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JAMA Surgery

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https://www.readbyqxmd.com/read/28813585/association-of-general-surgery-resident-remediation-and-program-director-attitudes-with-resident-attrition
#1
Alexander C Schwed, Steven L Lee, Edgardo S Salcedo, Mark E Reeves, Kenji Inaba, Richard A Sidwell, Farin Amersi, Chandrakanth Are, Tracey D Arnell, Richard B Damewood, Daniel L Dent, Timothy Donahue, Jeffrey Gauvin, Thomas Hartranft, Garth R Jacobsen, Benjamin T Jarman, Marc L Melcher, John D Mellinger, Jon B Morris, Mark Nehler, Brian R Smith, Mary Wolfe, Amy H Kaji, Christian de Virgilio
Importance: Previous studies of resident attrition have variably included preliminary residents and likely overestimated categorical resident attrition. Whether program director attitudes affect attrition has been unclear. Objectives: To determine whether program director attitudes are associated with resident attrition and to measure the categorical resident attrition rate. Design, Setting, and Participants: This multicenter study surveyed 21 US program directors in general surgery about their opinions regarding resident education and attrition...
August 16, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28813584/sustained-prescription-opioid-use-among-previously-opioid-naive-patients-insured-through-tricare-2006-2014
#2
Andrew J Schoenfeld, Wei Jiang, Muhammad Ali Chaudhary, Rebecca E Scully, Tracey Koehlmoos, Adil H Haider
No abstract text is available yet for this article.
August 16, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28813583/carotid-artery-stenosis-although-military-physicians-operate-less-they-achieve-better-outcomes
#3
Arthur L Kellermann
No abstract text is available yet for this article.
August 16, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28813552/using-data-to-enhance-performance-and-improve-quality-and-safety-in-surgery
#4
Mitchell G Goldenberg, James Jung, Teodor P Grantcharov
No abstract text is available yet for this article.
August 16, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28813550/drug-free-interventions-to-reduce-pain-or-opioid-consumption-after-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#5
Dario Tedesco, Davide Gori, Karishma R Desai, Steven Asch, Ian R Carroll, Catherine Curtin, Kathryn M McDonald, Maria P Fantini, Tina Hernandez-Boussard
Importance: There is increased interest in nonpharmacological treatments to reduce pain after total knee arthroplasty. Yet, little consensus supports the effectiveness of these interventions. Objective: To systematically review and meta-analyze evidence of nonpharmacological interventions for postoperative pain management after total knee arthroplasty. Data Sources: Database searches of MEDLINE (PubMed), EMBASE (OVID), Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Web of Science (ISI database), Physiotherapy Evidence (PEDRO) database, and ClinicalTrials...
August 16, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28793157/association-of-previous-cesarean-delivery-with-surgical-complications-after-a-hysterectomy-later-in-life
#6
Sofie A I Lindquist, Neel Shah, Charlotte Overgaard, Christian Torp-Pedersen, Karin Glavind, Thomas Larsen, Avery Plough, Grace Galvin, Aage Knudsen
Importance: In recent decades, the global rates of cesarean delivery have rapidly increased. Nonetheless, the influence of cesarean deliveries on surgical complications later in life has been understudied. Objective: To investigate whether previous cesarean delivery increases the risk of reoperation, perioperative and postoperative complications, and blood transfusion when undergoing a hysterectomy later in life. Design, Setting, and Participants: This registry-based cohort study used data from Danish nationwide registers on all women who gave birth for the first time between January 1, 1993, and December 31, 2012, and underwent a benign, nongravid hysterectomy between January 1, 1996, and December 31, 2012...
August 9, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28793141/factors-associated-with-discordance-between-preoperative-parathyroid-4-dimensional-computed-tomographic-scans-and-intraoperative-findings-during-parathyroidectomy
#7
Shonan Sho, Alexander D Yuen, Michael W Yeh, Masha J Livhits, Ali R Sepahdari
Importance: Parathyroid 4-dimensional computed tomographic scans (4D-CTs) have emerged as an accurate and cost-effective initial localization study for patients with primary hyperparathyroidism. However, potential limitations and factors affecting the accuracy of preoperative 4D-CTs remain poorly defined. Objectives: To characterize factors associated with missed parathyroid lesions on preoperative 4D-CTs and to investigate patterns of commonly observed errors. Design, Setting, and Participants: A prospectively accrued patient database was analyzed from September 1, 2011, through October 31, 2016...
August 9, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28793139/acute-right-lower-quadrant-abdominal-pain
#8
Eric J Rellinger, K Elizabeth Speck
No abstract text is available yet for this article.
August 9, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28793135/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
#9
Rajesh Aggarwal
No abstract text is available yet for this article.
August 9, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28793134/clinical-and-genetic-implications-of-dna-mismatch-repair-deficiency-in-patients-with-pancreatic-ductal-adenocarcinoma
#10
Jordan M Cloyd, Matthew H G Katz, Huamin Wang, Amanda Cuddy, Y Nancy You
No abstract text is available yet for this article.
August 9, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28768329/national-readmission-patterns-of-isolated-splenic-injuries-based-on-initial-management-strategy
#11
Graeme M Rosenberg, Lisa Knowlton, Charlotte Rajasingh, Yingie Weng, Paul M Maggio, David A Spain, Kristan L Staudenmayer
Importance: Options for managing splenic injuries have evolved with a focus on nonoperative management. Long-term outcomes, such as readmissions and delayed splenectomy rate, are not well understood. Objective: To describe the natural history of isolated splenic injuries in the United States and determine whether patterns of readmission were influenced by management strategy. Design, Setting, and Participants: The Healthcare Cost and Utilization Project's Nationwide Readmission Database is an all-payer, all-ages, longitudinal administrative database that provides data on more than 35 million weighted US discharges yearly...
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28768328/prescription-opioid-analgesics-commonly-unused-after-surgery-a-systematic-review
#12
Mark C Bicket, Jane J Long, Peter J Pronovost, G Caleb Alexander, Christopher L Wu
Importance: Prescription opioid analgesics play an important role in the treatment of postoperative pain; however, unused opioids may be diverted for nonmedical use and contribute to opioid-related injuries and deaths. Objective: To quantify how commonly postoperative prescription opioids are unused, why they remain unused, and what practices are followed regarding their storage and disposal. Evidence Review: MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials were searched from database inception to October 18, 2016, for studies describing opioid oversupply for adults after a surgical procedure...
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28768325/estimating-risk-of-postsurgical-general-and-geriatric-complications-using-the-vespa-preoperative-tool
#13
Lillian Min, Karen Hall, Emily Finlayson, Michael Englesbe, William Palazzolo, Chiao-Li Chan, Hechuan Hou, Ashley Miller, Kathleen M Diehl
Importance: As greater numbers of older patients seek elective surgery, one approach to preventing postoperative complications is enhanced assessment of risks during preoperative evaluation. Objective: To determine whether a geriatric assessment tool can be implemented in a preoperative clinic and can estimate risk of postoperative complications. Design, Setting, and Participants: In this prospective cohort study, patients 70 years of age or older were assessed in a preoperative clinic for elective surgery from July 9, 2008, to January 5, 2011...
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28768304/the-importance-of-breast-conservation-therapy-in-young-women-breast-conservation-in-the-young
#14
Parul Barry
No abstract text is available yet for this article.
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28768303/beyond-the-margins-economic-costs-and-complications-associated-with-repeated-breast-conserving-surgeries
#15
Leanne N Metcalfe, Adam M Zysk, Kiran S Yemul, Lisa K Jacobs, Elif E Oker, Howard R Underwood, Alastair M Thompson
No abstract text is available yet for this article.
August 2, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28746724/undertriage-of-firearm-related-injuries-not-actually-assessed
#16
Joseph Weber
No abstract text is available yet for this article.
July 26, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28746723/factors-associated-with-achieving-a-body-mass-index-of-less-than-30-after-bariatric-surgery
#17
Oliver A Varban, Ruth B Cassidy, Aaron Bonham, Arthur M Carlin, Amir Ghaferi, Jonathan F Finks
Importance: Achieving a body mass index (BMI, calculated as weight in kilograms divided by height in meters squared) of less than 30 is an important goal of bariatric surgery, given the increased risk for weight-related morbidity and mortality with a BMI above this threshold. Objective: To identify predictors for achieving a BMI of less than 30 after bariatric surgery. Design, Setting, and Participants: This retrospective study used data from the Michigan Bariatric Surgery Collaborative, a statewide quality improvement collaborative that uses a prospectively gathered clinical data registry...
July 26, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28746717/an-incidental-hypervascular-retroperitoneal-mass
#18
Patricia W Costacurta, Aaron C Shaver, Kamran Idrees
No abstract text is available yet for this article.
July 26, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28746716/it-s-about-the-weight-loss
#19
Bruce M Wolfe, Elizaveta Walker
No abstract text is available yet for this article.
July 26, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28746714/association-of-hospital-market-concentration-with-costs-of-complex-hepatopancreaticobiliary-surgery
#20
Marcelo Cerullo, Sophia Y Chen, Mary Dillhoff, Carl Schmidt, Joseph K Canner, Timothy M Pawlik
Importance: Trade-offs involved with market competition, overall costs to payers and consumers, and quality of care have not been well defined. Less competition within any given market may enable provider-driven increases in charges. Objective: To examine the association between regional hospital market concentration and hospital charges for hepatopancreaticobiliary surgical procedures. Design, Setting, and Participants: This study included all patients undergoing hepatic or pancreatic resection in the Nationwide Inpatient Sample from January 1, 2003, through December 31, 2011...
July 26, 2017: JAMA Surgery
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