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 Showing 21-40 of 116 Articles
Invited Commentary 
Wayne L. Hofstetter, MD

Gabriel et al1 have concluded that there are patients who, by current treatment guidelines, would likely receive preoperative chemoradiation who may not require it. It may be appropriate to state (although this is beyond their conclusions) that the additional unnecessary therapy may be harmful, as the FFCD ...

Invited Commentary 
O. Joe Hines, MD

Havens and colleagues provide an analysis of readmission rates for patients who have undergone emergent general surgical procedures in the state of California. These data were abstracted from an administrative database and demonstrate strikingly similar results to those reported using the American College of Surgeons National Surgical Quality ...

JAMA Surgery Clinical Challenge 
Dustin Y. Yoon, MD; Andrew W. Hoel, MD

A 39-year-old active woman presented with a progressive 6-month history of bilateral lower extremity pain after walking 1 block or ascending a flight of stairs. The pain was aching, relieved with rest, and primarily in her buttocks and thighs bilaterally. What is your diagnosis?

Research Letter 
Paul Waltz, MD; Jason Luciano, MD, MBA; Andrew Peitzman, MD; Brian S. Zuckerbraun, MD

This study reports on the incidence of femoral hernia in patients who preoperatively received a diagnosis of inguinal hernia before undergoing total extraperitoneal laparoscopic hernia repair, with particular attention to cases of reoperation.

Comment & Response 
Richard E. Davis, MD, FCS(ECSA); Erik N. Hansen, MD, FCS(ECSA); Mark W. Newton, MD

To the Editor We applaud the Alliance for Global Clinical Training for their role in academic global surgery, as described by Dr Schecter.1 Their solution to the problem of surgical education in low- and middle-income countries involves a rotating cast of educators from several institutions in developed ...

Daniela P. Ladner, MD, MPH; Sanjay Mehrotra, PhD

This Viewpoint discusses the current liver allocation policy, which has led to increasing geographic disparity in access to liver transplantation across the United States.

Original Investigation 
Juliet J. Ray, MD; Joshua A. Sznol, BS; Laura F. Teisch, BS; Jonathan P. Meizoso, MD; Casey J. Allen, MD; Nicholas Namias, MD, MBA; Louis R. Pizano, MD, MBA; Danny Sleeman, MD; Seth A. Spector, MD; Carl I. Schulman, MD, PhD, MSPH

Importance  The American Board of Surgery In-Training Examination (ABSITE) is designed to measure progress, applied medical knowledge, and clinical management; results may determine promotion and fellowship candidacy for general surgery residents. Evaluations are mandated by the Accreditation Council for Graduate Medical Education but are administered at the ...

Invited Commentary: The Continuing Quest for Meaningful Faculty Evaluations of Residents; John L. Tarpley, MD; Margaret J. Tarpley, MLS
Original Investigation 
Joseph D. Forrester, MD, MSc; Jared A. Forrester, MD; Thaim B. Kamara, MD; Reinou S. Groen, MD, MIH, PhD; Sunil Shrestha, MBBS; Shailvi Gupta, MD, MPH; Patrick Kyamanywa, MMed, MPH; Robin T. Petroze, MD; Adam L. Kushner, MD, MPH; Sherry M. Wren, MD

Importance  Surgical care is recognized as a growing component of global public health.

Objective  To assess self-reported barriers to access of surgical care in Sierra Leone, Rwanda, and Nepal using the validated Surgeons OverSeas Assessment of Surgical Need tool.

Design, Setting, and Participants  Data for ...

Invited Commentary: Access to Surgical Care in Developing Countries; Tarik Sammour, PhD; Andrew G. Hill, MBChB, MD, EdD(Thesis), FRACS
Original Investigation 
Adil A. Shah, MD; Cheryl K. Zogg, MSPH, MHS; Stephanie L. Nitzschke, MD; Navin R. Changoor, MD; Joaquim M. Havens, MD; Ali Salim, MD; Zara Cooper, MD, MSc; Adil H. Haider, MD, MPH
Includes: Supplemental Content

Importance  The influx of new surgical residents and interns at the beginning of the academic year is assumed to be associated with poor outcomes. Referred to as the July phenomenon, this occurrence has been anecdotally associated with increases in the frequency of medical errors due to ...

Invited Commentary: Debunking the July Phenomenon; Elizabeth A. Bailey, MD, MEd; Karole Collier, BA; Rachel R. Kelz, MD, MSCE
Invited Commentary 
John L. Tarpley, MD; Margaret J. Tarpley, MLS

In this issue of JAMA Surgery, Ray et al1 report their findings at their institution, the University of Miami, Miami, Florida, on the (non)relationship between performance on the American Board of Surgery In-Training Examination (ABSITE) and the mean scores of faculty evaluations. Several thoughts and conjectures ...

Invited Commentary 
Tarik Sammour, PhD; Andrew G. Hill, MBChB, MD, EdD(Thesis), FRACS

Universal access to good-quality surgical care is recognized as an essential component of global health.1 In this issue of JAMA Surgery, Forrester et al2 present a comparison of results from 3 separate surveys using the same tool completed by members of the general public in ...

Invited Commentary 
Elizabeth A. Bailey, MD, MEd; Karole Collier, BA; Rachel R. Kelz, MD, MSCE

Heightened concern for patient safety emerges each July with the influx of new medical trainees and the transition of current residents to new roles. Referred to as the July phenomenon, this time period, and the potential association with increased medical error, remains a highly debated topic in ...

Surgical Innovation 
Keith Gunaratne, BSc; Michelle C. Cleghorn, MSc; Timothy D. Jackson, MD, MPH, FRCSC

This article reviews a cost-performance feedback tool to provide surgeons with a continuous assessment of operating room expenditures to increase surgeons’ awareness of costs and encourage changes in behavior.

Research Letter 
Insoo Suh, MD; Charles Yingling, PhD; Gregory W. Randolph, MD; Quan-Yang Duh, MD

This study reports on a novel method of transcutaneous intraoperative vagal stimulation in the upper neck that is less invasive and is feasible in thyroidectomy and parathyroidectomy.

Comment & Response 
Samad E. J. Golzari, MD; Nader D. Nader, MD; Ata Mahmoodpoor, MD

To the Editor Postoperative pain after laparoscopic surgery is one of the major concerns of patients.1 Improper pain management could be associated with varied respiratory, cardiovascular, gastrointestinal, and psychological complications. Thromboembolic events could occur following reduced mobility due to postoperative pain. Furthermore, activation of stress responses can ...

Scott R. Hawken, BS; Andrew M. Ryan, PhD; David C. Miller, MD, MPH

This Viewpoint reports on the composition of physicians participating in Medicare Shared Savings Program (MSSP) accountable care organizations to determine the degree to which surgeons and other specialists are participating in MSSP programs.

Original Investigation 
Howard Nelson-Williams, MD, MPH; Faiz Gani, MBBS; Arman Kilic, MD; Gaya Spolverato, MD; Yuhree Kim, MD, MPH; Doris Wagner, MD; Neda Amini, MD; Aslam Ejaz, MD, MPH; Timothy M. Pawlik, MD, MPH, PhD
Includes: Supplemental Content

Importance  In an era of accountable care, understanding variation in health care costs is critical to reducing health care spending.

Objective  To identify factors associated with increased hospital costs and quantify variations in costs among individual hospitals in patients undergoing liver and pancreatic surgery in the ...

Invited Commentary: Does Decreasing Variability Affect Quality?; David M. Mahvi, MD
Original Investigation 
Neha Bansal, MD; Kristina D. Simmons, PhD; Andrew J. Epstein, PhD, MPP; Jon B. Morris, MD; Rachel R. Kelz, MD, MSCE
Includes: Supplemental Content

Importance  To evaluate and financially reward general surgery residency programs based on performance, performance must first be defined and measureable.

Objective  To assess general surgery residency program performance using the objective clinical outcomes of patients operated on by program graduates.

Design, Setting, and Participants  A ...

Invited Commentary: Making a Difference in Surgery Residency Programs; John L. Tarpley, MD, FWACS; Walter E. Smalley Jr, MD, MPH
Invited Commentary 
John L. Tarpley, MD, FWACS; Walter E. Smalley Jr, MD, MPH
Invited Commentary 
David M. Mahvi, MD

The cost of health care in the United States has been the topic of countless studies during the last several decades. Many remedies have been proposed and implemented, but cost continues to rise. One puzzling aspect of cost has been the variability of cost for the same disease ...

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