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December 2017, Vol 152, No. 12, Pages 1097-1184

In This Issue of JAMA Surgery

Highlights

Abstract Full Text
free access
JAMA Surg. 2017;152(12):1097. doi:10.1001/jamasurg.2016.3462
Viewpoint

Transgender Surgery—Not the Benchmark for Gender Marker Determination

Abstract Full Text
JAMA Surg. 2017;152(12):1099-1100. doi:10.1001/jamasurg.2017.3432

This Viewpoint argues that because many transgender individuals do not have access to or do not wish to undergo gender-affirmation surgery, it is not an appropriate requirement for changing gender markers on legal documents.

US Military Engagement in Humanitarian SurgeryWhat Is the Mandate?

Abstract Full Text
JAMA Surg. 2017;152(12):1101-1102. doi:10.1001/jamasurg.2017.3145

This Viewpoint discusses the role of the US military in providing humanitarian aid and assisting in building capabilities in surgery.

Editorial

Death by Gun Violence—A Public Health Crisis

Abstract Full Text
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JAMA Surg. 2017;152(12):1103-1104. doi:10.1001/jamasurg.2017.4797
Original Investigation

Association of Same-Day Discharge With Hospital Readmission After Appendectomy in Pediatric Patients

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(12):1106-1112. doi:10.1001/jamasurg.2017.2221

This cohort study uses American College of Surgeons NSQIP-Pediatric data to assess hospital readmission rates following appendectomy among children discharged the same day vs 1 or 2 days after surgery.

Pacific Coast Surgical Association

Association of Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating With Outcomes in Advanced Laparoscopic Abdominal Surgery

Abstract Full Text
JAMA Surg. 2017;152(12):1113-1117. doi:10.1001/jamasurg.2017.2212

This study examines whether Centers for Medicare & Medicaid Services high-star hospitals have improved patient outcomes and resource use in advanced laparoscopic abdominal surgery compared with low-star hospitals.

Pacific Coast Surgical Association

National Readmission Patterns of Isolated Splenic Injuries Based on Initial Management Strategy

Abstract Full Text
JAMA Surg. 2017;152(12):1119-1125. doi:10.1001/jamasurg.2017.2643

This national database study describes the natural history of isolated splenic injuries to determine the association of management strategy with patterns of readmission among these patients.

Estimating Risk of Postsurgical General and Geriatric Complications Using the VESPA Preoperative Tool

Abstract Full Text
JAMA Surg. 2017;152(12):1126-1133. doi:10.1001/jamasurg.2017.2635

This cohort study examines whether a geriatric assessment tool can be implemented in a preoperative clinic to estimate the risk of postoperative complications.

Pacific Coast Surgical Association

Association of General Surgery Resident Remediation and Program Director Attitudes With Resident Attrition

Abstract Full Text
has active quiz has audio
JAMA Surg. 2017;152(12):1134-1140. doi:10.1001/jamasurg.2017.2656

This study surveys directors of 21 US general surgery residency programs to assess the association of program director attitudes with resident attrition rates.

Factors Associated With Discordance Between Preoperative Parathyroid 4-Dimensional Computed Tomographic Scans and Intraoperative Findings During Parathyroidectomy

Abstract Full Text
JAMA Surg. 2017;152(12):1141-1147. doi:10.1001/jamasurg.2017.2649

This study of patients with primary hyperparathyroidism characterizes factors associated with missed parathyroid lesions on preoperative 4-dimensional computed tomographic scans and investigates patterns of commonly observed errors.

Association of Previous Cesarean Delivery With Surgical Complications After a Hysterectomy Later in Life

Abstract Full Text
JAMA Surg. 2017;152(12):1148-1155. doi:10.1001/jamasurg.2017.2825

This Danish registry-based cohort study investigates whether previous cesarean delivery increases the risk of reoperation and perioperative and postoperative complications when undergoing a hysterectomy later in life.

Association of Fluid Administration With Morbidity in Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy

Abstract Full Text
JAMA Surg. 2017;152(12):1156-1160. doi:10.1001/jamasurg.2017.2865

This cohort study examines the morbidity in patients with peritoneal surface cancers who receive cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.

Factors Associated With 30-Day Readmission After Primary Total Hip ArthroplastyAnalysis of 514 455 Procedures in the UK National Health Service

Abstract Full Text
online only
JAMA Surg. 2017;152(12):e173949. doi:10.1001/jamasurg.2017.3949

This study determines whether patient-related factors associated with all-cause, surgical, and return-to-theater readmission after total hip arthroplasty differ and which factors are most significant.

Prevalence of Untreated Surgical Conditions in Rural RwandaA Population-Based Cross-sectional Study in Burera District

Abstract Full Text
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JAMA Surg. 2017;152(12):e174013. doi:10.1001/jamasurg.2017.4013

This cross-sectional study determines the prevalence of untreated surgical conditions in Burera District, Northern Province, Rwanda.

Invited Commentary

Ranking of Hospitals Performing Advanced Abdominal Laparoscopic Procedures

Abstract Full Text
JAMA Surg. 2017;152(12):1118. doi:10.1001/jamasurg.2017.2226

Using Epidemiology to Determine Surgical Needs in Low-Resource Settings

Abstract Full Text
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JAMA Surg. 2017;152(12):e174027. doi:10.1001/jamasurg.2017.4027
Review

Breast Implant–Associated Anaplastic Large Cell LymphomaA Systematic Review

Abstract Full Text
has active quiz
JAMA Surg. 2017;152(12):1161-1168. doi:10.1001/jamasurg.2017.4026

This systematic review assesses how breast implant–associated anaplastic large cell lymphoma develops; describes its risk factors, diagnosis, and subsequent treatment; and aims to disseminate information about this entity to the medical field at large.

Surgical Innovation

Patient Perceptions About Their Physician in 2 WordsThe Good, the Bad, and the Ugly

Abstract Full Text
JAMA Surg. 2017;152(12):1169-1170. doi:10.1001/jamasurg.2017.3851

This article describes a simple means of presenting physicians with direct qualitative and visual patient assessments to supplement current survey tools.

JAMA Surgery Clinical Challenge

Man With Mesenteric Ulceration

Abstract Full Text
JAMA Surg. 2017;152(12):1171-1172. doi:10.1001/jamasurg.2017.3846

A 48-year-old man with a 1-week history of right lower quadrant tenderness and fullness with previous open hemorrhoidectomy presents to the emergency department. What would you do next?

Progressive Acute Abdominal Pain

Abstract Full Text
JAMA Surg. 2017;152(12):1173-1174. doi:10.1001/jamasurg.2017.3838

A woman in her 50s with a history of systemic lupus erythematosus, congestive heart failure, and diabetes presents to the emergency department with worsening abdominal pain and a 4-day history of progressively worsening abdominal pain and diarrhea. What is your diagnosis?

Research Letter

Sustained Prescription Opioid Use Among Previously Opioid-Naive Patients Insured Through TRICARE (2006-2014)

Abstract Full Text
JAMA Surg. 2017;152(12):1175-1176. doi:10.1001/jamasurg.2017.2628

This review of data from the Military Health Data Repository examines causes of sustained prescription opioid use.

Pacific Coast Surgical Association

Paraesophageal Hernia Repair Outcomes Using Minimally Invasive Approaches

Abstract Full Text
JAMA Surg. 2017;152(12):1176-1178. doi:10.1001/jamasurg.2017.2868

This study of inpatient admissions for paraesophageal hernia repair analyzes use of minimally invasive approaches and rates of intraoperative injury and in-hospital mortality.

Attitudes Toward Morbidity and Mortality Conferences Among Medical and Surgical Pediatric Specialists in Armenia

Abstract Full Text
JAMA Surg. 2017;152(12):1178-1180. doi:10.1001/jamasurg.2017.2974

This article assesses attitudes toward morbidity and mortality conferences among medical and surgical pediatric specialists in Armenia.

Association of Intraoperative Radiotherapy in the Treatment of Early-Stage Breast Cancer With Minor Surgical Site Complications in Oncoplastic Breast-Conserving Surgery

Abstract Full Text
JAMA Surg. 2017;152(12):1180-1182. doi:10.1001/jamasurg.2017.3129

This case-control study compares the surgical site complications associated with oncoplastic breast surgery with intraoperative radiotherapy and oncoplastic breast surgery with whole-breast radiotherapy within 6 months of surgery.

Comment & Response

The Importance of Breast Conservation Therapy in Young WomenBreast Conservation in the Young

Abstract Full Text
JAMA Surg. 2017;152(12):1182. doi:10.1001/jamasurg.2017.2822

Carotid Artery Stenosis: Although Military Physicians Operate Less, They Achieve Better Outcomes

Abstract Full Text
JAMA Surg. 2017;152(12):1182-1183. doi:10.1001/jamasurg.2017.2862

Could Tranexamic Acid Bias the Optimal Ratio of Fresh Frozen Plasma to Red Blood Cells During Massive Transfusion?—Reply

Abstract Full Text
JAMA Surg. 2017;152(12):1183-1184. doi:10.1001/jamasurg.2017.2971

Could Tranexamic Acid Bias the Optimal Ratio of Fresh Frozen Plasma to Red Blood Cells During Massive Transfusion?

Abstract Full Text
JAMA Surg. 2017;152(12):1183. doi:10.1001/jamasurg.2017.3001
Correction

Errors in Introduction, Methods, and Discussion Sections

Abstract Full Text
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JAMA Surg. 2017;152(12):1184. doi:10.1001/jamasurg.2017.4857
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
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JAMA Surg. 2017;152(12):1098. doi:10.1001/jamasurg.2016.3463
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