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Craig D Newgard, Aaron Caughey, K John McConnell, Amber Lin, Elizabeth Eckstrom, Denise Griffiths, Susan Malveau, Eileen Bulger
Importance: Trauma registries are the primary data mechanism in trauma systems to evaluate and improve the care of injured patients. Research has suggested that trauma registries may miss high-risk older adults, who commonly experience morbidity and mortality after injury. Objective: To compare injured older adults who were included in with those excluded from trauma registries, with a focus on patients with serious injuries, requiring major surgery, or dying after injury...
July 10, 2019: JAMA Surgery
#2
Madeline B Torres, Arghavan Salles, Amalia Cochran
Diversity and inclusion in medicine, and in surgery in particular, still merit substantial attention in 2019. With each increase in academic rank there are fewer women, with only 24% of full professors in medicine being women. Underrepresented minorities face similar challenges, with only 3% of medical faculty being black and 4% of medical faculty being Hispanic or Latino; only 2% of full professors are Hispanic or Latino and only another 2% are black. Explicit discrimination unfortunately still does exist, but in many environments, more subtle forms of bias are more prevalent...
July 10, 2019: JAMA Surgery
#3
Benjamin J Lerman, Rita A Popat, Themistocles L Assimes, Paul A Heidenreich, Sherry M Wren
Importance: Heart failure is an established risk factor for postoperative mortality, but how heart failure is associated with operative outcomes specifically in the ambulatory surgical setting is not well characterized. Objective: To assess the risk of postoperative mortality and complications in patients with vs without heart failure at various levels of echocardiographic (left ventricular systolic dysfunction) and clinical (symptoms) severity who were undergoing ambulatory surgery...
July 10, 2019: JAMA Surgery
#4
Mika M Tabata, Eben L Rosenthal, Carlie J Arbaugh, Cindy Kin, Emiley Kim, Laura A Graham, Mary T Hawn
No abstract text is available yet for this article.
July 10, 2019: JAMA Surgery
#5
Vanessa P Ho, Lisa Reider, Elliott R Haut
No abstract text is available yet for this article.
July 10, 2019: JAMA Surgery
#6
Linda Ferrari, Alessandro Fichera
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#7
Mahir Gachabayov, Artem Dyatlov, Roberto Bergamaschi
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#8
Marja A Boermeester
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#9
Sara A Buckman, John E Mazuski
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#10
Nader N Massarweh, Rachel R Kelz
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#11
Atsushi Ogura, Tsuyoshi Konishi, Geerard L Beets, Chris Cunningham, Julio Garcia-Aguilar, Henrik Iversen, Shigeo Toda, In Kyu Lee, Hong Xiang Lee, Keisuke Uehara, Peter Lee, Hein Putter, Cornelis J H van de Velde, Harm J T Rutten, Jurriaan B Tuynman, Miranda Kusters
Importance: Previously, it was shown in patients with low rectal cancer that a short-axis (SA) lateral node size of 7 mm or greater on primary magnetic resonance imaging (MRI) resulted in a high lateral local recurrence (LLR) rate after chemoradiotherapy or radiotherapy ([C]RT) with total mesorectal excision (TME) and that this risk was lowered by a lateral lymph node dissection (LLND). The role of restaging MRI after (C)RT with regard to LLR risk and which specific patients might benefit from an LLND is not fully understood...
July 3, 2019: JAMA Surgery
#12
Floyd W van de Graaf, Johan F Lange
No abstract text is available yet for this article.
July 3, 2019: JAMA Surgery
#13
Yen-Yi Juo, Yas Sanaiha, Ziyad Jabaji, Peyman Benharash
Importance: Diverting loop ileostomy and colonic lavage has generated much interest since it was first reported as a potential alternative to total abdominal colectomy for treating Clostridium difficile colitis in 2011. To our knowledge, few studies have validated the benefit reported in the initial description, and the association of this new approach with practice patterns has not been described. Objective: To examine the national adoption pattern and outcomes of diverting loop ileostomy vs total abdominal colectomy as treatment for fulminant C difficile colitis...
July 3, 2019: JAMA Surgery
#14
Declan T Waugh
No abstract text is available yet for this article.
June 26, 2019: JAMA Surgery
#15
Sherry M Wren, Adam L Kushner
No abstract text is available yet for this article.
June 26, 2019: JAMA Surgery
#16
Jessica H Beard, Michael Ohene-Yeboah, Stephen Tabiri, Joachim K A Amoako, Francis A Abantanga, Carrie A Sims, Pär Nordin, Andreas Wladis, Hobart W Harris, Jenny Löfgren
Importance: Inguinal hernia is the most common general surgical condition in the world. Although task sharing of surgical care with nonsurgeons represents one method to increase access to essential surgery, the safety and outcomes of this strategy are not well described for hernia repair. Objective: To compare outcomes after inguinal hernia repair with mesh performed by medical doctors and surgeons in Ghana. Design, Setting, and Participants: This prospective cohort study was conducted from February 15, 2017, to September 17, 2018, at the Volta Regional Hospital in Ho, Ghana...
June 26, 2019: JAMA Surgery
#17
(no author information available yet)
No abstract text is available yet for this article.
June 26, 2019: JAMA Surgery
#18
Nicholas J S Perry, Daqing Ma
No abstract text is available yet for this article.
June 26, 2019: JAMA Surgery
#19
Beiqun Zhao, Christopher P Childers, Ron D Hays, Susan L Ettner, Rodrigo F Alban, Melinda Maggard-Gibbons, Bryan M Clary
No abstract text is available yet for this article.
June 26, 2019: JAMA Surgery
#20
Martin I Sigurdsson, Solveig Helgadottir, Thorir E Long, Dadi Helgason, Nathan H Waldron, Runolfur Palsson, Olafur S Indridason, Ingibjorg J Gudmundsdottir, Tomas Gudbjartsson, Gisli H Sigurdsson
Importance: The number of patients prescribed long-term opioids and benzodiazepines and complications from their long-term use have increased. Information regarding the perioperative outcomes of patients prescribed these medications before surgery is limited. Objective: To determine whether patients prescribed opioids and/or benzodiazepines within 6 months preoperatively would have greater short- and long-term mortality and increased opioid consumption postoperatively...
June 19, 2019: JAMA Surgery
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