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：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: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：Importance:Expansion of donor acceptance criteria for liver transplant increased the risk for early allograft failure (EAF), and although EAF prediction is pivotal to optimize transplant outcomes, there is no consensus on specific EAF indicators or timing to evaluate EAF. Recently, the Liver Graft Assessment Following ...

journal_title：JAMA surgery

authors： Avolio AW,Franco A,Schlegel A,Lai Q,Meli S,Burra P,Patrono D,Ravaioli M,Bassi D,Ferla F,Pagano D,Violi P,Camagni S,Dondossola D,Montalti R,Alrawashdeh W,Vitale A,Teofili L,Spoletini G,Magistri P,Bongini M,Rossi

更新日期：2020-12-01 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:The receipt of surgery in freestanding ambulatory surgery centers (ASCs) is often less costly compared with surgery in hospital-based outpatient departments. Although increasing numbers of surgical procedures are now being performed in freestanding ASCs, questions remain regarding the existence of disparitie...

journal_title：JAMA surgery

authors： Janeway MG,Sanchez SE,Chen Q,Nofal MR,Wang N,Rosen A,Dechert TA

更新日期：2020-09-09 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: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: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:All events that transpire during laparoscopic cholecystectomy (LC) cannot be adequately reproduced in the operative note. Video recording is already known to add important information regarding this operation. Objective:It is hypothesized that additional audio recordings can provide an even better procedura...

journal_title：JAMA surgery

authors： Eryigit Ö,van de Graaf FW,Nieuwenhuijs VB,Sosef MN,de Graaf EJR,Menon AG,Lange MM,Lange JF

更新日期：2020-07-01 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: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: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: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：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: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: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:Older adults are disproportionately affected by trauma and accounted for 47% of trauma fatalities in 2016. In many populations and disease processes, described risk factors for poor clinical outcomes include sarcopenia and brain atrophy, but these remain to be fully characterized in older trauma patients. Sa...

journal_title：JAMA surgery

authors： Tanabe C,Reed MJ,Pham TN,Penn K,Bentov I,Kaplan SJ

更新日期：2019-08-01 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: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: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：Importance:Varices are one of the main clinical manifestations of cirrhosis and portal hypertension. Gastric varices are less common than esophageal varices but are often associated with poorer prognosis, mainly because of their higher propensity to bleed. Observations:Currently, treatments used to control and manage ...

journal_title：JAMA surgery

authors： Lee EW,Shahrouki P,Alanis L,Ding P,Kee ST

更新日期：2019-06-01 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:Motor vehicle crashes (MVCs) are a leading public health concern. Emergency medical service (EMS) response time is a modifiable, system-level factor with the potential to influence trauma patient survival. The relationship between EMS response time and MVC mortality is unknown. Objectives:To measure the ass...

journal_title：JAMA surgery

authors： Byrne JP,Mann NC,Dai M,Mason SA,Karanicolas P,Rizoli S,Nathens AB

更新日期：2019-04-01 00:00:00

abstract：Importance:Incisional hernia is a frequent complication after open abdominal surgery. Prophylactic mesh implantation in the onlay or sublay position requires dissection of the abdominal wall, potentially leading to wound-associated complications. Objective:To compare the incidence of incisional hernia among patients a...

journal_title：JAMA surgery

authors： Kohler A,Lavanchy JL,Lenoir U,Kurmann A,Candinas D,Beldi G

更新日期：2019-02-01 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: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: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: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: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:Surgical and medical device manufacturers have a cooperative relationship with clinicians. When evaluating published works, one should assess the integrity and academic credentials of the authors, who serve as putative experts. A relationship with a relevant manufacturer may increase the potential risk for b...

journal_title：JAMA surgery

authors： Ziai K,Pigazzi A,Smith BR,Nouri-Nikbakht R,Nepomuceno H,Carmichael JC,Mills S,Stamos MJ,Jafari MD

更新日期：2018-11-01 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：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:Current guidelines conflict on the management of older adults who have blunt head trauma taking anticoagulant and antiplatelet medications. This is partially due to the limited data comparing patients who are taking these medications with those who are not. Objective:To investigate the incidence of delayed ...

journal_title：JAMA surgery

authors： Chenoweth JA,Gaona SD,Faul M,Holmes JF,Nishijima DK,Sacramento County Prehospital Research Consortium.

更新日期：2018-06-01 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: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:Surgical site infection (SSI) rates are increasingly used as a quality metric. However, risk factors for SSI in pancreatic surgery remain undefined. Objective:To stratify superficial and organ-space SSIs after pancreatectomy and investigate their modifiable risk factors. Design, Setting, and Participants:T...

journal_title：JAMA surgery

authors： Elliott IA,Chan C,Russell TA,Dann AM,Williams JL,Damato L,Chung H,Girgis MD,Hines OJ,Reber HA,Donahue TR

更新日期：2017-11-01 00:00:00

abstract：Importance:There is increased interest in nonpharmacological treatments to reduce pain after total knee arthroplasty. Yet, little consensus supports the effectiveness of these interventions. Objective:To systematically review and meta-analyze evidence of nonpharmacological interventions for postoperative pain manageme...

journal_title：JAMA surgery

authors： Tedesco D,Gori D,Desai KR,Asch S,Carroll IR,Curtin C,McDonald KM,Fantini MP,Hernandez-Boussard T

更新日期：2017-10-18 00:00:00

abstract：Importance:Primary hyperparathyroidism (pHPT) is a common clinical entity, with approximately 100 000 new cases diagnosed each year in the United States. Most patients with pHPT have a relatively mild form of the disease and present with few if any overt signs or symptoms. This has led to a dilemma regarding which pati...

journal_title：JAMA surgery

authors： Stephen AE,Mannstadt M,Hodin RA

更新日期：2017-09-01 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