New Technology and Bile Duct Injuries
Thirty-five years ago, the rapid adoption of laparoscopic cholecystectomy ushered in the minimally invasive surgical revolution. Combining 2 preexisting and safe operations, this transformative innovation nonetheless resulted in unexpected patient harms: a significant increase in bile duct injuries during the learning curve. (Source: JAMA Surgery)
Source: JAMA Surgery - September 20, 2023 Category: Sports Medicine Source Type: research
Disparities in Rectal Cancer Care
Treatment for rectal cancer is multidisciplinary, complex, and continually evolving. The role and timing of conventional chemotherapy, radiation, surgery, and immune checkpoint blockade agents are in flux as new data emerge. Patient selection for treatment regimens in the current environment is highly nuanced, and thus rigorous tracking and reporting of outcomes are more crucial now than ever before. (Source: JAMA Surgery)
Source: JAMA Surgery - September 20, 2023 Category: Sports Medicine Source Type: research
Work-Life Integration for Academic Surgeons
This Viewpoint discusses the time surgeons spend juggling work and life responsibilities by presenting a brief survey of academic surgeons who tracked their time use for 1 week. (Source: JAMA Surgery)
Source: JAMA Surgery - September 13, 2023 Category: Sports Medicine Source Type: research
Pediatric Cervical Spine Injury Following Blunt Trauma in Children Younger Than 3 Years
This cohort study describes a prediction model to guide imaging usage for pediatric patients who have experienced blunt trauma. (Source: JAMA Surgery)
Source: JAMA Surgery - September 13, 2023 Category: Sports Medicine Source Type: research
Simultaneous vs Staged Cardiac Intervention in Liver Transplant
This cohort study examines mortality, survival, and other outcomes among adults who underwent combined cardiac surgery and liver transplant, coronary revascularization prior to liver transplant, or isolated liver transplant. (Source: JAMA Surgery)
Source: JAMA Surgery - September 13, 2023 Category: Sports Medicine Source Type: research
Error in Abstract and Figures
This article was corrected online. (Source: JAMA Surgery)
Source: JAMA Surgery - September 13, 2023 Category: Sports Medicine Source Type: research
Using Telehealth to Improve Access to Trauma Care Among Injured Rural Patients in the US
This Viewpoint discusses the use of telehealth as an alternative approach to expand access to critical resources for injured US patients arriving at rural hospitals. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Salpingectomy for the Primary Prevention of Ovarian Cancer
This systematic review examines the development, outcomes, barriers, and future directives of bilateral salpingectomy for ovarian cancer prevention. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Opioid-Free Discharge After Pancreatic Resection
This cohort study analyzes the outcomes of iterative risk-stratified clinical pathways associated with inpatient and discharge opioid volumes after pancreatectomy. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
HIPEC After Interval Cytoreductive Surgery for Patients With Advanced-Stage Ovarian Cancer
This comparative effectiveness cohort study evaluates the safety and effectiveness of interval cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) compared with interval cytoreductive surgery alone in clinical practice for patients with advanced-stage ovarian cancer. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Enabling Patient Empowerment in Treatment Decisions for Thyroid Cancer
In Reply In response to our study on the influence of patient preference in physician decision-making in thyroid cancer, Kaul and Garg offered several insights on our study limitations and the value of shared decision-making. Nonetheless, several studies have shown that the current state of shared decision-making in thyroid cancer care fails to meet the needs of our patients. First, our previous study highlighted the lack of consensus among physicians regarding the risks, benefits, and optimal treatment of thyroid cancer. Thus, information and treatment recommendations patients receive will vary by which physician they hap...
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Enabling Patient Empowerment in Treatment Decisions for Thyroid Cancer
To the Editor The study by Schumm et al on the correlation between patient preference and physician decision-making in differentiated thyroid cancer (DTC) represents a significant contribution to the existing literature. However, the study is not without limitations. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Environmental Impact Assessment of Reusable and Disposable Surgical Head Covers
This life cycle assessment compares the environmental footprint of reusable surgical head covers with single-use disposable surgical head covers. (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 Category: Sports Medicine Source Type: research
Opioids in Early Recovery After Pancreatectomy
Challenge accepted. Like many institutions, we introduced an early recovery after surgery (ERAS) protocol with a multimodal pain regimen and patted ourselves on the back. Many single-institution studies, including Kowalsky et al, have shown that ERAS protocols are associated with decreased length of stay and hospital costs and work just as well, if not better, than instituting a minimally invasive pancreas surgery program. In terms of opioid use, Kowalsky et al showed a decrease in use of patient-controlled analgesia from 99% to 29% post-ERAS (P < .0001). So what comes next? (Source: JAMA Surgery)
Source: JAMA Surgery - September 6, 2023 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 - September 1, 2023 Category: Surgery Source Type: research
