.2014.2533.
Text Size: A A A
Published online


In a randomized prospective analysis of 120 healthy volunteers, Edmiston et al found that a standardized preadmission shower regimen that includes 118 mL of aqueous chlorhexidine gluconate, 4%, per shower; a minimum of 2 sequential showers; and a 1-minute pause before rinsing results in maximal skin surface (16.5 µg/cm2) concentrations of chlorhexidine gluconate that are sufficient to inhibit or kill gram-positive or gram-negative surgical wound pathogens.

It is unclear why wide variations in mortality rates exist across hospitals performing lung cancer resection. In a retrospective cohort study, Grenda et al examined rates of adherence to processes of care, incidence of complications, and failure to rescue among patients who underwent lung cancer resection at a high- or low-mortality hospital. Higher failure-to-rescue rates at high-mortality hospitals may explain the large differences between hospitals in mortality rates following lung cancer resection.

There is a dearth of information explaining the underlying etiology of the variability in 30-day readmission. Using a single-center cohort of 22 559 patients undergoing major surgery, Gani et al quantify the proportion of variation attributable to factors related to patient, surgeon, and surgical specialty. Variation in readmission was overwhelmingly owing to patient-level factors while only a minority of the variation was attributable to factors at the surgical subspecialty and individual surgeon levels.

The prevalence of laparoscopic sleeve gastrectomy (LSG) is increasing, yet data on its long-term effect on obesity-related comorbidities are scarce. In a retrospective analysis of a prospective cohort at a university hospital, Golomb et al collected data from all patients undergoing LSGs performed by the same team. Undergoing LSG induced efficient weight loss and a major improvement in obesity-related comorbidities, with mostly no correlation to percentage of excess weight loss. There was a significant weight regain and a decrease in remission rates of diabetes and, to a lesser extent, other comorbidities over time.

The role and clinical benefit of ruptured endovascular aneurysm repair have yet to be fully elucidated. In a retrospective cohort study, Ullery and colleagues noted that the implementation of a contemporary endovascular-first protocol for the treatment of a ruptured abdominal aortic aneurysm (AAA) is associated with decreased perioperative morbidity and mortality, a higher likelihood of discharge to home, and improved long-term survival.





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.


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

0 Citations

Related Content

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