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Editor's Audio Summary

February 25, 2014

JAMA Surgery, 2014-02-19 Online First articles, Editor's Audio Summary

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 Showing 1-20 of 41 Articles
Original Investigation 
Joseph T. King Jr, MD, MSCE; Melissa F. Perkal, MD, FACS; Ronnie A. Rosenthal, MD, MS, FACS; Adam J. Gordon, MD, MPH; Stephen Crystal, PhD; Maria C. Rodriguez-Barradas, MD; Adeel A. Butt, MD, MS; Cynthia L. Gibert, MD, MS; David Rimland, MD; Michael S. Simberkoff, MD; Amy C. Justice, MD, PhD
Includes: Supplemental Content

Importance  Antiretroviral therapy (ART) has converted human immunodeficiency virus (HIV) infection into a chronic condition, and patients now undergo a variety of surgical procedures, but current surgical outcomes are inadequately characterized.

Objective  To compare 30-day postoperative mortality in patients with HIV infection receiving ART with the ...

Original Investigation 
Sayee Sundar Alagusundaramoorthy, MD; Valery Vilchez, MD; Anthony Zanni, MD; Achuthan Sourianarayanane, MD; Erin Maynard, MD; Malay Shah, MD; Michael F. Daily, MD; Luis R. Pena, MD; Roberto Gedaly, MD

Importance  The role of orthotopic liver transplantation for the treatment of benign solid liver tumors (BSLT) is not well defined.

Objective  To analyze outcomes in the United Network of Organ Sharing data set of patients with a diagnosis of BSLT who underwent transplantation.

Design, Setting, and ...

JAMA Surgery Clinical Challenge 
Carlos A. Pelaez, MD; Meaghan F. Dehning, BS
Comment & Response 
Dave Rosa, MSME; Catherine Mohr, MD, MSME
To the Editor The study by Parsons et al1 in JAMA Surgery used incomplete data and an unreliable method. As a result, its conclusions regarding patient safety and robotic surgery are flawed.
Comment & Response 
John Y. S. Kim, MD
To the Editor In a recent article published in JAMA Surgery,1 a related pilot study and publication in the Journal of Plastic Surgery and Hand Surgery2 should have been discussed and referenced. This pilot study included a preliminary analysis of 19 276 plastic surgery patients from the American College of ...
Comment & Response 
J. Kellogg Parsons, MD, MHS; David Chang, PhD, MPH, MBA
In Reply Thank you very much for the opportunity to reply to Mr Rosa and Dr Mohr. Their assertions are fundamentally flawed, rooted in mistaken assumptions, and unsupported by the peer-reviewed scientific data.
Original Investigation 
Courtney E. Morgan, MD; Vivek S. Prakash, BS; Janet M. Vercammen, AAS; Timothy Pritts, MD, PhD; Melina R. Kibbe, MD
Includes: Supplemental Content

Importance  Hemorrhage is the leading cause of death in military trauma and second leading cause of death in civilian trauma. Although many well-established animal models of hemorrhage exist in the trauma and anticoagulant literature, few focus on directly quantitating blood loss.

Objective  To establish and validate ...

Original Investigation 
Margaret L. Schwarze, MD; Amber E. Barnato, MD; Paul J. Rathouz, PhD; Qianqian Zhao, MS; Heather B. Neuman, MD; Emily R. Winslow, MD; Gregory D. Kennedy, MD; Yue-Yung Hu, MD; Christopher M. Dodgion, MD; Alvin C. Kwok, MD; Caprice C. Greenberg, MD
Includes: Supplemental Content

Importance  No consensus exists regarding the definition of high-risk surgery in older adults. An inclusive and precise definition of high-risk surgery may be useful for surgeons, patients, researchers, and hospitals.

Objective  To develop a list of high-risk operations.

Design, Setting, and Participants  Retrospective cohort study ...

Original Investigation 
Marissa Srour, BS; Kenji Inaba, MD; Obi Okoye, MD; Carney Chan, BS; Dimitra Skiada, MD; Beat Schnüriger, MD; Mark Trump, MD; Lydia Lam, MD; Demetrios Demetriades, MD, PhD

Importance  The standard practice of irrigation and debridement (I&D) of open fractures within 6 hours of injury remains controversial.

Objective  To prospectively evaluate the effect of the time from injury to the initial I&D on infectious complications.

Design, Setting, and Participants  A total of 315 ...

Comment & Response 
Israel Fernandez-Pineda, MD; John A. Sandoval, MD
To the Editor With regard to the recent publication in JAMA Surgery of the article entitled “Assessing Normal Growth of Hepatic Hemangiomas During Long-term Follow-up” by Hasan et al,1 some discussion is pertinent. Hepatic venous malformations are common in adults and are often incorrectly called hepatic hemangiomas. In 2007, Christison-Lagay ...
Comment & Response 
Hani Y. Hasan, MD; J. Louis Hinshaw, MD; Emily R. Winslow, MD
In Reply The letter by Fernandez-Pineda and Sandoval emphasizes the nomenclature of hepatic lesions, focusing on infantile hemangiomas and a perceived discrepancy between the diagnosis of hemangiomas based on radiographic criteria and those diagnoses proposed by the International Society for the Study of Vascular Anomalies. However, our article focuses on ...
Original Investigation 
Lorraine D. Cornwell, MD; Shuab Omer, MD; Todd Rosengart, MD; William L. Holman, MD; Faisal G. Bakaeen, MD

Importance  Today’s coronary artery bypass grafting (CABG) population appears to comprise sicker patients than in the past; however, little is known about the change in the risk profile.

Objective  To evaluate the change with time in the risk profile of patients who undergo CABG.

Design, Setting, ...

Original Investigation 
Danielle A. Bischof, MD; Yuhree Kim, MD, MPH; Rebecca Dodson, MD; M. Carolina Jimenez, MD, MSc; Ramy Behman, MD; Andrei Cocieru, MD; Sarah B. Fisher, MD; Ryan T. Groeschl, MD; Malcolm H. Squires III, MD, MS; Shishir K. Maithel, MD; Dan G. Blazer III, MD; David A. Kooby, MD; T. Clark Gamblin, MD; Todd W. Bauer, MD; Fayez A. Quereshy, MD, MBA; Paul J. Karanicolas, MD, PhD; Calvin H. L. Law, MD, MPH; Timothy M. Pawlik, MD, MPH, PhD
Includes: Supplemental Content

Importance  Gastrointestinal stromal tumors (GISTs) are the most commonly diagnosed mesenchymal tumors of the gastrointestinal tract. The risk of recurrence following surgical resection of GISTs is typically reported from the date of surgery. However, disease-free survival (DFS) over time is dynamic and changes based on disease-free time ...

Invited Commentary: Tailoring GIST Therapy—Biology Is Still King; Ajay V. Maker, MD
Invited Commentary 
Ajay V. Maker, MD
The apparent rise in the incidence of gastrointestinal stromal tumors (GISTs),1 as well as the determination of high-risk features, has led to the development of risk stratification tools and nomograms to predict disease-free survival (DFS) after resection.2 In this issue of JAMA Surgery, Bischof et al3 have taken the maturation ...
JAMA Surgery Clinical Challenge 
Vakhtang Tchantchaleishvili, MD; Randeep Kashyap, MD; Mark S. Orloff, MD
Research Letter 
Catherine Keating, MPH; Kathryn Backholer, PhD; Marj Moodie, DrPH; Christopher Stevenson, PhD; Anna Peeters, PhD
A socioeconomic gradient in obesity, with greater prevalence observed in more disadvantaged groups, has been reported in most high-income countries.1 Severe obesity is a substantial and growing problem, affecting 1 in 7 Americans,2 and is associated with far greater adverse consequences relative to mild obesity (with a body mass index ...
Rashna Ginwalla, MD; Jennifer Rickard, MD, MPH
This Viewpoint discusses surgical missions to low- and middle-income countries and suggests changes to improve their effectiveness, relevance, and sustainability.
Original Investigation 
Bin Li, MD; Jiaqing Xiang, MD; Yawei Zhang, MD; Hecheng Li, MD; Jie Zhang, MD; Yihua Sun, MD; Hong Hu, MD; Longsheng Miao, MD; Longfei Ma, MD; Xiaoyang Luo, MD; Sufeng Chen, MD; Ting Ye, MD; Yiliang Zhang, MD; Yang Zhang, MD; Haiquan Chen, MD
Includes: Supplemental Content

Importance  Sweet esophagectomy is performed widely in China, while the Ivor-Lewis procedure, with potential benefit of an extended lymphadenectomy, is limitedly conducted owing to concern for a higher risk for morbidity. Thus, the role of the Ivor-Lewis procedure for thoracic esophageal cancer needs further investigation.

Objective  ...

Original Investigation  FREE
Hilde Risstad, MD; Torgeir T. Søvik, MD, PhD; My Engström, RN, PhD; Erlend T. Aasheim, MD, PhD; Morten W. Fagerland, MSc, PhD; Monika Fagevik Olsén, RPT, PhD; Jon A. Kristinsson, MD, PhD; Carel W. le Roux, MD, PhD; Thomas Bøhmer, MD, PhD; Kåre I. Birkeland, MD, PhD; Tom Mala, MD, PhD; Torsten Olbers, MD, PhD
Includes: Supplemental Content

Importance  There is no consensus as to which bariatric procedure is preferred to reduce weight and improve health in patients with a body mass index higher than 50.

Objective  To compare 5-year outcomes after Roux-en-Y gastric bypass (gastric bypass) and biliopancreatic diversion with duodenal switch (duodenal ...

Invited Commentary: Weighing the Risks and Benefits of Bariatric Surgery; Oliver A. Varban, MD; Justin B. Dimick, MD, MPH
Invited Commentary 
Oliver A. Varban, MD; Justin B. Dimick, MD, MPH
Bariatric surgery offers patients an explicit choice, a tradeoff between risks and benefits. Making the right choice is a complex balance between the risks of surgery (eg, short-term and long-term complications) and the benefits of weight loss (eg, resolution of comorbid diseases and increased longevity). When compared with other bariatric ...

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