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 Showing 1-20 of 111 Articles
Viewpoint 
Frank A. Lederle, MD

This Viewpoint reviews a meta-analysis investigating whether ultrasound screening for adominal aortic aneurism reduces mortality in men older than 65 years and questions the math and recommendation.

Original Investigation  FREE
John W. Scott, MD, MPH; Olubode A. Olufajo, MD, MPH; Gabriel A. Brat, MD; John A. Rose, MD, MPH; Cheryl K. Zogg, MSPH, MHS; Adil H. Haider, MD, MPH; Ali Salim, MD; Joaquim M. Havens, MD
Includes: Supplemental Content

Importance  Emergency general surgery (EGS) represents 11% of surgical admissions and 50% of surgical mortality in the United States. However, there is currently no established definition of the EGS procedures.

Objective  To define a set of procedures accounting for at least 80% of the national burden ...

Invited Commentary: The Public Health Crisis in Emergency General Surgery; Martin G. Paul, MD

Costs for emergency general surgery (EGS) currently exceed those of treating diabetes, myocardial infarctions, and new cancer diagnoses.1 What is now a national burden will soon become a crisis, with annual costs projected to reach more than $40 billion by 2060.2 Public health policy has been ...

JAMA Surgery Clinical Challenge 
Vincent E. de Meijer, MD, PhD; Casper H. J. van Eijck, MD, PhD; Bas Groot Koerkamp, MD, PhD

A 72-year-old woman presented with a 6-month history of a dull, epigastric pain, 10 kg weight loss (from 52 kg to 42 kg), and nausea and vomiting. What is your diagnosis?

Comment & Response 
Piyush Kalakoti, MD; Christina Notarianni, MD; Anil Nanda, MD, MPH

To the Editor We read with interest the study by Connelly et al1 that proposes a risk factor–based predictive model for venous thromboembolism (VTE) in pediatric trauma patients. Based on data from the National Trauma Data Bank, the authors used robust regression techniques by constructing mixed-effect models ...

Comment & Response 
Christopher R. Connelly, MD; Amy Laird, PhD; Jennifer M. Watters, MD

In Reply We would like to thank Kalakoti and colleagues1 for their insightful comments and careful review of our article, in which we acknowledge a variety of potential sources of bias. We further recognize that a complete case analysis may also introduce bias, and we appreciate the ...

Viewpoint 
Elizabeth J. Lilley, MD, MPH; Christy E. Cauley, MD, MPH; Zara Cooper, MD, MSc

This Viewpoint discusses how surgeons can integrate principles of palliative care to support surgical care for patients with life-threatening illness, using malignant bowel obstruction as an example.

Original Investigation 
James E. Mitchell, MD; Nicholas J. Christian, PhD; David R. Flum, MD, MPH; Alfons Pomp, MD; Walter J. Pories, MD; Bruce M. Wolfe, MD; Anita P. Courcoulas, MD, MPH; Steven H. Belle, PhD, MScHyg
Includes: Supplemental Content

Importance  Severe obesity (body mass index ≥35 [calculated as weight in kilograms divided by height in meters squared]) is associated with significant medical comorbidity and increased mortality. Bariatric surgery induces weight loss, the extent of which can vary. Postoperative predictors of weight loss have not been adequately ...

Invited Commentary: The Behavior and Biology Behind Bariatric Surgery Outcomes; Amir A. Ghaferi, MD, MS; Marilyn Woodruff, MSN, ANP-BC; Jenna Arnould, MS, RD
Invited Commentary 
Amir A. Ghaferi, MD, MS; Marilyn Woodruff, MSN, ANP-BC; Jenna Arnould, MS, RD

Morbid obesity is a growing public health concern in the United States. There is also increasing recognition of the benefits of bariatric surgery in curbing the obesity epidemic.1 Bariatric surgery is often referred to as a piece in the puzzle required for acute and persistent weight loss. ...

Special Communication 
Todd K. Rosengart, MD; K. Craig Kent, MD; Kirby I. Bland, MD; L. D. Britt, MD, MPH; Timothy J. Eberlein, MD; Bruce Labe Gewertz, MD; John G. Hunter, MD; Keith D. Lillemoe, MD; Carlos A. Pellegrini, MD; Richard D. Schulick, MD, MBA; Steven Charles Stain, MD; Ronald J. Weigel, MD, PhD

This Special Communication summarizes the key points raised at the Society of Surgical Chairs mentorship panel sessions held at the 2014 and 2015 annual meetings of the society. Highlights of these expert panel discussions include senior chairs’ insights into successfully dealing with increasingly complex academic medical organizations and ...

Research Letter 
G. Craig Wood, MS; Tooraj Mirshahi, PhD; Christopher D. Still, DO; Annemarie G. Hirsch, PhD, MPH

This cohort study examines whether the DiaRem score is associated with cure of type 2 diabetes following bariatric surgery.

Original Investigation 
Christopher P. Scally, MD; Oliver A. Varban, MD; Arthur M. Carlin, MD; John D. Birkmeyer, MD; Justin B. Dimick, MD, MPH; for the Michigan Bariatric Surgery Collaborative

Importance  Measures of surgeons’ skills have been associated with variations in short-term outcomes after laparoscopic gastric bypass. However, the effect of surgical skill on long-term outcomes after bariatric surgery is unknown.

Objective  To study the association between surgical skill and long-term outcomes of bariatric surgery.

Design, ...

Invited Commentary: A Video Is Worth a Thousand Words; John C. Alverdy, MD
Invited Commentary 
John C. Alverdy, MD

In this study by Scally et al,1 the authors test a novel and intriguing hypothesis that the level of surgical skill, as judged by video review, can predict long-term outcomes (ie, weight loss and resolution of comorbidities) following Roux-en-Y gastric bypass (RYGB) for obesity. The authors have ...

Surgical Innovation 
Steven G. Leeds, MD; James S. Burdick, MD; James W. Fleshman, MD
JAMA Surgery Clinical Challenge 
Ziad Abbassi, MD; Naiken Surennaidoo, MD; Toni Raffoul, MD

A woman in her 40s with diabetes consulted an emergency department owing to a pain in the right groin, worsening since its onset 3 days before. What is your diagnosis?

Comment & Response 
Frederick Thurston Drake, MD, MPH

To the Editor I commend Minneci and colleagues1 for taking an efficacious treatment and studying its effectiveness. They developed a unique study design in which patients were not randomly assigned to a treatment but were prospectively enrolled (if they met inclusion criteria) and then allowed to choose ...

Comment & Response 
Peter C. Minneci, MD, MHSc; Katherine J. Deans, MD, MHSc

In Reply We thank Dr Drake for his insightful comments. As pointed out, our intent was to study the effectiveness of nonoperative management in clinical practice because we believe that the safety and efficacy of antibiotics to treat acute appendicitis are now well established in recent trials and ...

Viewpoint 
Richard T. Spence, MBChB, MPH; Jessica L. Mueller, BA; David C. Chang, MBA, MPH, PhD

This Viewpoint describes a novel approach to measuring quality in risk-adjusted surgical outcomes for hospital-, regional-, and global-level benchmarking.

Original Investigation 
Mohamad A. Hussain, MD; Mohammed Al-Omran, MD, MSc; Muhammad Mamdani, PharmD, MA, MPH; Naomi Eisenberg, MEd; Azra Premji, MD, MSc; Lisa Saldanha, MSc; Xuesong Wang, MSc; Subodh Verma, MD, PhD; Thomas F. Lindsay, MDCM, MSc
Includes: Supplemental Content

Importance  Patients with peripheral arterial disease (PAD) are at a high risk for cardiovascular events, yet, to our knowledge, no studies have examined the effect of a comprehensive risk-reduction program on long-term outcomes for patients with PAD.

Objective  To investigative whether a program that focuses on ...

Invited Commentary: A Risk-Reduction Program for Patients With Peripheral Arterial Disease; William P. Robinson, MD; Gilbert R. Upchurch Jr, MD
Invited Commentary 
William P. Robinson, MD; Gilbert R. Upchurch Jr, MD

In their observational cohort study, Hussain et al1 present a thoughtful case for the efficacy of a guideline-based risk-reduction program, the Systematic Assessment of Vascular Risk (SAVR) program, for patients with peripheral arterial disease (PAD). Based on comparison with a group of patients from other tertiary centers ...

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