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This article was corrected online. (Source: JAMA Surgery)
Source: JAMA Surgery - September 1, 2023 Category: Surgery Source Type: research
Surgeon Sex and Patients ’ Long-Term Postoperative Outcomes
This cohort study examines differences in 90-day and 1-year postoperative outcomes in patients treated by female vs male surgeons. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Differences in Cholecystectomy Outcomes and Operating Time Between Male and Female Surgeons
This cohort study of surgeons in Sweden examines differences between female and male surgeons in surgical outcomes and operating time in elective and acute care cholecystectomy. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Limitations of the PREHAB Randomized Clinical Trial —Reply
In Reply We wish to thank van Klei et al and Heil et al for their interest in addressing some important points and the editors of JAMA Surgery for the opportunity to address their Letters. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Limitations of the PREHAB Randomized Clinical Trial
To the Editor The authors of the PREHAB trial are to be congratulated on carrying out an interventional study in a field where such studies are extremely challenging to pull off. This is the largest trial on multimodal prehabilitation for colorectal cancer surgery thus far to our knowledge. It is good news that the results, a reduced rate of severe and medical complications, are suggestive of a favorable effect of this intervention on patient outcomes. The authors addressed some important limitations, such as the open-label design and the premature termination due to the COVID-19 pandemic. Our opinion is that the authors w...
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Limitations of the PREHAB Randomized Clinical Trial
To the Editor With great interest, we read the article by Molenaar et al published in JAMA Surgery. We would like to congratulate the authors for performing a randomized clinical trial (RCT) on prehabilitation in colorectal cancer (CRC) surgery showing promising results. However, we would like to discuss some aspects that may have affected the internal and external validity of this RCT. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
REBOA for Nontraumatic Gastrointestinal Hemorrhage in the US
This cohort study describes the use of and outcomes for resuscitative endovascular balloon occlusion of the aorta for managing nontraumatic gastrointestinal bleeding. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Are Women Better Surgeons Than Men?
Surgery used to be an exclusively male sport. However, more women than men are currently entering medical school, and the proportion of female surgeons is steadily increasing. A previous study found that female and male physicians approach patients differently. Evidence has suggested that female surgeons are more likely to use patient-centered decision-making, more willing to collaborate, and more carefully select patients for surgery. These differences might translate into different outcomes for female and male surgeons. Studying such differences can give important insights into how to avoid adverse outcomes. (Source: JAMA Surgery)
Source: JAMA Surgery - August 30, 2023 Category: Sports Medicine Source Type: research
Present the Downsides of Surgery, Not Just Risks
This Viewpoint is the last of a 4-part series discussing ways to improve communication between surgeons and patients. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Risk-Adjusted Cumulative Sum for Early Detection of Hospitals With Excess Perioperative Mortality
This comparative effectiveness study investigates use of the risk-adjusted cumulative sum vs episodic evaluation for early detection of Veterans Affairs hospitals with excess perioperative mortality. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Timing of Cholecystectomy After Moderate and Severe Acute Biliary Pancreatitis
This cohort study assesses the safety of early cholecystectomy in patients with moderately severe and severe acute biliary pancreatitis. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Development of a Machine Learning Tool to Address Racial Disparities in Access to Care
This cohort study uses data from the American College of Surgeons Trauma Quality Improvement Program database to examine disparities in access to postacute care and develop a machine learning model that can remedy them. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Optimizing Uptake of Multimodal Pain Management After Surgery
This quality improvement study evaluates the effect of an electronic health record intervention on multimodal pain management following surgery in 2 randomized clinical trials. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Can We Improve the Quality of Quality Improvement?
The modern approach to surgical quality improvement began in the US Department of Veterans Affairs (VA) health system with the creation of the Veterans Affairs Surgical Quality Improvement Program (VASQIP). Each quarter, VA hospitals receive a report showing their risk-adjusted surgical outcomes in the form of an observed to expected ratio that indicates which centers have excess morbidity and mortality relative to what should be expected based on their patients and case mix. The VA hospitals experiencing excess perioperative morbidity and mortality during each quarter are then expected to take steps to improve outcomes fo...
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
Prevention of Recurrences in Acute Biliary Pancreatitis
The aim of cholecystectomy in acute biliary pancreatitis (ABP) is the prevention of recurrent attacks of the disease. Previously, in mild ABP, a delayed, prophylactic cholecystectomy was recommended 4 to 6 weeks after the disease. This recommendation resulted in a significant number of recurrences of ABP during that period. Thus, the current guidelines recommend early cholecystectomy (EC) during the same hospitalization period as the treatment of mild ABP. However, in moderately severe and severe ABP, as defined by the revised Atlanta criteria, the timing of cholecystectomy remains controversial and unclear. (Source: JAMA Surgery)
Source: JAMA Surgery - August 23, 2023 Category: Sports Medicine Source Type: research
