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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 55 Articles
Original Investigation 
Nicholas B. Abt, BS; José M. Flores, MPH; Pablo A. Baltodano, MD; Karim A. Sarhane, MD, MSc; Francis M. Abreu, BS; Carisa M. Cooney, MPH; Michele A. Manahan, MD; Vered Stearns, MD; Martin A. Makary, MD, MPH; Gedge D. Rosson, MD
Includes: Supplemental Content

Importance  Neoadjuvant chemotherapy (NC) is increasingly being used in patients with breast cancer, and evidence-based reports related to its independent effects on morbidity after mastectomy with immediate breast reconstruction are limited.

Objective  To determine the effect of NC on 30-day postoperative morbidity in women undergoing mastectomy ...

Peter W. Dillon, MD, MSc; Harold L. Paz, MD, MS
It is an inescapable fact that the expectations for the delivery of high-value, safe, and effective patient care in the hospital setting have changed dramatically over the last few years, and nowhere is this evolution more evident than in acute surgical care. The increasing number of process and outcome measures, ...
Invited Commentary 
Darren Malinoski, MD
The need for an increase in the number of organs available to patients on the transplant waiting list has clearly been established. In this issue, Salim and colleagues1 describe their efforts to address this shortage by increasing consent rates for organ donation among Hispanic Americans. There is also an emerging ...
Invited Commentary 
Stephen Kaminski, MD
Using financial incentives to improve efficiency is not new. The business world routinely uses this. A quotation often attributed to Peter Drucker1 comes to mind: “What’s measured improves.” I prefer to think of this as “people will work faster if you pay them to work faster.” This is an effective ...
Original Investigation 
Ali Salim, MD; Eric J. Ley, MD; Cherisse Berry, MD; Danielle Schulman, MPH; Sonia Navarro, BA; Ling Zheng, MD, PhD; Linda S. Chan, PhD

Importance  The need for suitable organs for transplantation is especially pronounced in minority populations such as Hispanic Americans owing to disproportionately high rates of diabetes mellitus and kidney disease. Considerable barriers exist for Hispanic Americans consent to donation, resulting in significantly lower donation rates compared with white ...

Original Investigation 
Ken Catchpole, PhD; Eric Ley, MD; Doug Wiegmann, PhD; Jennifer Blaha, MBA; Daniel Shouhed, MD; Alexandra Gangi, MD; Renaldo Blocker, PhD; Richard Karl, MD; Cathy Karl, MBA; Bill Taggart, BS; Benjamin Starnes, MD; Bruce Gewertz, MD
Includes: Supplemental Content

Importance  A physician-centered approach to systems design is fundamental to ameliorating the causes of many errors, inefficiencies, and reliability problems.

Objective  To use human factors engineering to redesign the trauma process based on previously identified impediments to care related to coordination problems, communication failures, and equipment ...

Original Investigation 
Thomas M. Scalea, MD; Darlene Carco, RN; Melissa Reece, RN; Yvette L. Fouche, MD; Andrew N. Pollak, MD; Sushruta S. Nagarkatti, MD

Importance  Operating room (OR) turnaround times (TATs) and on-time first-case starts (FCSs) are commonly used measures of OR efficiency. Prolonged TATs and late FCSs occur frequently at academic medical centers.

Objective  To test the hypothesis that establishing a financial incentive program (FIP) for OR teams would ...

Special Communication 
Steven C. Stain, MD; David B. Hoyt, MD; John G. Hunter, MD; Geoffrey Joyce, PhD; Jonathan R. Hiatt, MD

The Affordable Care Act (ACA) attempts to change the way we finance and deliver health care by coordinating the delivery of primary, specialty, and hospital services in accountable care organizations. The ways in which accountable care organizations will develop and evolve is unclear; however, the effects on surgeons ...

JAMA Surgery Clinical Challenge 
Mimmie Kwong, BA; Jacqueline Garonzik-Wang, MD, PhD; Timothy M. Pawlik, MD, MPH, PhD
Invited Commentary 
Martin A. Schreiber, MD
Resnick and colleagues1 have performed a prospective observational trial during a 17-month period assessing the accuracy of cervical spine computed tomography (CT) in the evaluation of patients with blunt trauma. The population included patients at a level I trauma center with persistent cervical tenderness or a focal neurologic deficit. They ...
Invited Commentary 
Karen E. Deveney, MD
The multi-institutional study by Gifford et al1 in this issue reports the results of a survey of 371 residents in 13 general surgery programs and explores how many residents consider leaving residency and why. The authors correlate their findings with data obtained from the program directors of these residencies. They ...
I commend Franken et al1 for an outstanding attempt to eliminate selection bias from this retrospective case series comparing laparoscopic with open hepatectomy for the management of mostly malignant disease of the liver. The authors performed 52 laparoscopic hepatic resections during a period of approximately 10 years. They then tried ...
Original Investigation 
Shelby Resnick, MD; Kenji Inaba, MD, FRCSC; Efstathios Karamanos, MD; Martin Pham, MD; Saskya Byerly, MD; Peep Talving, MD, PhD; Sravanthi Reddy, MD; Megan Linnebur, MD; Demetrios Demetriades, MD, PhD

Importance  A missed cervical spine (CS) injury can have devastating consequences. When CS injuries cannot be ruled out clinically using the National Emergency X-Radiography Utilization Study low-risk criteria because of either a neurologic deficit or pain, the optimal imaging modality for CS clearance remains controversial.

Objective  ...

Original Investigation 
Edward Gifford, MD; Joseph Galante, MD; Amy H. Kaji, MD, PhD; Virginia Nguyen, BS; M. Timothy Nelson, MD; Richard A. Sidwell, MD; Thomas Hartranft, MD; Benjamin Jarman, MD; Marc Melcher, MD, PhD; Mark Reeves, MD, PhD; Christopher Reid, MD; Garth R. Jacobsen, MD; Jonathan Thompson, MD; Chandrakanth Are, MD; Brian Smith, MD; Tracey Arnell, MD; Oscar J. Hines, MD; Christian de Virgilio, MD
Includes: Supplemental Content

Importance  General surgical residency continues to experience attrition. To date, work hour amendments have not changed the annual rate of attrition.

Objective  To determine how often categorical general surgery residents seriously consider leaving residency.

Design, Setting, and Participants  At 13 residency programs, an anonymous survey ...

Original Investigation 
Cara Franken, MD; Briana Lau, MD; Krishna Putchakayala, MD; L. Andrew DiFronzo, MD

Importance  Despite the increasing role of laparoscopy in partial hepatic resection, its short-term benefit compared with traditional open surgery remains unclear.

Objective  To compare short-term (30-day) outcomes between laparoscopic (LH) and open (OH) partial hepatectomies.

Design, Setting, and Participants  Retrospective matched case-control study from April ...

Original Investigation 
Michael M. Sigman, MD; Owen P. Palmer, MD; Sung W. Ham, MD; Mark Cunningham, MD; Fred A. Weaver, MD, MMM
Includes: Supplemental Content

Importance  Thoracic endovascular aortic repair (TEVAR) is used in the treatment of type B aortic dissections. Information related to aortic morphologic findings and the condition of the abdominal aorta after TEVAR is limited.

Objective  To analyze aortic morphologic findings after TEVAR for type B aortic dissections....

Invited Commentary 
Ali Salim, MD
Despite the growing success of organ transplantation as the primary treatment for end-stage organ failure, the gap between demand and supply for organs continues to widen. As a result, nearly 20 people die each day waiting for an organ transplant.1 Innovative methods to narrow this discrepancy are needed, and one ...
Topics: tissue donors
Invited Commentary 
Catherine E. Lewis, MD
While pneumonia is a common postoperative complication, there is a paucity of literature on pneumonia prevention outside of the intensive care unit. Wren and colleagues designed and implemented a ward-based pneumonia prevention program at the Veterans Affairs Palo Alto Health Care System in 2007. They previously reported an initial 81% ...
Original Investigation 
Cristina B. Geltzeiler, MD; Alizah Rotramel, MD; Charlyn Wilson, BSN; Lisha Deng, PhD; Mark H. Whiteford, MD; Joseph Frankhouse, MD

Importance  Enhanced recovery after surgery (ERAS) colorectal programs have shown to be successful at reducing length of stay in many international and academic centers; however, their efficacy in a community hospital setting remains unclear.

Objective  To determine if favorable results could be reproduced in a community ...

Original Investigation 
Madhukar S. Patel, MD, MBA, ScM; John Zatarain, MD; Salvador De La Cruz, MD; Mitchell B. Sally, MD; Tyler Ewing, BS; Megan Crutchfield, MPH; C. Kristian Enestvedt, MD; Darren J. Malinoski, MD

Importance  The shortage of organs available for transplant has led to the use of expanded criteria donors (ECDs) to extend the donor pool. These donors are older and have more comorbidities and efforts to optimize the quality of their organs are needed.

Objective  To determine the ...

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