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  • Standard vs Distal Roux-en-Y Gastric Bypass in Patients With Body Mass Index 50 to 60: A Double-blind, Randomized Clinical Trial

    Abstract Full Text
    JAMA Surg. 2016; 151(12):1146-1155. doi: 10.1001/jamasurg.2016.2798

    This randomized clinical trial assesses the efficacy and safety of standard gastric bypass vs distal gastric bypass in patients with a BMI of 50 to 60.

  • Combined Epidural-General Anesthesia vs General Anesthesia Alone for Elective Abdominal Aortic Aneurysm Repair

    Abstract Full Text
    JAMA Surg. 2016; 151(12):1116-1123. doi: 10.1001/jamasurg.2016.2733

    This study uses data from the Vascular Study Group of New England data registry to compare postoperative complication and long-term survival rates in patients who received general anesthesia with those who received combined epidural and general anesthesia for elective abdominal aortic aneurysm repair.

  • Bariatric Surgery in Patients With Body Mass Index Greater Than 50: Technique or Timing?

    Abstract Full Text
    JAMA Surg. 2016; 151(12):1156-1156. doi: 10.1001/jamasurg.2016.2828
  • Surgeons’ Disclosures of Clinical Adverse Events

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    JAMA Surg. 2016; 151(11):1015-1021. doi: 10.1001/jamasurg.2016.1787

    This survey study assesses how often surgeons disclosed adverse events, what they revealed, and how they expressed the disclosure.

  • Association of Loss of Independence With Readmission and Death After Discharge in Older Patients After Surgical Procedures

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    JAMA Surg. 2016; 151(9):e161689. doi: 10.1001/jamasurg.2016.1689

    This cohort study uses American College of Surgeons National Surgical Quality Improvement Program data to investigate the association between loss of independence among older adult patients after surgical procedures and readmission and death after discharge.

  • Association of Coronary Stent Indication With Postoperative Outcomes Following Noncardiac Surgery

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    JAMA Surg. 2016; 151(5):462-469. doi: 10.1001/jamasurg.2015.4545

    This cohort study determines whether the clinical indication for a coronary stent is associated with postoperative major adverse cardiac events in patients undergoing noncardiac surgery.

  • Add Indication for Coronary Stent as a Risk Factor for Poor Outcome Following Noncardiac Surgery

    Abstract Full Text
    JAMA Surg. 2016; 151(5):469-470. doi: 10.1001/jamasurg.2015.4662
  • Addition of Statins to Treatment With β-Blockers to Improve Outcomes for Cardiac Surgery Patients: Beyond the Surgical Care Improvement Project

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    JAMA Surg. 2016; 151(4):389-391. doi: 10.1001/jamasurg.2015.4212

    This study reports on whether treatment with β-blockers, statins, or both before cardiac surgery is associated with a reduction in the risk of adverse events after surgery.

  • Using Patient Outcomes to Evaluate General Surgery Residency Program Performance

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    JAMA Surg. 2016; 151(2):111-119. doi: 10.1001/jamasurg.2015.3637

    This study finds that patients operated on by surgeons trained in residency programs that were ranked in the top tertile were significantly less likely to experience adverse events than were those operated on by surgeons trained in programs that were in the bottom tertile.

  • Effect of Delirium and Other Major Complications on Outcomes After Elective Surgery in Older Adults

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    JAMA Surg. 2015; 150(12):1134-1140. doi: 10.1001/jamasurg.2015.2606

    This prospective cohort study found that postoperative complications and delirium are separately associated with adverse events and demonstrate a combined effect.

  • Effect of Pregnancy on Adverse Outcomes After General Surgery

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    JAMA Surg. 2015; 150(7):637-643. doi: 10.1001/jamasurg.2015.91

    This cohort study observes similar morbidity and mortality rates in pregnant and nonpregnant women undergoing general surgical operations.

  • Disrupting Disruptive Physicians

    Abstract Full Text
    JAMA Surg. 2015; 150(5):385-386. doi: 10.1001/jamasurg.2014.2911
  • Five-Year Outcomes After Laparoscopic Gastric Bypass and Laparoscopic Duodenal Switch in Patients With Body Mass Index of 50 to 60: A Randomized Clinical Trial

    Abstract Full Text
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    JAMA Surg. 2015; 150(4):352-361. doi: 10.1001/jamasurg.2014.3579

    This randomized clinical trial reports that in patients with a body mass index of 50 to 60 kg/m2, duodenal switch resulted in greater weight loss and greater improvements in low-density lipoprotein cholesterol, triglycerides, and glucose 5 years after surgery compared with gastric bypass while improvements in health-related quality of life were similar.

  • Weighing the Risks and Benefits of Bariatric Surgery: Choose Your Own Adventure

    Abstract Full Text
    JAMA Surg. 2015; 150(4):362-362. doi: 10.1001/jamasurg.2014.3585
  • Identification of a High-Risk Subset of Patients Undergoing Infrainguinal Bypass Surgery

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    JAMA Surg. 2015; 150(1):82-84. doi: 10.1001/jamasurg.2014.504
  • JAMA Surgery December 1, 2014

    Figure 1: Cumulative Incidence of Major Adverse Events at 30 Days After Bariatric Surgery by Procedure Type

    Major adverse events include death, failure to discharge from hospital, deep vein thrombosis, pulmonary embolism, or subsequent procedural intervention. AGB indicates adjustable gastric band; RYGB, Roux-en-Y gastric bypass. Propensity score–adjusted between-procedure comparison P < .05.
  • Surgeon’s 30-Day Outcomes Supporting the Carotid Revascularization Endarterectomy versus Stenting Trial

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    JAMA Surg. 2014; 149(12):1314-1318. doi: 10.1001/jamasurg.2014.1762

    This retrospective analysis shows that both carotid endarterectomy and carotid artery stenting can be performed safely by a vascular surgeon in properly selected patients.

  • Comparative Effectiveness of Laparoscopic Adjustable Gastric Banding vs Laparoscopic Gastric Bypass

    Abstract Full Text
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    JAMA Surg. 2014; 149(12):1279-1287. doi: 10.1001/jamasurg.2014.1674

    This retrospective cohort study found that Roux-en-Y gastric bypass resulted in greater weight loss than adjustable gastric banding but a higher risk of short-term complications and long-term subsequent hospitalizations. See also the Invited Commentary by Dimick and Finks.

  • JAMA Surgery November 1, 2014

    Figure 2: Logistic Regression Models

    All models evaluated the association between implementation of the hepatopancreaticobiliary surgical program (HPB-SP) and postoperative adverse events (n = 240). Model 1 depicts univariate analysis. Model 2 depicts multivariate analysis adjusted for patient and tumor characteristics (including age, body mass index, comorbidity, cirrhosis, and tumor site). Model 3 depicts multivariate analysis adjusted for the characteristics in model 2 and intraoperative variables (including estimated blood loss, operating time, and transfusion).
  • Improved Outcomes Associated With a Revised Quality Measure for Continuing Perioperative β-Blockade

    Abstract Full Text
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    JAMA Surg. 2014; 149(10):1031-1037. doi: 10.1001/jamasurg.2014.351

    In a retrospective cohort study using national Veterans Affairs patient-level data for operations between 2005 and 2009, Richman et al determine whether adherence to the original or revised Surgical Care Improvement Project perioperative β-blocker continuation measure is associated with decreased adverse events. See the Invited Commentary by Britt.