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Manjit S Gohel, Jocelyn Mora MSc, Matyas Szigeti, David M Epstein, Francine Heatley, Andrew Bradbury, Richard Bulbulia, Nicky Cullum, Isaac Nyamekye, Keith R Poskitt, Sophie Renton, Jane Warwick, Alun H Davies
Importance: One-year outcomes from the Early Venous Reflux Ablation (EVRA) randomized trial showed accelerated venous leg ulcer healing and greater ulcer-free time for participants who are treated with early endovenous ablation of lower extremity superficial reflux. Objective: To evaluate the clinical and cost-effectiveness of early endovenous ablation of superficial venous reflux in patients with venous leg ulceration. Design, Setting, and Participants: Between October 24, 2013, and September 27, 2016, the EVRA randomized clinical trial enrolled 450 participants (450 legs) with venous leg ulceration of less than 6 months' duration and superficial venous reflux...
September 23, 2020: JAMA Surgery
#2
John W Scott, John Z Ayanian, Justin B Dimick
No abstract text is available yet for this article.
September 23, 2020: JAMA Surgery
#3
Giammauro Berardi, Giulio Antonelli, Marco Colasanti, Roberto Meniconi, Nicola Guglielmo, Andrea Laurenzi, Stefano Ferretti, Giovanni Battista Levi Sandri, Alessandra Spagnoli, Giovanni Moschetta, Vincenzo Schininà, Mario Antonini, Massimo Marignani, Giuseppe Maria Ettorre
Importance: Previous retrospective studies have shown that sarcopenia substantially alters the postoperative and oncological outcomes after liver resection for malignant tumors. However, the evidence is limited to small retrospective studies with heterogeneous results and the lack of standardized measurements of sarcopenia. Objective: To investigate the role of sarcopenia as a risk factor associated with 90-day morbidity after liver resection for malignant tumors...
September 23, 2020: JAMA Surgery
#4
William A Marston
No abstract text is available yet for this article.
September 23, 2020: JAMA Surgery
#5
Dharmenaan Palamuthusingam, Reza Reyaldeen, Dev Jegatheesan
No abstract text is available yet for this article.
September 23, 2020: JAMA Surgery
#6
Kyle H Sheetz, Seth A Waits
No abstract text is available yet for this article.
September 23, 2020: JAMA Surgery
#7
Kaifeng Liang, Zheyuan Chen
No abstract text is available yet for this article.
September 23, 2020: JAMA Surgery
#8
William Clifton
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#9
Jeremy W Cannon, Kirby R Gross, Todd E Rasmussen
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#10
Catherine Arvieux, Julien Frandon, Fatah Tidadini, Valérie Monnin-Bares, Alison Foote, Vincent Dubuisson, Emilie Lermite, Jean-Stéphane David, Frederic Douane, Christophe Tresallet, Marie-Christine Lemoine, Mathieu Rodiere, Pierre Bouzat, Jean-Luc Bosson, Antoine Vilotitch, Sandrine Barbois, Frédéric Thony
Importance: Splenic arterial embolization (SAE) improves the rate of spleen rescue, yet the advantage of prophylactic SAE (pSAE) compared with surveillance and then embolization only if necessary (SURV) for patients at high risk of spleen rupture remains controversial. Objective: To determine whether the 1-month spleen salvage rate is better after pSAE or SURV. Design, Setting, and Participants: In this randomized clinical trial conducted between February 6, 2014, and September 1, 2017, at 16 institutions in France, 133 patients with splenic trauma at high risk of rupture were randomized to undergo pSAE or SURV...
September 16, 2020: JAMA Surgery
#11
Ari D Schuman, Matthew E Spector, Craig A Jaffe, Andrew G Shuman, Steven B Chinn, Scott E Regenbogen, Andrew J Rosko
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#12
Fabio Casciani, Maxwell T Trudeau, Charles M Vollmer
Importance: Patients who have had splenectomy have a lifelong risk of overwhelming postsplenectomy infection (OPSI), a condition associated with high mortality rates. Surgeons must be aware of the rationale of vaccination in the case of splenectomy, to provide appropriate immunization in the perioperative time. Observations: English-language articles published from January 1, 1990, to December 31, 2019, were retrieved from MEDLINE/PubMed, Cochrane Library, and ClinicalTrials...
September 16, 2020: JAMA Surgery
#13
Colin Sue-Chue-Lam
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#14
Shah-Jahan Dodwad, Michael W Wandling, Lillian S Kao
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#15
(no author information available yet)
No abstract text is available yet for this article.
September 16, 2020: JAMA Surgery
#16
Shoshana M Rosenberg, Laura S Dominici, Shari Gelber, Philip D Poorvu, Kathryn J Ruddy, Julia S Wong, Rulla M Tamimi, Lidia Schapira, Steven Come, Jeffrey M Peppercorn, Virginia F Borges, Ann H Partridge
Importance: Young women with breast cancer are increasingly choosing bilateral mastectomy (BM), yet little is known about short-term and long-term physical and psychosocial well-being following surgery in this population. Objective: To evaluate the differential associations of surgery with quality of life (QOL) and psychosocial outcomes from 1 to 5 years following diagnosis. Design, Setting, and Participants: Cohort study. Setting: Multicenter, including academic and community hospitals in North America...
September 16, 2020: JAMA Surgery
#17
Megan G Janeway, Sabrina E Sanchez, Qi Chen, Maia R Nofal, Na Wang, Amy Rosen, Tracey A Dechert
Importance: The receipt of surgery in freestanding ambulatory surgery centers (ASCs) is often less costly compared with surgery in hospital-based outpatient departments. Although increasing numbers of surgical procedures are now being performed in freestanding ASCs, questions remain regarding the existence of disparities among patients receiving care at ASCs. Objective: To examine the association of patient race, health insurance status, and household income with the location (ASC vs hospital-based outpatient department) of ambulatory surgery...
September 9, 2020: JAMA Surgery
#18
Cary Jo R Schlick, Karl Y Bilimoria, Jonah J Stulberg
No abstract text is available yet for this article.
September 9, 2020: JAMA Surgery
#19
D Brock Hewitt, Ryan J Ellis, Yue-Yung Hu, Elaine O Cheung, Judith T Moskowitz, Gaurava Agarwal, Karl Y Bilimoria
Importance: Physician burnout is a serious issue, given its associations with physician attrition, mental and physical health, and self-reported medical errors. Burnout is typically measured in health care by assessing the frequency of symptoms in 2 domains, emotional exhaustion and depersonalization. However, the lack of a clinically diagnostic threshold to define burnout has led to considerable variability in reported burnout rates. Objective: To estimate the prevalence of burnout using a range of definitions (ie, requiring symptoms in both domains or just 1) and thresholds (ie, requiring symptoms to occur weekly vs a few times per year) and examine the strength of the association of various definitions of burnout with suicidal thoughts and thoughts of attrition among general surgery residents...
September 9, 2020: JAMA Surgery
#20
Joseph R Habib, Christopher L Wolfgang
No abstract text is available yet for this article.
September 9, 2020: JAMA Surgery
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