A Personalized Evolution in Hernia Care
The seminal article by Luijendijk et al from 2000 on hernia repair noted a 3-year cumulative recurrence rate following hernia repair of 46% without mesh and 23% with mesh. The Abdominal Core Health Quality Collaborative (ACHQC; formerly the Americas Hernia Society Quality Collaborative), born in 2012 in hopes of providing deeper insight into the true long-term outcomes, collects prospective data from surgeons across a variety of variables and is beginning to bear fruit of the labor of surgeons whose interest in hernia repair reaches far enough to participate in data collection. The collaborative uniquely uses patient-repor...
Source: JAMA Surgery - March 27, 2024 Category: Sports Medicine Source Type: research
Safety of Pregnancy After Breast Cancer in BRCA Mutation Carriers
This report is noteworthy because of prior concerns that pregnancy-related hor monal surges and fluctuations could potentially compromise control of a breast cancer patient’s micrometastatic burden. (Source: JAMA Surgery)
Source: JAMA Surgery - March 27, 2024 Category: Sports Medicine Source Type: research
Metabolic Bariatric Surgery —A Vastly Underused Treatment
This Viewpoint discusses the disease of obesity: treatment options, disease management, and the need for legislation for obesity-related discrimination. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
JAMA Surgery Peer Reviewers in 2023
We sincerely thank the 481 peer reviewers who completed manuscript reviews for JAMA Surgery in 2023. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
Morbidity After Mechanical Bowel Preparation and Oral Antibiotics Prior to Rectal Resection
This randomized clinical trial compares the effectiveness of mechanical and oral antibiotics bowel preparation with that of mechanical bowel preparation alone for reducing morbidity in patients undergoing elective rectal resection. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
Cost-Effectiveness of Parathyroid Cryopreservation and Autotransplantation
This economic evaluation investigates the cost-effectiveness of parathyroid cryopreservation and delayed autotransplantation as a treatment for permanent hypoparathyroidism as a result of thyroid/parathyroid surgery. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
Modifier 22 Use in Fee-for-Service Medicare
This cross-sectional study evaluates the association between the use of Medicare ’s modifier 22 and compensation for common surgical procedures. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
A Model of Reconstructive Surgery Training With Reduced Carbon Footprint of Outreach
This economic evaluation compares carbon dioxide emissions from air transportation for surgical mission trips vs team training trips. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
Mechanical and Oral Antibiotic Bowel Preparation in Elective Rectal Resection
The findings reported in this multicenter, double-blinded, randomized clinical trial comparing the efficacy of mechanical and oral antibiotic bowel preparation (MOABP) with mechanical bowel preparation (MBP) alone in elective rectal resection are both intriguing and crucial for surgical practice. The authors ’ methodical approach and stringent adherence to quality methodology have furnished us with valuable insights, highlighting the superiority of MOABP in lowering the incidence of surgical site infections (SSIs) and anastomotic dehiscence when compared with MBP alone. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
Modifier 22 —Is It All Just a Catch-22?
The study by Childers et al provides insights into the flaws of fee-for-service payment systems when it comes to the surgical care of complex patients. The study found that the magnitude of additional payments associated with the use of modifier 22 was small, and this was almost completely offset by increased claim denials. These results are sure to be disappointing to surgeons who frequently use modifier 22 believing that it will lead to additional compensation related to the time and stress associated with more challenging cases. The findings highlight the ongoing challenge with reliably rewarding health care professiona...
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
The Year in Review, 2023
The year 2023 was associated with tremendous accomplishments for JAMA Surgery. First, as continued evidence of the high-quality scientific publications in JAMA Surgery, the Journal Impact Factor rose to 16.9. This remarkable achievement reflects the hard work of our authors, peer reviewers, and editorial team. This metric along with other important measures of the journal ’s reach and influence continues to position JAMA Surgery as the number 1 ranked surgery journal in the world. (Source: JAMA Surgery)
Source: JAMA Surgery - March 20, 2024 Category: Sports Medicine Source Type: research
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
