-
Life Cycle Analysis of a Pediatric Surgical Kit—A Target to Reduce Operating Room Waste JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Alison Lehane, Gwyneth A. Sullivan, Jennifer Dunn, Mallory Perez, Charesa J. Smith, Mehul V. Raval
This study uses life cycle analysis to comprehensively evaluate the environmental impact of a pediatric surgical kit, including water consumption and greenhouse gas emissions.
-
Five-Year Kidney Donation Outcomes After Medical Assistance in Dying. JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Arthur J Matas
-
Importance of Cooperation Between Cooperative Group Clinical Trialists. JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Lisa A Newman
-
Prediction of High Nodal Burden in Patients With Sentinel Node–Positive Luminal ERBB2-Negative Breast Cancer JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Ida Skarping, Pär-Ola Bendahl, Robert Szulkin, Sara Alkner, Yvette Andersson, Leif Bergkvist, Peer Christiansen, Tove Filtenborg Tvedskov, Jan Frisell, Oreste D. Gentilini, Michalis Kontos, Thorsten Kühn, Dan Lundstedt, Birgitte Vrou Offersen, Roger Olofsson Bagge, Toralf Reimer, Malin Sund, Lisa Rydén, Jana de Boniface
ImportanceIn patients with clinically node-negative (cN0) breast cancer and 1 or 2 sentinel lymph node (SLN) macrometastases, omitting completion axillary lymph node dissection (CALND) is standard. High nodal burden (≥4 axillary nodal metastases) is an indication for intensified treatment in luminal breast cancer; hence, abstaining from CALND may result in undertreatment.ObjectiveTo develop a prediction
-
Concerns Regarding Thermal Ablation for Papillary Thyroid Cancer. JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Mingjie Jiang,Yongchao Yu,Ankui Yang
-
Antibiotic Prophylaxis for Surgical Site Infection After Traumatic Hollow Viscus Injury. JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Janelle Cyprich,Amy H Kaji,Alexandra Moulton,Hye Kwang E Kim,Alexander C Schwed,Jessica A Keeley
-
Methods and Statistical Analysis in a Study of Liver Resection vs Nonsurgical Treatments for Hepatocellular Carcinoma-Reply. JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Alessandro Vitale,Simone Famularo,Edoardo G Giannini
-
Kidney Transplant Outcome Following Donation After Euthanasia JAMA Surg. (IF 15.7) Pub Date : 2024-09-25 Julia S. Slagter, Hendrikus J. A. N. Kimenai, Jacqueline van de Wetering, Hanneke J. A. M. Hagenaars, Marlies E. J. Reinders, Wojciech G. Polak, Robert J. Porte, Robert C. Minnee
ImportanceIn the Netherlands, organ donation after euthanasia (donation after circulatory death type V [DCD-V]) has been increasingly performed since 2012. However, the outcomes of DCD-V kidney grafts have not been thoroughly investigated. It is critical to assess the outcomes of these kidney grafts to ascertain whether DCD-V is a safe and valuable way to increase the kidney donor pool.ObjectivesTo
-
A Cautionary Tale of Dwindling Medicare Reimbursement for Endocrine Surgery: Implications and a Call to Action. Ann. Surg. (IF 7.5) Pub Date : 2024-09-25 Rajshri M Gartland,Rachel Kelz,Jessica Liu McMullin
-
Development of a Surgery-Specific Comorbidity Score for Use in Administrative Data. Ann. Surg. (IF 7.5) Pub Date : 2024-09-24 Nikhil L Chervu,Jeff Balian,Arjun Verma,Sara Sakowitz,Nam Yong Cho,Saad Mallick,Tara A Russell,Peyman Benharash
OBJECTIVE To create a novel comorbidity score tailored for surgical database research. SUMMARY BACKGROUND DATA Despite their use in surgical research, the Elixhauser (ECI) and Charlson Comorbidity Indices (CCI) were developed nearly four decades ago utilizing primarily non-surgical cohorts. METHODS Adults undergoing 62 operations across 14 specialties were queried from the 2019 National Inpatient Sample
-
Characteristics of High-Quality Multi-Hospital Health Systems Performing Major Cancer Surgery. Ann. Surg. (IF 7.5) Pub Date : 2024-09-23 Sara L Schaefer,Stanley Kalata,Ushapoorna Nuliyalu,Andrew M Ibrahim,Hari Nathan
OBJECTIVE To identify characteristics associated with high- and low-quality multi-hospital systems for major cancer surgery. BACKGROUND Although multi-hospital health systems provide most inpatient healthcare in the US, our understanding of how these systems can optimize surgical quality among their hospitals remains limited. Identifying the structural characteristics (e.g., number of hospitals, procedural
-
Pediatric Firearm Deaths and State Policies on Social, Emotional, and Academic Development. Ann. Surg. (IF 7.5) Pub Date : 2024-09-23 Justin S Hatchimonji,Diane N Haddad,Dane R Scantling,Elinore J Kaufman,Danielle R Hatchimonji
OBJECTIVE To determine whether state-level SEAD policies are associated with pediatric firearm homicides and suicides. SUMMARY BACKGROUND DATA Firearm deaths continue to rise among United States (US) children. School-based efforts to promote social, emotional, and academic development (SEAD) may be a means to reduce such deaths, but state-level policies vary and the effect on firearm deaths is unknown
-
Governing New Technologies that Stop Biological Time: Preparing for Prolonged Biopreservation of Human Organs in Transplantation. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-19 Timothy L Pruett,Susan M Wolf,Claire Colby McVan,Peter Lyon,Alexander M Capron,James F Childress,Barbara J Evans,Erik B Finger,Insoo Hyun,Rosario Isasi,Gary E Marchant,Andrew D Maynard,Kenneth A Oye,Mehmet Toner,Korkut Uygun,John C Bischof
Time limits on organ viability from retrieval to implantation shape the US system for human organ transplantation. Preclinical research has demonstrated that emerging biopreservation technologies can prolong organ viability, perhaps indefinitely. These technologies could transform transplantation into a scheduled procedure without geographic or time constraints, permitting organ assessment and potential
-
Opening New Frontiers in Prehospital Teletrauma. JAMA Surg. (IF 15.7) Pub Date : 2024-09-18 Juan Duchesne
-
Video Analysis of Concussion Among Slap Fighting Athletes. JAMA Surg. (IF 15.7) Pub Date : 2024-09-18 Raj Swaroop Lavadi,Rohit Prem Kumar,Michael R Kann,Manan J Shah,D Kojo Hamilton,Joseph C Maroon,Nitin Agarwal
Slap fighting is a fast-paced combat sport wherein athletes strike each other in the head with open hands and matches are largely scored by points or knockouts. Power Slap,1 a slap fighting promotion that has offered a platform for this largely underground sport, was first televised in January 2023 and has drawn extensive criticism from both medical and nonmedical personnel.2 Worryingly, the promotional
-
An Update on the Survival of the First 50 Face Transplants Worldwide JAMA Surg. (IF 15.7) Pub Date : 2024-09-18 Pauliina Homsy, Lioba Huelsboemer, Juan P. Barret, Phillip Blondeel, Daniel E. Borsuk, Daniel Bula, Bruce Gelb, Pedro Infante-Cossio, Laurent Lantieri, Samir Mardini, Emmanuel Morelon, Serdar Nasir, Francis Papay, Palmina Petruzzo, Eduardo Rodriguez, Özlenen Özkan, Selahattin Özmen, Bohdan Pomahac, Patrik Lassus
ImportanceSince 2005, a total of 50 face transplants have been reported from 18 centers in 11 countries. The overall survival of the grafts has not yet been established.ObjectiveTo assess the survival of the face transplant grafts and evaluate factors potentially influencing it.Design, Setting, and ParticipantsData on all the transplants included in this multicenter cohort study were collected at participating
-
Teletrauma Use in US Emergency Departments JAMA Surg. (IF 15.7) Pub Date : 2024-09-18 Zain G. Hashmi, Omar Rokayak, Krislyn M. Boggs, Kori S. Zachrison, Janice A. Espinola, Molly P. Jarman, Jan O. Jansen, Jayme E. Locke, Jeffrey D. Kerby, Carlos A. Camargo
ImportanceNearly 30 million predominantly rural US residents lack timely access to trauma care expertise available at level I or II trauma centers. Telehealth is an established approach to improve access to health care expertise using remote consultation; however, the prevalence of use of telehealth in trauma (teletrauma) across the US is not known.ObjectiveTo examine the prevalence of, trends in,
-
Implementing Culturally Tailored Outpatient Surgical Care: Creating a Sustainable Latinx Colorectal Surgery Clinic. JAMA Surg. (IF 15.7) Pub Date : 2024-09-18 Ana Sofia Ore,Rodrigo Areán-Sanz,Evangelos Messaris
-
Tissue-resident regulatory T cells as transient, tissue-agnostic immunomodulatory populations. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-18 Sagar P Bapat,James M Gardner
-
Deceased donor urinary DKK3 associates with future allograft function following kidney transplantation. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-18 Jonathan de Fallois,Anna Günzel,Christoph Daniel,Julian Stumpf,Martin Busch,Ulrich Pein,Alexander Paliege,Kerstin Amann,Thorsten Wiech,Elena Hantmann,Gunter Wolf,Felix Pfeifer,Matthias Girndt,Tom H Lindner,Antje Weimann,Daniel Seehofer,Anette Bachmann,Klemens Budde,Ronald Biemann,Berend Isermann,Christoph Engel,Katalin Dittrich,Christian Hugo,Jan Halbritter
Predicting future kidney allograft function is challenging. Novel biomarkers, such as urinary Dickkopf-3 (uDKK3), may help guide donor selection and improve allograft outcomes. In this prospective multicenter pilot trial, we investigated whether donor uDKK3 reflects organ quality and is associated with future allograft function. We measured uDKK3/creatinine ratios (uDKK3/crea) from 95 deceased and
-
Total versus Partial Pancreatectomy in Patients with Pancreatic Cancer Arising from Multifocal or Diffuse Intraductal Papillary Mucinous Neoplasia - A Multicenter Observational Study. Ann. Surg. (IF 7.5) Pub Date : 2024-09-18 Ingmar F Rompen,Joseph R Habib,Benedict Kinny-Köster,Brady A Campbell,Thomas F Stoop,Christoph Kümmerli,Paul C M Andel,Charlotte A Leseman,Carolin Lesch,Lois A Daamen,Ammar A Javed,Kelly J Lafaro,Henrik Nienhüser,Adrian T Billeter,I Quintus Molenaar,Beat P Müller-Stich,Marc G Besselink,Jin He,Martin Loos,Markus W Büchler,Christopher L Wolfgang
AIM To investigate the impact of total pancreatectomy (TP) on oncological outcomes for patients at high-risk of local recurrence or secondary progression in the remnant gland after partial pancreatectomy (PP) for IPMN-associated cancer. SUMMARY BACKGROUND DATA Major risk factors for invasive progression in the remnant gland include multifocality, diffuse main duct dilation, and the presence of invasive
-
Geography of the Underserved: The Contribution of Rural Non-Trauma Hospitals to Trauma Care. Ann. Surg. (IF 7.5) Pub Date : 2024-09-18 Elinore J Kaufman,Carter Prentice,Devin Williams,Jamie Song,Diane N Haddad,Joshua B Brown,Xinwei Chen,Kristin Colling,Paula Chatterjee
OBJECTIVE To determine the proportion and characteristics of injured rural residents treated at urban trauma centers (TCs), urban non-trauma centers (NTCs), rural TCs, and rural NTCs. SUMMARY BACKGROUND DATA Timely treatment at a designated trauma center improves outcomes for patients with serious injuries, but rural residents have limited access to designated trauma centers. Rural non-trauma centers
-
Outcomes of Single vs. Double Lung Retransplantation in Patients with Cystic Fibrosis. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-18 Emily L Larson,Albert Leng,Jessica M Ruck,Alfred J Casillan,Alice L Zhou,Jinny S Ha,Pali D Shah,Natalie E West,Christian A Merlo,Errol L Bush
OBJECTIVE Patients requiring lung transplant for cystic fibrosis (CF) may require retransplant due to limited graft survival and otherwise excellent life expectancy. Optimal transplant strategy for this population, including single vs. double lung retransplant, has not been established. METHODS We performed a retrospective analysis of the UNOS/OPTN database to identify adult lung retransplant recipients
-
Ethical Implications of Prioritizing Utility at all Costs: The Rise of Out-of-Sequence Transplants. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Sanjay Kulkarni,Keren Ladin
-
Conferring alloantigen specificity to regulatory T cells: a comparative analysis of cell preparations undergoing clinical development in transplantation. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Ada Sera Kurt,Paula Ruiz,Emmanuelle Landmann,Marwa Elgosbi,Tsz Fung Kan,Elisavet Kodela,Maria-Carlota Londoño,Diana Marin Correa,Elena Perpiñán,Giovanna Lombardi,Niloufar Safinia,Marc Martinez-Llordella,Alberto Sanchez-Fueyo
Conferring alloantigen-specificity to ex vivo expanded CD4+CD25+Foxp3+ Tregs increases their capacity to counteract effector alloimmune responses following adoptive transfer into transplant recipients. Three strategies are currently undergoing clinical development, which involve: 1) expanding Tregs in the presence of donor B cells (donor alloantigen-reactive (DAR-Tregs)); 2) culturing Tregs with donor
-
Sexual bother and sexual activity before and after kidney transplantation. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Jane J Long,Natasha Gupta,Yi Liu,Jingyao Hong,Yiting Li,Nicole M Ali,Aarti Mathur,Dorry L Segev,Mara A McAdams-DeMarco
Among patients awaiting kidney transplantation (KT), sexual dysfunction is common due to end-stage kidney disease (ESKD) but may improve post-KT. Leveraging a two-center prospective study, 2,422 adult KT candidates and 490 adult KT recipients (5/2014-12/2023) were identified. Using the Kidney Disease Quality of Life Scale Short Form (KDQOL-SF), participants reported on the negative impact of sexual
-
Artificially intelligent size matching in lung transplantation - moving beyond current standards. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Caroline Hillebrand,Alberto Benazzo,Clemens Aigner
-
Pancreata recovered for research: Has the increase impacted pancreas transplantation? Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Sarah E Booker,Carlos Martinez,Laura A Cartwright,Katrina Gauntt,Joann White,Ty B Dunn,Oyedolamu Olaitan
-
Kids are special: Are we giving them the priority they deserve? Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-17 Lara C. Pullen PhD
-
Poor Prognostic Factors in Long-Term Survivors of Resected Pancreatic Ductal Adenocarcinoma: An International, Multicenter Cohort Study. Ann. Surg. (IF 7.5) Pub Date : 2024-09-17 Ammar A Javed,Ingmar F Rompen,Iris W J M van Goor,Thomas F Stoop,Paul Andel,Omar Mahmud,Asad Saulat Fatimi,Joseph R Habib,Nabiha A Mughal,Thijs Schouten,Kelly Lafaro,Richard A Burkhart,William R Burns,Hjalmar C van Santvoort,Marcel den Dulk,Freek Daams,J Sven D Mieog,Martijn W J Stommel,Gijs A Patijn,Ignace de Hingh,Sebastiaan Festen,Maarten W Nijkamp,Joost M Klaase,Daan J Lips,Jan H Wijsman,Erwin
OBJECTIVE To measure the rate of LTS in resected PDAC and determine the association between predictors of OS and LTS. SUMMARY BACKGROUND DATA Long-term survival (>5 y, LTS) remains rare in pancreatic ductal adenocarcinoma (PDAC). Multiple predictors of overall survival (OS) are known but their association with LTS remains unclear. METHODS An international, multicenter retrospective study was conducted
-
Epidemiology and Regional Variation in Additional Surgical Interventions for Children with Congenital Diaphragmatic Hernia: A Multi-institutional Analysis. Ann. Surg. (IF 7.5) Pub Date : 2024-09-17 Nicole Cimbak,Jennifer M Perez,Alireza Akhondi-Asl,Sally H Vitali,Nilesh M Mehta,Farokh R Demehri,Belinda Hsi Dickie,Jill M Zalieckas
OBJECTIVE To determine practice variation in surgical management of co-morbidities in pediatric patients with Congenital Diaphragmatic Hernia (CDH). BACKGROUND A higher percentage of CDH patients are surviving to discharge, accompanied by an increase in morbidity requiring surgical interventions such as tracheostomy and gastrostomy tube insertion. The frequency, trends, and regional variations in operative
-
The current landscape of in situ and ex-situ machine perfusion utilization for liver grafts from cardiac donation after circulatory death donors in the US. Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-16 Anji Wall,Matthew Snoddy,Jinyu Du,Johanna Bayer,Sebastian Danobeitia,Seung Hee Lee,Eric Martinez,Amar Gupta,Gege Ran,William F Parker,Sumeet K Asrani,Giuliano Testa
Donation after circulatory death (DCD) is driving the increase in deceased organ donors in the United States. Normothermic regional perfusion (NRP) and ex-situ machine perfusion (es-MP) have been instrumental in improving liver transplant outcomes and graft utilization. This study examines the current landscape of liver utilization from cardiac DCD donors in the US. Using the UNOS STAR file, all adult
-
Impact of Routine Extracorporeal Cardiopulmonary Resuscitation Service on the Availability of Donor Organs. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-16 Jana Smalcova,Petra Krupickova,Eva Pokorna,Ondrej Franek,Michal Huptych,Petra Kavalkova,Martin Balik,Jan Malik,Ondrej Smid,Eva Svobodova,Roman Keleman,Jan Belohlavek
In refractory cardiac arrest, extracorporeal cardiopulmonary resuscitation may increase the survival chance. However, in cases of unsuccessful treatment, extracorporeal cardiopulmonary resuscitation may additionally provide an important source of organ donors. Therefore, we hypothesized that implementing extracorporeal cardiopulmonary resuscitation service into a high-volume cardiac arrest center's
-
The long-awaited solution for pediatric DCD heart transplantation? Comment on Brouckaert et al. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-16 Nicholas Js Chilvers,Mylvaganam Jeyakanthan,Tanveer Butt,David Crossland,John H Dark,Federico Ferraresi,Asif Hasan,Muhammed Hebala,Jerome Jungschleger,Muhammad Khawaja,Guy MacGowan,Mohamed Nassar,Jason Robson,James Warburton,Louise Kenny
-
An Integrated Sampling Strategy for Therapeutic Mycophenolic Acid Monitoring in Lung Transplant Recipients. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-16 Laneshia K Tague,Hephzibah Anthony,Noha N Salama,Ramsey R Hachem,Brian F Gage,Andrew E Gelman
BACKGROUND Mycophenolic Acid (MPA) is the most used anti-proliferative in lung transplantation, but its pharmacokinetic (PK) variability has precluded therapeutic drug monitoring. Both genetic and clinical factors have been implicated in MPA variability. This study aimed to integrate genetic and clinical factors with PK measurements to quantify MPA exposure. METHODS We performed 12-hour pharmacokinetic
-
The evolving epidemiology of systemic sclerosis-associated pulmonary hypertension. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-10-01 Catherine E Simpson
-
The spectrum of systemic sclerosis-associated pulmonary hypertension: Insights from the ASPIRE registry. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-10-01 Howard Smith,A A Roger Thompson,Mohammed Akil,Samer Alabed,Athanasios Charalampopoulos,Krit Dwivedi,Charlie A Elliot,Abdul Hameed,Ashraful Haque,Neil Hamilton,Catherine Hill,Judith Hurdman,Rachael Kilding,Kar-Ping Kuet,Smitha Rajaram,Alexander M K Rothman,Andrew J Swift,James M Wild,David G Kiely,Robin Condliffe
BACKGROUND There are limited data assessing the spectrum of systemic sclerosis-associated pulmonary hypertension (PH). METHODS Data for 912 systemic sclerosis patients assessed between 2000 and 2020 were retrieved from the Assessing the Spectrum of Pulmonary hypertension Identified at a REferral centre (ASPIRE) registry and classified based on 2022 European Society of Cardiology/European Respiratory
-
Expanding the Donor Pool: Sequential Double Lung then Heart Transplant Using Ex-Vivo Normothermic Perfusion. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-13 Hosam F Ahmed,Don Hayes,Marco Ricci,Clifford Chin,David L S Morales
-
Multivisceral transplantation utilizing hepatitis C virus–viremic donors for hepatitis C virus–negative recipient Am. J. Transplant. (IF 8.9) Pub Date : 2024-09-12 Vanessa Addison, David Seth Goldberg, Vianna Rodrigo, Eric Martin, Jenn Garcia
The advent of highly effective and well-tolerated direct-acting antiviral therapy has made it more feasible to transplant hepatitis C virus (HCV)-infected organs into HCV-negative recipients. This case report presents the outcomes of 4 patients who underwent multivisceral transplantation from HCV-NAT-viremic donors, with 1 recipient also requiring a kidney transplant. All recipients received posttransplant
-
A Prospective European Trial Comparing Laparotomy, Laparoscopy, Robotic-Assisted, and Transanal Total Mesorectal Excision Procedures in High-Risk Patients with Rectal Cancer: The RESET Trial. Ann. Surg. (IF 7.5) Pub Date : 2024-09-12 Philippe Rouanet,Mario Guerrieri,Pablo Lemercier,Emre Balik,Eddy Cotte,Antonino Spinelli,Marcos Gómez-Ruiz,Albert Wolthuis,Emilio Bertani,Anne Dubois,
OBJECTIVE To compare total mesorectal excision (TME) techniques combined with sphincter-sparing procedure in high-risk patients (HRPs). BACKGROUND TME is the standard treatment for rectal cancer, but can be challenging in HRPs. The available surgical approaches must be compared, especially in HRPs. METHODS Prospective, observational, multicenter trial to compare laparotomy (OTME), laparoscopy (LTME)
-
The Time Has Come: The Case for Initiating Pilot Clinical Trials of Pig Kidney Xenotransplantation. Ann. Surg. (IF 7.5) Pub Date : 2024-09-12 David K C Cooper,Leonardo V Riella,Tatsuo Kawai,Jay A Fishman,Winfred W Williams,Nahel Elias,Joren C Madsen,Richard N Pierson
In vitro studies indicate that kidney transplantation from gene-edited pigs in which expression of all three of the known glycan xenoantigens has been deleted may be more challenging in nonhuman primates (NHPs) than it will be in human recipients. Furthermore, pig-to-human xenotransplantation offers several other advantages - (i) the patient can communicate with the surgical team; (ii) recipient microbiological
-
Dynamic Pathology of Enteric Neural Network using Curcumin-assisted Multiphoton Laser Imaging in Hirschsprung Disease. Ann. Surg. (IF 7.5) Pub Date : 2024-09-12 Yuhki Koike,Akira Mizoguchi,Keiichi Uchida,Yuki Sato,Koki Higashi,Yuka Nagano,Kohei Matsushita,Kousyoku Sai,Aika Kaito-Yamagishi,Shujie Wang,Tetsuro Kayahara,Yoshinaga Okugawa,Kyosuke Tanaka,Mikihiro Inoue,Kazuo Funabiki,Kazushi Kimura,Hidemasa Goto,Mizuki Yuge,Yuhei Nishimura,Hiroto Yuasa,Yuji Toiyama
OBJECTIVE In living tissue, it has been difficult to make microscopic-level observations without damaging the tissue. SUMMARY BACKGROUND DATA We have invented a novel intravital fluorescent observation method (IFOM) for real-time tissue observation, combining multi-photon laser scanning microscopy (MPLSM) with curcumin vital staining (CVS-IFOM). The aim of this study was to use CVS-IFOM to analyze
-
Informing Decision-making for Transected Margin Reresection in Intraductal Papillary Mucinous Neoplasm-derived PDAC: An International Multicenter Study. Ann. Surg. (IF 7.5) Pub Date : 2024-09-12 Joseph R Habib,Ingmar F Rompen,Benedict Kinny-Köster,Brady A Campbell,Paul C M Andel,Greg D Sacks,Adrian T Billeter,Hjalmar C van Santvoort,Lois A Daamen,Ammar A Javed,Beat P Müller-Stich,Marc G Besselink,Markus W Büchler,Jin He,Christopher L Wolfgang,I Quintus Molenaar,Martin Loos
OBJECTIVE To assess the prognostic impact of margin status in patients with resected intraductal papillary mucinous neoplasms (IPMN)-derived pancreatic ductal adenocarcinoma (PDAC) and to inform future intraoperative decision-making on handling differing degrees of dysplasia on frozen section. SUMMARY BACKGROUND DATA The ideal oncologic surgical outcome is a negative transection margin with normal
-
Electronic Surgical Consent Delivery via Patient Portal. JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 E Shelley Hwang,Michael Kent
-
Pain Management Details for Serratus Anterior Plane Blocks in Early Rib Fracture. JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Niccolò Stomeo,Arosh S Perera Molligoda Arachchige
-
Necrotizing Soft Tissue Infections JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 James McDermott, Lillian S. Kao, Jessica A. Keeley, Areg Grigorian, Angela Neville, Christian de Virgilio
ImportanceNecrotizing soft tissue infections (NSTIs) are severe life- and limb-threatening infections with high rates of morbidity and mortality. Unfortunately, there has been minimal improvement in outcomes over time.ObservationsNSTIs are characterized by their heterogeneity in microbiology, risk factors, and anatomical involvement. They often present with nonspecific symptoms, leading to a high rate
-
Ampullary Adenocarcinoma-Advancing Prognostication and Personalized Treatment. JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Serena Zheng,Timothy R Donahue
-
The Updated Haddon Matrix for Pediatric Firearm Injuries JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Lois K. Lee, Danielle Laraque-Arena, Eric W. Fleegler
This Viewpoint presents an updated scientific approach applied to the foundational framework of the Haddon Matrix for injury prevention to reduce firearm injuries and deaths to children and youth.
-
Electronic Surgical Consent Delivery Via Patient Portal to Improve Perioperative Efficiency JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Karen Trang, Hannah C. Decker, Andrew Gonzalez, Logan Pierce, Amy M. Shui, Genevieve B. Melton-Meaux, Elizabeth C. Wick
ImportanceMany health systems use electronic consent (eConsent) for surgery, but few have used surgical consent functionality in the patient portal (PP). Incorporating the PP into the consent process could potentially improve efficiency by letting patients independently review and sign their eConsent before the day of surgery.ObjectiveTo evaluate the association of eConsent delivery via the PP with
-
Teaching Bleeding Control and Building Trust With a Community Affected by Firearm Injuries JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Kathryn M. Stadeli, Farah B. Mohamed, Lauren L. Agoubi, Abdifatah Dahiye, Elina Serrano, Maymuna Haji-Eda, Monica S. Vavilala
This survey study evaluates a program for increasing bystander bleeding control skills, improving self-efficacy for bleeding control, and building trust between community participants and first responders in a Somali community in the US affected by firearm-related deaths.
-
Genome-Derived Ampullary Adenocarcinoma Classifier and Postresection Prognostication JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Brett L. Ecker, Kenneth Seier, Austin M. Eckhoff, Gabriella N. Tortorello, Peter J. Allen, Vinod P. Balachandran, Nicola Blackburn, Michael I. D’Angelica, Ronald P. DeMatteo, Daniel G. Blazer, Jeffrey A. Drebin, William E. Fisher, Danielle Fortuna, Anthony J. Gill, Marie-Claude Gingras, T. Peter Kingham, Major K. Lee, Michael E. Lidsky, Daniel P. Nussbaum, Michael J. Overman, Jaswinder S. Samra, Ronglai
ImportanceAmpullary adenocarcinoma (AA) is characterized by clinical and genomic heterogeneity. A previously developed genomic classifier defined biologically distinct phenotypes with greater accuracy than standard histologic classification. External validation is needed before routine clinical use.ObjectiveTo test external validity of the prognostic value of the hidden genome classifier of AA.Design
-
Pain Management Details for Serratus Anterior Plane Blocks in Early Rib Fracture-Reply. JAMA Surg. (IF 15.7) Pub Date : 2024-09-11 Christopher Partyka,Anthony Delaney,Kate Curtis
-
Long-term Outcomes Following Colectomy and Liver Transplantation for Inflammatory Bowel Disease with Primary Sclerosing Cholangitis. Ann. Surg. (IF 7.5) Pub Date : 2024-09-11 Abraham J Matar,Elissa Falconer,Michelle LaBella,Muneera R Kapadia,Carla F Justiniano,Kinga Skowron Olortegui,Randolph Steinhagen,Kurt Schultz,Anurag Pratap,Ira Leeds,Lauren Weaver,Wolfgang Gaertner,Erik B Finger,Mary Thompson,Lucas Fair,Alessandro Fichera,Brendan P Lovasik,William C Chapman,Catherine Lb McGeoch,Mary Catherine Camacho,Marwan Kazimi,Steven C Kim,Virginia O Shaffer,Jahnavi K Srinivasan
OBJECTIVE To investigate the long-term outcomes of patients with combined primary sclerosing cholangitis/inflammatory bowel disease (PSC-IBD) undergoing both liver transplantation (LT) and total abdominal colectomy (TAC). SUMMARY BACKGROUND DATA The fraction of patients with PSC-IBD that require both LT and TAC is small, thereby limiting significant conclusions regarding long-term outcomes. METHODS
-
Diagnostic Performance of Surgical Indication for Branch-duct or Mixed-type Intraductal Papillary Mucinous Neoplasms of the Revised International Association of Pancreatology (IAP) 2023 Guidelines. Ann. Surg. (IF 7.5) Pub Date : 2024-09-11 Hye-Sol Jung,Youngmin Han,Yoon Soo Chae,Won-Gun Yun,Young Jae Cho,Younsoo Seo,Go Won Choi,Haeryoung Kim,Kyoung Bun Lee,Dong Ho Lee,Wooil Kwon,Joon Seong Park,Jin-Young Jang
OBJECTIVE To evaluate the diagnostic performance of surgical indications of the revised International Association of Pancreatology (IAP) 2023 guidelines compared to the IAP 2017 and European 2018 guidelines. SUMMARY BACKGROUND DATA The revised IAP guidelines for surgical indications for branch duct (BD) intraductal papillary mucinous neoplasms (IPMN) include the presence of at least two worrisome features
-
Divorce Among Surgeons and Other Physicians in the United States. Ann. Surg. (IF 7.5) Pub Date : 2024-09-11 Stephen A Stearns,Alexander R Farid,Anupam B Jena
OBJECTIVE To compare divorce prevalence among surgeons with that of non-surgeon physicians. SUMMARY BACKGROUND DATA The demanding nature of a career in surgery uniquely challenges the social wellbeing of a surgeon; however, its impact on marital health has not yet been well described. METHODS A cross-sectional study was conducted using publicly available U.S. Census data from 2017-2021 to investigate
-
Mechanical Circulatory Support Early After Pediatric Heart Transplantation - an analysis from the Pediatric Heart Transplant Society. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-11 Jacob Simmonds,Steven D Zangwill,Bethany Wisotzkey,Ryan Cantor,Hong Zhao,James K Kirklin,Dipankar Gupta
BACKGROUND The use of early Mechanical Circulatory Support (MCS) following pediatric heart transplantation is not well-published. This paper attempts to uncover the incidence, predisposing factors and outcomes of MCS in a large, international cohort. METHODS The Pediatric Heart Transplant Society Database (an international, prospective, event-driven database) was retrospectively analyzed for all cases
-
Unraveling the Long-term Natural History of Branch Duct Intraductal Papillary Mucinous Neoplasm: Beyond 10 years. Ann. Surg. (IF 7.5) Pub Date : 2024-09-10 Charnwit Assawasirisin,Peter Fagenholz,Motaz Qadan,Yasmin Hernandez-Barco,Satita Aimprasittichai,Avinash Kambadakone,Mari Mino-Kenudson,Amarachi Ike,Sheng-Yin Chen,Chen Sheng,William Brugge,Andrew L Warshaw,Keith D Lillemoe,Carlos Fernández-Del Castillo
OBJECTIVE To describe the long-term natural history of Branch duct intraductal papillary mucinous neoplasm (BD-IPMN). BACKGROUND The BD-IPMN is a known precursor of pancreatic cancer, yet its long-term natural history is largely unknown. METHODS We retrospectively reviewed patients with BD-IPMN who were followed at the Massachusetts General Hospital for at least ten years without surgical intervention
-
Commentary on: Restoring discarded porcine lungs by ex vivo removal of neutrophil extracellular traps. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-10 Ashling L Zhang,Alexander Krupnick,Joseph Rabin,Christine Lau
-
Non-Classical Class I molecules in the crosshairs as biomarkers in lung transplantation. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-10 David C Neujahr
-
Impact of preoperative body mass index on long-term survival, quality of life, and functional outcomes after pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension: Results from the UK National Cohort. J. Heart Lung Transplant. (IF 6.4) Pub Date : 2024-09-10 Stephen Chiu,Katherine Bunclark,Paula Appenzeller,Hakim Ghani,Dolores Taboada,Karen Sheares,Mark Toshner,Joanna Pepke-Zaba,John Cannon,Fouad Taghavi,Steven Tsui,Choo Ng,David P Jenkins
BACKGROUND Previous studies have demonstrated the safety of pulmonary endarterectomy (PEA) across body mass index (BMI) strata. However, long-term survival and patient-reported outcome measures by BMI strata remain unknown. We examined the impact of preoperative BMI on long-term survival, QOL, and functional outcomes for patients undergoing PEA for chronic thromboembolic pulmonary hypertension (CTEPH)