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
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
