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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 48 Articles
Original Investigation 
Benjamin P. Crawshaw, MD; Hung-Lun Chien, MPH; Knut M. Augestad, MD, PhD; Conor P. Delaney, MD, PhD
Includes: Supplemental Content

Importance  Laparoscopic colectomy is safe and effective in the treatment of many colorectal diseases. However, the effect of increasing use of laparoscopy on overall health care utilization and costs, especially in the long term, has not been thoroughly investigated.

Objective  To evaluate the effect of laparoscopic ...

Original Investigation 
Sanjay Mohanty, MD; Yaoming Liu, PhD; Jennifer L. Paruch, MD; Thomas E. Kmiecik, PhD; Mark E. Cohen, PhD; Clifford Y. Ko, MD, MS, MSHS; Karl Y. Bilimoria, MD, MS

Importance  Individualized risk prediction tools have an important role as decision aids for use by patients and surgeons before surgery. Patient-centered outcomes should be incorporated into such tools to widen their appeal and improve their usability.

Objective  To develop a patient-centered outcome for the American College ...

Original Investigation 
Peter J. Kneuertz, MD; George J. Chang, MD, MS; Chung-Yuan Hu, MPH, PhD; Miguel A. Rodriguez-Bigas, MD; Cathy Eng, MD; Eduardo Vilar, MD, PhD; John M. Skibber, MD; Barry W. Feig, MD; Janice N. Cormier, MD, MPH; Y. Nancy You, MD, MHSc

Importance  Colon cancer is increasing among adults younger than 50 years. However, the prognosis of young-onset colon cancer remains poorly defined given significant age-related demographic, disease, and treatment differences.

Objective  To define stage-specific treatments and prognosis of colon cancer diagnosed in young adults (ages 18-49 years) ...

Original Investigation 
Rebecca Y. Kim, MD, MPH; Gifty Kwakye, MD, MPH; Alvin C. Kwok, MD, MPH; Ruslan Baltaga, MD, PhD; Gheorghe Ciobanu, MD; Alan F. Merry, MBChB, FANCZA, FFPMANZCA; Luke M. Funk, MD, MPH; Stuart R. Lipsitz, ScD; Atul A. Gawande, MD, MPH; William R. Berry, MD, MPH; Alex B. Haynes, MD, MPH

Importance  Little is known about the sustainability and long-term effect of surgical safety checklists when implemented in resource-limited settings. A previous study demonstrated the marked, short-term effect of a structured hospital-wide implementation of a surgical safety checklist in Moldova, a lower–middle-income country, as have studies in other ...

Research Letter 
Tim Xu, MPP; Susan M. Hutfless, PhD; Michol A. Cooper, MD; Mo Zhou, MHS; Allan B. Massie, PhD, MHS; Martin A. Makary, MD, MPH
This study was designed to calculate the projected cost savings that could be possible with the increased use of minimally invasive surgery in hospitals.
Comment & Response 
Alexander Liede, MSc, PhD; Ping Sun, PhD; Steven Narod, MD, FRCPC
To the Editor Gangi et al1 describe survival among a cohort of 364 women who received a diagnosis of epithelial ovarian cancer with up to 14 years of follow-up (median follow-up, 5.1 years). They conclude that women with a BRCA1 or BRCA2 mutation (37% of the women in their sample) ...
Comment & Response 
Alexandra Gangi, MD; Galinos Baramparas, MD; Farin F. Amersi, MD
In Reply We thank Liede and colleagues for their insightful comments and for the opportunity to clarify our work. The purpose of our study1 was to determine the incidence of breast cancer in BRCA-positive patients who received a diagnosis of ovarian cancer and to discuss the role of breast cancer ...
Christina A. Minami, MD; Karl Y. Bilimoria, MD, MS
This Viewpoint describes the necessity of intraoperative consultation and the need to avoid unnecessary or unexpected out-of-network billing.
Melina R. Kibbe, MD
In this issue of JAMA Surgery, we would like to thank and acknowledge the 263 peer reviewers who reviewed manuscripts for JAMA Surgery in 2014. We greatly appreciate the thoughtfulness, insight, and expertise that the reviewers provided, as well as the time they took to conduct these reviews. The peer-review ...
Original Investigation 
Eugene J. Won, MD; Erik B. Lehman, MS; Abby K. Geletzke, MD; Matthew R. Tangel, BA; Kazuhide Matsushima, MD; Deborah Brunke-Reese, BS; Ariana R. Pichardo-Lowden, MD; Eric M. Pauli, MD; David I. Soybel, MD
Includes: Supplemental Content

Importance  Patients with medically complex conditions undergoing repair of large or recurrent hernia of the abdominal wall are at risk for early postoperative hyperglycemia, which may serve as an early warning for delays in recovery and for adverse outcomes.

Objective  To evaluate postoperative serum glucose level ...

Original Investigation 
Adil H. Haider, MD, MPH; Eric B. Schneider, PhD; N. Sriram, PhD; Deborah S. Dossick, MD; Valerie K. Scott, MSPH; Sandra M. Swoboda, RN; Lia Losonczy, MD, MPH; Elliott R. Haut, MD; David T. Efron, MD; Peter J. Pronovost, MD, PhD; Pamela A. Lipsett, MD; Edward E. Cornwell III, MD; Ellen J. MacKenzie, PhD; Lisa A. Cooper, MD, MPH; Julie A. Freischlag, MD
Includes: Supplemental Content

Importance  Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians’ roles in propagating disparities.

Objective  To determine whether clinicians’ unconscious race and/or social class biases correlate with patient management decisions....

Original Investigation 
Anne O. Lidor, MD, MPH; Kimberley E. Steele, MD; Miloslawa Stem, MS; Richard M. Fleming, MD; Michael A. Schweitzer, MD; Michael R. Marohn, DO

Importance  Laparoscopic repair of paraesophageal hernia (PEH) has been shown to result in excellent relief of symptoms and improved quality of life (QOL) despite a relatively high radiographically identified recurrence rate.

Objective  To assess potential risk factors for recurrence and long-term change in QOL after laparoscopic ...

Invited Commentary: Outcomes of Paraesophageal Hernia Repair; Dmitry Oleynikov, MD
Invited Commentary 
Dmitry Oleynikov, MD
The treatment of paraesophageal hernias (PEHs) is challenging. They tend to occur in patients in their seventh and eighth decades of life with multiple medical problems and a variety of associated symptoms. Detailed preoperative evaluation is crucial to determining a safe and effective strategy for repair in the operating room. ...
JAMA Surgery Clinical Challenge 
Besem Beteck, MD; Ashraf Haddad, MD; Steven C. Cunningham, MD
Peer Reviewers List  FREE
The editors and editorial board of JAMA Surgery would like to acknowledge and express appreciation to those individuals who served as peer reviewers in 2014. Their invaluable service helps us maintain the quality of the articles we publish. We are most grateful for their contribution.
Bruce. L Gewertz, MD
On Thursday mornings, our operating room management committee meets to handle items large and small. Most of our discussions focus on block-time allocation, purchasing decisions, and alike. However, too often we talk about behavioral issues, particularly the now well-characterized disruptive physician.
Original Investigation 
Sandra L. Taylor, PhD; Soman Sen, MD; David G. Greenhalgh, MD; MaryBeth Lawless, RN; Terese Curri, MS; Tina L. Palmieri, MD
Includes: Supplemental Content

Importance  Current outcome predictors for illness and injury are measured at a single time point—admission. However, patient prognosis often changes during hospitalization, limiting the usefulness of those predictions. Accurate depiction of the dynamic interaction between competing events during hospitalization may enable real-time outcome assessment.

Objective  To ...

Invited Commentary: Competing Risks and Burn Outcomes; Amalia Cochran, MD; Iris H. Faraklas, RN, BSN
Original Investigation 
Brian A. Boone, MD; Mazen Zenati, MD, PhD; Melissa E. Hogg, MD; Jennifer Steve, BA; Arthur James Moser, MD; David L. Bartlett, MD; Herbert J. Zeh, MD; Amer H. Zureikat, MD
Includes: Supplemental Content

Importance  Quality assessment is an important instrument to ensure optimal surgical outcomes, particularly during the adoption of new surgical technology. The use of the robotic platform for complex pancreatic resections, such as the pancreaticoduodenectomy, requires close monitoring of outcomes during its implementation phase to ensure patient safety ...

Invited Commentary: Minimally Invasive Pancreas Surgery Learning Curve; Barish H. Edil, MD; Richard D. Schulick, MD
Invited Commentary 
Amalia Cochran, MD; Iris H. Faraklas, RN, BSN
Age, total body surface area of burn injury, and inhalation injury have long been documented as independent predictors of mortality in burn injury1; all these factors are identifiable on admission. In this issue, Taylor et al2 propose the use of competing risk analysis to examine dynamic factors that may affect ...
Invited Commentary 
Barish H. Edil, MD; Richard D. Schulick, MD
Minimally invasive pancreaticoduodenectomy (MIPD), defined as laparoscopic or robotic surgery, has been slow to develop compared with operations on other organs.1 Approximately 100 years after the first pancreaticoduodenectomy, MIPD is found to be safe, have potential oncologic advantages, and has been a large technical advance in our abilities.2,3 Despite continued ...

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