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 Showing 81-93 of 93 Articles
Comment & Response 
Macaulay Amechi Chukwukadibia Onuigbo, MD, MSc, FWACP, MBA

To the Editor In a single-center cohort study of 3646 patients who underwent inpatient vascular surgery, 2000-2010, at a tertiary care teaching hospital, Huber et al1 had demonstrated that perioperative acute kidney injury (AKI) occurred in 1801 patients (49.4%). Furthermore, adjusted cardiovascular mortality estimates at 10 years ...

Comment & Response 
Charles Hobson, MD, MHA; Matthew Huber, BS; Azra Bihorac, MD, MS

In Reply We thank Dr Onuigbo for his comments on our study.1 We agree that identification—and thus prevention—of intraoperative hypotension is a crucial part of the equation in preventing acute kidney injury in surgical patients, especially for patients with known vascular disease. The risk for any postoperative ...

Original Investigation 
Fizan Abdullah, MD, PhD; Jose H. Salazar, MD; Colin D. Gause, MD; Samir Gadepalli, MD; Thomas W. Biester, MS; Kenneth S. Azarow, MD; Mary L. Brandt, MD; Dai H. Chung, MD; Dennis P. Lund, MD; Frederick J. Rescorla, MD; John H. T. Waldhausen, MD; Thomas F. Tracy, MD; Mary E. Fallat, MD; Michael D. Klein, MD; Frank R. Lewis, MD; Ronald B. Hirschl, MD

Importance  The number of practicing pediatric surgeons has increased rapidly in the past 4 decades, without a significant increase in the incidence of rare diseases specific to the field. Maintenance of competency in the index procedures for these rare diseases is essential to the future of the ...

Original Investigation 
Thomas G. Peters, MD; Jonathan S. Fisher, MD; Robert G. Gish, MD; Richard J. Howard, MD, PhD

Importance  Patients in the United States waiting for kidney transplantation die in increasing numbers owing to the severe kidney shortage, which might be alleviated by compensating living kidney donors.

Objective  To determine the willingness of voting US citizens to become living kidney donors and to ascertain ...

Invited Commentary: The Ethical Dilemma of Compensating Living Kidney Donation; Marco Del Chiaro, MD, PhD; Elena Rangelova, MD; Markus Maeurer, MD, PhD, FRCP(London)
Invited Commentary 
Marco Del Chiaro, MD, PhD; Elena Rangelova, MD; Markus Maeurer, MD, PhD, FRCP(London)

Since 1954, when the first kidney transplantation was performed, more than half a million living donor kidney transplants have been completed.1 A study2 on 3698 living kidney donors showed that the postoperative mortality rate of donation is 0.03% and that the risk of long-term end-stage renal ...

Comment & Response 
Yohnosuke Wada, MD; Hiroyuki Tsunemori, MD, PhD; Mamoru Kikuchi, MD, PhD

To the Editor We read the study by Li et al1 with great interest and have been inspired to consider new prophylactic strategies against Clostridium difficile infection because the surgical patients in our departments are similar to those in their study. However, we have 2 questions for ...

Comment & Response 
Xinli Li, PhD; Tracy Smith, MS; William Gunnar, MD, JD

In Reply We appreciate the thoughtful letter by Wada et al in response to our study.1 In Veterans Affairs Surgical Quality Improvement Program (VASQIP)–assessed cases, data for risk assessment and postoperative events are obtained via 1 of 2 methods. The majority of data are collected manually by ...

Correction  FREE

In the Original Investigaton titled “Analysis of Morbidity and Mortality Outcomes in Postoperative Clostridium difficile Infection in the Veterans Health Administration,”1 there was a typographical error in Table 1. The number (%) of patients in the age group of younger than 50 years should be 79 694 ...

Original Investigation 
Brianna L. Siracuse, BS; Ronald S. Chamberlain, MD, MPA
Includes: Supplemental Content

Importance  Total hip replacement is a commonly performed orthopedic procedure for the treatment of painful arthritis, osteonecrosis, or fracture.

Objective  To develop and verify a scale for predicting readmission rates for total hip replacement patients and allow for the development and implementation of readmission risk-reduction strategies....

Original Investigation 
Aslam Ejaz, MD, MPH; Andrew A. Gonzalez, MD, JD, MPH; Faiz Gani, MD; Timothy M. Pawlik, MD, MPH, PhD
Includes: Supplemental Content

Importance  Reduction of postoperative readmissions has been identified as an opportunity for containment of health care costs. To date, the effect of index hospitalization costs on subsequent readmissions, however, has not been examined.

Objectives  To identify the effect of index admission costs on readmission rates and ...

Invited Commentary: Targeting Future Health Care Expenditure Reductions; Alexander C. Schwed, MD; Christian de Virgilio, MD
Original Investigation 
Yi Li, MD, PhD; Luca Stocchi, MD; Deepa Cherla, MD; Xiaobo Liu, MS; Feza H. Remzi, MD

Importance  The use of narcotics among patients with Crohn disease (CD) is endemic.

Objective  To evaluate the association between preoperative use of narcotics and postoperative outcomes in patients with CD.

Design, Setting, and Participants  Patients undergoing abdominal surgery for CD at a tertiary referral center ...

Invited Commentary 
Alexander C. Schwed, MD; Christian de Virgilio, MD

A commonly held belief states that paying more for a product is an assurance of higher quality. The adage “you get what you pay for” has been the conventional wisdom for many prospective buyers, whether they are debating buying a new vs a used vehicle, buying an index ...

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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