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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
Garth H. Utter, MD, MSc; Kathleen L. Vermoch, MPH; Suzanne Rogers, RHIA, CCS, CCDS
This Viewpoint reports on a recently convened panel of coding and quality experts who are part of the UHC PSI Documentation Project to develop consensus on what constitutes an “accidental puncture or laceration” to enhance the comparability of performance data and to support members’ quality improvement initiatives.
Original Investigation 
Cristan E. Anderson, MD; Grace A. Nicksa, MD; Lygia Stewart, MD

Importance  Handoffs have significantly increased in number following Accreditation Council for Graduate Medical Education (ACGME) work-hour restrictions. Studies have shown correlations between the number of handoffs and errors/patient harm. Distractions are common during handoffs and may interfere with handoff quality and effectiveness.

Objective  To examine the ...

Original Investigation  FREE
Serge P. Bebko, MD; David M. Green, MD; Samir S. Awad, MD, MPH

Importance  Surgical site infections (SSIs), commonly caused by methicillin-resistant Staphylococcus aureus (MRSA), are associated with significant morbidity and mortality, specifically when hardware is implanted in the patient. Previously, we have demonstrated that a preoperative decontamination protocol using chlorhexidine gluconate washcloths and intranasal antiseptic ointment is effective in ...

Original Investigation 
Mahmoud B. Malas, MD, MHS; Joseph K. Canner, MHS; Caitlin W. Hicks, MD, MS; Isibor J. Arhuidese, MD, MPH; Devin S. Zarkowsky, MD; Umair Qazi, MD, MPH; Eric B. Schneider, PhD; James H. Black III, MD; Dorry L. Segev, MD, PhD; Julie A. Freischlag, MD

Importance  Based on evidence of survival benefit when initiating hemodialysis (HD) via arteriovenous fistula (AVF) or arteriovenous graft (AVG) vs hemodialysis catheter (HC), the National Kidney Foundation–Kidney Disease Outcomes Quality Initiative published practice guidelines in 1997 recommending 50% or greater AVF rates in incident HD patients. A ...

Invited Commentary: A Call to Action for Pre–End-Stage Renal Disease Care; Thomas S. Huber, MD, PhD
Invited Commentary 
Thomas S. Huber, MD, PhD
Malas and colleagues1 have used the US Renal Data System to analyze the impact of the incident hemodialysis access type on long-term survival as a follow-up to the original Dialysis Outcome Quality Initiative (DOQI) that set a 50% incident goal for autogenous arteriovenous hemodialysis access (arteriovenous fistula [AVF]).2 Unfortunately, there ...
JAMA Surgery Clinical Challenge 
Nirmish Singla, MD; Alok Sachdeva, MD; Ann Little, MD
Original Investigation 
Joseph T. King Jr, MD, MSCE; Melissa F. Perkal, MD, FACS; Ronnie A. Rosenthal, MD, MS, FACS; Adam J. Gordon, MD, MPH; Stephen Crystal, PhD; Maria C. Rodriguez-Barradas, MD; Adeel A. Butt, MD, MS; Cynthia L. Gibert, MD, MS; David Rimland, MD; Michael S. Simberkoff, MD; Amy C. Justice, MD, PhD
Includes: Supplemental Content

Importance  Antiretroviral therapy (ART) has converted human immunodeficiency virus (HIV) infection into a chronic condition, and patients now undergo a variety of surgical procedures, but current surgical outcomes are inadequately characterized.

Objective  To compare 30-day postoperative mortality in patients with HIV infection receiving ART with the ...

Original Investigation 
Sayee Sundar Alagusundaramoorthy, MD; Valery Vilchez, MD; Anthony Zanni, MD; Achuthan Sourianarayanane, MD; Erin Maynard, MD; Malay Shah, MD; Michael F. Daily, MD; Luis R. Pena, MD; Roberto Gedaly, MD

Importance  The role of orthotopic liver transplantation for the treatment of benign solid liver tumors (BSLT) is not well defined.

Objective  To analyze outcomes in the United Network of Organ Sharing data set of patients with a diagnosis of BSLT who underwent transplantation.

Design, Setting, and ...

JAMA Surgery Clinical Challenge 
Carlos A. Pelaez, MD; Meaghan F. Dehning, BS
Comment & Response 
Dave Rosa, MSME; Catherine Mohr, MD, MSME
To the Editor The study by Parsons et al1 in JAMA Surgery used incomplete data and an unreliable method. As a result, its conclusions regarding patient safety and robotic surgery are flawed.
Comment & Response 
John Y. S. Kim, MD
To the Editor In a recent article published in JAMA Surgery,1 a related pilot study and publication in the Journal of Plastic Surgery and Hand Surgery2 should have been discussed and referenced. This pilot study included a preliminary analysis of 19 276 plastic surgery patients from the American College of ...
Comment & Response 
J. Kellogg Parsons, MD, MHS; David Chang, PhD, MPH, MBA
In Reply Thank you very much for the opportunity to reply to Mr Rosa and Dr Mohr. Their assertions are fundamentally flawed, rooted in mistaken assumptions, and unsupported by the peer-reviewed scientific data.
Original Investigation 
Courtney E. Morgan, MD; Vivek S. Prakash, BS; Janet M. Vercammen, AAS; Timothy Pritts, MD, PhD; Melina R. Kibbe, MD
Includes: Supplemental Content

Importance  Hemorrhage is the leading cause of death in military trauma and second leading cause of death in civilian trauma. Although many well-established animal models of hemorrhage exist in the trauma and anticoagulant literature, few focus on directly quantitating blood loss.

Objective  To establish and validate ...

Original Investigation 
Margaret L. Schwarze, MD; Amber E. Barnato, MD; Paul J. Rathouz, PhD; Qianqian Zhao, MS; Heather B. Neuman, MD; Emily R. Winslow, MD; Gregory D. Kennedy, MD; Yue-Yung Hu, MD; Christopher M. Dodgion, MD; Alvin C. Kwok, MD; Caprice C. Greenberg, MD
Includes: Supplemental Content

Importance  No consensus exists regarding the definition of high-risk surgery in older adults. An inclusive and precise definition of high-risk surgery may be useful for surgeons, patients, researchers, and hospitals.

Objective  To develop a list of high-risk operations.

Design, Setting, and Participants  Retrospective cohort study ...

Original Investigation 
Marissa Srour, BS; Kenji Inaba, MD; Obi Okoye, MD; Carney Chan, BS; Dimitra Skiada, MD; Beat Schnüriger, MD; Mark Trump, MD; Lydia Lam, MD; Demetrios Demetriades, MD, PhD

Importance  The standard practice of irrigation and debridement (I&D) of open fractures within 6 hours of injury remains controversial.

Objective  To prospectively evaluate the effect of the time from injury to the initial I&D on infectious complications.

Design, Setting, and Participants  A total of 315 ...

Comment & Response 
Israel Fernandez-Pineda, MD; John A. Sandoval, MD
To the Editor With regard to the recent publication in JAMA Surgery of the article entitled “Assessing Normal Growth of Hepatic Hemangiomas During Long-term Follow-up” by Hasan et al,1 some discussion is pertinent. Hepatic venous malformations are common in adults and are often incorrectly called hepatic hemangiomas. In 2007, Christison-Lagay ...
Comment & Response 
Hani Y. Hasan, MD; J. Louis Hinshaw, MD; Emily R. Winslow, MD
In Reply The letter by Fernandez-Pineda and Sandoval emphasizes the nomenclature of hepatic lesions, focusing on infantile hemangiomas and a perceived discrepancy between the diagnosis of hemangiomas based on radiographic criteria and those diagnoses proposed by the International Society for the Study of Vascular Anomalies. However, our article focuses on ...
Original Investigation 
Lorraine D. Cornwell, MD; Shuab Omer, MD; Todd Rosengart, MD; William L. Holman, MD; Faisal G. Bakaeen, MD

Importance  Today’s coronary artery bypass grafting (CABG) population appears to comprise sicker patients than in the past; however, little is known about the change in the risk profile.

Objective  To evaluate the change with time in the risk profile of patients who undergo CABG.

Design, Setting, ...

Original Investigation 
Danielle A. Bischof, MD; Yuhree Kim, MD, MPH; Rebecca Dodson, MD; M. Carolina Jimenez, MD, MSc; Ramy Behman, MD; Andrei Cocieru, MD; Sarah B. Fisher, MD; Ryan T. Groeschl, MD; Malcolm H. Squires III, MD, MS; Shishir K. Maithel, MD; Dan G. Blazer III, MD; David A. Kooby, MD; T. Clark Gamblin, MD; Todd W. Bauer, MD; Fayez A. Quereshy, MD, MBA; Paul J. Karanicolas, MD, PhD; Calvin H. L. Law, MD, MPH; Timothy M. Pawlik, MD, MPH, PhD
Includes: Supplemental Content

Importance  Gastrointestinal stromal tumors (GISTs) are the most commonly diagnosed mesenchymal tumors of the gastrointestinal tract. The risk of recurrence following surgical resection of GISTs is typically reported from the date of surgery. However, disease-free survival (DFS) over time is dynamic and changes based on disease-free time ...

Invited Commentary: Tailoring GIST Therapy—Biology Is Still King; Ajay V. Maker, MD
Invited Commentary 
Ajay V. Maker, MD
The apparent rise in the incidence of gastrointestinal stromal tumors (GISTs),1 as well as the determination of high-risk features, has led to the development of risk stratification tools and nomograms to predict disease-free survival (DFS) after resection.2 In this issue of JAMA Surgery, Bischof et al3 have taken the maturation ...

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