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 Showing 1-20 of 95 Articles
Original Investigation 
Barclay T. Stewart, MD, MScPH; Gavin Tansley, MD; Adam Gyedu, MD, MPH; Anthony Ofosu, MD, MPH, MSc; Peter Donkor, MDSc; Ebenezer Appiah-Denkyira, MD; Robert Quansah, MD, PhD; Damian L. Clarke, MBBCh, PhD; Jimmy Volmink, MBChB, DPhil; Charles Mock, MD, PhD
Includes: Supplemental Content

Importance  Conditions that can be treated by surgery comprise more than 16% of the global disease burden. However, 5 billion people do not have access to essential surgical care. An estimated 90% of the 87 million disability-adjusted life-years incurred by surgical conditions could be averted by providing ...

Invited Commentary: Better National Surgical Data in Low- and Middle-Income Countries; Andrew J. M. Leather, MS; Anna J. Dare, PhD
Original Investigation  FREE
Hani Mowafi, MD, MPH; Mahmoud Hariri, MBBCh; Houssam Alnahhas; Elizabeth Ludwig, BS; Tammam Allodami, DDS; Bahaa Mahameed, MBBCh; Jamal Kaby Koly, MBBCh; Ahmed Aldbis, MBBCh; Maher Saqqur, MBBCh; Baobao Zhang, MA; Anas Al-Kassem, MBBCh
Includes: Supplemental Content

Importance  The Syrian civil war has resulted in large-scale devastation of Syria’s health infrastructure along with widespread injuries and death from trauma. The capacity of Syrian trauma hospitals is not well characterized. Data are needed to allocate resources for trauma care to the population remaining in Syria....

Invited Commentary 
Andrew J. M. Leather, MS; Anna J. Dare, PhD

Major strides have been made in recent years illuminating and defining the need for better surgical care for the world’s poor.13 In 2015, the Lancet Commission in Global Surgery proposed 6 key global surgical indicators for measuring and monitoring progress toward universal access to safe, ...

JAMA Surgery Clinical Challenge 
John Hardaway, MD, PhD; Hiromichi Ito, MD

A man aged 54 years presented to the emergency department with a 1-month history of generalized weakness and bilateral lower extremity swelling that had progressed to his upper abdomen. What is your diagnosis?

Comment & Response 
Sommer E. Gentry, PhD; Ryutaro Hirose, MD; David Mulligan, MD

To the Editor In their Viewpoint,1 Ladner and Mehrotra criticize the methods used to develop a redistricting solution to geographic inequity in the allocation of deceased donor livers for transplant, and the ability of clinicians on the Organ Procurement and Transplantation Network (OPTN) Liver Committee to evaluate ...

Comment & Response 
Daniela P. Ladner, MD, MPH; Sanjay Mehrotra, PhD

In Reply We appreciate the comments of Gentry et al in response to our published Viewpoint outlining the methodological shortcomings of the proposed “redistricting” model to solve geographic disparity in liver allocation.

Announcement  FREE

JAMA Surgery is pleased to announce the appointment of Quan-Yang Duh, MD, and Kamal M. F. Itani, MD, to our Editorial Board.

Ryan Macht, MD; David McAneny, MD; Gerard Doherty, MD

This Viewpoint explores the changes that can be made to more equitably evaluate and improve surgical quality at safety-net hospitals, which provide care for a large proportion of Medicaid, uninsured, underinsured, or otherwise vulnerable patients but have been shown to have worse surgical quality outcomes.

Original Investigation 
Lisa Bush, PA-C; Robert Brookshire, PA-C; Breanna Roche, PA-C; Amelia Johnson, PA-C; Frederic Cole, MD; Riyad Karmy-Jones, MD; William Long, MD; Matthew J. Martin, MD
Includes: Supplemental Content

Importance  Current trauma guidelines dictate that the cervical spine should not be cleared in intoxicated patients, resulting in prolonged immobilization or additional imaging. Modern computed tomography (CT) technology may obviate this and allow for immediate clearance.

Objective  To analyze cervical spine clearance practices and the utility ...

Invited Commentary: Cervical Spine Clearance and Computed Tomographic Scans ; Olubode A. Olufajo, MD, MPH; Ali Salim, MD
Original Investigation 
Lisa K. McIntyre, MD; Saman Arbabi, MD; Ellen F. Robinson, PT; Ronald V. Maier, MD

Importance  Previous studies investigating patients at risk for hospital readmissions focus on medical services and have found chronic conditions as contributors. Little is known, however, of the characteristics of patients readmitted from surgical services.

Objective  Surgical patients readmitted within 30 days following discharge were analyzed to ...

Invited Commentary: 30-Day Readmission Rate; Alexander C. Schwed, MD; Christian de Virgilio, MD
Invited Commentary 
Alexander C. Schwed, MD; Christian de Virgilio, MD

Estimated to cost Medicare $17 billion annually, hospital readmissions represent a potential cost-savings target. Unplanned readmissions may also measure hospital and medical quality because these events are presumed to demonstrate a gap in sound clinical care or discharge planning. To address this issue, the Centers for Medicare and ...

Invited Commentary 
Olubode A. Olufajo, MD, MPH; Ali Salim, MD

Stabilization of the spine with rigid collars has been well established as a useful early intervention for preventing spinal cord injuries among trauma patients.1 Clinical examination and, in some cases, radiographic evidence showing the absence of clinically significant injuries are routinely required prior to making decisions regarding ...

Research Letter 
Nikunj Trivedi, MD; Ted Kossakowski, MA; Michael Berneis, MA; Douglas H. Tischler, MA; Aaron Daluiski, MD

This study compares the frequency of website visits prompted by posters in a waiting room between publically insured patients and privately insured patients.

Original Investigation 
Matthew H. G. Katz, MD; Qian Shi, PhD; Syed A. Ahmad, MD; Joseph M. Herman, MD; Robert de W. Marsh, MD; Eric Collisson, MD; Lawrence Schwartz, MD; Wendy Frankel, MD; Robert Martin, MD; William Conway, MD; Mark Truty, MD; Hedy Kindler, MD; Andrew M. Lowy, MD; Tanios Bekaii-Saab, MD; Philip Philip, MD, PhD; Mark Talamonti, MD; Dana Cardin, MD; Noelle LoConte, MD; Perry Shen, MD; John P. Hoffman, MD; Alan P. Venook, MD
Includes: Supplemental Content

Importance  Although consensus statements support the preoperative treatment of borderline resectable pancreatic cancer, no prospective, quality-controlled, multicenter studies of this strategy have been conducted. Existing studies are retrospective and confounded by heterogeneity in patients studied, therapeutic algorithms used, and outcomes reported.

Objective  To determine the feasibility ...

Invited Commentary: Borderline Resectable Pancreatic Cancer; John A. Windsor, MD, FRACS
Invited Commentary 
John A. Windsor, MD, FRACS

Katz and colleagues are to be congratulated in establishing the multicenter Alliance for Clinical Trials in Oncology, which seeks to address, in part, the paucity of quality evidence supporting neoadjuvant therapy (NAT) for borderline resectable pancreatic cancer (BRPC).1 Their preliminary study is about feasibility, quality control, and ...

Susan Tsai, MD, MHS; Douglas B. Evans, MD

Importance  It is estimated that pancreatic cancer (PC) will become the second leading cause of cancer-related death in the United States by 2030.

Observations  Clinical and preclinical data support the understanding that PC metastases occur early in the pathogenesis of this disease, even before the primary ...

Surgical Innovation 
H. Randall Beard, MD; Alejandro J. Marquez-Lara, MD; Kamran S. Hamid, MD, MPH

This article discusses the use of wearable, high-definition cameras to create a surgical skills video library to improve resident training.

JAMA Surgery Clinical Challenge 
Hao-Yu Lin, MD; Yuan-Huei Huang, MD, PhD; Ming-Chi Yang, MD

An 84-year-old woman presented with 2 days of progressive abdominal distention and nausea, a distended abdomen without peritoneal signs on examination, an elevated white blood cell count, and segmental small-bowel dilatation on abdominal x-ray. What is your diagnosis?

Shinichiro Sakata, MBBS; Philip M. Grove, PhD; Andrew R. L. Stevenson, MBBS, FRACS

This Viewpoint discusses the differences between 3-dimensional robotic surgery and conventional 2-dimensional laparoscopic surgery.

Original Investigation 
Davide Citterio, MD; Antonio Facciorusso, MD; Carlo Sposito, MD; Roberta Rota, MD; Sherrie Bhoori, MD; Vincenzo Mazzaferro, MD, PhD
Includes: Supplemental Content

Importance  Liver resection is the treatment of choice for hepatocellular carcinoma (HCC) in well-compensated liver cirrhosis. Postoperative liver decompensation (LD) is the most representative and least predictable cause of morbidity and mortality.

Objectives  To determine the hierarchy and interaction of factors associated with the risk for ...

Invited Commentary: Decision Tree of Liver Resection for Hepatocellular Carcinoma; Jacqueline M. Garonzik-Wang, MD, PhD; Maria B. Majella Doyle, MD, MBA, FRCS

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