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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 21-40 of 47 Articles
JAMA Surgery Clinical Challenge 
Vakhtang Tchantchaleishvili, MD; Randeep Kashyap, MD; Mark S. Orloff, MD
Research Letter 
Catherine Keating, MPH; Kathryn Backholer, PhD; Marj Moodie, DrPH; Christopher Stevenson, PhD; Anna Peeters, PhD
A socioeconomic gradient in obesity, with greater prevalence observed in more disadvantaged groups, has been reported in most high-income countries.1 Severe obesity is a substantial and growing problem, affecting 1 in 7 Americans,2 and is associated with far greater adverse consequences relative to mild obesity (with a body mass index ...
Rashna Ginwalla, MD; Jennifer Rickard, MD, MPH
This Viewpoint discusses surgical missions to low- and middle-income countries and suggests changes to improve their effectiveness, relevance, and sustainability.
Original Investigation 
Bin Li, MD; Jiaqing Xiang, MD; Yawei Zhang, MD; Hecheng Li, MD; Jie Zhang, MD; Yihua Sun, MD; Hong Hu, MD; Longsheng Miao, MD; Longfei Ma, MD; Xiaoyang Luo, MD; Sufeng Chen, MD; Ting Ye, MD; Yiliang Zhang, MD; Yang Zhang, MD; Haiquan Chen, MD
Includes: Supplemental Content

Importance  Sweet esophagectomy is performed widely in China, while the Ivor-Lewis procedure, with potential benefit of an extended lymphadenectomy, is limitedly conducted owing to concern for a higher risk for morbidity. Thus, the role of the Ivor-Lewis procedure for thoracic esophageal cancer needs further investigation.

Objective  ...

Original Investigation  FREE
Hilde Risstad, MD; Torgeir T. Søvik, MD, PhD; My Engström, RN, PhD; Erlend T. Aasheim, MD, PhD; Morten W. Fagerland, MSc, PhD; Monika Fagevik Olsén, RPT, PhD; Jon A. Kristinsson, MD, PhD; Carel W. le Roux, MD, PhD; Thomas Bøhmer, MD, PhD; Kåre I. Birkeland, MD, PhD; Tom Mala, MD, PhD; Torsten Olbers, MD, PhD
Includes: Supplemental Content

Importance  There is no consensus as to which bariatric procedure is preferred to reduce weight and improve health in patients with a body mass index higher than 50.

Objective  To compare 5-year outcomes after Roux-en-Y gastric bypass (gastric bypass) and biliopancreatic diversion with duodenal switch (duodenal ...

Invited Commentary: Weighing the Risks and Benefits of Bariatric Surgery; Oliver A. Varban, MD; Justin B. Dimick, MD, MPH
Invited Commentary 
Oliver A. Varban, MD; Justin B. Dimick, MD, MPH
Bariatric surgery offers patients an explicit choice, a tradeoff between risks and benefits. Making the right choice is a complex balance between the risks of surgery (eg, short-term and long-term complications) and the benefits of weight loss (eg, resolution of comorbid diseases and increased longevity). When compared with other bariatric ...
Research Letter 
Jialin Mao, MD, MSc; Samantha Pfeifer, MD; Xi Emily Zheng, MD, PhD; Peter Schlegel, MD; Art Sedrakyan, MD, PhD
Uterine leiomyomata are one of the most common gynecologic problems among women in the United States, with an annual diagnosis range from 2.0 to 12.8 per 1000 reproductive-age women.1 Intervention is a standard management for symptomatic patients, and various procedures include open and laparoscopic hysterectomy, myolysis, uterine artery embolization, and ...
Original Investigation 
Abbas Rana, MD; Angelika Gruessner, PhD; Vatche G. Agopian, MD; Zain Khalpey, MD, PhD; Irbaz B. Riaz, MBBS; Bruce Kaplan, MD; Karim J. Halazun, MD; Ronald W. Busuttil, MD, PhD; Rainer W. G. Gruessner, MD
Includes: Supplemental Content

Importance  The field of transplantation has made tremendous progress since the first successful kidney transplant in 1954.

Objective  To determine the survival benefit of solid-organ transplant as recorded during a 25-year study period in the United Network for Organ Sharing (UNOS) database and the Social Security ...

Mariana Berho, MD; Rahul Narang, MD; Julie Ann M. Van Koughnett, MD, MEd; Steven D. Wexner, MD, PhD(Hon)
Includes: Supplemental Content

Importance  The management of care for rectal cancer has undergone many changes and improvements in recent decades. A multidisciplinary approach to this complex disease is essential to ensure high-quality treatment and outcomes.

Objective  To present a current, evidence-based approach to the multidisciplinary team management of rectal ...

Research Letter 
Mia Shapiro, MD; Naim U. Rashid, PhD; Qin Huang, MD; Shira L. Galper, MD; Valia A. Boosalis, MD; Edward E. Whang, MD; Jason S. Gold, MD
This Viewpoint examines the trends and predictors of the use of radiation for localized unresectable pancreatic cancer.
Comment & Response 
Anita P. Courcoulas, MD, MPH; Susan Z. Yanovski, MD; Mary Horlick, MD
To the Editor In their commentary regarding our report at a National Institutes of Health (NIH) symposium on long-term outcomes of bariatric surgery,1 Finks and Dimick2 state that this recent meeting was an updated NIH consensus panel and expressed concern that the report did not make explicit recommendations regarding treatment ...
Original Investigation  FREE
Timo W. Hakkarainen, MD, MS; Scott R. Steele, MD; Amir Bastaworous, MD, MBA; E. Patchen Dellinger, MD; Ellen Farrokhi, MD, MPH; Farhood Farjah, MD, MPH; Michael Florence, MD; Scott Helton, MD; Marc Horton, MD; Michael Pietro, MD; Thomas K. Varghese, MD; David R. Flum, MD, MPH

Importance  Nonsteroidal anti-inflammatory drugs (NSAIDs) have many physiologic effects and are being used more commonly to treat postoperative pain, but recent small studies have suggested that NSAIDs may impair anastomotic healing in the gastrointestinal tract.

Objective  To evaluate the relationship between postoperative NSAID administration and anastomotic ...

Original Investigation 
Emily Vaughan, BMedSc; Frances Sesay, MBChB; Adaora Chima, MBBS, MPH; Mira Mehes, BScH, MES; Benjamin Lee, MD; Dzifa Dordunoo, RN, MSN; Alice Sitch, MSc, BSc; Gilles de Wildt, MD, MSc; Thaim B. Kamara, MBBS, FWACS; Bailah Leigh, MBBS; Fizan Abdullah, MD, PhD; John Sampson, MD

Importance  Strengthening workforce capacity to deliver essential surgical and anesthesia care has been identified as a strategy for addressing the unmet burden of morbidity and mortality in under-resourced countries. Sierra Leone is one of the poorest countries in the world and faces the challenge of stretching limited ...

Original Investigation 
Anna F. Tyson, MD; Claire E. Kendig, BS; Charles Mabedi, MB, BS; Bruce A. Cairns, MD; Anthony G. Charles, MD, MPH

Importance  Changes in pulmonary dynamics following laparotomy are well documented. Deep breathing exercises, with or without incentive spirometry, may help counteract postoperative decreased vital capacity; however, the evidence for the role of incentive spirometry in the prevention of postoperative atelectasis is inconclusive. Furthermore, data are scarce regarding ...

JAMA Surgery Clinical Challenge 
Tafadzwa P. Makarawo, MD, MRCS; Jessica Bartock, DO; Marc L. Cullen, MD, MPH
Research Letter 
Robert E. Noll Jr, MD; B. Zane Atkins, MD; John Carson, MD; James Sampson, MD; David Dawson, MD; Scott Hundahl, MD; W. Darrin Clouse, MD
Vascular surgery is critical to military management of wartime casualties and, at the same time, to aging veterans with chronic vascular disorders.1,2 A federal system of collaboration in a restrictive health care environment can expand and enhance the provision of vascular care. We report our experience in developing and sustaining ...
Research Letter 
Monique Boudreaux-Kelly, PhD; Mark Wilson, MD, PhD; Malak Bokhari, MD, MPH
Risk-adjusted cumulative summation is an iterative statistical process control chart centered on 0 that allows for local and individualized risk adjustment.1- 3 Risk-adjusted cumulative summation scores signal special-cause variation if data points cross predefined control limits. We used cumulative summation charts and individual patient-level data at the Veterans Affairs (VA) ...
Ravinder S. Vohra, MD, PhD; Michael T. Hallissey, MD
This Viewpoint discusses how social networks and social media are revolutionizing the field of surgery, particularly surgical education.
Original Investigation 
Kendrick A. Shunk, MD, PhD; Jeffrey Zimmet, MD, PhD; Brian Cason, MD; Bernadette Speiser, MSN, CCRN, RCIS; Elaine E. Tseng, MD

Importance  Transcatheter aortic valve replacement (TAVR) revolutionized the treatment of aortic stenosis. Developing a TAVR program with a custom-built hybrid operating room (HOR) outside the surgical operating room area poses unique challenges in Veterans Affairs (VA) institutions.

Objective  To present the process by which the San ...

Original Investigation 
Chung-Yuan Hu, MPH, PhD; Christina E. Bailey, MD, MS; Y. Nancy You, MD, MHSc; John M. Skibber, MD; Miguel A. Rodriguez-Bigas, MD; Barry W. Feig, MD; George J. Chang, MD, MS

Importance  With the advent of effective modern chemotherapeutic and biologic agents, primary tumor resection for patients with stage IV colorectal cancer (CRC) may not be routinely necessary.

Objective  To evaluate the secular patterns of primary tumor resection use in stage IV CRC in the United States....

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