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 Showing 81-95 of 95 Articles
Invited Commentary 
Uttara Nag, MD; E. Shelley Hwang, MD, MPH

More than 30 years after demonstration that survival after breast conservation surgery (BCS) and adjuvant radiotherapy is equivalent to survival after mastectomy,1 significant variability in the implementation of BCS remains, particularly in the rates of reoperation for margins. Breast conservation surgery is the most common oncologic operation ...

To the Editor Jackson and colleagues1 described an opportunity for orthopedic surgeons to improve outcomes and reduce costs under Medicare’s new bundled payment plan for lower-extremity joint replacements. They identified transplant surgeons as role models because transplant surgeons “have learned to engage both traditional and nontraditional partners…in ...

Comment & Response 
Hannah Alphs Jackson, MD, MHSA; Brian Walsh, BS, CPA; Michael Abecassis, MD, MBA

In Reply We note and appreciate Dr Brown’s point that team-based care is essential for the deployment and success of managing episodes of care, especially in risk-based accountable payment models such as bundles. Indeed, Dr Brown is correct in stating that behavioral health professionals “have helped transplant surgeons ...

Original Investigation 
Vlad V. Simianu, MD, MPH; Alessandro Fichera, MD; Amir L. Bastawrous, MD, MBA; Giana H. Davidson, MD, MPH; Michael G. Florence, MD; Richard C. Thirlby, MD; David R. Flum, MD, MPH
Includes: Supplemental Content

Importance  Despite professional recommendations to delay elective colon resection for patients with uncomplicated diverticulitis, early surgery (after <3 preceding episodes) appears to be common. Several factors have been suggested to contribute to early surgery, including increasing numbers of younger patients, a lower threshold to operate laparoscopically, and ...

Invited Commentary: Improving Treatment of Uncomplicated Diverticulitis; James Fleshman, MD
Original Investigation 
Lance E. Davidson, PhD; Ted D. Adams, PhD, MPH; Jaewhan Kim, PhD; Jessica L. Jones, MD, MSPH; Mia Hashibe, PhD; David Taylor, PhD; Tapan Mehta, PhD; Rodrick McKinlay, MD; Steven C. Simper, MD; Sherman C. Smith, MD; Steven C. Hunt, PhD
Includes: Supplemental Content

Importance  Bariatric surgery is effective in reducing all-cause and cause-specific long-term mortality. Whether the long-term mortality benefit of surgery applies to all ages at which surgery is performed is not known.

Objective  To examine whether gastric bypass surgery is equally effective in reducing mortality in groups ...

Invited Commentary: Age-Related Mortality After Gastric Bypass Surgery; Malcolm K. Robinson, MD
Invited Commentary 
James Fleshman, MD

We continue to struggle with the perfect definition of the indication for an elective operation in the patient with diverticulitis. Simianu et al,1 in their review of the MarketScan Commercial Claims and Encounters Database, have attempted to determine the influences that drive early and late operation on ...

Invited Commentary 
Malcolm K. Robinson, MD

Young adults are generally thought to be the least risky operative candidates for elective surgery, whereas older individuals may be considered too risky. In this issue of JAMA Surgery, Davidson et al1 challenge these notions for patients undergoing gastric bypass surgery.

Comment & Response 
Vakhtang Tchantchaleishvili, MD; William Hallinan, RN, MS; H. Todd Massey, MD

In Reply In their comments on our recent Viewpoint,1 Garan et al and Fiedler et al have highlighted the institutional commitment needed to provide timely and comprehensive care for patients with acute myocardial infarction with cardiogenic shock (AMICS). Indeed, a 24/7 multidisciplinary “Shock Team” should be an ...

Comment & Response 
Arthur Reshad Garan, MD; Ajay Kirtane, MD, SM; Hiroo Takayama, MD, PhD

To the Editor We read with great interest the Viewpoint by Tchantchaleishvili et al1 calling for organized statewide networks for the management of acute myocardial infarction–related cardiogenic shock. We applaud the authors’ insights into one of the major current challenges in cardiovascular care. Despite advances in the ...

Comment & Response 
Amy G. Fiedler, MD; Tae H. Song, MD; David A. D’Alessandro, MD

To the Editor The Viewpoint by Tchantchaleishvili et al1 calling for organized statewide networks for the management of acute myocardial infarction–related cardiogenic shock brings to attention the critical need for multidisciplinary, multicenter, coordinated efforts to treat and manage patients presenting with cardiogenic shock. This is a timely ...

Viewpoint 
Todd A. Jaffe, BBA; Steven J. Hasday, BS; Justin B. Dimick, MD, MPH

This Viewpoint explores the limits of the methods used in the Surgeon Scorecard, uses laparoscopic cholecystectomy data to illustrate the inherent statistical challenges the Scorecard faces, and suggests improvements for future surgical performance assessments.

Original Investigation 
Lynne Moore, PhD; François Lauzier, MD, MSc, FRCPC; Henry T. Stelfox, MD, PhD, FRCPC; John Kortbeek, MD, FRCSC; Richard Simons, MA, FRCSC; Simon Berthelot, MD, MSc, FRPCP; Julien Clément, MD, FRCSC; Gilles Bourgeois, MD; Alexis F. Turgeon, MD, MSc, FRCPC
Includes: Supplemental Content

Importance  The rate of complications among injury admissions has been estimated to be more than 3 times that observed for general admissions, and complications have been targeted as an important quality-of-care metric. Despite the negative effect of complications on resource use and patient mortality and morbidity, there ...

Original Investigation 
Matthias Bock, MD, Priv Doz; Antonio Fanolla, MS; Isabelle Segur-Cabanac, MD; Franco Auricchio, MD; Carla Melani, MS; Flavio Girardi, MD; Horand Meier, MD; Armin Pycha, MD
Includes: Supplemental Content

Importance  The appropriately coached implementation of surgical safety checklists (SSCs) reduces the incidence of perioperative complications and 30-day mortality of patients undergoing surgery. The association of the introduction of SSCs with 90-day mortality remains unclear.

Objective  To assess the association between the implementation of SSCs and ...

Invited Commentary: The Surgical Checklist; William Berry, MD, MPH; Alex Haynes, MD, MPH; Janaka Lagoo, MD
Invited Commentary 
William Berry, MD, MPH; Alex Haynes, MD, MPH; Janaka Lagoo, MD

Surgical safety checklists (SSCs) are associated with reductions in postoperative morbidity and mortality and have now achieved widespread implementation, although the quality of implementation remains unclear in many settings.1,2 In this issue of JAMA Surgery, Bock and colleagues3 evaluate the effect of introducing ...

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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