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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 40 Articles
Comment & Response 
Alexandra Gangi, MD; Galinos Baramparas, MD; Farin F. Amersi, MD
In Reply We thank Liede and colleagues for their insightful comments and for the opportunity to clarify our work. The purpose of our study1 was to determine the incidence of breast cancer in BRCA-positive patients who received a diagnosis of ovarian cancer and to discuss the role of breast cancer ...
Christina A. Minami, MD; Karl Y. Bilimoria, MD, MS
This Viewpoint describes the necessity of intraoperative consultation and the need to avoid unnecessary or unexpected out-of-network billing.
Original Investigation  FREE
Eugene J. Won, MD; Erik B. Lehman, MS; Abby K. Geletzke, MD; Matthew R. Tangel, BA; Kazuhide Matsushima, MD; Deborah Brunke-Reese, BS; Ariana R. Pichardo-Lowden, MD; Eric M. Pauli, MD; David I. Soybel, MD
Includes: Supplemental Content

Importance  Patients with medically complex conditions undergoing repair of large or recurrent hernia of the abdominal wall are at risk for early postoperative hyperglycemia, which may serve as an early warning for delays in recovery and for adverse outcomes.

Objective  To evaluate postoperative serum glucose level ...

Original Investigation 
Adil H. Haider, MD, MPH; Eric B. Schneider, PhD; N. Sriram, PhD; Deborah S. Dossick, MD; Valerie K. Scott, MSPH; Sandra M. Swoboda, RN; Lia Losonczy, MD, MPH; Elliott R. Haut, MD; David T. Efron, MD; Peter J. Pronovost, MD, PhD; Pamela A. Lipsett, MD; Edward E. Cornwell III, MD; Ellen J. MacKenzie, PhD; Lisa A. Cooper, MD, MPH; Julie A. Freischlag, MD
Includes: Supplemental Content

Importance  Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians’ roles in propagating disparities.

Objective  To determine whether clinicians’ unconscious race and/or social class biases correlate with patient management decisions....

Original Investigation 
Anne O. Lidor, MD, MPH; Kimberley E. Steele, MD; Miloslawa Stem, MS; Richard M. Fleming, MD; Michael A. Schweitzer, MD; Michael R. Marohn, DO

Importance  Laparoscopic repair of paraesophageal hernia (PEH) has been shown to result in excellent relief of symptoms and improved quality of life (QOL) despite a relatively high radiographically identified recurrence rate.

Objective  To assess potential risk factors for recurrence and long-term change in QOL after laparoscopic ...

Invited Commentary: Outcomes of Paraesophageal Hernia Repair; Dmitry Oleynikov, MD
Invited Commentary 
Dmitry Oleynikov, MD
The treatment of paraesophageal hernias (PEHs) is challenging. They tend to occur in patients in their seventh and eighth decades of life with multiple medical problems and a variety of associated symptoms. Detailed preoperative evaluation is crucial to determining a safe and effective strategy for repair in the operating room. ...
JAMA Surgery Clinical Challenge 
Besem Beteck, MD; Ashraf Haddad, MD; Steven C. Cunningham, MD
Bruce. L Gewertz, MD
On Thursday mornings, our operating room management committee meets to handle items large and small. Most of our discussions focus on block-time allocation, purchasing decisions, and alike. However, too often we talk about behavioral issues, particularly the now well-characterized disruptive physician.
Original Investigation 
Sandra L. Taylor, PhD; Soman Sen, MD; David G. Greenhalgh, MD; MaryBeth Lawless, RN; Terese Curri, MS; Tina L. Palmieri, MD
Includes: Supplemental Content

Importance  Current outcome predictors for illness and injury are measured at a single time point—admission. However, patient prognosis often changes during hospitalization, limiting the usefulness of those predictions. Accurate depiction of the dynamic interaction between competing events during hospitalization may enable real-time outcome assessment.

Objective  To ...

Invited Commentary: Competing Risks and Burn Outcomes; Amalia Cochran, MD; Iris H. Faraklas, RN, BSN
Original Investigation 
Brian A. Boone, MD; Mazen Zenati, MD, PhD; Melissa E. Hogg, MD; Jennifer Steve, BA; Arthur James Moser, MD; David L. Bartlett, MD; Herbert J. Zeh, MD; Amer H. Zureikat, MD
Includes: Supplemental Content

Importance  Quality assessment is an important instrument to ensure optimal surgical outcomes, particularly during the adoption of new surgical technology. The use of the robotic platform for complex pancreatic resections, such as the pancreaticoduodenectomy, requires close monitoring of outcomes during its implementation phase to ensure patient safety ...

Invited Commentary: Minimally Invasive Pancreas Surgery Learning Curve; Barish H. Edil, MD; Richard D. Schulick, MD
Invited Commentary 
Amalia Cochran, MD; Iris H. Faraklas, RN, BSN
Age, total body surface area of burn injury, and inhalation injury have long been documented as independent predictors of mortality in burn injury1; all these factors are identifiable on admission. In this issue, Taylor et al2 propose the use of competing risk analysis to examine dynamic factors that may affect ...
Invited Commentary 
Barish H. Edil, MD; Richard D. Schulick, MD
Minimally invasive pancreaticoduodenectomy (MIPD), defined as laparoscopic or robotic surgery, has been slow to develop compared with operations on other organs.1 Approximately 100 years after the first pancreaticoduodenectomy, MIPD is found to be safe, have potential oncologic advantages, and has been a large technical advance in our abilities.2,3 Despite continued ...
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 
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
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 ...
Reviewers List  FREE
Julie Ann Freischlag, MD
The editors and editorial board of JAMA Surgery would like to acknowledge and express appreciation to those individuals who served as peer reviewers in 2012. Their invaluable service helps us maintain the quality of the articles we publish. Those reviewers listed below with an asterisk reviewed manuscripts for the Resident's ...

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