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JAMA Surgery

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https://www.readbyqxmd.com/read/28423177/comparison-of-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery-residents
#1
Baha Siam, Abbas Al-Kurd, Natalia Simanovsky, Haitham Awesat, Yahav Cohn, Brigitte Helou, Ahmed Eid, Haggi Mazeh
Importance: In some centers, the presence of a senior general surgeon (SGS) is obligatory in every procedure, including appendectomy, while in others it is not. There is a relative paucity in the literature of reports comparing the outcomes of appendectomies performed by unsupervised general surgery residents (GSRs) with those performed in the presence of an SGS. Objective: To compare the outcomes of appendectomies performed by SGSs with those performed by GSRs...
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423171/identification-of-patients-with-documented-pathologic-complete-response-in-the-breast-after-neoadjuvant-chemotherapy-for-omission-of-axillary-surgery
#2
Audree B Tadros, Wei T Yang, Savitri Krishnamurthy, Gaiane M Rauch, Benjamin D Smith, Vicente Valero, Dalliah M Black, Anthony Lucci, Abigail S Caudle, Sarah M DeSnyder, Mediget Teshome, Carlos H Barcenas, Makesha Miggins, Beatriz E Adrada, Tanya Moseley, Rosa F Hwang, Kelly K Hunt, Henry M Kuerer
Importance: A pathologic complete response (pCR; no invasive or in situ cancer) occurs in 40% to 50% of patients with HER2-positive (HER2+) and triple-negative (TN) breast cancer. The need for surgery if percutaneous biopsy of the breast after neoadjuvant chemotherapy (NCT) indicates pCR in the breast (hereinafter referred to as breast pCR) has been questioned, and appropriate management of the axilla in such patients is unknown. Objective: To identify patients among exceptional responders to NCT with a low risk for axillary metastases when breast pCR is documented who may be eligible for an omission of surgery clinical trial design...
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423170/us-emergency-department-encounters-for-law-enforcement-associated-injury-2006-2012
#3
Elinore J Kaufman, David N Karp, M Kit Delgado
No abstract text is available yet for this article.
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423162/a-pilot-use-of-patient-generated-wound-data-to-improve-postdischarge-surgical-site-infection-monitoring
#4
Heather L Evans, William B Lober
No abstract text is available yet for this article.
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423155/the-role-of-genetic-testing-in-patients-with-breast-cancer-a-review
#5
Olivia M Valencia, Selyne E Samuel, Rebecca K Viscusi, Taylor S Riall, Leigh A Neumayer, Hassan Aziz
Importance: In the United States from 2009 to 2013, the incidence of breast cancer was the highest of any cancer and the death rate was second to that of lung cancer. Approximately 5% to 10% of breast cancers are inheritable. Observations: BRCA1 and BRCA2 germline mutations account for up to 30% of inheritable breast cancers and are the most commonly assessed mutations in patients presenting with early-onset breast cancer, triple-negative breast cancer, bilateral breast cancer, and a family history of breast cancer...
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423148/increasing-resident-autonomy-without-compromising-patient-safety
#6
Rebecca L Gunter, Jacob A Greenberg
No abstract text is available yet for this article.
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28423143/leveraging-the-benefits-of-systemic-therapy-to-tailor-surgery
#7
Monica Morrow
No abstract text is available yet for this article.
April 19, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403477/risk-stratification-for-surgical-site-infections-in-colon-cancer
#8
Ramzi Amri, Anne M Dinaux, Hiroko Kunitake, Liliana G Bordeianou, David L Berger
Importance: Surgical site infections (SSIs) feature prominently in surgical quality improvement and pay-for-performance measures. Multiple approaches are used to prevent or reduce SSIs, prompted by the heavy toll they take on patients and health care budgets. Surgery for colon cancer is not an exception. Objective: To identify a risk stratification score based on baseline and operative characteristics. Design, Setting, and Participants: This retrospective cohort study included all patients treated surgically for colon cancer at Massachusetts General Hospital from 2004 through 2014 (nā€‰=ā€‰1481)...
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403449/inaccurate-claims-about-va-surgical-quality-might-mislead-veterans-reply
#9
Jason M Johanning, Shipra Arya
No abstract text is available yet for this article.
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403436/acute-large-bowel-obstruction-in-an-institutionalized-man
#10
Arianna Birindelli, Franca Patrizi, Salomone Di Saverio
No abstract text is available yet for this article.
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403427/new-persistent-opioid-use-after-minor-and-major-surgical-procedures-in-us-adults
#11
Chad M Brummett, Jennifer F Waljee, Jenna Goesling, Stephanie Moser, Paul Lin, Michael J Englesbe, Amy S B Bohnert, Sachin Kheterpal, Brahmajee K Nallamothu
Importance: Despite increased focus on reducing opioid prescribing for long-term pain, little is known regarding the incidence and risk factors for persistent opioid use after surgery. Objective: To determine the incidence of new persistent opioid use after minor and major surgical procedures. Design, Setting, and Participants: Using a nationwide insurance claims data set from 2013 to 2014, we identified US adults aged 18 to 64 years without opioid use in the year prior to surgery (ie, no opioid prescription fulfillments from 12 months to 1 month prior to the procedure)...
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403389/safety-for-the-surgical-patient-what-will-move-the-needle-the-2016-national-surgical-patient-safety-summit
#12
Dwight W Burney, David B Hoyt
No abstract text is available yet for this article.
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28403385/targeting-surgical-site-infection-reducing-bundles-selectively-to-at-risk-colon-cancer-surgery-populations-achieving-value-in-a-macra-world
#13
https://www.readbyqxmd.com/read/28403378/inaccurate-claims-about-va-surgical-quality-might-mislead-veterans
#14
William B Weeks
No abstract text is available yet for this article.
April 12, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384791/association-of-surgical-treatment-systemic-therapy-and-survival-in-patients-with-abdominal-visceral-melanoma-metastases-1965-2014-relevance-of-surgical-cure-in-the-era-of-modern-systemic-therapy
#15
Gary B Deutsch, Devin C Flaherty, Daniel D Kirchoff, Mariel Bailey, Sarah Vitug, Leland J Foshag, Mark B Faries, Anton J Bilchik
Importance: Systemic therapy for metastatic melanoma has evolved rapidly during the last decade, and patient treatment has become more complex. Objective: To evaluate the survival benefit achieved through surgical resection of melanoma metastatic to the abdominal viscera in patients treated in the modern treatment environment. Design, Setting, and Participants: This retrospective review of the institutional melanoma database from the John Wayne Cancer Institute at Providence St Johns Health Center, a tertiary-level melanoma referral center, included 1623 patients with melanoma diagnosed as having potentially resectable abdominal metastases before (1969-2003) and after (2004-2014) advances in systemic therapy...
April 5, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384782/acceptance-of-surgical-treatment-for-adolescent-obesity-a-uk-perspective
#16
Simon Erridge, Swathikan Chidambaram, En Lin Goh
No abstract text is available yet for this article.
April 5, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384780/association-of-insurance-expansion-with-surgical-management-of-thyroid-cancer
#17
Andrew P Loehrer, Shilpa S Murthy, Zirui Song, Carrie C Lubitz, Benjamin C James
Importance: To our knowledge, thyroid cancer incidence is increasing faster than any other cancer type and is currently the fifth most common cancer among women. While this rise is likely multifactorial, there has been scarce consideration of the effect of insurance statuses on the treatment of thyroid cancer. Objective: We evaluate the association of insurance expansion with thyroid cancer treatment using the 2006 Massachusetts health reform, which serves as a unique natural experiment...
April 5, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384687/patient-reactions-to-surgeon-recommendations-about-contralateral-prophylactic-mastectomy-for-treatment-of-breast-cancer
#18
Steven J Katz, Nancy K Janz, Paul Abrahamse, Lauren P Wallner, Sarah T Hawley, Lawrence C An, Kevin C Ward, Ann S Hamilton, Monica Morrow, Reshma Jagsi
Importance: Guidelines assert that contralateral prophylactic mastectomy (CPM) should be discouraged in patients without an elevated risk for a second primary breast cancer. However, little is known about the impact of surgeons discouraging CPM on patient care satisfaction or decisions to seek treatment from another clinician. Objective: To examine the association between patient report of first-surgeon recommendation against CPM and the extent of discussion about it with 3 outcomes: patient satisfaction with surgery decisions, receipt of a second opinion, and receipt of surgery by a second surgeon...
April 5, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384679/inferior-vena-caval-filter-insertion-in-trauma-patients-reply
#19
Shayna Sarosiek, Denis Rybin, George Kasotakis
No abstract text is available yet for this article.
April 5, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28384678/metastasectomy-for-abdominal-visceral-oligometastatic-melanoma
#20
Danielle K DePeralta, Jonathan S Zager
No abstract text is available yet for this article.
April 5, 2017: JAMA Surgery
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