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 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: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: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: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: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

abstract：Importance:Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an innovative procedure in the treatment of noncompressible truncal hemorrhage. However, readily available fluoroscopy remains a limiting factor in its widespread implementation. Several methods have been proposed to perform REBOA without f...

journal_title：JAMA surgery

authors： Pezy P,Flaris AN,Prat NJ,Cotton F,Lundberg PW,Caillot JL,David JS,Voiglio EJ

更新日期：2017-04-01 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:There is limited literature reporting circumstances surrounding end-of-life care in vascular surgery patients. Objective:To identify factors driving end-of-life decisions in vascular surgery patients. Design, Setting, and Participants:In this cohort study, medical records were reviewed for all vascular sur...

journal_title：JAMA surgery

authors： Wilson DG,Harris SK,Peck H,Hart K,Jung E,Azarbal AF,Mitchell EL,Landry GJ,Moneta GL

更新日期：2017-02-01 00:00:00

abstract：Importance:Growing consensus suggests that frailty-associated risks should inform shared surgical decision making. However, it is not clear how best to screen for frailty in preoperative surgical populations. Objective:To develop and validate the Risk Analysis Index (RAI), a 14-item instrument used to measure surgical...

journal_title：JAMA surgery

authors： Hall DE,Arya S,Schmid KK,Blaser C,Carlson MA,Bailey TL,Purviance G,Bockman T,Lynch TG,Johanning J

更新日期：2017-02-01 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

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:There are currently 2 widely accepted treatment strategies for patients presenting to the hospital with choledocholithiasis. However, the rate of use for each strategy in the United States has not been evaluated, and their trends over time have not been described. Furthermore, an optimal management strategy ...

journal_title：JAMA surgery

authors： Wandling MW,Hungness ES,Pavey ES,Stulberg JJ,Schwab B,Yang AD,Shapiro MB,Bilimoria KY,Ko CY,Nathens AB

更新日期：2016-12-01 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: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 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: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: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:Total hip replacement is a commonly performed orthopedic procedure for the treatment of painful arthritis, osteonecrosis, or fracture. OBJECTIVE:To develop and verify a scale for predicting readmission rates for total hip replacement patients and allow for the development and implementation of readmission r...

journal_title：JAMA surgery

authors： Siracuse BL,Chamberlain RS

更新日期：2016-08-01 00:00:00

abstract：IMPORTANCE:The rate of complications among injury admissions has been estimated to be more than 3 times that observed for general admissions, and complications have been targeted as an important quality-of-care metric. Despite the negative effect of complications on resource use and patient mortality and morbidity, the...

journal_title：JAMA surgery

authors： Moore L,Lauzier F,Stelfox HT,Kortbeek J,Simons R,Berthelot S,Clément J,Bourgeois G,Turgeon AF

更新日期：2016-07-01 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：:Health care disparities (differential access, care, and outcomes owing to factors such as race/ethnicity) are widely established. Compared with other groups, African American individuals have an increased mortality risk across multiple surgical procedures. Gender, sexual orientation, age, and geographic disparities ar...

journal_title：JAMA surgery

authors： Haider AH,Dankwa-Mullan I,Maragh-Bass AC,Torain M,Zogg CK,Lilley EJ,Kodadek LM,Changoor NR,Najjar P,Rose JA Jr,Ford HR,Salim A,Stain SC,Shafi S,Sutton B,Hoyt D,Maddox YT,Britt LD

更新日期：2016-06-01 00:00:00

abstract：IMPORTANCE:Population-based studies on the prevalence of symptoms after Roux-en-Y gastric bypass (RYGB) surgery are sparse. Knowledge about possible predictors of these symptoms is important for prevention. OBJECTIVES:To examine patients' overall well-being and the prevalence and predictors of medical, nutritional, an...

journal_title：JAMA surgery

authors： Gribsholt SB,Pedersen AM,Svensson E,Thomsen RW,Richelsen B

更新日期：2016-06-01 00:00:00

abstract：IMPORTANCE:Optimal duration of antibiotic treatment to reduce infectious complications after an appendectomy for acute complicated appendicitis remains unclear. OBJECTIVE:To investigate the effect of antibiotic duration on infectious complications after laparoscopic appendectomy for acute complicated appendicitis. DE...

journal_title：JAMA surgery

authors： van Rossem CC,Schreinemacher MH,van Geloven AA,Bemelman WA,Snapshot Appendicitis Collaborative Study Group.

更新日期：2016-04-01 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:To our knowledge, an observational study on the remission of type 2 diabetes mellitus (T2DM) after different types of bariatric surgery based on data from general practice has not been carried out. OBJECTIVE:To assess the effect of different types of bariatric surgery in patients with T2DM on diabetes remis...

journal_title：JAMA surgery

authors： Yska JP,van Roon EN,de Boer A,Leufkens HG,Wilffert B,de Heide LJ,de Vries F,Lalmohamed A

更新日期：2015-12-01 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:To reduce the amount of skin surface bacteria for patients undergoing elective surgery, selective health care facilities have instituted a preadmission antiseptic skin cleansing protocol using chlorhexidine gluconate. A Cochrane Collaborative review suggests that existing data do not justify preoperative ski...

journal_title：JAMA surgery

authors： Edmiston CE Jr,Lee CJ,Krepel CJ,Spencer M,Leaper D,Brown KR,Lewis BD,Rossi PJ,Malinowski MJ,Seabrook GR

更新日期：2015-11-01 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:Laparoscopic ventral hernia repair (LVHR) using mesh is a well-established intervention for ventral hernia, but pain control can be challenging. OBJECTIVE:To determine whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after LVHR reduces pain or narcotic requirements....

journal_title：JAMA surgery

authors： Gough AE,Chang S,Reddy S,Ferrigno L,Zerey M,Grotts J,Yim S,Thoman DS

更新日期：2015-09-01 00:00:00

abstract：IMPORTANCE:Endovascular technology has become ubiquitous in the modern care of abdominal aortic aneurysm (AAA), yet broad estimates of its efficacy among variable hospital and regional settings is not known. OBJECTIVE:To perform a preliminary analysis of hospital effects on mortality following open AAA repair (OAR) an...

journal_title：JAMA surgery

authors： Hicks CW,Wick EC,Canner JK,Black JH 3rd,Arhuidese I,Qazi U,Obeid T,Freischlag JA,Malas MB

更新日期：2015-07-01 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: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: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: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:Hemorrhage is the leading cause of death in military trauma and second leading cause of death in civilian trauma. Although many well-established animal models of hemorrhage exist in the trauma and anticoagulant literature, few focus on directly quantitating blood loss. OBJECTIVE:To establish and validate a ...

journal_title：JAMA surgery

authors： Morgan CE,Prakash VS,Vercammen JM,Pritts T,Kibbe MR

更新日期：2015-04-01 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: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：:Fibroepithelial lesions (FELs) are a common histologic finding on core needle biopsy (CNB) of the breast. Fibroepithelial lesions include fibroadenoma and phyllodes tumor, which can be difficult to distinguish with an initial CNB. An institutional experience was reviewed from February 12, 2001, to January 4, 2007, to ...

journal_title：JAMA surgery

authors： Van Osdol AD,Landercasper J,Andersen JJ,Ellis RL,Gensch EM,Johnson JM,De Maiffe B,Marcou KA,Al-Hamadani M,Vang CA

更新日期：2014-10-01 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