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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 48 Articles
Original Investigation 
J. Kellogg Parsons, MD, MHS; Karen Messer, PhD; Kerrin Palazzi, MPH; Sean Stroup, MD; David Chang, PhD, MPH, MBA

Importance  Surgical innovations disseminate in the absence of coordinated systems to ensure their safe integration into clinical practice, potentially exposing patients to increased risk for medical error.

Objective  To investigate associations of patient safety with the diffusion of minimally invasive radical prostatectomy (MIRP) resulting from the ...

Original Investigation 
Frederick Thurston Drake, MD, MPH; Neli E. Mottey, BS; Ellen T. Farrokhi, MD, MPH; Michael G. Florence, MD; Morris G. Johnson, MD; Charles Mock, MD, PhD; Scott R. Steele, MD; Richard C. Thirlby, MD; David R. Flum, MD, MPH

Importance  In the traditional model of acute appendicitis, time is the major driver of disease progression; luminal obstruction leads inexorably to perforation without timely intervention. This perceived association has long guided clinical behavior related to the timing of appendectomy.

Objective  To evaluate whether there is an ...

Original Investigation  FREE
Chandy Ellimoottil, MD; Sarah Miller, PhD; John Z. Ayanian, MD, MPP; David C. Miller, MD, MPH
Includes: Supplemental Content

Importance  Enhanced access to preventive and primary care services is a primary focus of the Affordable Care Act, but the potential effect of this law on surgical care is not well defined.

Objective  To estimate the differential effect of insurance expansion on utilization of discretionary vs ...

JAMA Surgery Clinical Challenge 
Sandra R. DiBrito, MD; R. Scott Stephens, MD
Invited Commentary 
Todd E. Rasmussen, MD
Ingalls and colleagues1 have provided a clinical study of the largest series of injured US service personnel to undergo aeromedical evacuation with the military’s Critical Care Air Transport Team capability. The authors have documented a standard for high stakes, advanced en route care capability in reporting this number of patients ...
Comment & Response 
Heather Rosen, MD, MPH; Fady Saleh, MD, MPH; Stuart R. Lipsitz, ScD; Selwyn O. Rogers Jr, MD, MPH; Atul A. Gawande, MD, MPH
To the Editor We write to alert readers that there are areas of overlap between 2 articles that we published, one in the Archives of Surgery1 and the other in the Journal of Pediatric Surgery.2 Both of these studies used the US National Trauma Data Bank and similar methods of ...
Original Investigation 
Benjamin S. Brooke, MD, PhD; David H. Stone, MD; Jack L. Cronenwett, MD; Brian Nolan, MD, MS; Randall R. DeMartino, MD, MS; Todd A. MacKenzie, PhD; David C. Goodman, MD, MS; Philip P. Goodney, MD, MS

Importance  Follow-up with a primary care provider (PCP) in addition to the surgical team is routinely recommended to patients discharged after major surgery despite no clear evidence that it improves outcomes.

Objective  To test whether PCP follow-up is associated with lower 30-day readmission rates after open ...

Original Investigation 
Nichole Ingalls, MD, MPH; David Zonies, MD, MPH; Jeffrey A. Bailey, MD; Kathleen D. Martin, MSN, RN, CCRN; Bart O. Iddins, MD, DVM; Paul K. Carlton, MD; Dennis Hanseman, PhD; Richard Branson, MSc; Warren Dorlac, MD; Jay Johannigman, MD

Importance  Advances in the care of the injured patient are perhaps the only benefit of military conflict. One of the unique aspects of the military medical care system that emerged during Operation Iraqi Freedom and Operation Enduring Freedom has been the opportunity to apply existing civilian trauma ...

Original Investigation 
Robert W. Krell, MD; Micah E. Girotti, MD; Justin B. Dimick, MD, MPH

Importance  With the health policy focus on shifting risk to hospitals and physicians, hospital leaders are increasing efforts to reduce excessive resource use, such as patients with extended length of stay (LOS) after surgery. However, the degree to which extended LOS represents complications, patient illness, or inefficient ...

Invited Commentary 
Colleen D. Murphy, MD; Richard D. Schulick, MD, MBA
In recent years, we have made the humbling observation that racial disparities exist for women with breast cancer in the United States. Compared with white women, black women have less access to screening,1 more aggressive tumors,2 and worse outcomes.1 Black and colleagues3 have nicely demonstrated from a retrospective review of ...
The mechanisms behind saphenous vein graft failure (VGF) in patients undergoing coronary artery bypass grafting have remained elusive. Sophisticated approaches toward modifying the biology of vein graft endothelium exemplified by the Project of Ex-Vivo Vein Graft Engineering via Transfection IV (PREVENT IV) trial1 have repeatedly met with disappointing results. Nevertheless, ...
Once popular, adjustable gastric band operation rates are plummeting to new record lows worldwide because of poor weight loss, weight regain, and frequent reoperation due to slippage, erosions, hiatal hernias or reflux, and mechanical device failures. During the Longitudinal Assessment of Bariatric Surgery study,1 laparoscopic adjustable gastric banding (LAGB) at ...
Research Letter 
Catherine L. Keating, MPH; Jaithri Ananthapavan, MPH
A recent systematic review reported wide-ranging long-term revision or reversal rates after laparoscopic adjustable gastric banding (LAGB) of between 8% and 60%.1 The marked variability is likely due to different definitions of revisional surgery, different follow-up durations, and the different “eras” of the surgical cohorts. The studies reviewed provided little ...
Research Letter 
Jennifer C. Goldsack, MChem, MA, MS; Seema S. Sonnad, PhD
Rapid increases in the number of remote collaborations over the last 20 years are well documented in many scientific disciplines and nonsurgical medical specialties,1,2 but to our knowledge there are no published studies examining trends in remote collaborations in surgery. Both the scientific research among surgeons3 and the National Institutes ...
Original Investigation 
Dalliah M. Black, MD; Jing Jiang, MS; Henry M. Kuerer, MD, PhD; Thomas A. Buchholz, MD; Benjamin D. Smith, MD
Includes: Supplemental Content

Importance  Racial disparities exist in many aspects of breast cancer care. Sentinel lymph node biopsy (SLNB) was developed to replace axillary lymph node dissection (ALND) for staging early breast cancer to minimize complications. Racial disparities in the use of SLNB remain incompletely characterized, and their effect on ...

Original Investigation 
Ralf E. Harskamp, MD; John H. Alexander, MD, MHS; Phillip J. Schulte, PhD; Colleen M. Brophy, MD; Michael J. Mack, MD; Eric D. Peterson, MD, MPH; Judson B. Williams, MD, MHS; C. Michael Gibson, MD, MS; Robert M. Califf, MD; Nicholas T. Kouchoukos, MD; Robert A. Harrington, MD; T. Bruce Ferguson Jr, MD; Renato D. Lopes, MD, PhD
Includes: Supplemental Content

Importance  In vitro and animal model data suggest that intraoperative preservation solutions may influence endothelial function and vein graft failure (VGF) after coronary artery bypass graft (CABG) surgery. Clinical studies to validate these findings are lacking.

Objective  To evaluate the effect of vein graft preservation solutions ...

Original Investigation 
Jérémie Thereaux, MD; Nicolas Veyrie, MD; Charles Barsamian, MD; Nicola Corigliano, MD, PhD; Alain Beauchet, MD; Christine Poitou, MD, PhD; Jean-Michel Oppert, MD, PhD; Sebastien Czernichow, MD, PhD; Jean-Luc Bouillot, MD
Includes: Supplemental Content

Importance  Adjustable gastric bands are widely used because of low postoperative morbidity, but their long-term results are poor, often leading to revisional surgery.

Objective  To assess the safety of revisional procedures by comparing the 30-day outcomes of primary gastric bypass vs revisions following failed adjustable gastric ...

JAMA Surgery Clinical Challenge 
Katherine E. Poruk, MD; Skye C. Mayo, MD, MPH; Peter Cornell, ACNP; Frederic E. Eckhauser, MD
Invited Commentary 
David R. Urbach, MD, MSc
H. L. Mencken’s observation that “there is always a well-known solution to every human problem—neat, plausible, and wrong”1 may well apply to health policy efforts to address the problem of unplanned hospital readmissions, which affect nearly one-fifth of Medicare beneficiaries admitted to hospitals and cost an estimated $17.4 billion in ...
Invited Commentary 
Thomas N. Robinson, MD, MS; Emily Finlayson, MD, MS
A tension exists in the surgical literature about using chronological age to forecast surgical risk. Large database studies have generally concluded that advancing age independently predicts adverse surgical outcomes. In contrast, single-institution case series have noted that excellent surgical outcomes can be achieved in the oldest old. An explanation that ...

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