Financial impact of surgical site infections on hospitals: the hospital management perspective.

abstract：IMPORTANCE:Although the diagnostic evaluation and technical elements for a successful laparoscopic fundoplication have been clearly identified, 10% to 20% of patients will eventually experience recurrence of their symptoms. The management of patients who fail antireflux surgery is complex and not well codified. OBJECT...

journal_title：JAMA surgery

authors： Patti MG,Allaix ME,Fisichella PM

更新日期：2015-06-01 00:00:00

abstract：Importance:Surgical care is widely unavailable in developing countries; advocates recommend that countries evaluate and report on access to surgical care to improve availability and aid health planners in decision making. Objective:To analyze the infrastructure, capacity, and availability of surgical care in Zambia to...

journal_title：JAMA surgery

authors： Esquivel MM,Uribe-Leitz T,Makasa E,Lishimpi K,Mwaba P,Bowman K,Weiser TG

更新日期：2016-11-01 00:00:00

abstract：Importance:Surgery represents the mainstay treatment of colorectal liver metastases. Indications for the laparoscopic approach in this setting have been widened and there is a need to confirm the benefits of minimally invasive liver surgery (MILS) in patients with complex disease states. Objective:To compare outcomes ...

journal_title：JAMA surgery

authors： Ratti F,Fiorentini G,Cipriani F,Catena M,Paganelli M,Aldrighetti L

更新日期：2018-11-01 00:00:00

abstract：IMPORTANCE:The appropriately coached implementation of surgical safety checklists (SSCs) reduces the incidence of perioperative complications and 30-day mortality of patients undergoing surgery. The association of the introduction of SSCs with 90-day mortality remains unclear. OBJECTIVE:To assess the association betwe...

journal_title：JAMA surgery

authors： Bock M,Fanolla A,Segur-Cabanac I,Auricchio F,Melani C,Girardi F,Meier H,Pycha A

更新日期：2016-07-01 00:00:00

abstract：Importance:Fluorescent imaging with indocyanine green can be used to visualize lymphatics. Peritumoral injection of indocyanine green may allow for visualization of every draining lymph node from a primary lesion on near-infrared imaging. Objectives:To evaluate the role of fluorescent lymphography using near-infrared ...

journal_title：JAMA surgery

authors： Kwon IG,Son T,Kim HI,Hyung WJ

更新日期：2019-02-01 00:00:00

abstract：Importance:Postoperative pancreatic fistula is a potentially life-threatening complication after pancreatoduodenectomy. Evidence for best management is lacking. Objective:To evaluate the clinical outcome of patients undergoing catheter drainage compared with relaparotomy as primary treatment for pancreatic fistula aft...

journal_title：JAMA surgery

authors： Smits FJ,van Santvoort HC,Besselink MG,Batenburg MCT,Slooff RAE,Boerma D,Busch OR,Coene PPLO,van Dam RM,van Dijk DPJ,van Eijck CHJ,Festen S,van der Harst E,de Hingh IHJT,de Jong KP,Tol JAMG,Borel Rinkes IHM,Molenaar IQ

更新日期：2017-06-01 00:00:00

abstract：Importance:Acute cholangitis (AC), particularly severe AC, has historically required urgent endoscopic decompression, although the timing of decompression is controversial. We previously identified 2 admission risk factors for adverse outcomes in AC: total bilirubin level greater than 10 mg/dL and white blood cell coun...

journal_title：JAMA surgery

authors： Schwed AC,Boggs MM,Pham XD,Watanabe DM,Bermudez MC,Kaji AH,Kim DY,Plurad DS,Saltzman DJ,de Virgilio C

更新日期：2016-11-01 00:00:00

abstract：Importance:Surgical options for weight loss vary considerably in risks and benefits, but the relative importance of procedure-associated characteristics in patient decision making is largely unknown. Objective:To identify patient preferences for risks, benefits, and other attributes of treatment options available to i...

journal_title：JAMA surgery

authors： Rozier MD,Ghaferi AA,Rose A,Simon NJ,Birkmeyer N,Prosser LA

更新日期：2019-01-01 00:00:00

abstract：Importance:Both military and civilian clinical practice guidelines include early plasma transfusion to achieve a plasma to red cell ratio approaching 1:1 to 1:2. However, it was not known how early plasma should be given for optimal benefit. Two recent randomized clinical trials were published, with apparently contradi...

journal_title：JAMA surgery

authors： Pusateri AE,Moore EE,Moore HB,Le TD,Guyette FX,Chapman MP,Sauaia A,Ghasabyan A,Chandler J,McVaney K,Brown JB,Daley BJ,Miller RS,Harbrecht BG,Claridge JA,Phelan HA,Witham WR,Putnam AT,Sperry JL

更新日期：2020-02-01 00:00:00

abstract：IMPORTANCE:Research has been limited on the incidence, mechanisms, etiology, and treatment of symptoms that require palliation in patients with terminal cancer. Bowel obstruction (BO) is a common complication of advanced abdominal cancer, including colon cancer, for which small, single-institution studies have suggeste...

journal_title：JAMA surgery

authors： Winner M,Mooney SJ,Hershman DL,Feingold DL,Allendorf JD,Wright JD,Neugut AI

更新日期：2013-08-01 00:00:00

abstract：IMPORTANCE:Individualized risk prediction tools have an important role as decision aids for use by patients and surgeons before surgery. Patient-centered outcomes should be incorporated into such tools to widen their appeal and improve their usability. OBJECTIVE:To develop a patient-centered outcome for the American C...

journal_title：JAMA surgery

authors： Mohanty S,Liu Y,Paruch JL,Kmiecik TE,Cohen ME,Ko CY,Bilimoria KY

更新日期：2015-05-01 00:00:00

abstract：Importance:In general surgery, women earn less money and hold fewer leadership positions compared with their male counterparts. Objective:To assess whether differences exist between the perspectives of male and female general surgery residents on future career goals, salary expectations, and salary negotiation that ma...

journal_title：JAMA surgery

authors： Gray K,Neville A,Kaji AH,Wolfe M,Calhoun K,Amersi F,Donahue T,Arnell T,Jarman B,Inaba K,Melcher M,Morris JB,Smith B,Reeves M,Gauvin J,Salcedo ES,Sidwell R,Murayama K,Damewood R,Poola VP,Dent D,de Virgilio C

更新日期：2019-11-01 00:00:00

abstract：Importance:Autologous fat transfer (AFT or fat grafting) has become an invaluable tool for the correction of disfiguring deformities after breast cancer surgery. However, clinical and animal studies have shown conflicting results regarding its oncologic safety. Objective:To determine whether exposure to AFT vs convent...

journal_title：JAMA surgery

authors： Krastev T,van Turnhout A,Vriens E,Smits L,van der Hulst R

更新日期：2019-01-01 00:00:00

abstract：IMPORTANCE:Minimally invasive parathyroidectomy using intraoperative parathyroid hormone monitoring remains the standard approach to the majority of patients with primary hyperparathyroidism. This study demonstrates that individual patient characteristics do not affect existing criteria for intraoperative parathyroid h...

journal_title：JAMA surgery

authors： Leiker AJ,Yen TW,Eastwood DC,Doffek KM,Szabo A,Evans DB,Wang TS

更新日期：2013-07-01 00:00:00

abstract：Importance:Identification of the tumor margin during surgery is important for precise minimal resection of lung tumors. Intravenous injection of indocyanine green (ICG) has several limitations when used for intraoperative visualization of lung cancer. Objectives:To describe a technique for intraoperative visualization...

journal_title：JAMA surgery

authors： Quan YH,Oh CH,Jung D,Lim JY,Choi BH,Rho J,Choi Y,Han KN,Kim BM,Kim C,Park JH,Kim HK

更新日期：2020-06-24 00:00:00

abstract：IMPORTANCE:The field of transplantation has made tremendous progress since the first successful kidney transplant in 1954. OBJECTIVE:To determine the survival benefit of solid-organ transplant as recorded during a 25-year study period in the United Network for Organ Sharing (UNOS) database and the Social Security Admi...

journal_title：JAMA surgery

authors： Rana A,Gruessner A,Agopian VG,Khalpey Z,Riaz IB,Kaplan B,Halazun KJ,Busuttil RW,Gruessner RW

更新日期：2015-03-01 00:00:00

abstract：Importance:Radical cystectomy is the guidelines-recommended treatment of muscle-invasive bladder cancer, but a resurgence of trimodal therapy has occurred. Limited comparative data are available on outcomes and costs attributable to these 2 treatments. Objective:To compare the survival outcomes and costs between trimo...

journal_title：JAMA surgery

authors： Williams SB,Shan Y,Jazzar U,Mehta HB,Baillargeon JG,Huo J,Senagore AJ,Orihuela E,Tyler DS,Swanson TA,Kamat AM

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:To describe the current state of the science for operating room (OR) briefings and debriefings, including an overview of key definitions, a review of the evidence of effectiveness, and a summary of our experiences as part of a comprehensive unit-based safety program. OVERVIEW:Use of preoperative briefings h...

journal_title：JAMA surgery

authors： Hicks CW,Rosen M,Hobson DB,Ko C,Wick EC

更新日期：2014-08-01 00:00:00

abstract：Importance:Living kidney donation is associated with increased long-term risk of end-stage renal disease (ESRD). An early postdonation marker of ESRD risk could improve postdonation risk assessment and counseling for kidney donors and allow early intervention for donors at increased risk. Objective:To determine the as...

journal_title：JAMA surgery

authors： Massie AB,Holscher CM,Henderson ML,Fahmy LM,Thomas AG,Al Ammary F,Getsin SN,Snyder JJ,Lentine KL,Garg AX,Segev DL

更新日期：2020-03-01 00:00:00

abstract：Importance:Surgical patient outcomes are related to surgeon skills. Objective:To measure resident surgeon technical and nontechnical skills for trauma core competencies before and after training and up to 18 months later and to compare resident performance with the performance of expert traumatologists. Design, Setti...

journal_title：JAMA surgery

authors： Mackenzie CF,Garofalo E,Puche A,Chen H,Pugh K,Shackelford S,Tisherman S,Henry S,Bowyer MW,Retention and Assessment of Surgical Performance (RASP) Group of Investigators.

更新日期：2017-06-01 00:00:00

abstract：Importance:Surgical site infections (SSIs) are common after laparotomy wounds and are associated with a significant economic burden. The use of negative pressure wound therapy (NPWT) has recently been broadened to closed surgical incisions. Objective:To evaluate the association of prophylactic NPWT with SSI rates in c...

journal_title：JAMA surgery

authors： Sahebally SM,McKevitt K,Stephens I,Fitzpatrick F,Deasy J,Burke JP,McNamara D

更新日期：2018-11-01 00:00:00

abstract：Importance:Resection of perihilar cholangiocarcinoma (PHC) is high-risk surgery, with reported operative mortality up to 17%. Therefore, preoperative risk assessment is needed to identify high-risk patients and anticipate postoperative adverse outcomes. Objective:To provide external validation of the Estimation of Phy...

journal_title：JAMA surgery

authors： Coelen RJ,Olthof PB,van Dieren S,Besselink MG,Busch OR,van Gulik TM

更新日期：2016-12-01 00:00:00

abstract：IMPORTANCE:The introduction of hepatoprotective strategies and multidisciplinary management has significantly improved the outcome of neonates with short bowel syndrome (SBS) who require parenteral nutrition (PN). OBJECTIVE:To determine the probability of weaning from PN based on intestinal length in neonates with SBS...

journal_title：JAMA surgery

authors： Fallon EM,Mitchell PD,Nehra D,Potemkin AK,O'Loughlin AA,Gura KM,Puder M

更新日期：2014-07-01 00:00:00

abstract：Importance:Liposomal bupivacaine is a novel extended-duration anesthetic that has recently been used for local infiltration in total knee arthroplasty (TKA). Athough liposomal bupivacaine is widely used, it is unknown if the benefits justify the cost in the veteran population at our institution. Objective:To evaluate ...

journal_title：JAMA surgery

authors： Sakamoto B,Keiser S,Meldrum R,Harker G,Freese A

更新日期：2017-01-01 00:00:00

abstract：IMPORTANCE:Maintaining perioperative normothermia has been shown to decrease the rate of surgical site infection (SSI) after segmental colectomy and is part of the World Health Organization's Guidelines for Safe Surgery. However, strong evidence supporting this association is lacking, and an exact definition of normoth...

journal_title：JAMA surgery

authors： Baucom RB,Phillips SE,Ehrenfeld JM,Muldoon RL,Poulose BK,Herline AJ,Wise PE,Geiger TM

更新日期：2015-06-01 00:00:00

abstract：IMPORTANCE:Revisional laparoscopic surgery after Roux-en-Y gastric bypass (RYGB) has been linked to substantial complications and morbidity. OBJECTIVE:To investigate the safety and effectiveness of endoscopic gastric plication with the StomaphyX device vs a sham procedure for revisional surgery in RYGB patients to red...

journal_title：JAMA surgery

authors： Eid GM,McCloskey CA,Eagleton JK,Lee LB,Courcoulas AP

更新日期：2014-04-01 00:00:00

abstract：IMPORTANCE:Wide variations in mortality rates exist across hospitals following lung cancer resection; however, the factors underlying these differences remain unclear. OBJECTIVE:To evaluate perioperative outcomes in patients who underwent lung cancer resection at hospitals with very high and very low mortality rates (...

journal_title：JAMA surgery

authors： Grenda TR,Revels SL,Yin H,Birkmeyer JD,Wong SL

更新日期：2015-11-01 00:00:00

abstract：Importance:Minimally invasive laparoscopic surgery (MILS) for endometrial cancer reduces surgical morbidity compared with a total abdominal hysterectomy. However, only a minority of women with early-stage endometrial cancer undergo MILS. Objective:To evaluate the association between the Danish nationwide introduction ...

journal_title：JAMA surgery

authors： Jørgensen SL,Mogensen O,Wu C,Lund K,Iachina M,Korsholm M,Jensen PT

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:To evaluate the performance of 3-dimensional (3D) virtual neck exploration (VNE) as a modality for preoperative localization of parathyroid adenomas in primary hyperparathyroidism and assess the feasibility of using augmented reality to guide parathyroidectomy as a step toward minimally invasive imageguided s...

journal_title：JAMA surgery

authors： D'Agostino J,Wall J,Soler L,Vix M,Duh QY,Marescaux J

更新日期：2013-03-01 00:00:00

abstract：Importance:Hospitals are rapidly consolidating into regional delivery networks. To our knowledge, whether these multihospital networks leverage their combined assets to improve quality and provide a uniform standard of care has not been explored. Objective:To evaluate the extent to which surgical outcomes varied acros...

journal_title：JAMA surgery

authors： Sheetz KH,Ibrahim AM,Nathan H,Dimick JB

更新日期：2019-06-01 00:00:00