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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 42 Articles
Original Investigation 
Mohamed Elshaer, MD; Gianpiero Gravante, MD, PhD; Katie Thomas, MD, PhD; Roberto Sorge, PhD; Salem Al-Hamali, MD; Hamdi Ebdewi, MD
Includes: Supplemental Content

Importance  Subtotal cholecystectomy (SC) is a procedure that removes portions of the gallbladder when structures of the Calot triangle cannot be safely identified in “difficult gallbladders.”

Objective  To conduct a systematic review and meta-analysis to evaluate current studies and present an evidence-based assessment of the outcomes ...

Original Investigation 
Morgan K. Richards, MD; Jarod P. McAteer, MD, MPH; F. Thurston Drake, MD, MPH; Adam B. Goldin, MD, MPH; Saurabh Khandelwal, MD; Kenneth W. Gow, MD
Includes: Supplemental Content

Importance  Minimally invasive surgery (MIS) has created a shift in how many surgical diseases are treated. Examining the effect on resident operative experience provides valuable insight into trends that may be useful for restructuring the requirements of resident training.

Objective  To evaluate changes in general surgery ...

JAMA Surgery Clinical Challenge 
Ibrahim Nassour, MD; Sandy H. Fang, MD
Comment & Response 
Kevin Koo, MD, MPH, MPhil
To the Editor Hicks and colleagues1 highlight several ways in which operating room briefings improve patient safety and surgical quality, citing 4 categories of outcomes in their Table 2 that are aligned with Medicare incentives to reduce 30-day readmission rates. The concept of quality, however, has grown increasingly multifactorial in ...
Original Investigation 
Rouzbeh Mostaedi, MD; Mohamed R. Ali, MD; Jonathan L. Pierce, MD; Lynette A. Scherer, MD; Joseph M. Galante, MD

Importance  The scope of general surgery practice has evolved tremendously in the last 20 years. However, clinical experience in general surgery residency training has undergone relatively little change.

Objective  To evaluate the current scope of academic general surgery and its implications on surgical residency.

Design, Setting, ...

Original Investigation 
Jeffrey J. Tosoian, MD, MPH; Caitlin W. Hicks, MD, MS; John L. Cameron, MD; Vicente Valero III, MD; Frederic E. Eckhauser, MD; Kenzo Hirose, MD; Martin A. Makary, MD, MPH; Timothy M. Pawlik, MD, MPH, PhD; Nita Ahuja, MD; Matthew J. Weiss, MD; Christopher L. Wolfgang, MD, PhD
Includes: Supplemental Content

Importance  Readmission after pancreatectomy is common, but few data compare patterns of readmission to index and nonindex hospitals.

Objectives  To evaluate the rate of readmission to index and nonindex institutions following pancreatectomy at a tertiary high-volume institution and to identify patient-level factors predictive of those readmissions....

Special Communication 
Atiq Rehman, MD; Naba G. Rahman; Sharon M. Harris, PhD; Faisal H. Cheema, MD

Mary Edwards Walker was a gallant woman who stood for women’s rights, embodied the true American spirit, and served the Union Army in the Civil War as a surgeon. She later became the first and only woman in United States history to be awarded the Congressional Medal of ...

Research Letter 
Stephen Duquette, MD; Naveed Nosrati, MD; Adam Cohen, MD; Imtiaz Munshi, MD, MBA; Sunil Tholpady, MD, PhD
Carpal tunnel syndrome is a common peripheral nerve compression disorder causing symptoms of numbness, tingling, weakness, and muscle atrophy. Open carpal tunnel release (CTR) is a common treatment modality traditionally performed in the operating room with sedation or general anesthesia. It can also be performed in the surgeon’s office under ...
Clark D. Kensinger, MD; Walter H. Merrill, MD; Sunil K. Geevarghese, MD, MSCI
This Viewpoint offers a historical perspective on the significance of mentorship in surgical education and training.
Original Investigation 
Abigail S. Caudle, MD, MS; Wei T. Yang, MD; Elizabeth A. Mittendorf, MD, PhD; Daliah M. Black, MD; Rosa Hwang, MD; Brian Hobbs, PhD; Kelly K. Hunt, MD; Savitri Krishnamurthy, MD; Henry M. Kuerer, MD, PhD

Importance  Nodal ultrasonography with needle biopsy of abnormal lymph nodes helps to define the extent of breast cancer before neoadjuvant chemotherapy. A clip can be placed to designate lymph nodes with documented metastases. Targeted axillary dissection or selective removal of lymph nodes known to contain metastases (clip-containing ...

Original Investigation 
Syed Nabeel Zafar, MBBS, MPH; Augustine Obirieze, MBBS, MPH; Babawande Adesibikan, BSc; Edward E. Cornwell III, MD; Terrence M. Fullum, MD; Daniel D. Tran, MD

Importance  There is growing evidence in support of performing early laparoscopic cholecystectomy (LC) for acute cholecystitis. However, the definition of early LC varies from 0 through 10 days depending on the research protocol. The optimum time to perform early LC is still unclear.

Objectives  To determine ...

Research Letter 
Andrew Curtiss Eppstein, MD; Imtiaz A. Munshi, MD, MBA; Bryan Sakamoto, MD, PhD; Kenneth Gwirtz, MD
Chronic ilioinguinal pain is a common but morbid complication of inguinal herniorrhaphy for 12% to 62% of patients.1 Although pharmacologic options exist (such as nerve blocks), long-term pain relief is inferior to surgical neurectomy.2,3 We present our experience in ilioinguinal neurectomy with preoperative ultrasonography-guided identification and perineural injection of methylene ...
Research Letter 
Natale Vazzana, MD; Maria Teresa Guagnano, MD; Liberato Aceto, MD; Paolo Innocenti, MD; Giovanni Davì, MD
Laparoscopic adjustable gastric banding (LAGB) is associated with persistent weight reduction but variable health outcomes.1 The molecular heterogeneity of obesity may lead to substantial variability among its specific subtypes.2 In severe obesity, bariatric surgery is the only treatment that results in considerable, persistent weight loss. Compared with usual care, bariatric ...
Original Investigation 
Denise S. Tai, MD; Na Shen, MD; Gregory L. Szot, MS; Andrew Posselt, MD, PhD; Nicholas J. Feduska, MS; Andrew Habashy, BS; Barbara Clerkin, RN; Erin Core, RN; Ronald W. Busuttil, MD, PhD; O. Joe Hines, MD; Howard A. Reber, MD; Gerald S. Lipshutz, MD, MS

Importance  Autologous islet transplantation is an elegant and effective method for preserving euglycemia in patients undergoing near-total or total pancreatectomy for severe chronic pancreatitis. However, few centers worldwide perform this complex procedure, which requires interdisciplinary coordination and access to a sophisticated Food and Drug Administration–licensed islet-isolating facility....

Original Investigation 
Daniel E. Hall, MD, MDiv, MHSc; Barbara H. Hanusa, PhD; Roslyn A. Stone, PhD; Bruce S. Ling, MD; Robert M. Arnold, MD

Importance  Despite growing concern that institutional review boards (IRBs) impose burdensome delays on research, little is known about the time required for IRB review across different types of research.

Objective  To measure the overall and incremental process times for IRB review as a process of quality ...

Original Investigation 
Daniel Nassau, MD; Svetlana Avulova, MD; Fara M. Friedman, MD; Jeffrey P. Weiss, MD; Jerry G. Blaivas, MD

Importance  Nocturia is one of the most common and bothersome of lower urinary tract symptoms.

Objective  To examine the effect of race and metabolic risk factors on nocturia severity in men as measured by the number of nightly voids.

Design, Setting, and Participants  A retrospective ...

JAMA Surgery Clinical Challenge 
Alexandra Leon Guerrero, MD; Ioannis Hatzaras, MD, MPH
Joseph A. Hyder, MD, PhD; Ronald E. Hirschberg, MD; Louis L. Nguyen, MD, MBA, MPH
Physicians and surgeons face increasing pressure to demonstrate patient-centered care through performance metrics. Although surgeons have been providing patient-centered care for generations, the science of patient-centered outcomes research is nascent; the definition of patient-centered outcomes research is only a few years old.1 One common approach to increasing the patient-centeredness of ...
Original Investigation 
John Y. S. Kim, MD; Nima Khavanin, BS; Aksharananda Rambachan, BA; Robert J. McCarthy, DPharm; Alexei S. Mlodinow, BA; Gildasio S. De Oliveria Jr, MD; M. Christine Stock, MD; Madeleine J. Gust, MD; David M. Mahvi, MD
Includes: Supplemental Content

Importance  There is a paucity of data assessing the effect of increased surgical duration on the incidence of venous thromboembolism (VTE).

Objective  To examine the association between surgical duration and the incidence of VTE.

Design, Settings, and Participants  Retrospective cohort of 1 432 855 patients undergoing surgery ...

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