Management Options for Gastric Variceal Hemorrhage.

abstract：Importance:Opioid overdose is the leading cause of injury-related death in the United States. Several studies have shown that surgeons overprescribe opioids, and guidelines for appropriate opioid prescribing are available. Concern about patient-reported satisfaction scores may be a barrier to surgeons adopting guidelin...

journal_title：JAMA surgery

authors： Louie CE,Kelly JL,Barth RJ Jr

更新日期：2019-11-01 00:00:00

abstract：Importance:Assessment of physical frailty in older trauma patients admitted to the intensive care unit is often not feasible using traditional frailty assessment instruments. The use of opportunistic computed tomography (CT) scans to assess sarcopenia and osteopenia as indicators of underlying frailty may provide compl...

journal_title：JAMA surgery

authors： Kaplan SJ,Pham TN,Arbabi S,Gross JA,Damodarasamy M,Bentov I,Taitsman LA,Mitchell SH,Reed MJ

更新日期：2017-02-15 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:Although lower extremity revascularization is effective in preventing amputation, the relationship between spending on vascular care and regional amputation rates remains unclear. OBJECTIVE:To test the hypothesis that higher regional spending on vascular care is associated with lower amputation rates for pa...

journal_title：JAMA surgery

authors： Goodney PP,Travis LL,Brooke BS,DeMartino RR,Goodman DC,Fisher ES,Birkmeyer JD

更新日期：2014-01-01 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:Among patients presenting with critical lower extremity ischemia, it has been previously documented that white individuals are more likely to undergo revascularization than nonwhite individuals, with the disparity largely attributed to differences in resources and access to care. OBJECTIVE:To investigate th...

journal_title：JAMA surgery

authors： Durazzo TS,Frencher S,Gusberg R

更新日期：2013-07-01 00:00:00

abstract：IMPORTANCE:Older adults are at increased risk for adverse events after surgical procedures. Loss of independence (LOI), defined as a decline in function or mobility, increased care needs at home, or discharge to a nonhome destination, is an important patient-centered outcome measure. OBJECTIVE:To evaluate LOI among ol...

journal_title：JAMA surgery

authors： Berian JR,Mohanty S,Ko CY,Rosenthal RA,Robinson TN

更新日期：2016-09-21 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

abstract：Importance:Whether computed tomography (CT) radiation is truly carcinogenic remains controversial. Large epidemiological studies that purportedly showed an association between CT radiation and carcinogenesis were limited by confounding by indication and reverse causation, because the reasons for CT examination were unk...

journal_title：JAMA surgery

authors： Lee KH,Lee S,Park JH,Lee SS,Kim HY,Lee WJ,Cha ES,Kim KP,Lee W,Lee JY,Lee KH

更新日期：2021-01-20 00:00:00

abstract：UNLABELLED:IMPORTANCE It is not known whether hospital and surgeon volumes have an association with readmission among patients undergoing pancreatoduodenectomy. OBJECTIVE:To evaluate patient-, surgeon-, and hospital-level factors associated with readmission. DESIGN, SETTING, AND PARTICIPANTS:Retrospective cohort stud...

journal_title：JAMA surgery

authors： Hyder O,Dodson RM,Nathan H,Schneider EB,Weiss MJ,Cameron JL,Choti MA,Makary MA,Hirose K,Wolfgang CL,Herman JM,Pawlik TM

更新日期：2013-12-01 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 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:To our knowledge, thyroid cancer incidence is increasing faster than any other cancer type and is currently the fifth most common cancer among women. While this rise is likely multifactorial, there has been scarce consideration of the effect of insurance statuses on the treatment of thyroid cancer. Objectiv...

journal_title：JAMA surgery

authors： Loehrer AP,Murthy SS,Song Z,Lubitz CC,James BC

更新日期：2017-08-01 00:00:00

abstract：Importance:Investigating outcomes after marginal allograft transplant is essential in determining appropriate and more aggressive use of these allografts. Objective:To determine the time trends in the outcomes of marginal liver allografts as defined by 6 different sets of criteria. Design, Setting, and Participants:I...

journal_title：JAMA surgery

authors： Zhang T,Dunson J,Kanwal F,Galvan NTN,Vierling JM,O'Mahony C,Goss JA,Rana A

更新日期：2020-08-05 00:00:00

abstract：IMPORTANCE:Surgical site infection remains a major challenge in surgery. Delayed primary closure of dirty wounds is widely practiced in war surgery; we present a meta-analysis of evidence to help guide application of the technique in wider context. OBJECTIVE:To determine using meta-analysis whether delayed primary ski...

journal_title：JAMA surgery

authors： Bhangu A,Singh P,Lundy J,Bowley DM

更新日期：2013-08-01 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: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:Although the Afghanistan and Iraq conflicts have the lowest US case-fatality rates in history, no comprehensive assessment of combat casualty care statistics, major interventions, or risk factors has been reported to date after 16 years of conflict. Objectives:To analyze trends in overall combat casualty st...

journal_title：JAMA surgery

authors： Howard JT,Kotwal RS,Stern CA,Janak JC,Mazuchowski EL,Butler FK,Stockinger ZT,Holcomb BR,Bono RC,Smith DJ

更新日期：2019-07-01 00:00:00

abstract：Importance:Women are disproportionately underrecognized as award winners within medical societies. The presence of this disparity has not been investigated in training programs. Objective:To determine the presence of a gender disparity in award winners in general surgery residency programs. Design, Setting, and Parti...

journal_title：JAMA surgery

authors： Kuo LE,Lyu HG,Jarman MP,Melnitchouk N,Doherty GM,Smink DS,Cho NL

更新日期：2020-09-02 00:00:00

abstract：IMPORTANCE:Nonsteroidal anti-inflammatory drugs (NSAIDs) have many physiologic effects and are being used more commonly to treat postoperative pain, but recent small studies have suggested that NSAIDs may impair anastomotic healing in the gastrointestinal tract. OBJECTIVE:To evaluate the relationship between postopera...

journal_title：JAMA surgery

authors： Hakkarainen TW,Steele SR,Bastaworous A,Dellinger EP,Farrokhi E,Farjah F,Florence M,Helton S,Horton M,Pietro M,Varghese TK,Flum DR

更新日期：2015-03-01 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 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：: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:This study analyzes a role of laparoscopy in obese patients with ventral hernia. OBJECTIVE:To evaluate the outcomes of laparoscopic compared with open ventral hernia repair (VHR) in obese patients. DESIGN:Retrospective cohort analysis. SETTING:Nationwide hospital survey. PARTICIPANTS:Obese patients under...

journal_title：JAMA surgery

authors： Lee J,Mabardy A,Kermani R,Lopez M,Pecquex N,McCluney A

更新日期：2013-08-01 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: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:Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including surgery, are common near the end of life. Shared decision making is critical to achieve value-concordant treatment decisions and minimize unwanted car...

journal_title：JAMA surgery

authors： Taylor LJ,Nabozny MJ,Steffens NM,Tucholka JL,Brasel KJ,Johnson SK,Zelenski A,Rathouz PJ,Zhao Q,Kwekkeboom KL,Campbell TC,Schwarze ML

更新日期：2017-06-01 00:00:00

abstract：IMPORTANCE:A physician-centered approach to systems design is fundamental to ameliorating the causes of many errors, inefficiencies, and reliability problems. OBJECTIVE:To use human factors engineering to redesign the trauma process based on previously identified impediments to care related to coordination problems, c...

journal_title：JAMA surgery

authors： Catchpole K,Ley E,Wiegmann D,Blaha J,Shouhed D,Gangi A,Blocker R,Karl R,Karl C,Taggart B,Starnes B,Gewertz B

更新日期：2014-09-01 00:00:00

abstract：Importance:In response to the burden of injury, the structure of injury care has changed considerably across Canada in the past decade. However, little is known about how patient outcomes have evolved. Objective:To evaluate trends in mortality, hospital length of stay, and unplanned readmission in Canadian trauma syst...

journal_title：JAMA surgery

authors： Moore L,Stelfox HT,Evans D,Hameed SM,Yanchar NL,Simons R,Kortbeek J,Bourgeois G,Clément J,Turgeon AF,Lauzier F

更新日期：2017-02-01 00:00:00