Liver Resection vs Nonsurgical Treatments for Patients With Early Multinodular Hepatocellular Carcinoma
This cohort study assesses data from 2 large Italian multicenter databases for patients with early multinodular hepatocellular carcinoma to compare the efficacy of liver resection vs percutaneous radiofrequency ablation and transarterial chemoembolization. (Source: JAMA Surgery)
Source: JAMA Surgery - May 15, 2024 Category: Sports Medicine Source Type: research

Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels
This nonrandomized controlled trial evaluates the association between bariatric surgery and breast cancer incidence and whether this association varies by baseline insulin level. (Source: JAMA Surgery)
Source: JAMA Surgery - May 15, 2024 Category: Sports Medicine Source Type: research

Pediatric Trauma Center Access, Regional Injury Burden, and Socioeconomic Disadvantage
This cross-sectional study assesses whether populations in socioeconomically disadvantaged regions in the US lack timely access to pediatric trauma centers. (Source: JAMA Surgery)
Source: JAMA Surgery - May 15, 2024 Category: Sports Medicine Source Type: research

What Is the Best Local Therapy for HCC?
Screening and surveillance strategies allow us to diagnose hepatocellular carcinoma (HCC) at early stages. This disease, which is the third highest killer of human cancers, is now being diagnosed when the tumor is small and highly treatable. However, even when discovered by surveillance and screening, the presentation of HCC is often multinodular. This has led to a debate on which local therapy is best in the setting of multifocal presentation. Most Eastern guidelines recommend resection of the hepatic resection when possible, while Western guidelines often recommend thermal ablation or transarterial chemoembolization. The...
Source: JAMA Surgery - May 15, 2024 Category: Sports Medicine Source Type: research

Bariatric Surgery Reduces Breast Cancer Incidence in a Prospective Trial
This study is the first prospective study with long-term follow-up to report an association between bariatric surgery and a reduction in breast cancer incidence. While cancer incidence was not a prespecified end point and the SOS study was not randomized, a significant strength of the study is that both the surgery and usual care arm patients were eligible for bariatric surgery, which allowed for a more unbiased comparison of the 2 groups. (Source: JAMA Surgery)
Source: JAMA Surgery - May 15, 2024 Category: Sports Medicine Source Type: research

Collaborative Care for Injured Older Adults
This randomized clinical trial evaluates the use of a novel collaborative care intervention in biopsychosocial function of older patients following recent injury. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2024 Category: Sports Medicine Source Type: research

Decision-Making Confidence of Clinical Competency Committees for Entrustable Professional Activities
This cohort study examines the factors associated with variation in decision-making confidence of clinical competency committees for entrustable professional activity decisions in surgery. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2024 Category: Sports Medicine Source Type: research

Variance Decomposition of Racial and Ethnic Disparities in Colon Cancer
This cohort study examines the hospital factors associated with disparities in access and quality of colon cancer care among Hispanic patients. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2024 Category: Sports Medicine Source Type: research

Collaborative Care Intervention Following Injury in Older Adults
Recovery after a traumatic injury does not end on the day of hospital discharge, especially for older individuals. Rather, biopsychosocial debility can remain, negatively affecting quality of life. Older people who experience trauma have increased mortality, and older survivors experience further diminished quality of life. These poor outcomes are associated with frailty —that is, the progressive decline of physiologic reserves and the accumulation of deficits. Frailty more consistently predicts adverse outcomes in older populations than age alone. While much work has focused on inpatient interventions to improve outcome...
Source: JAMA Surgery - May 8, 2024 Category: Sports Medicine Source Type: research

Surgical Competency Assessment Using Entrustable Professional Activities
This year the American Board of Surgery (ABS) endorsed the use of entrustable professional activities (EPAs), a competency-based assessment tool, in all general surgery residencies. This represents the next step in a visionary effort led by the ABS that engages all the major stakeholders in surgical education. A core group of dedicated educators developed individual EPAs and mapped them to specific behaviors linked to 5 levels of progressive entrustment of the individual resident. (Source: JAMA Surgery)
Source: JAMA Surgery - May 8, 2024 Category: Sports Medicine Source Type: research

Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis
This cohort study investigates if continuation of postoperative antibiotics in children with gangrenous, suppurative, or exudative appendicitis is associated with a reduction in surgical site infection risk and resource use. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Surgery 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 - May 1, 2024 Category: Surgery Source Type: research

Error in Key to Figure 1
This article was corrected. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Surgery Source Type: research

Management of Gallstone Pancreatitis
This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Sports Medicine Source Type: research

Laparoscopic Spleen-Preserving Hilar Lymphadenectomy for Advanced Proximal Gastric Cancer
This secondary analysis of a randomized clinical trial examines 5-year outcomes of laparoscopic total gastrectomy with laparoscopic spleen-preserving splenic hilar lymphadenectomy vs laparoscopic total gastrectomy for resectable advanced proximal gastric cancer without greater curvature invasion. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Sports Medicine Source Type: research