Determining whether excision of all fibroepithelial lesions of the breast is needed to exclude phyllodes tumor: upgrade rate of fibroepithelial lesions of the breast to phyllodes tumor.

abstract：Importance:BRAF mutations are reportedly associated with aggressive tumor biology. However, in contrast with primary colorectal cancer, the association of V600E and non-V600E BRAF mutations with survival and recurrence after resection of colorectal liver metastases (CRLM) has not been well studied. Objective:To invest...

journal_title：JAMA surgery

authors： Margonis GA,Buettner S,Andreatos N,Kim Y,Wagner D,Sasaki K,Beer A,Schwarz C,Løes IM,Smolle M,Kamphues C,He J,Pawlik TM,Kaczirek K,Poultsides G,Lønning PE,Cameron JL,Burkhart RA,Gerger A,Aucejo FN,Kreis ME,Wolfga

更新日期：2018-07-18 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:Damage control (DC) with intra-abdominal packing and delayed reconstruction is an accepted strategy in trauma and acute care surgery but has not been evaluated in liver transplant. OBJECTIVE:To evaluate the incidence, effect on survival, and predictors of the need for DC using intra-abdominal packing and de...

journal_title：JAMA surgery

authors： DiNorcia J,Lee MK,Harlander-Locke MP,Xia V,Kaldas FM,Zarrinpar A,Farmer DG,Yersiz H,Hiatt JR,Busuttil RW,Agopian VG

更新日期：2015-11-01 00:00:00

abstract：Importance:Military and civilian trauma experts initiated a collaborative effort to develop an integrated learning trauma system to reduce preventable morbidity and mortality. Because the Department of Defense does not currently have recommended guidelines and standard operating procedures to perform military preventab...

journal_title：JAMA surgery

authors： Janak JC,Sosnov JA,Bares JM,Stockinger ZT,Montgomery HR,Kotwal RS,Butler FK,Shackelford SA,Gurney JM,Spott MA,Finelli LN,Mazuchowski EL,Smith DJ

更新日期：2018-04-01 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:Care fragmentation at time of readmission after emergency general surgery (EGS) is associated with high mortality; however, the factors underlying this finding remain unclear. Objective:To identify patient and hospital factors associated with increased mortality among patients after EGS readmitted within 30...

journal_title：JAMA surgery

authors： McCrum ML,Cannon AR,Allen CM,Presson AP,Huang LC,Brooke BS

更新日期：2020-09-01 00:00:00

abstract：Importance:Breast reconstruction has the potential to improve a person's body image and quality of life but has important risks. Variations in who undergoes breast reconstruction have led to questions about the quality of patient decisions. Objective:To assess the quality of patient decisions about breast reconstructi...

journal_title：JAMA surgery

authors： Lee CN,Deal AM,Huh R,Ubel PA,Liu YJ,Blizard L,Hunt C,Pignone MP

更新日期：2017-08-01 00:00:00

abstract：Importance:The need for trainee sex equality within surgical training has resulted in an appraisal of the training experience in the New Zealand general surgery training program. Objective:To investigate the association between trainee sex and surgical autonomy in the operating room in the New Zealand general surgery ...

journal_title：JAMA surgery

authors： Joh DB,van der Werf B,Watson BJ,French R,Bann S,Dennet E,Loveday BPT

更新日期：2020-11-01 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:Opioids are frequently prescribed to children and adolescents after surgery. Prescription opioid misuse is associated with high-risk behavior in youth. Evidence-based guidelines for opioid prescribing practices in children are lacking. Objective:To assemble a multidisciplinary team of health care experts an...

journal_title：JAMA surgery

authors： Kelley-Quon LI,Kirkpatrick MG,Ricca RL,Baird R,Harbaugh CM,Brady A,Garrett P,Wills H,Argo J,Diefenbach KA,Henry MCW,Sola JE,Mahdi EM,Goldin AB,St Peter SD,Downard CD,Azarow KS,Shields T,Kim E

更新日期：2021-01-01 00:00:00

abstract：:Breast cancer care is complex and requires a multidisciplinary approach. In this study, we provide an overview of current practices for the diagnosis and treatment of breast cancer for surgical practitioners who do not focus on this disease. We include studies published in high-impact, peer-reviewed journals that have...

journal_title：JAMA surgery

authors： Matsen CB,Neumayer LA

更新日期：2013-10-01 00:00:00

abstract：IMPORTANCE:Morphometric assessment has emerged as a strong predictor of postoperative morbidity and mortality. However, a gap exists in translating this knowledge to bedside decision making. We introduced a novel measure of patient-centered surgical risk assessment: morphometric age. OBJECTIVE:To investigate the relat...

journal_title：JAMA surgery

authors： Waits SA,Kim EK,Terjimanian MN,Tishberg LM,Harbaugh CM,Sheetz KH,Sonnenday CJ,Sullivan J,Wang SC,Englesbe MJ

更新日期：2014-04-01 00:00:00

abstract：Importance:The current staging system of gastric cancer is not adequate for defining a prognosis and predicting the patients most likely to benefit from chemotherapy. Objective:To construct a survival prediction model based on specific tumor and patient characteristics that enables individualized predictions of the ne...

journal_title：JAMA surgery

authors： Jiang Y,Li T,Liang X,Hu Y,Huang L,Liao Z,Zhao L,Han Z,Zhu S,Wang M,Xu Y,Qi X,Liu H,Yang Y,Yu J,Liu W,Cai S,Li G

更新日期：2017-07-19 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:Trauma is known to be one of the strongest risk factors for pulmonary embolism (PE). Current guidelines recommend low-molecular-weight heparin therapy for prevention of PE, but trauma places some patients at risk of excess bleeding. Experts are divided on the role of prophylactic inferior vena cava (IVC) fil...

journal_title：JAMA surgery

authors： Haut ER,Garcia LJ,Shihab HM,Brotman DJ,Stevens KA,Sharma R,Chelladurai Y,Akande TO,Shermock KM,Kebede S,Segal JB,Singh S

更新日期：2014-02-01 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:Medically treated symptomatic severe aortic stenosis has poor outcomes, and in the past 6 decades, it has successfully been treated with surgical aortic valve replacement (SAVR). However, one-third of patients with indications for SAVR are not offered surgery because of the high risk of complications. Transc...

journal_title：JAMA surgery

authors： Boskovski MT,Nguyen TC,McCabe JM,Kaneko T

更新日期：2019-11-27 00:00:00

abstract：:Over the past decade, minimally invasive surgery has been introduced as a means to allow manipulation of delicate tissues with outstanding visualization of the surgical field. The purpose of this article is to review the available literature regarding early postoperative outcomes and the technical challenges of minima...

journal_title：JAMA surgery

authors： Zenoni SA,Arnoletti JP,de la Fuente SG

更新日期：2013-12-01 00:00:00

abstract：IMPORTANCE:Thoracic endovascular aortic repair (TEVAR) is used in the treatment of type B aortic dissections. Information related to aortic morphologic findings and the condition of the abdominal aorta after TEVAR is limited. OBJECTIVE:To analyze aortic morphologic findings after TEVAR for type B aortic dissections. ...

journal_title：JAMA surgery

authors： Sigman MM,Palmer OP,Ham SW,Cunningham M,Weaver FA

更新日期：2014-09-01 00:00:00

abstract：Importance:The burden of injury and costs of wrist fractures are substantial. Surgical treatment became popular without strong supporting evidence. Objective:To assess whether current surgical treatment for displaced distal radius fractures provided better patient-reported wrist pain and function than nonsurgical trea...

journal_title：JAMA surgery

authors： Combined Randomised and Observational Study of Surgery for Fractures in the Distal Radius in the Elderly (CROSSFIRE) Study Group.,Lawson A,Naylor JM,Buchbinder R,Ivers R,Balogh ZJ,Smith P,Xuan W,Howard K,Vafa A,Perriman D,Mittal R

更新日期：2021-01-13 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: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:The Centers for Medicare and Medicaid Services have implemented penalties for hospitals with above-average readmission rates under the Hospital Readmissions Reductions Program. These changes will likely be extended to affect postoperative readmissions in the future. OBJECTIVES:To identify variables that pla...

journal_title：JAMA surgery

authors： Tevis SE,Weber SM,Kent KC,Kennedy GD

更新日期：2015-06-01 00:00:00

abstract：IMPORTANCE:Postoperative pulmonary complications can be a devastating consequence of surgery. Validated strategies to reduce these adverse outcomes are needed. OBJECTIVES:To design, implement, and determine the efficacy of a suite of interventions for reducing postoperative pulmonary complications. DESIGN:A before-af...

journal_title：JAMA surgery

authors： Cassidy MR,Rosenkranz P,McCabe K,Rosen JE,McAneny D

更新日期：2013-08-01 00:00:00

abstract：Importance:The United States is experiencing an opioid abuse epidemic. Opioid overprescription by physicians may contribute to this epidemic. Objectives:To determine if there was a correlation between a postoperative patient's 24-hour predischarge opioid use and the amount of opioids prescribed at hospital discharge a...

journal_title：JAMA surgery

authors： Chen EY,Marcantonio A,Tornetta P 3rd

更新日期：2018-02-21 00:00:00

abstract：IMPORTANCE:In an era of accountable care, understanding variation in health care costs is critical to reducing health care spending. OBJECTIVE:To identify factors associated with increased hospital costs and quantify variations in costs among individual hospitals in patients undergoing liver and pancreatic surgery in ...

journal_title：JAMA surgery

authors： Nelson-Williams H,Gani F,Kilic A,Spolverato G,Kim Y,Wagner D,Amini N,Ejaz A,Pawlik TM

更新日期：2016-02-01 00:00:00

abstract：Importance:Adhesive small-bowel obstruction (aSBO) is a potentially chronic, recurring surgical illness. Although guidelines suggest trials of nonoperative management, the long-term association of this approach with recurrence is poorly understood. Objective:To compare the incidence of recurrence of aSBO in patients u...

journal_title：JAMA surgery

authors： Behman R,Nathens AB,Mason S,Byrne JP,Hong NL,Pechlivanoglou P,Karanicolas P

更新日期：2019-05-01 00:00:00

abstract：IMPORTANCE:Patient- and hospital-level factors affecting outcomes after open and endovascular abdominal aortic aneurysm (AAA) repair are each well described separately, but not together. OBJECTIVE:To describe the association of patient- and hospital-level factors with in-hospital mortality after elective AAA repair. ...

journal_title：JAMA surgery

authors： Hicks CW,Canner JK,Arhuidese I,Obeid T,Black JH 3rd,Malas MB

更新日期：2016-09-01 00:00:00

abstract：Importance:Chemotherapy is the recommended induction strategy in borderline resectable and locally advanced pancreatic ductal adenocarcinoma. However, the associated results on an intention-to-treat basis are poorly understood. Objective:To investigate pragmatically the treatment compliance, conversion to surgery, and...

journal_title：JAMA surgery

authors： Maggino L,Malleo G,Marchegiani G,Viviani E,Nessi C,Ciprani D,Esposito A,Landoni L,Casetti L,Tuveri M,Paiella S,Casciani F,Sereni E,Binco A,Bonamini D,Secchettin E,Auriemma A,Merz V,Simionato F,Zecchetto C,D'Onofri

更新日期：2019-10-01 00:00:00

abstract：Importance:Cigarette smoking is a risk factor for many perioperative complications, including surgical site infection (SSI). The duration of abstinence from smoking required to reduce this risk is unknown. Objectives:To evaluate if abstinence from smoking on the day of surgery is associated with a decreased frequency ...

journal_title：JAMA surgery

authors： Nolan MB,Martin DP,Thompson R,Schroeder DR,Hanson AC,Warner DO

更新日期：2017-05-01 00:00:00