Anatomic Liver Resection Based on Portal Territory With Margin Priority for Hepatocellular Carcinoma
This Surgical Innovation describes the use of anatomic resection of the liver based on portal territory with margin priority for the treatment of hepatocellular carcinoma. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Entrustable Professional Activities in Surgery
This narrative review describes aspects of a competency-based education assessment framework that is being implemented as a tool for evaluating general surgery residents and increasingly adopted across medical specialties. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Electronic Patient-Reported Symptoms After Ambulatory Cancer Surgery
This cohort study describes the patterns of postoperative recovery among patients undergoing ambulatory cancer surgery with remote symptom monitoring using an ePRO platform —the Recovery Tracker. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

ACGME Milestone Training Ratings and Surgeons ’ Early Outcomes
This study evaluates the association of in-training Accreditation Council for Graduate Medical Education Milestone ratings in a surgical specialty with subsequent complication rates following a commonly performed operation, endovascular aortic aneurysm repair. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Medicare Practice and Payment Differences by Neurosurgeon Gender —Reply
In Reply The primary point seemingly raised by Manchikanti and colleagues is that the observed payment disparity between male and female neurosurgeons may reflect differences in the location of services being rendered, namely facility vs nonfacility settings. While this is undoubtedly an important consideration, the evidence they offer to support this supposition is unclear. First, they state that “all female neurosurgeons exclusively operated in facility settings.” In contrast, our results demonstrate that approximately 60% of the services rendered by male and female neurosurgeons occurred in outpatient (nonfacility) ...
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Medicare Practice and Payment Differences by Neurosurgeon Gender
To the Editor The research conducted by Oshinowo and colleagues explored gender disparities in Medicare practices and payments among neurosurgeons serving the fee-for-service Medicare population. The study revealed notable variations in practice patterns and reimbursements based on gender, with female neurosurgeons receiving lower reimbursements compared with their male counterparts for the same primary procedures. However, the analysis carried out in the study had several shortcomings. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

What to Expect …When You Are Having Surgery
There are many resources and lay literature that help expectant parents to prepare for having a child; however, there are quite limited resources for patients undergoing oncologic surgery. Patients want to know what to expect in symptoms and recovery as well as to have access to their clinical team during this time. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Standardizing Resident Assessment and Competency —Milestones Matter
Smith et al present findings from an observational cohort study of early-career vascular surgeons and patient outcomes following endovascular aneurysm repair (EVAR), where lower mean Accreditation Council for Graduate Medical Education (ACGME) Milestone ratings were associated with major complications in early surgical practice. Milestone ratings were corrected for program effect using a deviation score from the program mean and surgeon performance was assessed controlling for patient-level and health care professional –level covariates. Of note, this association was limited to those programs with lower program-level mea...
Source: JAMA Surgery - March 13, 2024 Category: Sports Medicine Source Type: research

Is Preoperative Optimization Right for Every Hernia Patient?
This Viewpoint discusses developing a more nuanced preoperative optimization strategy for hernia repair that considers patient and disease factors to determine the right operation for the right patient at the right time. (Source: JAMA Surgery)
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

Glucagon-Like Peptide-1 Receptor Agonist Use and Residual Gastric Content Before Anesthesia
This cross-sectional study investigates the association between glucagon-like peptide-1 receptor agonist use and prevalence of increased residual gastric content on gastrointestinal ultrasonography among fasted patients undergoing elective procedures under anesthesia. (Source: JAMA Surgery)
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

Performance in Irish Selection and Future Performance in Surgical Training
This study attempts to determine the association between measured candidate factors at the time of an Irish selection and assessment outcomes in surgical training. (Source: JAMA Surgery)
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

Robotic Technology in Emergency General Surgery Cases
This cohort study examines the trends over time in the use of robotic surgery for emergent or urgent cholecystectomy, colectomy, inguinal hernia repair, or ventral hernia repair. (Source: JAMA Surgery)
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

Tumor-Associated Lymphocytes and Breast Cancer Survival in Black and White Women
This case series evaluates whether differences in immune filtration are associated with breast cancer risk in Black vs White women. (Source: JAMA Surgery)
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

Robotics for Emergency General Surgery
This study was motivated by limited data on how minimally invasive approaches are being applied in urgent and emergent surgical care. As is true in elective surgery, the authors observed significant growth in the proportional use of robotic-assisted surgery for each procedure (cholecystectomy, colectomy, and inguinal and ventral hernia repair). In a propensity score –matched analysis, accounting for measurable differences between patients undergoing laparoscopic vs robotic-assisted surgery, they also found that the robotic-assisted approach was associated with lower rates of conversions to open surgery and shorter length...
Source: JAMA Surgery - March 6, 2024 Category: Sports Medicine Source Type: research

JAMA Surgery
Mission Statement: To promote the art and science of surgery by publishing relevant peer-reviewed research to assist the surgeon in optimizing patient care. JAMA Surgery will also serve as a forum for the discussion of issues pertinent to surgery, such as diversity, equity, and inclusion; the education and training of the surgical workforce; quality improvement; and the ethics and economics of health care delivery. (Source: JAMA Surgery)
Source: JAMA Surgery - March 1, 2024 Category: Surgery Source Type: research