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JAMA Surgery

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https://www.readbyqxmd.com/read/28097336/incentive-spirometry-after-bariatric-surgery-yes-or-no
#1
Julie Ann Wesp, Meredith C Duke, Timothy M Farrell
No abstract text is available yet for this article.
January 11, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28097332/effect-of-incentive-spirometry-on-postoperative-hypoxemia-and-pulmonary-complications-after-bariatric-surgery-a-randomized-clinical-trial
#2
Haddon Pantel, John Hwang, David Brams, Thomas Schnelldorfer, Dmitry Nepomnayshy
Importance: The combination of obesity and foregut surgery puts patients undergoing bariatric surgery at high risk for postoperative pulmonary complications. Postoperative incentive spirometry (IS) is a ubiquitous practice; however, little evidence exists on its effectiveness. Objective: To determine the effect of postoperative IS on hypoxemia, arterial oxygen saturation (Sao2) level, and pulmonary complications after bariatric surgery. Design, Setting, and Participants: A randomized noninferiority clinical trial enrolled patients undergoing bariatric surgery from May 1, 2015, to June 30, 2016...
January 11, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28097331/expanding-the-national-health-service-corps-scholarship-program-to-general-surgery-a-proposal-to-address-the-national-shortage-of-general-surgeons-in-the-united-states
#3
https://www.readbyqxmd.com/read/28097305/enhanced-recovery-after-surgery-a-review
#4
Olle Ljungqvist, Michael Scott, Kenneth C Fearon
Importance: Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care, resulting in substantial improvements in clinical outcomes and cost savings. Observations: Enhanced Recovery After Surgery is a multimodal, multidisciplinary approach to the care of the surgical patient. Enhanced Recovery After Surgery process implementation involves a team consisting of surgeons, anesthetists, an ERAS coordinator (often a nurse or a physician assistant), and staff from units that care for the surgical patient...
January 11, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28097296/long-term-postprocedural-outcomes-of-palliative-emergency-stenting-vs-stoma-in-malignant-large-bowel-obstruction
#5
Jonathan S Abelson, Heather L Yeo, Jialin Mao, Jeffrey W Milsom, Art Sedrakyan
Importance: Colonic stenting was introduced for palliation of malignant large-bowel obstruction (MLBO) more than 20 years ago but remains controversial. Objective: To compare outcomes after palliative stenting vs stoma creation in patients with MLBO requiring emergency management. Design, Setting, and Participants: This observational cohort study assessed 345 patients from New York State with an urgent or emergency admission to the hospital for obstruction secondary to colorectal cancer and who underwent stenting or stoma creation from October 1, 2009, through December 31, 2013...
January 11, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052162/consumer-preferences-and-online-comparison-tools-used-to-select-a-surgeon
#6
Justin B Ziemba, Mohamad E Allaf, Dalal Haldeman
No abstract text is available yet for this article.
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052159/an-unusual-cause-of-small-bowel-obstruction
#7
Michael R Freund, Joseph Weiss Benavid, Petachia Reissman
No abstract text is available yet for this article.
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052158/factors-associated-with-nontransfer-in-trauma-patients-meeting-american-college-of-surgeons-criteria-for-transfer-at-nontertiary-centers
#8
Quanhong Zhou, Matthew R Rosengart, Timothy R Billiar, Andrew B Peitzman, Jason L Sperry, Joshua B Brown
Importance: Secondary triage from nontertiary centers is vital to trauma system success. It remains unclear what factors are associated with nontransfer among patients who should be considered for transfer to facilities providing higher-level care. Objective: To identify factors associated with nontransfer among patients meeting American College of Surgeons (ACS) guideline criteria for transfer from nontertiary centers. Design, Setting, and Participants: A retrospective cohort study was performed using multilevel logistic regression to ascertain factors associated with nontransfer from nontertiary centers, including demographics, injury characteristics, and center resources...
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052157/hepatectomy-for-early-hepatocellular-carcinoma-not-if-but-when-and-how
#9
Roberto Hernandez-Alejandro, Mark A Levstik, David C Linehan
No abstract text is available yet for this article.
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052155/effect-of-background-liver-cirrhosis-on-outcomes-of-hepatectomy-for-hepatocellular-carcinoma
#10
Kazunari Sasaki, Junichi Shindoh, Georgios A Margonis, Yujiro Nishioka, Nikolaos Andreatos, Akinari Sekine, Masaji Hashimoto, Timothy M Pawlik
Importance: Background hepatocarcinogenesis is considered a major cause of postoperative recurrence of de novo hepatocellular carcinoma (HCC) in patients with liver cirrhosis (LC). The degree of underlying liver injury has reportedly correlated with surgical outcomes of HCC. However, the pattern and annual rate of recurrence of postoperative de novo HCC are still unclear. Objective: To clarify the pattern and rate of recurrence of de novo HCC in patients with LC...
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052154/association-of-remnant-liver-ischemia-with-early-recurrence-and-poor-survival-after-liver-resection-in-patients-with-hepatocellular-carcinoma
#11
Jai Young Cho, Ho-Seong Han, YoungRok Choi, Yoo-Seok Yoon, Sungho Kim, Jang Kyu Choi, Jae Seong Jang, Seong Uk Kwon, Haeryoung Kim
Importance: The remnant liver after hepatectomy may have inadequate blood supply, especially following nonanatomical resection or vascular damage. Objective: To evaluate whether remnant liver ischemia (RLI) may have an adverse effect on long-term survival and morbidity after liver resection in patients with hepatocellular carcinoma. Design, Setting, and Participants: This study was a retrospective analysis at Seoul National University Bundang Hospital...
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052147/care-of-the-injured-patient-determining-who-needs-transfer
#12
Joseph V Sakran
No abstract text is available yet for this article.
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28052142/a-prognostic-factor-under-the-surgeon-s-control
#13
Suguru Yamashita, Claudius Conrad
No abstract text is available yet for this article.
January 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28030745/comparing-outcomes-for-robotic-and-open-pancreatoduodenectomy-a-technological-advance
#14
Shachar Laks, David A Kooby, Hong Jin Kim
No abstract text is available yet for this article.
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030724/a-propensity-score-matched-analysis-of-robotic-vs-open-pancreatoduodenectomy-on-incidence-of-pancreatic-fistula
#15
Matthew T McMillan, Amer H Zureikat, Melissa E Hogg, Stacy J Kowalsky, Herbert J Zeh, Michael H Sprys, Charles M Vollmer
Importance: The adoption of robotic pancreatoduodenectomy (RPD) is gaining momentum; however, its impact on major outcomes, including pancreatic fistula, has yet to be adequately compared with open pancreatoduodenectomy (OPD). Objective: To demonstrate that use of RPD does not increase the incidence of clinically relevant pancreatic fistula (CR-POPF) compared with OPD. Design, Setting, and Participants: Data were accrued from 2846 patients who underwent pancreatoduodenectomies (OPDs, nā€‰=ā€‰2661; RPDs, nā€‰=ā€‰185), performed by 51 surgeons at 17 institutions worldwide (2003-2015)...
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030715/future-directions-of-geriatric-trauma-care-function-and-quality-of-life-beyond-survival
#16
Erika L Rangel
No abstract text is available yet for this article.
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030713/defining-a-hospital-volume-threshold-for-minimally-invasive-pancreaticoduodenectomy-in-the-united-states
#17
Mohamed Abdelgadir Adam, Samantha Thomas, Linda Youngwirth, Theodore Pappas, Sanziana A Roman, Julie A Sosa
Importance: There is increasing interest in expanding use of minimally invasive pancreaticoduodenectomy (MIPD). This procedure is complex, with data suggesting a significant association between hospital volume and outcomes. Objective: To determine whether there is an MIPD hospital volume threshold for which patient outcomes could be optimized. Design, Setting, and Participants: Adult patients undergoing MIPD were identified from the Healthcare Cost and Utilization Project National Inpatient Sample from 2000 to 2012...
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030710/association-of-radiologic-indicators-of-frailty-with-1-year-mortality-in-older-trauma-patients-opportunistic-screening-for-sarcopenia-and-osteopenia
#18
Stephen J Kaplan, Tam N Pham, Saman Arbabi, Joel A Gross, Mamatha Damodarasamy, Itay Bentov, Lisa A Taitsman, Steven H Mitchell, May J Reed
Importance: Assessment of physical frailty in older trauma patients admitted to the intensive care unit is often not feasible using traditional frailty assessment instruments. The use of opportunistic computed tomography (CT) scans to assess sarcopenia and osteopenia as indicators of underlying frailty may provide complementary prognostic information on long-term outcomes. Objective: To determine whether sarcopenia and/or osteopenia are associated with 1-year mortality in an older trauma patient population...
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030708/the-toll-of-death-and-disability-from-traumatic-injury-in-the-united-states-the-neglected-disease-of-modern-society-still-neglected-after-50-years
#19
Kimberly A Davis, Timothy C Fabian, William G Cioffi
No abstract text is available yet for this article.
December 28, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/28030664/minimally-invasive-pancreaticoduodenectomy-for-the-treatment-of-pancreatic-head-and-periampullary-tumors
#20
Marco Del Chiaro, Roberto Valente, Urban Arnelo
No abstract text is available yet for this article.
December 28, 2016: JAMA Surgery
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