JAMA Surgery

JAMA Surgery JAMA Surgery, which began publication in 1920, is an international peer-reviewed journal.

Case series examines the ability of a pig-to-human xenograft to provide life-sustaining kidney function.
11/04/2023

Case series examines the ability of a pig-to-human xenograft to provide life-sustaining kidney function.

This case series examines the ability of a pig-to-human xenograft to provide life-sustaining kidney function.

Cohort study compares the rates emergency department visits after cholecystectomy, transurethral resection of the prosta...
11/03/2023

Cohort study compares the rates emergency department visits after cholecystectomy, transurethral resection of the prostate, and knee arthroplasty at freestanding ambulatory surgery centers vs hospital-owned surgery centers.

This cohort study compares the rates emergency department visits after cholecystectomy, transurethral resection of the prostate, and knee arthroplasty at freestanding ambulatory surgery centers vs hospital-owned surgery centers.

Narrative review describes the use of liquid biopsy in making treatment decisions for patients with cancer, including in...
11/02/2023

Narrative review describes the use of liquid biopsy in making treatment decisions for patients with cancer, including in early-stage and resectable disease, and the potential to significantly improve care.

This narrative review describes the use of liquid biopsy in making treatment decisions for patients with cancer, including in early-stage and resectable disease, and the potential to significantly improve care.

Amputation rates in the most populous US counties were associated with individual components of SDOH, such as African Am...
11/01/2023

Amputation rates in the most populous US counties were associated with individual components of SDOH, such as African American race, diabetes, smoking, and food insecurity.

This cross-sectional study uses the Healthcare Cost and Utilization Project State Inpatient Database to assess which social determinants of health are associated with high amputation rates in the most populous US counties.

Machine learning and natural language processing can help predict high-risk donors whose kidneys aren't used for transpl...
11/01/2023

Machine learning and natural language processing can help predict high-risk donors whose kidneys aren't used for transplants. Models still need refinement but leveraging unstructured data could expand possibilities.

This cohort study uses kidney donor information from the United Network for Organ Sharing to investigate if machine learning and natural language processes can predict donors with kidneys that are not used for organ transplant.

Cohort study uses registry data to report the long-term outcomes of patients who participated in randomized clinical tri...
10/31/2023

Cohort study uses registry data to report the long-term outcomes of patients who participated in randomized clinical trials of antibiotics vs surgery in Sweden in the 1990s.

This cohort study uses registry data to report the long-term outcomes of patients who participated in randomized clinical trials of antibiotics vs surgery in Sweden in the 1990s.

Use of a task-based performance evaluation can provide meaningful assessment of learner skill in robotic lobectomy.
10/30/2023

Use of a task-based performance evaluation can provide meaningful assessment of learner skill in robotic lobectomy.

This article discusses a task-based assessment of thoracic performance during robotic lobectomies that obviates the inherent limitations or bias that persist in existing approaches.

Abdominal pain after Roux-en-Y gastric bypass (RYGB) can signify a potentially life-threatening condition. This review h...
10/29/2023

Abdominal pain after Roux-en-Y gastric bypass (RYGB) can signify a potentially life-threatening condition. This review highlights important anatomical and technical aspects of RYGB to guide appropriate workup, diagnosis, and treatment.

This narrative review discusses diagnostic evaluation and treatment of the most common and important etiologies of abdominal pain after Roux-en-Y gastric bypass surgery.

Interpretable machine learning methodologies are powerful tools to diagnose and remedy system-related bias in care, such...
10/28/2023

Interpretable machine learning methodologies are powerful tools to diagnose and remedy system-related bias in care, such as disparities in access to postinjury rehabilitation 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.

Study findings suggest that trauma centers with high emergency department pediatric readiness had lower mortality after ...
10/27/2023

Study findings suggest that trauma centers with high emergency department pediatric readiness had lower mortality after considering transport time and proximity.

This cohort study investigates the association of transport time, US trauma center proximity, and emergency department (ED) readiness with pediatric survival.

Radiofrequency ablation (RFA) for T1N0M0 PTC has excellent long-term outcomes, and patients with subcapsular tumors more...
10/26/2023

Radiofrequency ablation (RFA) for T1N0M0 PTC has excellent long-term outcomes, and patients with subcapsular tumors more than 2 mm from the capsule or trachea and unifocal tumors may be the best candidates for RFA.

This cohort study examines long-term outcomes of radiofrequency ablation for T1N0M0 papillary thyroid cancer and the risk factors associated with local tumor progression.

Over 200 health journals call on the United Nations, political leaders, and health professionals to recognize that clima...
10/26/2023

Over 200 health journals call on the United Nations, political leaders, and health professionals to recognize that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. https://ja.ma/49b9Zuj

In this cross-sectional survey study, the results of validated survey instruments indicated low rates of decisional regr...
10/25/2023

In this cross-sectional survey study, the results of validated survey instruments indicated low rates of decisional regret and high levels of satisfaction with decision following gender-affirming mastectomy.

This cross-sectional study uses validated instruments to assess long-term decisional regret and satisfaction following gender-affirming mastectomy.

Results of this phase 2 randomized clinical trial did not demonstrate noninferiority of 4-hydroxytamoxifen gel compared ...
10/23/2023

Results of this phase 2 randomized clinical trial did not demonstrate noninferiority of 4-hydroxytamoxifen gel compared with oral tamoxifen citrate, 20 mg/d.



https://ja.ma/3Sb4DJ9

Study findings suggest that removing race correction from pulmonary function tests may affect surgeon decision-making.
10/22/2023

Study findings suggest that removing race correction from pulmonary function tests may affect surgeon decision-making.

This quality improvement study examines the implications of removing race correction from pulmonary function tests for health care systems, patients, and surgeons.

Study findings suggest that MSPen technology may enable intraoperative identification of tissues during thyroid and para...
10/21/2023

Study findings suggest that MSPen technology may enable intraoperative identification of tissues during thyroid and parathyroid surgical procedures.

This diagnostic/prognostic study assesses the use of the MasSpec Pen in intraoperative discrimination of thyroid, parathyroid, and lymph node tissues.

Hospital market competition does not appear to be associated with improved outcomes after high-risk surgical procedures....
10/20/2023

Hospital market competition does not appear to be associated with improved outcomes after high-risk surgical procedures.

This cross-sectional study examines data for Medicare beneficiaries who underwent elective, high-risk surgery in relation to a hospital market index to determine the association between market competition and surgical outcomes.

In a difference-in-differences analysis of 65 to 75-year old ever-smoking males, expanding eligibility for abdominal aor...
10/19/2023

In a difference-in-differences analysis of 65 to 75-year old ever-smoking males, expanding eligibility for abdominal aortic aneurysm screening in January 2014 was associated with a 23% increase in screening ultrasounds compared to non-smoking males. https://ja.ma/3rVu1rU

This review analyzes the literature describing the format, design, and attributes of morbidity and mortality conferences...
10/18/2023

This review analyzes the literature describing the format, design, and attributes of morbidity and mortality conferences that best advance their stated objectives.

This systematic review assesses the format, design, and other morbidity and mortality conference attributes that seem to best advance its stated objectives related to quality improvement and practitioner education.

This cross-sectional study examining approximately 900 mass shooting events found that Black individuals were disproport...
10/17/2023

This cross-sectional study examining approximately 900 mass shooting events found that Black individuals were disproportionately affected by mass shooting events. There is evidence that structural racism may play a role in mass shooting events.

This cross-sectional study examines data from the Gun Violence Archive for mass shooting events that occurred from 2015 to 2019 in the 51 largest metropolitan statistical areas in the United States to determine associations with markers of structural racism.

In this cohort study of Black and White Medicare patients, primary care utilization had no impact on in-hospital mortali...
10/16/2023

In this cohort study of Black and White Medicare patients, primary care utilization had no impact on in-hospital mortality for Black patients, but was associated with decreased mortality for White patients.

This study attempts to determine if preoperative primary care utilization is associated with postoperative mortality following an emergency general surgery operation among Black and White older adults.

Results of this cohort study suggest that axillary dissection did not inform systemic therapy recommendations in individ...
10/15/2023

Results of this cohort study suggest that axillary dissection did not inform systemic therapy recommendations in individuals with clinically node-positive breast cancer.

This cohort study investigates the association between the omission of axillary dissection and systemic therapy in patients with clinically node-positive breast cancer in the postneoadjuvant setting.

In people with poor weight loss and a suboptimal GLP-1 response after metabolic surgery, 24 weeks of once-daily liraglut...
10/14/2023

In people with poor weight loss and a suboptimal GLP-1 response after metabolic surgery, 24 weeks of once-daily liraglutide 3.0 mg as an adjunct to a lifestyle intervention led to clinically meaningful weight loss (-8.8%) compared to placebo (-0.5%). https://ja.ma/3twuukL

JAMA and JAMA Network journals join journals worldwide to call on health professionals to warn the public about major da...
10/13/2023

JAMA and JAMA Network journals join journals worldwide to call on health professionals to warn the public about major danger to health and essential life support systems posed by the threat of nuclear war and urge action to prevent use of nuclear weapons.

In January 2023, the Science and Security Board of the Bulletin of the Atomic Scientists moved the hands of the Doomsday Clock forward to 90 seconds before midnight, reflecting the growing risk of nuclear war.1 In August 2022, the UN Secretary-General António Guterres warned that the world is now i...

Social media was involved in 1.4% of reported violent crimes in 1 US county and that threats on social media were associ...
10/12/2023

Social media was involved in 1.4% of reported violent crimes in 1 US county and that threats on social media were associated with injury. https://ja.ma/3tASkvr

Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not ...
10/12/2023

Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not translate into future promotion, finds study of faculty at surgical departments in US and Puerto Rico. https://ja.ma/3tzllYp

Study found significant gender-based variation in practice patterns and reimbursement among neurosurgeons serving the Me...
10/11/2023

Study found significant gender-based variation in practice patterns and reimbursement among neurosurgeons serving the Medicare fee-for-service population. https://ja.ma/3Qa7iS2

Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonab...
10/11/2023

Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonabsorbable mesh does not reduce the incidence of hiatal hernia recurrence 13 years postoperatively. https://ja.ma/3PQbBAE

Selected patients with liver-only CRLM and favorable pre-transplant prognostic scoring have long-term OS comparable to c...
10/10/2023

Selected patients with liver-only CRLM and favorable pre-transplant prognostic scoring have long-term OS comparable to conventional indications for LT, providing a potential curative treatment option in patients otherwise offered only palliative treatments.

This nonrandomized controlled trial assesses the long-term survival and prognosis in patients who undergo liver transplant for nonresectable liver metastases resulting from colorectal cancer.

Cohort study assesses relationship between for-profit status and trauma center location.
10/09/2023

Cohort study assesses relationship between for-profit status and trauma center location.

This cohort study assesses geographic distribution of for-profit and not-for-profit trauma centers in the US designated by their states between 2014 and 2018.

Economic evaluation estimated the direct health care costs associated with 11 low-value clinical practices in acute trau...
10/06/2023

Economic evaluation estimated the direct health care costs associated with 11 low-value clinical practices in acute trauma care in the integrated health care system of Quebec, Canada.

This economic evaluation estimated the direct health care costs associated with 11 low-value clinical practices in acute trauma care in the integrated health care system of Quebec, Canada.

Case-control study uses data from the Trauma Quality Improvement Program database to assess the need for prophylactic fa...
10/05/2023

Case-control study uses data from the Trauma Quality Improvement Program database to assess the need for prophylactic fasciotomy and delayed fasciotomy in combined arterial and venous injury compared with those with isolated artery or vein injury.

This case-control study assesses the need for prophylactic fasciotomy and delayed fasciotomy in combined arterial and venous injury compared with those with isolated artery or vein injury.

Cohort study of 480 consecutive patients with surgically treated BRCA1/2 breast cancer between 1972 and 2019 showed that...
10/05/2023

Cohort study of 480 consecutive patients with surgically treated BRCA1/2 breast cancer between 1972 and 2019 showed that prophylactic salpingo-oophorectomy (PSO) significantly improved survival compared with no PSO.

This cohort study assesses the prognostic outcomes of prophylactic salpingo-oophorectomy after surgical resection of breast cancer for patients carrying the BRCA1 or BRCA2 variant.

Cohort study showed differences in postdischarge quality metrics associations with hospital-level factors when trauma qu...
10/04/2023

Cohort study showed differences in postdischarge quality metrics associations with hospital-level factors when trauma quality was evaluated using composite scores vs in-hospital mortality.

This cohort study compares postdischarge quality metrics as a composite score with in-hospital mortality as a single measure of hospital-level care quality of older trauma patients.

This study of abdominal wall tensiometry in 100 patients undergoing posterior components separation with transversus abd...
10/04/2023

This study of abdominal wall tensiometry in 100 patients undergoing posterior components separation with transversus abdominis release (TAR) found that TAR contributed to posterior, not anterior, fascial tension reduction.

This case series assesses the changes in tension on the anterior and posterior fascial elements of the abdominal wall associated with each retromuscular release during a posterior components separation with a transversus abdominis release.

Cross-sectional study used search data from Google Trends to estimate public interest in self-managed abortion.
10/03/2023

Cross-sectional study used search data from Google Trends to estimate public interest in self-managed abortion.

This cross-sectional study used search data from Google Trends to estimate public interest in self-managed abortion.

This Surgical Innovation discusses 3-dimensional liver modeling serving accessibility of liver surgery virtual planning....
10/02/2023

This Surgical Innovation discusses 3-dimensional liver modeling serving accessibility of liver surgery virtual planning.

This Surgical Innovation discusses 3-dimensional liver modeling serving accessibility of liver surgery virtual planning.

This narrative review describes the types of endoleak after endovascular aneurysm repair and updates on management recom...
10/01/2023

This narrative review describes the types of endoleak after endovascular aneurysm repair and updates on management recommendations.

This narrative review describes the types of endoleaks, their relative incidence, and their recommended management after endovascular aneurysm repair, including guidelines from US and European vascular surgical societies.

09/30/2023

In this study, the preoperative model accurately targeted high-risk patients for perioperative risk reduction measures, while the postoperative model allowed for screening patients without limb volume measurements and repeated clinic visits.

Cohort study examines the association of tranexamic acid administration with intracranial hemorrhage type, neurologic ou...
09/29/2023

Cohort study examines the association of tranexamic acid administration with intracranial hemorrhage type, neurologic outcomes, and mortality in patients with traumatic brain injury.

This cohort study examines the association of tranexamic acid administration with intracranial hemorrhage type, neurologic outcomes, and mortality in patients with traumatic brain injury.

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The treatment of patients with hepatocellular carcinoma should involve a multidisciplinary approach with collaboration among surgeons, medical oncologists, radiation oncologists, and interventional radiologists to provide optimal care. https://ja.ma/41mmC0N
Focusing on organ procurement organization performance at individual hospitals could eliminate the shortage of extrarenal organs and increase the kidney supply. https://ja.ma/43mFgHP
Among older adults with Medicare undergoing elective parastomal hernia repair, 30-day complications were common and more than 1 in 5 patients underwent reoperation for hernia recurrence within 5 years of surgery. https://ja.ma/3zTSMVI
Survey study describes the association between patient preference and physician decision-making in thyroid cancer. https://ja.ma/42djKUA
In a general population of emergency department patients with abdominal pain, using unenhanced CT to avoid risks of intravenous contrast medium administration is associated with a large diagnostic penalty. https://ja.ma/3LOBFLN
In this study, advanced recovery room care was associated with reduced major postoperative complications and increased days at home after surgery. https://ja.ma/3NupxAS
Data support consideration of adults with intellectual and developmental disabilities for kidney transplantation and underscore the urgent need for anti-discrimination initiatives to promote the receipt of equitable care for this population. https://ja.ma/41p6DyU
Using nonopioid pain control measures, along with patient education, postoperative opioid prescriptions may be able to be safely eliminated without compromising pain control and recovery. https://ja.ma/3zPyP2m
In this study analyzing 407,461 program reported resident years collected from 112,205 individual surgical residents over 18 years, the average percentage of female residents increased while the average percentage of residents underrepresented in medicine remained relatively unchanged. https://ja.ma/3zTGzQY
Cross-sectional study examines the variability in firearm mortality risk by county-type across the full rural-urban continuum in the US. https://ja.ma/3oPRVCY
This article describes advances that are leading to a resurgence in surgeon interest and adoption of laparoscopic common bile duct exploration, making an innovation out of an old technique. https://ja.ma/40I3YQi
Findings of this study suggest that molecular measurements can be leveraged to identify the treatment-responsive endotypes of trauma patients. https://ja.ma/3Hi2Uf4
The use of hyperthermic intraperitoneal chemotherapy with mitomycin C along with complete cytoreduction improved locoregional control in patients with locally advanced colorectal cancer and should be considered for treatment of locally advanced colorectal cancer. https://ja.ma/422a7HR
The findings of this study suggest that supervised residents may safely perform elective open and laparoscopic repair of primary groin and ventral hernias without an increased risk of reoperation. https://ja.ma/3zTGxbO
Study suggests that there are relative shifts in rehabilitation use, with lower outpatient therapy use and higher home health care use among Black patients vs White patients with TBI, which may contribute to differences in recovery from TBI and long-term disability. https://ja.ma/3zTrqil
Study found that the risk of breast squamous cell carcinoma is extremely low in women who undergo breast reconstructive surgery. https://ja.ma/41CXh2K