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 Showing 21-40 of 101 Articles
Invited Commentary 
Marco G. Patti, MD

The ideal time interval for esophagectomy after neoadjuvant chemoradiotherapy (CRT) for patients with esophageal cancer is unknown, but in most centers, the operation is usually performed 4 to 8 weeks after CRT when the patient has fully recovered. A similar time interval between CRT and operation has traditionally ...

Invited Commentary 
Oliver A. Varban, MD; Justin B. Dimick, MD, MPH

Laparoscopic gastric bypass surgery has stood the test of time, demonstrating significant and durable weight loss (vs medical management) regardless of variations in how the procedure is performed. The issue of “effectiveness” of bariatric surgery needs to include a full accounting of the benefits vs harms of the ...

Invited Commentary 
Gilbert R. Upchurch Jr, MD

This issue of JAMA Surgery reports a follow-up to 9 years of the Open vs Endovascular Repair (OVER) trial population,1 including 881 patients from 42 Veterans Affairs medical centers, in which Lederle and colleagues2 analyze the management of abdominal aortic aneurysm (AAA) repair based on cost. ...

Research Letter 
Jennifer M. Duff, MD; H. Charles Peters, MD; William Zingarelli, MD; Kfir Ben-David, MD; George A. Sarosi, MD; Ryan M. Thomas, MD

This study assesses the effectiveness of both preoperative chemoradiation with cisplatin and fluorouracil or carboplatin and paclitaxel on recurrence-free survival and overall survival in patients with esophageal cancer.

Original Investigation 
Amit Bardia, MBBS; Akshay Sood, MD; Feroze Mahmood, MD; Vwaire Orhurhu, MD, MPH; Ariel Mueller, MA; Mario Montealegre-Gallegos, MD; Marc R. Shnider, MD; Klaas H. J. Ultee; Marc L. Schermerhorn, MD; Robina Matyal, MD
Includes: Supplemental Content

Importance  Epidural analgesia (EA) is used as an adjunct procedure for postoperative pain control during elective abdominal aortic aneurysm (AAA) surgery. In addition to analgesia, modulatory effects of EA on spinal sympathetic outflow result in improved organ perfusion with reduced complications. Reductions in postoperative complications lead to ...

Original Investigation 
Robert Zura, MD; Ze Xiong, MS; Thomas Einhorn, MD; J. Tracy Watson, MD; Robert F. Ostrum, MD; Michael J. Prayson, MD; Gregory J. Della Rocca, MD, PhD; Samir Mehta, MD; Todd McKinley, MD; Zhe Wang, MS; R. Grant Steen, PhD
Includes: Supplemental Content

Importance  Failure of bone fracture healing occurs in 5% to 10% of all patients. Nonunion risk is associated with the severity of injury and with the surgical treatment technique, yet progression to nonunion is not fully explained by these risk factors.

Objective  To test a hypothesis ...

Original Investigation 
Nakul P. Valsangkar, MD; Andrew C. Eppstein, MD; Rick A. Lawson, BSEE; Amber N. Taylor, MHA

Importance  There are an increasing number of veterans in the United States, and the current delay and wait times prevent Veterans Affairs institutions from fully meeting the needs of current and former service members. Concrete strategies to improve throughput at these facilities have been sparse.

Objective  ...

Invited Commentary: Building a Lean, Mean Patient Care Machine; Juliet June Ray, MD, MSPH; Seth A. Spector, MD

Epidural analgesia is widely recognized to be a very effective method of postoperative pain control. Various benefits in terms of postoperative recovery after both major abdominal procedures and open abdominal aortic aneurysm repair have been attributed to the use of postoperative epidural analgesia.1 In the study by ...

Invited Commentary 
Steven Yule, PhD; Stanley W. Ashley, MD

The aphorism, “whether you believe you can or believe you can’t, you’re right” is usually attributed to Henry Ford, the great industrialist, but it seems appropriate in a surgical context. Confidence is an essential aspect of performance and there are few arenas where it can be more critical ...

Invited Commentary 
Juliet June Ray, MD, MSPH; Seth A. Spector, MD

Widespread negative media attention targeting patient access and wait times at US Department of Veterans Affairs institutions has prompted evidence-based reform to improve health care access and delivery. When it became clear that the country’s largest integrated health care delivery system was underperforming, Congress created the Commission on ...

Importance  In the surgical community, there is concern that general surgery residents are choosing subspecialty training in large numbers because of a crisis in confidence at the end of training. Confidence is an essential quality of surgeons, and recent studies have attempted to quantify and measure it ...

Invited Commentary: Sometimes Wrong, Always In Doubt; Steven Yule, PhD; Stanley W. Ashley, MD
JAMA Surgery Clinical Challenge 
Sunu Philip, MD; Ernesto Drelichman, MD

A 67-year old man was evaluated for lower gastrointestinal tract bleeding. What is your diagnosis?

Research Letter 
Michael W. Wandling, MD, MS; Christina A. Minami, MD, MS; Julie K. Johnson, MSPH, PhD; Kevin J. O’Leary, MD, MS; Anthony D. Yang, MD, MS; Jane L. Holl, MD, MPH; Karl Y. Bilimoria, MD, MS

This literature review examines the creation of a conceptual model of a surgical quality improvement collaborative to facilitate the development, implementation, and systematic evaluation of the Illinois Surgical Quality Improvement Collaborative.

Comment & Response 
Nader M. Habashi, MD; Penny Andrews, RN; Gary F. Nieman, BA; Micaela Kollisch-Singule, MD; Jason H. T. Bates, PhD

To the Editor We write to report that we failed to disclose relevant and important conflicts of interest in 3 articles published in JAMA Surgery in 2016,1 2014,2 and 2013.3 Three of us (N.M.H., G.F.N, and P.A.) were authors on all 3 articles,1...

Correction  FREE

In the Original Investigations titled, “Effect of Airway Pressure Release Ventilation on Dynamic Alveolar Heterogeneity,” published in the January 2016 issue of JAMA Surgery (2016;151(1):64-72. doi:10.1001/jamasurg.2015.2683),1 and “Mechanical Breath Profile of Airway Pressure Release Ventilation: The Effect on Alveolar Recruitment and Microstrain in Acute Lung ...

Correction  FREE

In the Original Investigation titled, “Airway Pressure Release Ventilation Prevents Ventilator-Induced Lung Injury in Normal Lungs,”1 published in the November 2013 issue of JAMA Surgery, important potential conflicts of interests were not reported by 5 of the authors.2 The following disclosures should have been reported: ...

Original Investigation 
Micaela M. Esquivel, MD; Tarsicio Uribe-Leitz, MD; Emmanuel Makasa, MD; Kennedy Lishimpi, MD; Peter Mwaba, MD; Kendra Bowman, MD; Thomas G. Weiser, MD

Importance  Surgical care is widely unavailable in developing countries; advocates recommend that countries evaluate and report on access to surgical care to improve availability and aid health planners in decision making.

Objective  To analyze the infrastructure, capacity, and availability of surgical care in Zambia to inform ...

Invited Commentary: Geospatial Mapping of Surgical Capacity in Zambia; Catherine R. deVries, MD; Jenna S. Rosenberg, MD
Original Investigation 
Robert J. S. Coelen, MD; Pim B. Olthof, MD; Susan van Dieren, PhD; Marc G. H. Besselink, MD, PhD, MSc; Olivier R. C. Busch, MD, PhD; Thomas M. van Gulik, MD, PhD
Includes: Supplemental Content

Importance  Resection of perihilar cholangiocarcinoma (PHC) is high-risk surgery, with reported operative mortality up to 17%. Therefore, preoperative risk assessment is needed to identify high-risk patients and anticipate postoperative adverse outcomes.

Objective  To provide external validation of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) ...

Original Investigation 
Matthew L. Maciejewski, PhD; David E. Arterburn, MD, MPH; Lynn Van Scoyoc, BA; Valerie A. Smith, DrPH; William S. Yancy Jr, MD, MHSc; Hollis J. Weidenbacher, PhD; Edward H. Livingston, MD; Maren K. Olsen, PhD
Includes: Supplemental Content

Importance  Bariatric surgery induces significant weight loss for severely obese patients, but there is limited evidence of the durability of weight loss compared with nonsurgical matches and across bariatric procedures.

Objectives  To examine 10-year weight change in a large, multisite, clinical cohort of veterans who underwent ...

Invited Commentary: Myths Surrounding Bariatric Surgery; Jon C. Gould, MD
Invited Commentary 
Jon C. Gould, MD

If a tree falls in a forest and no one is around to hear it, does it make a sound? This is a philosophical question that has been around for hundreds of years and raises the issue of whether we can safely assume that the unobserved world functions ...

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