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 Showing 61-76 of 76 Articles
Original Investigation 
Hunter B. Moore, MD; Elizabeth Juarez-Colunga, PhD; Michael Bronsert, PhD, MS; Karl E. Hammermeister, MD; William G. Henderson, MPH, PhD; Ernest E. Moore, MD; Robert A. Meguid, MD, MPH
Includes: Supplemental Content

Importance  The literature regarding the occurrence of adverse outcomes following nonobstetric surgery in pregnant compared with nonpregnant women has conflicting findings. Those differing conclusions may be the result of inadequate adjustment for differences between pregnant and nonpregnant women. It remains unclear whether pregnancy is a risk factor ...

Invited Commentary 
Philip P. Goodney, MD, MS

This Invited Commentary discusses the need for better data to assess mortality in abdominal aortic aneurysm repair and improve practice patterns in vascular surgery.

Surgical Innovation 
Audrey E. Ertel, MD; Tiffany Kaiser, PharmD; Shimul A. Shah, MD, MHCM

A telehealth intervention is described in patients following liver transplantation.

Research Letter 
Judson B. Williams, MD, MHS; Ralf E. Harskamp, MD; Saideep Bose, MD, MPH; Jeffrey H. Lawson, MD, PhD; John H. Alexander, MD, MHS; Peter K. Smith, MD; Renato D. Lopes, MD, PhD

This anonymous, voluntary, electronic survey sought to characterize the techniques of vein graft preservation and handling among a large cohort of high-performing US cardiovascular hospitals.

Viewpoint 
William P. Schecter, MD

This Viewpoint discusses global surgery initiatives in low- and middle-income countries.

Original Investigation 
Turner Osler, MD, MSc; Laurent G. Glance, MD; Wenjun Li, PhD; Jeffery S. Buzas, PhD; David W. Hosmer, PhD
Includes: Supplemental Content

Importance  Massachusetts introduced health care reform (HCR) in 2006, expecting to expand health insurance coverage and improve outcomes. Because traumatic injury is a common acute condition with important health, disability, and economic consequences, examination of the effect of HCR on patients hospitalized following injury may help inform ...

Invited Commentary: Trauma Patients and Health Insurance Reform; Jarone Lee, MD, MPH
Original Investigation 
Aslam Ejaz, MD, MPH; Steven M. Frank, MD; Gaya Spolverato, MD; Yuhree Kim, MD, MPH; Timothy M. Pawlik, MD, MPH, PhD

Importance  Transfusion practice among surgeons varies despite several evidence-based recommendations supporting the restrictive use of blood products.

Objective  To define the economic impact of liberal blood transfusions as assessed through an analysis of hemoglobin (Hb) triggers.

Design, Setting, and Participants  Using a prospective database, data ...

Invited Commentary: Use of Restrictive Transfusion in Abdominal Surgery; Danny Chu, MD
Invited Commentary 
Jarone Lee, MD, MPH

With the passing of the Affordable Care Act and the need for policymakers to focus on implementing the individual mandate, the article by Osler et al1 comes at a most needed time. This article adds to the national debate by finding a surprising and interesting result: excessive ...

Ejaz et al1 elegantly demonstrated in a single-institution study that significant monetary savings may be realized if surgeons were to adhere to a restrictive transfusion policy based on concrete intraoperative and postoperative hemoglobin values. There is little doubt that blood transfusion exposes patients to potential risks of ...

JAMA Surgery Clinical Challenge 
Mersadies Martin, MD, MS; Hiromichi Ito, MD
Comment & Response 
Fady Saleh, MD, MPH; Allan Okrainec, MD, MHPE

To the Editor We read with interest the article by Hakkarainen et al1 and wish to commend the authors on their attempt to shed light on the challenging question of nonsteroidal anti-inflammatory drugs (NSAIDs) and the risk for anastomotic leakage after colorectal surgery. A growing body of ...

Comment & Response 
Timo W. Hakkarainen, MD, MS; David R. Flum, MD, MPH

In Reply We are pleased that our study1 has generated debate and discussion regarding the perioperative use of nonsteroidal anti-inflammatory drugs (NSAIDs) among patients undergoing gastrointestinal surgery, and we sincerely thank the several teams of physicians and surgeons who have taken the time to respond. First, we ...

Comment & Response 
Noel P. Lynch, MCh, MB, Med Sci; Emily Boyle, MD; Eamon G. Kavanagh, MD, FRCSI

To the Editor We read with great interest the article by Hakkarainen et al1 published in JAMA Surgery, the results of which are intriguing. The authors report the results of a retrospective cohort study of patients undergoing bariatric or colorectal surgery using data from the Surgical ...

Comment & Response 
Kevin Doody, BMBS; Margaret Coleman, FFARCSI, MSc, SEM

To the Editor I would like to make several comments in relation to the article by Hakkarainen et al1 recently published in JAMA Surgery. Being part of a hospital trust that performs large numbers of colorectal surgical procedures, we have a specific interest in the outcomes ...

Comment & Response 
Thomas M. Drake, BMedSci; Dmitri Nepogodiev, MBChB; Henry A. Claireaux, BSc(Hons)

To the Editor We commend Hakkarainen and colleagues1 for their contribution to the ongoing discussion regarding the association of nonsteroidal anti-inflammatory drugs (NSAIDs) and anastomotic leak following gastrointestinal surgery.

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 ...

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