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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 
Jacquelyn Quin, MD; John Lucke, MD; Brack Hattler, MD; Sandeep Gupta, MD; Janet Baltz, RN; Muath Bishawi, MD, MPH; G. Hossein Almassi, MD; Frederick L. Grover, MD; Joseph Collins, ScD; A. Laurie Shroyer, PhD

Importance  Transit time flow (TTF) probes may be useful for predicting long-term graft patency and assessing grafts intraoperatively in patients undergoing coronary artery bypass grafting (CABG); however, studies of TTF probe use are limited.

Objective  To examine 1-year graft patency and intraoperative revision rates in patients ...

Original Investigation 
Igor V. Voskresensky, MD; Eric S. Wise, MD; Kyle M. Hocking, ME; Fan Dong Li, PhD; Michael J. Osgood, MD; Padmini Komalavilas, PhD; Colleen Brophy, MD; Joyce Cheung-Flynn, PhD

Importance  Surgical skin markers are used off-label to mark human saphenous veins (HSVs) to maintain orientation before implantation as aortocoronary or peripheral arterial bypass grafts. These surgical skin markers impair functional responses of the HSV tissue.

Objectives  To investigate the effect of brilliant blue dye 1 ...

Original Investigation 
Courtney L. Olmsted, BSE, MD; Amy M. Johnson, PhD; Peter Kaboli, MD, MS; Joseph Cullen, MD; Mary S. Vaughan-Sarrazin, PhD

Importance  Many hospitals have undertaken initiatives to improve care during the end of life, recognizing that some individuals have unique needs that are often not met in acute inpatient care settings. Studies of surgical patients have shown this population to receive palliative care at reduced rates in ...

JAMA Surgery Clinical Challenge 
Shawn S. Fu, MD; Jeffrey A. McDavit, MD; Ilia Gur, MD
Research Letter 
Hillary J. Mull, PhD, MPP; Qi Chen, MD, PhD; Michael Shwartz, PhD, MBA; Kamal M. F. Itani, MD; Amy K. Rosen, PhD
The use of surgical quality measures to target quality improvement efforts and evaluate hospital performance is now standard. Surgical quality in Veterans Affairs (VA) hospitals is measured by the VA Surgical Quality Improvement Program (VASQIP),1 the Surgical Care Improvement Program (SCIP),2 and the Patient Safety Indicators (PSIs).3 Each approach has ...
Research Letter 
John J. Tackett, MD; Lisa M. Walke, MD; Linda Accordino, MSN; Emily Melin, MSN; Troy Bishop; Chandrika Kumar, MD, MBBS; Ronnie A. Rosenthal, MD, MS
Half of the people older than 65 years of age will undergo a surgical procedure in their remaining lifetime.1 With more than 1 million veterans currently older than 84 years of age, many compromised individuals will be seeking surgical care in Veterans Affairs (VA) hospitals.2 Postoperatively, discharge needs are often ...
Research Letter 
Juliet Nissan, MD; Valkiria Campos, RN, BSN, CPAN; Hector Delgado, RN, MSN, MHA; Christina Matadial, MD; Seth Spector, MD
For decades, high-risk industries have relied on safety checklists to limit the adverse consequences of human error.1 The checklist model has only recently been adapted in the surgical field after the World Health Organization launched the “Safe Surgery Saves Lives” campaign in 2006.2,3 Various studies4,5 have shown that the use ...
Research Letter 
B. Price Kerfoot, MD, EdM; Nicole Kissane, MD, EdM
Interval deliberate practice of surgical skills is required for surgical residents to develop and maintain their technical skills. Even 2 weeks without practice on a minimally invasive surgical simulator can lead to a substantial decline in skills.1 In spite of the value of interval simulation training, incentivizing residents to engage ...
Original Investigation 
Taylor C. Brown, MD; C. Christofer Juhlin, MD, PhD; James M. Healy, MD; Manju L. Prasad, MD; Reju Korah, PhD; Tobias Carling, MD, PhD

Importance  Follicular thyroid hyperplasia (FTH) refers to enlargement of the thyroid gland due to cellular hyperplasia. It is frequently encountered in clinical practice in nontoxic uninodular or multinodular goiter. The genetic and epigenetic events associated with the origin and malignant potential of FTH are poorly understood.

Objective...

Original Investigation 
Soonhee Han, MS; Tracy S. Smith, MS; William Gunnar, MD, JD

Importance  For the first time to our knowledge, this study analyzes and reports the 30-day all-cause readmission rates for surgical procedures performed in the Veterans Health Administration (VHA).

Objective  To analyze and report 30-day all-cause readmission rates following discharge from 9 surgical specialties in the VHA ...

Original Investigation 
Michaela Kollisch-Singule, MD; Bryanna Emr, MD; Bradford Smith, PhD; Shreyas Roy, MD; Sumeet Jain, MD; Joshua Satalin, BS; Kathy Snyder; Penny Andrews, RN; Nader Habashi, MD; Jason Bates, PhD; William Marx, DO; Gary Nieman, BA; Louis A. Gatto, PhD
Includes: Supplemental Content

Importance  Improper mechanical ventilation settings can exacerbate acute lung injury by causing a secondary ventilator-induced lung injury. It is therefore important to establish the mechanism by which the ventilator induces lung injury to develop protective ventilation strategies. It has been postulated that the mechanism of ventilator-induced lung ...

Special Communication 
Daniel A. Anaya, MD; Jason Johanning, MD; Seth A. Spector, MD; Mark R. Katlic, MD; Albert C. Perrino, MD; Jessica Feinleib, MD, PhD; Ronnie A. Rosenthal, MD, MS

Owing to the phenomenon known as “global graying,” elderly-specific conditions, including frailty, will become more prominent among patients undergoing surgery. The concept of frailty, its effect on surgical outcomes, and its assessment and management were discussed during the 38th Annual Surgical Symposium of the Association of VA Surgeons ...

Viewpoint 
Eli Y. Adashi, MD, MS
This Viewpoint reviews the central elements of the proposed SGR Repeal and Medicare Provider Payment Modernization Act of 2014.
Original Investigation 
Katherine F. Ernst, BS; Daniel E. Hall, MD, MDiv, MHSc; Kendra K. Schmid, PhD; Georgia Seever, RN; Pierre Lavedan, MD; Thomas G. Lynch, MD, MHA; Jason Michael Johanning, MD, MS
Includes: Supplemental Content

Importance  The need for integrating palliative care into surgical services has been established within the surgical literature. The ability to effectively screen, obtain an appropriately timed consultation, and determine the effect of consultation remains problematic.

Objective  To examine surgical palliative care consultations over time and their ...

Original Investigation 
Kelsey Lau, BA; Aitua Salami, MBBS, MPH; Gala Barden, MD; Shumaila Khawja, BS; Diana L. Castillo, BA; Victoria Poppelaars, MS; Avo Artinyan, MD, MS; Samir S. Awad, MD; David H. Berger, MD, MHCM; Daniel Albo, MD, PhD; Daniel A. Anaya, MD

Importance  Malignant neoplasms of the hepatopancreaticobiliary (HPB) system constitute a significant public health problem worldwide. Treatment coordination for these tumors is challenging and can result in substandard care. Referral centers for HPB disease have been used as a strategy to improve postoperative outcomes, but their effect on ...

Original Investigation 
George A. Sarosi Jr, MD; Michele A. Silver, MS; Kfir Ben-David, MD; Kevin E. Behrns, MD

Importance  Nearly 1400 medical students enter preliminary surgical residency each year; placing some of these students into categorical surgical training is an important component of building the future surgical workforce.

Objectives  To examine the training outcomes of preliminary residents in a university and Veterans Affairs surgical ...

Original Investigation 
Danny Chu, MD; Melissa M. Anastacio, MD; Suresh R. Mulukutla, MD; Joon S. Lee, MD; A. J. Conrad Smith, MD; Oscar C. Marroquin, MD; Carlos E. Sanchez, MD; Victor O. Morell, MD; Chris C. Cook, MD; Serrie C. Lico, MD; Lawrence M. Wei, MD; Vinay Badhwar, MD

Importance  Since the advent of transcatheter aortic valve replacement, the multidisciplinary heart team (MHT) approach has rapidly become the standard of care for patients undergoing the procedure. However, little is known about the potential effect of MHT on patients with coronary artery disease (CAD).

Objective  To ...

JAMA Surgery Clinical Challenge 
Gary B. Deutsch, MD; Jaime Shamonki, MD; Anton J. Bilchik, MD, PhD
Research Letter 
Qi Chen, MD, PhD; Thomas C. Tsai, MD, MPH; Hillary J. Mull, PhD, MPP; Amy K. Rosen, PhD; Kamal M. F. Itani, MD
Preventing readmissions is a top priority in the current health care landscape. Although medical conditions have been the focus of these efforts, the Centers for Medicare and Medicaid Services recently added 30-day all-cause readmissions after total hip/knee replacement to their 2014 public reporting and pay-for-performance programs.1 Compared with medical conditions, ...
Research Letter 
Naveed Nosrati, MD; Jane Han, BS; Roberto Flores, MD; Rajiv Sood, MD; Sunil S. Tholpady, MD, PhD
Decades ago, the US military used herbicides, including Agent Orange (2,3,7,8-tetrachlorodibenzodioxin), in conflicts such as the Vietnam War. Agent Orange has since been linked to multiple ailments, including prostate cancer, porphyria, chloracne, Hodgkin disease, and many more.1 Recently, a pilot study by Clemens et al2 suggested that exposure to Agent ...

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