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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 51 Articles
Viewpoint 
Karl Y. Bilimoria, MD, MS; David B. Hoyt, MD; Frank Lewis, MD
This Viewpoint explores whether flexibility should be allowable for duty hour limits for surgical residents.
Original Investigation 
Moshim Kukar, MD; Raed M. Alnaji, MD; Feraas Jabi, MD; Timothy A. Platz, DO; Kristopher Attwood, PhD; Hector Nava, MD; Kfir Ben-David, MD; David Mattson, MD; Kilian Salerno, MD; Usha Malhotra, MD; Kazunori Kanehira, MD; James Gannon, MD; Steven N. Hochwald, MD

Importance  Predicting complete pathologic response (CPR) preoperatively can significantly affect surgical decision making. There are conflicting data regarding positron emission tomography computed tomography (PET CT) characteristics and the ability of PET CT to predict pathologic response following neoadjuvant chemoradiotherapy in esophageal adenocarcinoma because most existing studies that ...

Original Investigation 
Sarah E. Tevis, MD; Sharon M. Weber, MD; K. Craig Kent, MD; Gregory D. Kennedy, MD, PhD
Includes: Supplemental Content

Importance  The Centers for Medicare and Medicaid Services have implemented penalties for hospitals with above-average readmission rates under the Hospital Readmissions Reductions Program. These changes will likely be extended to affect postoperative readmissions in the future.

Objectives  To identify variables that place patients at risk for ...

Invited Commentary: Putting Predictions to the Test; Sandra L. Wong, MD, MS
Original Investigation 
Rebeccah B. Baucom, MD; Sharon E. Phillips, MSPH; Jesse M. Ehrenfeld, MD, MPH; Roberta L. Muldoon, MD; Benjamin K. Poulose, MD, MPH; Alan J. Herline, MD; Paul E. Wise, MD; Timothy M. Geiger, MD
Includes: Supplemental Content

Importance  Maintaining perioperative normothermia has been shown to decrease the rate of surgical site infection (SSI) after segmental colectomy and is part of the World Health Organization’s Guidelines for Safe Surgery. However, strong evidence supporting this association is lacking, and an exact definition of normothermia has not ...

Invited Commentary: Lessons Learned in Intraoperative Hypothermia; Michael J. Stamos, MD
Invited Commentary 
Michael J. Stamos, MD
As a young surgical trainee in the 1980s, I learned quickly from my professors, and more profoundly, from my patients, that severe hypothermia was bad, eliciting a coagulopathy that, while reversible, could also be overwhelming. Hypothermia was otherwise indulged or even ignored, seen as an inevitable consequence of the operating ...
Staging of patients with esophageal cancer includes a computed tomography (CT) scan of the chest, abdomen, and pelvis and an upper endoscopy with endoscopic ultrasound. Positron emission tomography (PET) CT has been increasingly used to rule out metastatic disease, detect recurrent disease after treatment, or predict the response to treatment. ...
Invited Commentary 
Sandra L. Wong, MD, MS
The Centers for Medicare and Medicaid Services have implemented financial penalties for hospitals with above-average readmission rates, and hospitals are directing quality improvement efforts at predicting and preventing readmissions after surgery. Although clinicians are often aware of the risk factors for readmission, predictive models provide objective data, and their use ...
Comment & Response 
Kun Yang, MD; Wei-Han Zhang, MM; Jian-Kun Hu, MD, PhD
To the Editor We read with great interest the article by Morgan et al.1 The authors found that the removal of 15 or more lymph nodes was more frequently performed in hospitals with a recognized cancer program. However, survival outcome was associated with lymph node count rather than with cancer ...
Comment & Response 
Ilse Hofmeester, MD; Marco H. Blanker, MD, PhD
To the Editor Based on the 24-hour frequency and volume charts of 104 adult men in a Veterans Affairs–based urology clinic, Nassau et al1 analyzed the possible association between nocturia severity, on the one hand, and race and metabolic factors, on the other. We would like to make some remarks ...
Comment & Response 
Lily Alexandra Gutnik, MD, MPH; Towera Banda, BA; Satish Gopal, MD, MPH
To the Editor The study by Hall et al1 sheds light on a very important step in the research process. The authors found that most initial institutional review board (IRB) approvals take 2 to 4 months, which is longer than the recommended 60 days. They suggest that a detailed analysis ...
Comment & Response 
John W. Morgan, DrPH, CPH; Liang Ji, MBA; Sharon S. Lum, MD
In Reply We thank Yang et al for raising questions about our findings from the California Cancer Registry that reveal improved survival among patients with surgically treated gastric cancer. Our findings are compliant with the American College of Surgeons Commission on Cancer quality measure mandating that at least 15 lymph ...
Original Investigation 
Joshua C. Grimm, MD; Vicente Valero III, MD; Arman Kilic, MD; Jonathan T. Magruder, MD; Christian A. Merlo, MD, MPH; Pali D. Shah, MD; Ashish S. Shah, MD

Importance  The effect of prolonged graft ischemia (≥6 hours) on outcomes following lung transplantation is controversial.

Objective  To evaluate the effect of prolonged total graft ischemia times on long-term survival rates and the development of primary graft failure (PGF) following lung transplantation.

Design, Setting, and Participants...

Original Investigation 
Caitlin W. Hicks, MD, MS; Elizabeth C. Wick, MD; Ira L. Leeds, MD; Jonathan E. Efron, MD; Susan L. Gearhart, MD; Bashar Safar, MBBS; Sandy H. Fang, MD

Importance  High-resolution anoscopy (HRA) is becoming increasingly advocated as a method of screening for anal dysplasia in high-risk patients.

Objective  To describe, through HRA findings, the association between patient symptomatology and anal dysplasia among patients at high risk for anal dysplasia.

Design, Setting, and Participants  ...

Invited Commentary: Considering Standards of Care for Anal Cancer; James Fleshman, MD
Invited Commentary 
James Fleshman, MD
This Invited Commentary raises questions regarding the routine use of high-resolution anoscopy as a screening tool for anal dysplasia and cancer.
Invited Commentary 
Ankit Bharat, MD
Mammalian cells do not possess intrinsic tolerance to hypoxia or ischemia. Hypothermia can suppress cellular metabolism and the chemical reactions that drive the detrimental effects of hypoxia and ischemia. However, hypothermia also nonspecifically inhibits vital enzymatic processes required for maintaining cellular integrity and tissue homeostasis. Therefore, reducing ischemia time and ...
JAMA Surgery Clinical Challenge 
Kevin Almerico, MS; Osama Hadid, BS; Lauren Ghee, MD
Original Investigation  FREE
Marco Del Chiaro, MD, PhD; Caroline S. Verbeke, MD, PhD; Nikolaos Kartalis, MD, PhD; Raffaella Pozzi Mucelli, MD; Peter Gustafsson, MD, PhD; Johan Hansson, MD, PhD; Stephan L. Haas, MD, PhD; Ralf Segersvärd, MD, PhD; Åke Andren-Sandberg, MD, PhD; J.-Matthias Löhr, MD, PhD

Importance  Pancreatic cancer is the fourth leading cause of cancer-related death in Western countries. In approximately 10% of all patients with pancreatic cancer, it is possible to define a positive family history for pancreatic cancer or for one of the other related genetic syndromes. A screening program ...

Invited Commentary: Screening Strategies for Pancreatic Cancer in High-Risk Patients; Mark S. Talamonti, MD
In this issue of JAMA Surgery, Del Chiaro and colleagues1 report the early results of a magnetic resonance imaging (MRI)–based Swedish screening program for asymptomatic patients with an increased risk for familial pancreatic cancer. The goals of this study were to determine whether a high-risk population of patients could be ...
Review  FREE
Marco G. Patti, MD; Marco E. Allaix, MD; P. Marco Fisichella, MD, MBA

Importance  Although the diagnostic evaluation and technical elements for a successful laparoscopic fundoplication have been clearly identified, 10% to 20% of patients will eventually experience recurrence of their symptoms. The management of patients who fail antireflux surgery is complex and not well codified.

Objective  To provide ...

Viewpoint 
Christopher P. Scally, MD; Paul G. Gauger, MD; Justin B. Dimick, MD, MPH
This Viewpoint discusses the Institute of Medicine’s report on graduate medical education funding released in 2014.

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