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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 42 Articles
JAMA Surgery Clinical Challenge 
Devin S. Zarkowsky, MD; Peter B. Cornell, NP; Frederic Eckhauser, MD
The study by Langan et al1 reviews the association between damage control resuscitation (DCR) and combat casualty outcomes over a 10-year period (2002-2011). Damage control resuscitation is a resuscitation guideline written and distributed in the Iraq war combat theater in 2005, and as Langan et al1 demonstrate in their study ...
Invited Commentary 
Jeffrey M. Gauvin, MD
Surgical training programs have long had the highest attrition rates of any medical specialty; approximately 20% of categorical general surgery residents do not complete their training.1 Understanding the changing demographics and priorities of our current residents is crucial if we are to address this issue. Women have been underrepresented in ...
Topics: pregnancy
Original Investigation 
Nicholas R. Langan, MD; Matthew Eckert, MD; Matthew J. Martin, MD

Importance  Analysis of combat deaths provides invaluable epidemiologic and quality-improvement data for trauma centers and is particularly important under rapidly evolving battlefield conditions.

Objective  To analyze the evolution of injury patterns, early care, and resuscitation among patients who subsequently died in the hospital, before and after ...

Original Investigation  FREE
Erin G. Brown, MD; Joseph M. Galante, MD; Benjamin A. Keller, MD; Juanita Braxton, PhD; Diana L. Farmer, MD
Includes: Supplemental Content

Importance  Residency attrition rates remain a great challenge for general surgery training programs. Despite the increasing acceptance of pregnancy during training, 1 common perception is that women who become pregnant are at increased risk of leaving surgery programs.

Objective  To determine whether child rearing increases the ...

Emily K. Bergsland, MD; Eric K. Nakakura, MD, PhD
In approximately 13% of patients who are diagnosed as having neuroendocrine tumors (NETs), the primary site is not known.1 Commonly, biopsy of a liver mass reveals an NET metastasis; in other instances, a lymph node metastasis is found on biopsy of a mesenteric, retroperitoneal, or peripancreatic mass. However, a primary ...
JAMA Surgery Clinical Challenge 
Yoshitaka Furuya, MD, PhD; Hiroshi Yasuhara, MD, PhD
Invited Commentary 
Paul N. Suding, MD; Lamont D. Paxton, MD
It is important for surgeons to review the safety of new technology, and Rose and colleagues1 in this issue of JAMA Surgery have used Patient Safety Indicators (PSIs)2 to compare endovascular and open abdominal aortic aneurysm repair. The results, perhaps not surprisingly, show that endovascular repair is safer than open ...
Original Investigation 
Kristoffer Andresen, BScMed; Thue Bisgaard, DMSc; Henrik Kehlet, PhD; Pål Wara, DMSc; Jacob Rosenberg, DMSc

Importance  In Denmark approximately 10 000 groin hernias are repaired annually, of which 2% to 4% are femoral hernias. Several methods for repair of femoral hernias are used including sutured repair and different types of mesh repair with either open or laparoscopic techniques. The use of many different ...

Original Investigation 
John Rose, MD, MPH; Christopher Evans, BS; Andrew Barleben, MD, MPH; Dennis Bandyk, MD; S. Eric Wilson, MD; David C. Chang, PhD, MBA, MPH; John Lane, MD

Importance  In 2003, the Agency for Healthcare Research and Quality established Patient Safety Indicators (PSIs) to monitor preventable adverse events during hospitalizations.

Objective  To evaluate the comparative safety of endovascular aneurysm repair (EVAR) vs open aneurysm repair (OAR) of abdominal aortic aneurysm by measuring PSIs associated ...

Special Communication  FREE
Caitlin W. Hicks, MD, MS; Michael Rosen, PhD; Deborah B. Hobson, RN; Clifford Ko, MD, MS; Elizabeth C. Wick, MD

Objectives  To describe the current state of the science for operating room (OR) briefings and debriefings, including an overview of key definitions, a review of the evidence of effectiveness, and a summary of our experiences as part of a comprehensive unit–based safety program.

Overview  Use of ...

Jennifer L. Paruch, MD; Clifford Y. Ko, MD, MS, MSHS; Karl Y. Bilimoria, MD, MS
Patients, payers, and policy organizations have demonstrated a significant interest in using intraoperative iatrogenic injury as a quality measure. These complications are high-profile and controversial measures of patient safety because they are often discreet occurrences that can be attributed to a specific encounter or physician, and they are events that ...
Invited Commentary 
Mohamad E. Allaf, MD; Alan W. Partin, MD
The issue of dissemination of novel surgical procedures, regardless of whether they use new technology, is an important one. Patient safety should be the centerpiece of the mechanism by which diffusion occurs. As Parsons and colleagues pointed out in their article for JAMA Surgery,1 current systems for the adoption of ...
Research Letter 
Donald J. Lucas, MD, MPH; Elliott R. Haut, MD; Elizabeth M. Hechenbleikner, MD; Elizabeth C. Wick, MD; Timothy M. Pawlik, MD, MPH, PhD
Readmission has become a key quality metric because it is a frequent and costly adverse event for patients.1 Medicare penalizes hospitals if they have excess numbers of readmissions for certain diagnoses, including some within surgery. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) began tracking readmission rates ...
Original Investigation 
J. Kellogg Parsons, MD, MHS; Karen Messer, PhD; Kerrin Palazzi, MPH; Sean Stroup, MD; David Chang, PhD, MPH, MBA

Importance  Surgical innovations disseminate in the absence of coordinated systems to ensure their safe integration into clinical practice, potentially exposing patients to increased risk for medical error.

Objective  To investigate associations of patient safety with the diffusion of minimally invasive radical prostatectomy (MIRP) resulting from the ...

Original Investigation 
Frederick Thurston Drake, MD, MPH; Neli E. Mottey, BS; Ellen T. Farrokhi, MD, MPH; Michael G. Florence, MD; Morris G. Johnson, MD; Charles Mock, MD, PhD; Scott R. Steele, MD; Richard C. Thirlby, MD; David R. Flum, MD, MPH

Importance  In the traditional model of acute appendicitis, time is the major driver of disease progression; luminal obstruction leads inexorably to perforation without timely intervention. This perceived association has long guided clinical behavior related to the timing of appendectomy.

Objective  To evaluate whether there is an ...

Original Investigation  FREE
Chandy Ellimoottil, MD; Sarah Miller, PhD; John Z. Ayanian, MD, MPP; David C. Miller, MD, MPH
Includes: Supplemental Content

Importance  Enhanced access to preventive and primary care services is a primary focus of the Affordable Care Act, but the potential effect of this law on surgical care is not well defined.

Objective  To estimate the differential effect of insurance expansion on utilization of discretionary vs ...

JAMA Surgery Clinical Challenge 
Sandra R. DiBrito, MD; R. Scott Stephens, MD
Invited Commentary 
Todd E. Rasmussen, MD
Ingalls and colleagues1 have provided a clinical study of the largest series of injured US service personnel to undergo aeromedical evacuation with the military’s Critical Care Air Transport Team capability. The authors have documented a standard for high stakes, advanced en route care capability in reporting this number of patients ...
Comment & Response 
Heather Rosen, MD, MPH; Fady Saleh, MD, MPH; Stuart R. Lipsitz, ScD; Selwyn O. Rogers Jr, MD, MPH; Atul A. Gawande, MD, MPH
To the Editor We write to alert readers that there are areas of overlap between 2 articles that we published, one in the Archives of Surgery1 and the other in the Journal of Pediatric Surgery.2 Both of these studies used the US National Trauma Data Bank and similar methods of ...

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