Medicare Accountable Care Organizations and the Adoption of New Surgical Technology
Dissemination of new surgical technology is a major contributor to healthcare spending growth. Accountable care organization (ACO) policy aims to control spending while maintaining quality. As a result, ACOs provide incentive for hospitals to selectively adopt newer procedures with high value. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 25, 2020 Category: Surgery Authors: Parth K. Modi, Samuel R. Kaufman, Megan EV. Caram, Andrew M. Ryan, Vahakn B. Shahinian, Brent K. Hollenbeck Tags: Original Scientific Article Source Type: research

Fragmented Care in the Treatment of Rectal Cancer and Time to Definitive Therapy
The National Accreditation Program for Rectal Cancer (NAPRC) emphasizes a multidisciplinary approach for treating rectal cancer and has developed performance measures to ensure that patients receive standardized care. We hypothesized that rectal cancer patients receiving care at multiple centers would be less likely to receive timely and appropriate care. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 24, 2020 Category: Surgery Authors: Jonathan S. Abelson, Philip S. Bauer, John Barron, Ani Bommireddy, William C. Chapman, Christine Schad, Kerri Ohman, Steven Hunt, Matthew Mutch, Matthew Silviera Tags: Original Scientific Article Source Type: research

Pain as the Fifth Vital Sign
Devastating consequences of the opioid epidemic, including prescription misuse, opioid overdose, and the rising incidence of newborns experiencing withdrawal symptoms, continue to plague communities in the US. In 2017, the Department of Health and Human Services declared a Public Health Emergency to address the national opioid crisis and unveiled a 5-point Opioid Strategy to combat the epidemic.1 Despite these efforts, available data suggest enough opioid prescriptions are written each year for half of all Americans to receive one. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Michael P. Rogers, Paul C. Kuo Tags: Invited Commentary Source Type: research

Interpretation of Anticoagulation Therapy Dependent on Human Race Specificity
In the recent Journal article by Obitsu and colleagues,1 80% of the participants were patients with colorectal cancer. All cases of venous thromboembolism (VTE) developing were in patients treated surgically for colorectal cancer. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Taishi Hata, Kohei Murata Tags: Invited Commentary Source Type: research

Transversus Abdominis Plane Block: Worth the Hype, or Simply Tapped Out?
The transversus abdominus plane (TAP) block was first described by Rafi in 2001.1 Since that time, it has grown in popularity as an analgesic modality for abdominal operations, primarily for its purported advantages, such as less pain and improved mobility after surgery, decreased consumption of postoperative narcotic medications, and improved patient satisfaction. Still, controversy exists regarding the ideal approach, local anesthetic agent, timing, and surgical procedures in terms of potential benefit for patients. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Ajita S. Prabhu Tags: Invited Commentary Source Type: research

Correction
In the article, “Practice Patterns and Guideline Non-Adherence in Surgical Management of Appendiceal Carcinoid Tumors,” which appeared in the June 2019 issue of the Journal of the American College of Surgeons, Volume 228, Number 6, pages 839-851, the variables for ‘Tumor size’ were printed incorrectly. The correct Table 1 is presented below. The editors apologize for this error. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Tags: Correction Source Type: research

Cost-Effective Patient Selection for Adjuvant Therapy in Stage IIIA Melanoma
Adjuvant immunotherapy with the anti-PD1 monoclonal antibodies pembrolizumab (Keytruda, Merck) or nivolumab (Opdivo, Bristol-Myers Squibb) has documented ability to improve recurrence-free survival (RFS) for node-positive melanoma patients after lymphadenectomy,1,2 and both agents are approved for use by the Food and Drug Administration (FDA). At present, there are no available data about the overall survival (OS) impact of these drugs, although we infer that it should be at least as good as that of adjuvant ipilimumab (Yervoy, Bristol-Myers Squibb), which has been shown to improve OS compared with a placebo in these patie...
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Vernon K. Sondak, Jane L. Messina, Ahmad A. Tarhini Tags: Invited Commentary Source Type: research

A Decalogue of Experience
The surgical literature is replete with information from scientific experiments, clinical series, prospective randomized trials, and meta-analyses. There is an occasional “how I do it” article, which usually focuses on performing the sequential steps of a particular procedure. It is rare to see a publication that deals entirely with the strategy of planning for a group of operations that can vary considerably and are often difficult. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Mark A. Malangoni Tags: Invited Commentary Source Type: research

The Verdict Is In: Evidence to Support the Importance of Leadership, Committee, and Culture for Surgical Quality and Safety
In the publication “Evidence Review for the American College of Surgeons Quality Verification (ACS QV) Part I: Building Quality and Safety Resources and Infrastructure,” the authors present evidence to support the first 4 of 12 overall ACS QV core principles of building quality and safety resources and infrastruct ure.1 In so doing, the authors accomplish a critical step forward for all organizations working to develop the infrastructure to support optimal surgical care. Historically, the principles advocated by the ACS QV Program were backed by expert opinion (Level 5 evidence), which limited their utility w h...
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Caroline E. Reinke, Rachel R. Kelz Tags: Invited Commentary Source Type: research

Applying the Swiss Cheese Model to Incisional Hernia Management: Opportunities to Reduce Excess Mortality from Acute Incarceration
Although ventral incisional hernias are common, occurring in up to 20% of patients, acute incarceration is rare. Nonetheless, 2 recent studies using data from more than 30,000 patients with an incisional hernia, treated at a multihospital healthcare system, have demonstrated that acute incarceration is associated with increased mortality.1,2 In the first study, Dadashzadeh and colleagues1 noted that 78% of patients were managed nonoperatively, and the acute incarceration rate was 2.3%. The 30-, 90-, and 365-day all-cause mortality rates were higher for patients with incarceration vs those successfully managed nonoperativel...
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Krislynn M. Mueck, Lillian S. Kao Tags: Invited Commentary Source Type: research

Contents
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Source Type: research

Editorial Board
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Source Type: research

Political and Historical Considerations for Turkey and the Middle East
We read the article entitled, “Medical capacity-building in war-torn nations: Kurdistan, Iraq as a model,” by Zibari and colleagues.1 We would also like to expand our response to the authors’ previous report.2 While we congratulate the great efforts to improve health care in Middle East, we would like to highlight a few po ints. We do not believe that JACS, or any scientific journal, is the appropriate platform to discuss political facts, or the political standing of any ethnic group; however, we feel obligated to provide facts and accurate information given the misleading statements and unofficial maps i...
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Seher Demirer Tags: Letter Source Type: research

New Technique for Magnetic Compression Anastomosis without Incision for Gastrointestinal Obstruction
Magnetic compression anastomosis (MCA) is a novel technique of anastomosis similar to that with surgery, but in a minimally invasive manner. Few reports are available on the utility and feasibility of MCA for gastrointestinal anastomosis without requiring general anesthesia in humans owing to the difficulty of delivering magnets. We evaluated the safety, efficacy, and feasibility of MCA in gastrointestinal obstruction without requiring general anesthesia. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2020 Category: Surgery Authors: Teppei Kamada, Hironori Ohdaira, Hideyuki Takeuchi, Junji Takahashi, Eisaku Ito, Norihiko Suzuki, Satoshi Narihiro, Masashi Yoshida, Eigoro Yamanouchi, Yutaka Suzuki Tags: Original Scientific Article Source Type: research

Preparing for the Worst: Universal Algorithm for Robotic Surgery Emergency Conversion
There is an increasing trend towards more minimally invasive thoracic and abdominal surgeries, particularly with robotic surgical systems. Robotic surgery is an attractive surgical platform for complex procedures in both the chest and abdomen. The enhanced degrees of freedom in motion, motion scaling, and the three-dimensional vision are welcomed upgrades from the limited two-dimensional vision and restricted range of motion previously experienced with traditional thoracoscopic and laparoscopic techniques [1-4]. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 21, 2020 Category: Surgery Authors: Ruth L. Ackah, Dahlia M. Kenawy, Robert E. Merritt, Peter J. Kneuertz Tags: Surgical Perspective Source Type: research

Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data
Early-cholecystectomy ( ≤8 weeks; E-CCY) following percutaneous cholecystostomy tube (PCT) has been associated with increased postoperative complications but this finding has not been validated at a national-level and PCT-Related Complications/Interventions (PCT-RCI) were not evaluated.. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 20, 2020 Category: Surgery Authors: Steven G. Woodward, Arturo J. Rios-Diaz, Richard Zheng, Connor McPartland, Renee Tholey, Talar Tatarian, Francesco Palazzo Tags: Original Scientific Article Source Type: research

COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons
To better understand how the COVID-19 pandemic has affected surgical trainees ’ and early-career surgeons’ professional and personal experiences, a survey of the membership of the American College of Surgeons (ACS) Resident and Associate Society (RAS) and Young Fellows Association (YFA) was performed. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 15, 2020 Category: Surgery Authors: Julia R. Coleman, Jad M. Abdelsattar, Roan J. Glocker, for the RAS-ACS COVID-19 Task Force Tags: Original Scientific Article Source Type: research

Have the Characteristics for Success as a Surgeon Changed? A Century of Perspective through the American College of Surgeons
The Presidential Address of the American College of Surgeons (ACS) is an influential platform during the convocation for new Fellows every year. Recent work reported that most ACS presidents primarily discuss personal characteristics for success; however, these qualities were never specified. Thus, the present study aimed to identify the personal characteristics that are espoused in ACS presidential addresses as essential for success as a surgeon. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 15, 2020 Category: Surgery Authors: Katelyn A. Young, Samantha M. Lee, Matthew D. Adams, Christie L. Buonpane, Sarah A. Hayek, Mohsen M. Shabahang, David Rogers Tags: Original Scientific Article Source Type: research

Feasibility of Enhanced Recovery in Emergency Colorectal Surgery
This study aims to characterize the degree of spread and demonstrate feasibility of ERP extension to emergency colorectal surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 15, 2020 Category: Surgery Authors: Chelsea P. Fischer, Leandra Knapp, Mark E. Cohen, Clifford Y. Ko, Caroline E. Reinke, Elizabeth C. Wick Tags: Original Scientific Article Source Type: research

Shoulder-to-Shoulder Capacity Building with Colleagues in War-Torn Kurdistan, Iraq: An Equal Opportunity, Non-Partisan Endeavor
We were quite perplexed after reading the recent letter from our distinguished colleague, Dr Seher Demirer, chair of the Turkish Surgical Society, who represents 19 Turkish medical/surgical societies and federations.1 In response to our article, "Medical capacity-building in war-torn nations: Kurdistan, Iraq as a model,"2 while the article contains more than 4,000 words, Turkey was mentioned only twice and only in the context of describing the geopolitics of current Kurdistan, Iraq. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 10, 2020 Category: Surgery Authors: Quyen D. Chu, Renas Zibari, Thai Lagraff, Anand Annamalai, Sachin "Sunny" Jha, Lou Smith, Bharat Guthikonda, Hosein Shokouh-Amiri, Gazi B. Zibari Tags: Letter Source Type: research

Prospective Analysis of the Mechanisms Underlying Ineffective Deep Vein Thrombosis Prophylaxis in Necrotizing Pancreatitis
Necrotizing pancreatitis (NP) patients have rates of venous thromboembolism (VTE) among the highest of any hospitalized patient (57%). We hypothesized that VTE prophylaxis may be inadequate in the setting of this profound inflammatory disease and that early detection of deep vein thrombosis would limit pulmonary embolism. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 8, 2020 Category: Surgery Authors: Thomas K. Maatman, Sean P. McGuire, Kyle A. Lewellen, Kathleen A. McGreevy, Eugene P. Ceppa, Michael G. House, Attila Nakeeb, Trang K. Nguyen, C Max Schmidt, Nicholas J. Zyromski Tags: Original Scientific Article Source Type: research

Virtual Interviews for Fellowship and Residency Applications Are Effective Replacements for In-Person Interviews and Should Continue Post-COVID
The novel coronavirus pandemic has wrought innumerable changes in the day-to-day activities of academic medical centers and departments of surgery throughout the world. While much of the attention has rightfully been placed on clinical matters, the impacts on surgical education have also been profound, and they affect everything from conferences to rotation scheduling to operative volumes.1 At the time of this writing, we are about to enter the residency application season, and programs are grappling with how to manage applications and interviews in a world in which visiting sub-internships have been cancelled and travel f...
Source: Journal of the American College of Surgeons - October 5, 2020 Category: Surgery Authors: Andrew S. Wright Tags: Invited Commentary Source Type: research

Public Perception of General Surgery Resident Autonomy and Supervision
This study evaluates the public’s perception of surgical resident autonomy and supervision. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 3, 2020 Category: Surgery Authors: Karen J. Dickinson, Barbara L. Bass, Duc T. Nguyen, Edward A. Graviss, Kevin Y. Pei Tags: Original Scientific Article Source Type: research

Pilot Study Using Neurofeedback as a Tool to Reduce Surgical Resident Burnout
Burnout is prevalent among surgical residents. Neurofeedback is a technique to train the brain in self-regulation skills. We aimed to assess the impact of neurofeedback on the cognitive workload and personal growth areas of surgery residents with burnout and depression. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Ian M. Kratzke, Alana Campbell, Mae N. Yefimov, Prithima R. Mosaly, Karthik Adapa, Samantha Meltzer-Brody, Timothy M. Farrell, Lukasz M. Mazur Tags: Original Scientific Article Source Type: research

Resuscitative Endovascular Balloon Occlusion of the Aorta vs Pre-Peritoneal Packing in Patients with Pelvic Fracture
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a less invasive procedure compared to pre-peritoneal packing and is associated with improved outcomes. Further clinical trials are needed to define the optimal patient who will benefit from REBOA. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Samer Asmar, Letitia Bible, Mohamad Chehab, Andrew Tang, Muhammad Khurrum, Molly Douglas, Lourdes Castanon, Narong Kulvatunyou, Bellal Joseph Tags: Original Scientific Article Source Type: research

Public Perceptions of General Surgery Resident Autonomy and Supervision
The US public have limited understanding of resident participation in surgical care, and do not universally accept trainee involvement. Public perception regarding surgical resident autonomy and supervision can guide patient education efforts with the goal of engaging our diverse patient population, arguably the most important stakeholders, in the training process. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Karen J. Dickinson, Barbara L. Bass, Duc T. Nguyen, Edward A. Graviss, Kevin Y. Pei Tags: Original Scientific Article Source Type: research

Geographic Coverage and Verification of Trauma Centers in a Rural State: Highlighting the Utility of Location-Allocation for Trauma System Planning
Vermont is a rural state that lacks a regionalized trauma system. Nearly 30% of the population is without access to trauma center care within 1 hour. Through geospatial location-allocation modeling, we identify facilities where targeted capacity improvement and center verification could have the greatest impact on equitable population-level access. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Stas S. Amato, Jamie S. Benson, Serena Murphy, Turner M. Osler, David Hosmer, Alan D. Cook, Daniel L. Wolfson, Andrew Erb, Ajai Malhotra, Gary An Tags: Original Scientific Article Source Type: research

Education Time Out and Debrief: Structured Implementation of Perioperative Resident Technical Education Discussion
We designed a model for pre- and postoperative discussions between faculty and trainees to maximize educational yield of cases and accelerate residents ’ technical development. We sought to study its effect on surgical education via participant perceptions and longitudinal validated performance evaluations. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Shreeya Popat, Caroline Hubbard, Wesley A. Mayer, Jennifer M. Taylor Tags: Original Scientific Article Source Type: research

Implementation and Evaluation of a Novel High-Value Care Curriculum in a Single Academic Surgery Department
After implementation of a comprehensive value curriculum, multi-modal assessment demonstrated improvement in residents ’ objective knowledge of High-Value Care (HVC) principles, residents’ ability to design and lead clinical value improvement projects, and residents’ confidence they could use HVC principles in their practice. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Tyler Pender, Luca Boi, Veronica M. Urbik, Robert Glasgow, Brigitte K. Smith Tags: Original Scientific Article Source Type: research

Mid-Term Survival after Thoracic Endovascular Aortic Repair by Indication in the Medicare Population
We describe mid-term mortality and re-intervention rates in Medicare beneficiaries undergoing TEVAR. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Vy T. Ho, Nathan K. Itoga, Kenneth Tran, Jason T. Lee, Jordan R. Stern Tags: Original Scientific Article Source Type: research

Cleaning Up the MESS: Can Machine Learning be Used to Predict Lower Extremity Amputation after Trauma-Associated Arterial Injury?
Thirty years after the Mangled Extremity Severity Score (MESS) was developed, advances in vascular, trauma and orthopedic surgery have rendered the sensitivity of this score obsolete. A significant number of patients receive amputation during subsequent admissions, which are often missed in the analysis of amputation at the index admission. We aimed to identify risk factors for and predict amputation on initial admission or within 30 days of discharge (peritraumatic amputation or PTA). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Siavash Bolourani, Dane Thompson, Sara Siskind, Bilge D. Kalyon, Vihas M. Patel, Firas F. Mussa Tags: Original Scientific Article Source Type: research

Outpatient Mastectomy: Factors Influencing Patient Selection and Predictors of Return to Care
Following implementation of the Surgical Home Recovery (SHR) Initiative for mastectomy within a large, integrated health delivery system, most patients are discharged on the day of surgery. We sought to identify predictors of SHR and unplanned return to care (RTC). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Brooke Vuong, Jennifer R. Dusendang, Sharon B. Chang, Margaret Ann Mentakis, Veronica C. Shim, Julie Schmittdiel, Gillian Kuehner Tags: Original Scientific Article Source Type: research

Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy
To encourage implementation of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 2, 2020 Category: Surgery Authors: Elvira L. Vos, Ashley E. Russo, Alexandra Hohmann, Sam S. Yoon, Daniel G. Coit, Clifford Ko, Vivian E. Strong Tags: Original Scientific Article Source Type: research

Am I on Track? Evaluating Patient-Specific Weight Loss after Bariatric Surgery Using an Outcomes Calculator
Individual weight loss outcomes after bariatric surgery can vary considerably. As a result, identifying and assisting patients who are not on track to reach their weight loss goals can be challenging. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Oliver Adrian Varban, Aaron J. Bonham, Amanda Stricklen, Rachel Ross, Arthur Michael Carlin, Jonathan Ford Finks, Amir Abbas Ghaferi Tags: Bariatric and Foregut Source Type: research

Does Size Matter? Outcomes in Obese vs Non-Obese Injured Patients at an American College of Surgeons-Verified Level I Trauma Center and Bariatric Surgery Center of Excellence
After injury, obese patients have been shown to suffer worse outcomes with increased risk of postoperative complication, longer ICU stays, morbidity and mortality. We hypothesized that the outcomes of trauma patients with BMI ≥ 30 compared with patients with BMI (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Patrizio Petrone, Raelina S. Howell, Meredith Akerman, Gerard Anthony Baltazar, D'Andrea K. Joseph, Collin E.M. Brathwaite Tags: Bariatric and Foregut Source Type: research

Establishing Preoperative Risk Factors and Development of a Predictive Nomogram for Dysphagia after Magnetic Sphincter Augmentation
Dysphagia remains the main complaint of patients after magnetic sphincter augmentation (MSA). The aim of this study is to identify factors contributing to postoperative dysphagia and to construct a nomogram to predict probability of dysphagia after MSA. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Shahin Ayazi, Katrin Schwameis, Ping Zheng, Ali Zaidi, Toshitaka Hoppo, Brittney Myers, Blair Jobe Tags: Bariatric and Foregut Source Type: research

Effect of Adding Crural Relaxing Incision on the Outcome of Laparoscopic Nissen Fundoplication
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Ahmed Elgeidie Tags: Bariatric and Foregut Source Type: research

Gastric Bypass Promotes Faster Enterohepatic Cycling of Bile Acid and Greater Postprandial, but Not Fasting, Systemic Bile Acid Levels
Altered bile acids (BA) signaling is thought to support superior fat mass loss and glycemic improvements seen after Roux-en-Y gastric bypass (RYGB) compared with diet alone; however, precise mechanisms for quantitative and qualitative changes in systemic BAs specific to RYGB are unknown. We compared fasting and post-prandial systemic BA profiles in consecutive RYGB patients with symptomatic postprandial hypoglycemia before and after RYGB reversal. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Matthew Browning, Jad Khoraki, Arnaldo H. de Souza, Mei-i Yen, Dawn Davis, Guilherme M. Campos Tags: Bariatric and Foregut Source Type: research

Multidisciplinary Preoperative Management of Clinically Complex Patients Results in Delay to Bariatric Surgery
A small fraction of eligible US veterans undergo bariatric surgery in the Veterans Health Administration (VHA). Although multidisciplinary care can improve outcomes after bariatric surgery, it may also cause delays in surgical care. We aimed to evaluate whether our bariatric center ’s multidisciplinary approach, including case coordination and multiple preoperative clinic visits to manage clinical complexity, leads to delay in surgical care. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Jesse Bandle, Amber Trickey, Rui Chen, Dan Eisenberg Tags: Bariatric and Foregut Source Type: research

Robotic Transhiatal Esophagectomy is the Future: Here and Now
This study was undertaken to examine our results with robotic transhiatal esophagectomy (THE) and to compare our results with those predicted by NSQIP and those reported through NSQIP. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Sharona B. Ross, Iswanto Sucandy, Valerie Przetocki, Kenneth Luberice, Timothy J. Bourdeau, Gabriel Rivera-Espineira, Alexander S. Rosemurgy Tags: Bariatric and Foregut Source Type: research

Safety of Elective Paraesophageal Hernia Repair in Patients over Age 65: Reality Matches Theory
Based on the Markov Monte Carlo decision analytic model, watchful waiting is recommended for asymptomatic/minimally symptomatic paraesophageal hernias (PEH) in patients age ≥65 years, unless the mortality rate for elective repair were to reach ≤0.5%, at which point, operation would become the optimal treatment. We hypothesized that, with advances in surgery and perioperative care, that mortality threshold has been reached. However, the safety net would decrease as age increases, particularly in octogenarians. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Tanuja Damani, Juliet J. Ray, Mahmoud Farag, Paresh C. Shah Tags: Bariatric and Foregut Source Type: research

Sleeve Gastrectomy Alters Adipose Tissue B Cell Biology through Weight-Independent and Dependent Mechanisms
In this study, we characterize weight impacts of SG on adipose B cell phenotype and function. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Renuka Subramaniam, James Luo, Brian Hou, Tammy Lo, Ali Tavakkoli, Eric Garland Sheu Tags: Bariatric and Foregut Source Type: research

Applying the Goldilocks Principle to Narcotic Prescription after Breast Surgical Oncology Cases Achieve Both Patient and Provider Goals
Data on the appropriate quantity of narcotics to prescribe after breast surgical oncology cases (BSOC) is lacking. Furthermore, earlier studies have failed to assess both patient and provider viewpoint when considering changes to prescribing practices. Our aim was to appropriately decrease the narcotic quantity prescribed after BSOC, considering both patient and provider goals. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Kelsey E. Larson, Sakshi Mathur Dhar, Amanda Leigh Amin, Christa Ruble Balanoff, Jamie L. Wagner Tags: Breast Source Type: research

Does Diagnostic Mammography Need to Be a Routine Component of the Initial Evaluation of a Breast Symptom in Women 30 of 39 Years of Age?
Diagnostic mammography is routinely ordered, along with focused breast ultrasound, to evaluate breast symptoms in women over 30 years of age. However, for women 30 to 39 years old, mammography is often limited by breast density, and the probability of detecting an occult malignancy is low. We sought to evaluate whether diagnostic mammography detected any incidental malignancy in women aged 30 to 39 years presenting with focal breast symptoms. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Jasmin Neal, Junko J. Ozao-Choy, Christine Elizabeth Dauphine Tags: Breast Source Type: research

National Trends in Treatment Patterns and Clinical Outcomes of Patients with Early Triple Negative Breast Cancer
This study aims to examine national trends in treatment patterns and outcomes of patients with eTNBC using the National Cancer Database (NCDB). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Macy Goldbach, Laura Burkbauer, Julia C. Tchou Tags: Breast Source Type: research

Outpatient Mastectomy: Factors Influencing Patient Selection and Predictors of Return to Care
After implementing the Surgical Home Recovery (SHR) Initiative for mastectomy within a large, integrated health delivery system, most patients are discharged on the day of surgery. We sought to identify predictors of SHR and unplanned return to care (RTC). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Brooke Vuong, Jennifer R. Dusendang, Margaret Ann Mentakis, Sharon B. Chang, Veronica C. Shim, Julie Schmittdiel, Gillian Kuehner Tags: Breast Source Type: research

Radiomics to Predict Nodal Status in Male Breast Cancer
Male breast cancer has a higher adjusted overall mortality compared with female breast cancer. Our study explores the feasibility of using radiomic signatures to discriminate pathologically node-positive vs node-negative male breast cancer patients from a mammogram. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Sivakami Brenda Moorthy, Arjun K. Moorthy, Bino Varghese, Shakila Rajack, Steven Cen, Vinay Duddalwar Tags: Breast Source Type: research

Socioeconomic and Surgical Disparity is Associated with Rapid Relapse among Triple Negative Breast Cancer Patients
The objective of this study is to define the association between rapid relapse, sociodemographic variables and surgical management in the Surveillance, Epidemiology and End Results (SEER) database. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Samilia Obeng-Gyasi, Sarah Asad, James Fisher, Daniel Stover Tags: Breast Source Type: research

Minimally Invasive Placement of the Impella Assist Device is Associated with Low Stroke Risk
Cardiogenic shock is associated with high mortality rate and mechanical circulatory devices are critical in its treatment. The Impella device is a microaxial left ventricular assist device (LVAD) that is inserted through the aortic valve into left ventricular apex. The purpose of the study is to determine the incidence of stroke with the Impella device when it is placed through a minimally invasive approach. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Anthony Lemaire, Lindsay Volk, Leonard Y. Lee Tags: Cardiac Surgery Source Type: research

Use of Right Ventricular Mass Matching Calculation Predicts 1-Year Survival: United Network for Organ Sharing Registry Study
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Camille Hironaka, Taylor Nordan, Masashi Kawabori Tags: Cardiac Surgery Source Type: research