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 Showing 61-80 of 82 Articles
Original Investigation 
D. Peter O’Leary, PhD; Noel Lynch, MCh; Cillian Clancy, MB; Desmond C. Winter, MD; Eddie Myers, MD

Importance  This Delphi study provides consensus related to many aspects of acute diverticulitis and identifies other areas in need of research.

Objective  To generate an international, expert-based, consensus statement to address controversies in the management of acute diverticulitis.

Design, Setting, and Participants  This study was ...

Original Investigation 
Jerry J. Kim, MD; Dennis Y. Kim, MD; Amy H. Kaji, MD, PhD; Edward D. Gifford, MD; Christopher Reid, MD; Richard A. Sidwell, MD; Mark E. Reeves, MD, PhD; Thomas H. Hartranft, MD; Kenji Inaba, MD; Benjamin T. Jarman, MD; Chandrakanth Are, MD; Joseph M. Galante, MD; Farin Amersi, MD; Brian R. Smith, MD; Marc L. Melcher, MD, PhD; M. Timothy Nelson, MD; Timothy Donahue, MD; Garth Jacobsen, MD; Tracey D. Arnell, MD; Christian de Virgilio, MD
Includes: Supplemental Content

Importance  Few large-scale studies have quantified and characterized the study habits of surgery residents. However, studies have shown an association between American Board of Surgery In-Training Examination (ABSITE) scores and subsequent success on the American Board of Surgery Qualifying and Certifying examinations.

Objectives  To identify the ...

The study by Kim et al1 in this issue of JAMA Surgery provides excellent guidance for both residents and residency program directors. The authors report the results of an anonymous survey of 266 residents from 15 diverse residency programs that explored their study habits and attitudes about ...

JAMA Surgery Clinical Challenge 
Roberto J. Vidri, MD; Michael P. Vezeridis, MD

A woman in her mid-50s presented to the clinic with a 6-month history of progressive swelling and pain on the right side of her neck. What is your diagnosis?

Original Investigation 
Trit Garg, BA; Laurence C. Baker, PhD; Matthew W. Mell, MD, MS

Importance  The Society for Vascular Surgery recommends annual surveillance with computed tomography (CT) or ultrasonography after endovascular aortic aneurysm repair (EVAR) for abdominal aortic aneurysms. However, such lifelong surveillance may be unnecessary for most patients, thereby contributing to overuse of imaging services.

Objective  To investigate whether ...

Invited Commentary: Follow-up Surveillance After Endovascular Aneurysm Repair; Andrew W. Hoel, MD; Andres Schanzer, MD
Original Investigation 
Aimee E. Gough, MD; Steven Chang, MD; Subhash Reddy, MBBS; Lisa Ferrigno, MD; Marc Zerey, MD; Jonathan Grotts, MA; Samantha Yim, BSN; David S. Thoman, MD
Includes: Supplemental Content

Importance  Laparoscopic ventral hernia repair (LVHR) using mesh is a well-established intervention for ventral hernia, but pain control can be challenging.

Objective  To determine whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after LVHR reduces pain or narcotic requirements.

Design, Setting, ...

Invited Commentary 
Andrew W. Hoel, MD; Andres Schanzer, MD

In disease surveillance, a tension exists between adequate detection of disease progression and the risk for overdiagnosis and unnecessary use of resources. The goal of imaging surveillance after endovascular aneurysm repair (EVAR) can be stated simply: early detection of asymptomatic problems to avoid potentially severe consequences (ie, post-EVAR ...

Surgical Innovation 
Thomas C. Tsai, MD, MPH; David C. Miller, MD, MPH

This Surgical Innovation assesses whether bundling payments is a viable option for containing costs and improving the quality of patient care.

Viewpoint 
Rajesh N. Keswani, MD; Nathaniel J. Soper, MD

This Viewpoint reports on the transmission of carbapenem-resistant Enterobacteriaceae through duodenoscopes, the device used to perform endoscopic retrograde cholangiopancreatography.

Original Investigation 
Ramzi Amri, MD; Liliana G. Bordeianou, MD, MPH; Patricia Sylla, MD; David L. Berger, MD

Importance  In colon cancer, radial margin positivity (RMP) is defined as primary disease involvement at the cut edge of the mesentery or nonserosalized portions of the colon. Although extensively studied for rectal malignancies, RMP has unclear prognostic implications for tumors of the colon.

Objective  To determine ...

Invited Commentary: The Role of the Radial Margin; Jonathan Efron, MD
Original Investigation 
Anita P. Courcoulas, MD, MPH; Steven H. Belle, PhD, MScHyg; Rebecca H. Neiberg, MS; Sheila K. Pierson, BS, BA; Jessie K Eagleton, MPH; Melissa A. Kalarchian, PhD; James P. DeLany, PhD; Wei Lang, PhD; John M. Jakicic, PhD
Includes: Supplemental Content

Importance  Questions remain about the role and durability of bariatric surgery for type 2 diabetes mellitus (T2DM).

Objective  To compare the remission of T2DM following surgical and nonsurgical treatments.

Design, Setting, and Participants  In this 3-arm randomized clinical trial conducted at the University of Pittsburgh ...

Invited Commentary: Bariatric Surgery vs Lifestyle Intervention for Type 2 Diabetes Mellitus; Michel Gagner, MD, FRCSC, FASMBS
Invited Commentary 
Michel Gagner, MD, FRCSC, FASMBS

I read with interest the article by Courcoulas et al1 in which outcomes were assessed 3 years after treating obese patients with type 2 diabetes mellitus (T2DM) who were randomized to an intensive lifestyle weight loss intervention for 1 year followed by a lower-level lifestyle weight loss ...

This is an Invited Commentary on a retrospective review on the effect of margin positivity on survival among patients with colon cancer.

JAMA Surgery Clinical Challenge 
Reilly D. Hobbs, MD, MBS; Jessica A. Cintolo, MD; Robert E. Roses, MD

A 52-year-old woman with a history of diabetes mellitus and cigarette smoking who had a prior laparoscopic cholecystectomy was referred to our institution for severe postprandial epigastric abdominal pain that had been ongoing for several months and unintentional weight loss. What is your diagnosis?

Original Investigation 
Greg D. Sacks, MD, MPH; Elise H. Lawson, MD, MSHS; Aaron J. Dawes, MD; Marcia M. Russell, MD; Melinda Maggard-Gibbons, MD, MSHS; David S. Zingmond, MD, PhD; Clifford Y. Ko, MD, MS, MSHS

Importance  The Centers for Medicare and Medicaid Services include patient experience as a core component of its Value-Based Purchasing program, which ties financial incentives to hospital performance on a range of quality measures. However, it remains unclear whether patient satisfaction is an accurate marker of high-quality surgical ...

Invited Commentary: Public Reporting of Patient Satisfaction vs Objective Quality Measures; Elliott R. Haut, MD, PhD
Original Investigation 
Chethan Sathya, MD; Aziz S. Alali, MD, PhD; Paul W. Wales, MD; Damon C. Scales, MD, PhD; Paul J. Karanicolas, MD, PhD; Randall S. Burd, MD, PhD; Michael L. Nance, MD; Wei Xiong, MSc; Avery B. Nathens, MD, PhD, MPH

Importance  Trauma is the leading cause of death among US children. Whether pediatric trauma centers (PTCs), mixed trauma centers (MTCs), or adult trauma centers (ATCs) offer a survival benefit compared with one another when treating injured children is controversial. Ascertaining the optimal care environment will better inform ...

Original Investigation 
Bellal Joseph, MD; Viraj Pandit, MD; Ansab A. Haider, MD; Narong Kulvatunyou, MD; Bardiya Zangbar, MD; Andrew Tang, MD; Hassan Aziz, MD; Gary Vercruysse, MD; Terence O’Keeffe, MD; Randall S. Freise, MD; Peter Rhee, MD

Importance  The role of acute care surgeons is evolving; however, no guidelines exist for the selective treatment of patients with traumatic brain injury (TBI) exclusively by acute care surgeons. We implemented the Brain Injury Guidelines (BIG) for managing TBI at our institution on March 1, 2012.

Objective...

Invited Commentary: Brain Injury Guidelines for Small Head Injuries; George C. Velmahos, MD, PhD, MSEd
Invited Commentary 
George C. Velmahos, MD, PhD, MSEd

In the Joseph et al article,1 the authors proposed locally produced Brain Injury Guidelines (BIG), which allowed the acute care surgery team to manage patients with mild head injuries without neurosurgical consultation. All moderate and severe head injuries were managed per routine. The decision to avoid calling ...

As physicians and surgeons, we believe patients are fully rational human beings who make the same health care decisions we would if they had optimal data. Unfortunately, this is not the case. We all know patients, colleagues, friends, family members, and even ourselves who continue to smoke tobacco, ...

Original Investigation 
Jordan M. Cloyd, MD; Joy Chen, MD; Yifei Ma, MS; Kim F. Rhoads, MD, MPH

Importance  Although evidence suggests worse outcomes for patients admitted to the hospital on a weekend, to our knowledge, no previous studies have investigated the effects of weekend discharge.

Objective  To determine whether weekend discharge would be associated with an increased rate of 30- and 90-day hospital ...

Invited Commentary: Weekday or Weekend Discharge—Does It Make a Difference?; Greg D. Sacks, MD, MPH; Jonathan R. Hiatt, MD

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