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 Showing 21-40 of 54 Articles
Comment & Response 
Timo W. Hakkarainen, MD, MS; David R. Flum, MD, MPH

In Reply We are pleased that our study1 has generated debate and discussion regarding the perioperative use of nonsteroidal anti-inflammatory drugs (NSAIDs) among patients undergoing gastrointestinal surgery, and we sincerely thank the several teams of physicians and surgeons who have taken the time to respond. First, we ...

Comment & Response 
Noel P. Lynch, MCh, MB, Med Sci; Emily Boyle, MD; Eamon G. Kavanagh, MD, FRCSI

To the Editor We read with great interest the article by Hakkarainen et al1 published in JAMA Surgery, the results of which are intriguing. The authors report the results of a retrospective cohort study of patients undergoing bariatric or colorectal surgery using data from the Surgical ...

Comment & Response 
Kevin Doody, BMBS; Margaret Coleman, FFARCSI, MSc, SEM

To the Editor I would like to make several comments in relation to the article by Hakkarainen et al1 recently published in JAMA Surgery. Being part of a hospital trust that performs large numbers of colorectal surgical procedures, we have a specific interest in the outcomes ...

Comment & Response 
Thomas M. Drake, BMedSci; Dmitri Nepogodiev, MBChB; Henry A. Claireaux, BSc(Hons)

To the Editor We commend Hakkarainen and colleagues1 for their contribution to the ongoing discussion regarding the association of nonsteroidal anti-inflammatory drugs (NSAIDs) and anastomotic leak following gastrointestinal surgery.

Original Investigation 
Kevin C. Soares, MD; Yuhree Kim, MD, MPH; Gaya Spolverato, MD; Shishir Maithel, MD; Todd W. Bauer, MD; Hugo Marques, MD; Mafalda Sobral, MD; Maria Knoblich, MD; Thuy Tran, MD; Luca Aldrighetti, MD; Nicolas Jabbour, MD; George A. Poultsides, MD; T. Clark Gamblin, MD; Timothy M. Pawlik, MD, MPH, PhD
Includes: Supplemental Content

Importance  Choledochal cysts (CCs) are rare, with risk of infection and cancer.

Objective  To characterize the natural history, management, and long-term implications of CC disease.

Design, Setting, and Participants  A total of 394 patients who underwent resection of a CC between January 1, 1972, and ...

Invited Commentary: Lingering Questions on Choledochal Cysts; David Linehan, MD; Eva Galka, MD
Original Investigation 
Devin S. Zarkowsky, MD; Isibor J. Arhuidese, MD, MPH; Caitlin W. Hicks, MD, MS; Joseph K. Canner, MHS; Umair Qazi, MD; Tammam Obeid, MD; Eric Schneider, PhD; Christopher J. Abularrage, MD; Julie A. Freischlag, MD; Mahmoud B. Malas, MD, MHS

Importance  Superior outcomes have been established with the use of an arteriovenous fistula (AVF) at first hemodialysis. However, considering the influence of comorbidities, medical insurance, and specialist care, racial/ethnic differences in the patterns of utilization of AVFs are unknown and deserve evaluation.

Objective  To assess national ...

Invited Commentary: Focusing Quality Improvement Efforts for Hemodialysis Access; Laura A. Peterson, MD, MS; Matthew A. Corriere, MD, MS
Invited Commentary 
David Linehan, MD; Eva Galka, MD

Soares and colleagues1 are to be commended for assembling a large, multicenter analysis of children and adults with resected choledochal cysts (CCs). Although the study provides useful information, it has several limitations including the retrospective design, the long time span reviewed, and the fact that most patients ...

Invited Commentary 
Laura A. Peterson, MD, MS; Matthew A. Corriere, MD, MS

Racial/ethnic disparities related to hemodialysis access (a key survival determinant among patients with end-stage renal disease) are both a cause for alarm and a call to action, but these findings are hardly surprising. In fact, race/ethnicity and sex-based outcomes disparities are so commonly identified in surgical outcomes research ...

JAMA Surgery Clinical Challenge 
Jan P. Kamiński, MD, MBA; Hai Xu, MD; Matthew Hyser, MD
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

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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