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Comment & Response 
Jason D. Wright, MD; Dawn L. Hershman, MD

In Reply We appreciate the interest of Matulewicz and Meeks in our work. The objective of our analysis was to examine the association between regional market competition and hospital financial status regarding 5 common urologic and gynecologic procedures. For all of the procedures, we noted a strong association ...

Steven Yule, PhD; Greg D. Sacks, MD, MPH; Melinda Maggard-Gibbons, MD, MSHS

This Viewpoint highlights various initiatives for improving nontechnical surgical culture and also several studies on the association between improved surgical culture and its effects on quality of patient care.

Original Investigation 
Mark A. Healy, MD; Andrew J. Mullard, MS; Darrell A. Campbell Jr, MD; Justin B. Dimick, MD, MPH
Includes: Supplemental Content

Importance  Increased costs of surgical complications have been borne mostly by third-party payers. However, numerous policy changes aimed at incentivizing high-quality care shift more of this burden to hospitals. The potential effect of these policies on hospitals and payers is poorly understood.

Objective  To evaluate costs ...

Invited Commentary: Complications, Costs, and Financial Incentives for Quality; Jonah J. Stulberg, MD, PhD, MPH; Karl Y. Bilimoria, MD, MS
Invited Commentary 
Jonah J. Stulberg, MD, PhD, MPH; Karl Y. Bilimoria, MD, MS

As we move away from a fee-for-service model of health care reimbursement toward value-based purchasing, payers are assuming these new models will drive down costs while simultaneously improving quality by shifting the financial burden of complications to providers. The complexities of our health care reimbursement systems and cost-accounting ...

Research Letter 
Kemi M. Doll, MD; Stacie B. Dusetzina, PhD; Whitney Robinson, PhD

This study analyzes the trends in inpatient and outpatient hysterectomy and oophorectomy rates among commercially insured women in the United States from 2000 to 2014.

Original Investigation 
Alessandra Storino, MD; Manuel Castillo-Angeles, MD; Ammara A. Watkins, MD; Christina Vargas, MD; Joseph D. Mancias, MD; Andrea Bullock, MD; Aram Demirjian, MD; A. James Moser, MD; Tara S. Kent, MD
Includes: Supplemental Content

Importance  The degree to which patients are empowered by written educational materials depends on the text’s readability level and the accuracy of the information provided. The association of a website’s affiliation or focus on treatment modality with its readability and accuracy has yet to be thoroughly elucidated....

Comment & Response 
Maria Chazapis, MA; Suneetha Ramani Moonesinghe, MD(Res)

To the Editor The excellent Viewpoint by Jaffe and coauthors1 discusses the risks associated with inadequately considered surgeon-specific performance comparisons. This resonates with the views expressed when individualized outcome data were first made public for surgeons in the United Kingdom: the large sample sizes needed for comparison ...

Comment & Response 
Piyush Kalakoti, MD; Christina Notarianni, MD; Anil Nanda, MD, MPH

To the Editor We read with interest the study by Connelly et al1 that proposes a risk factor–based predictive model for venous thromboembolism (VTE) in pediatric trauma patients. Based on data from the National Trauma Data Bank, the authors used robust regression techniques by constructing mixed-effect models ...

Comment & Response 
Christopher R. Connelly, MD; Amy Laird, PhD; Jennifer M. Watters, MD

In Reply We would like to thank Kalakoti and colleagues1 for their insightful comments and careful review of our article, in which we acknowledge a variety of potential sources of bias. We further recognize that a complete case analysis may also introduce bias, and we appreciate the ...

Peer 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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