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Postoperative 20% Albumin Infusion and Acute Kidney Injury in High-Risk Cardiac Surgery Patients: The ALBICS AKI Randomized Clinical Trial. JAMA Surg. (IF 15.7) Pub Date : 2025-06-11 Yahya Shehabi,Mayurathan Balachandran,Wisam Al-Bassam,Michael Bailey,Rinaldo Bellomo,Shailesh Bihari,Alana Brown,Alastair Brown,David Collins,Phoebe R Darlison,Mozhu Alice Li,Raffaele Mandarano,Vineet Sarode,Adrian Pakavakis,
Importance Acute kidney injury (AKI) after cardiac surgery is a common and serious complication. Protein loading appears nephroprotective; thus, continuous hyperoncotic albumin infusion may impact AKI following high-risk cardiac surgery. Objective To evaluate the effect of postoperative 20% albumin infusion compared with usual care on the occurrence of AKI in high-risk cardiac surgery patients. Design
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Coagulopathy Treatment in Cardiac Surgery-Pharmacy or Blood Bank? JAMA Surg. (IF 15.7) Pub Date : 2025-06-11 Faisal G Bakaeen,Mariya A Geube
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Peer and Patient Feedback to Increase Adherence to Postoperative Opioid Prescribing Guidelines JAMA Surg. (IF 15.7) Pub Date : 2025-06-11 Anish K. Agarwal, Jeffrey P. Ebert, Ruiying Xiong, Zarina S. Ali, Daniel Lee, Frances Shofer, Yevgeniy Gitelman, David Do, Evan A. Spencer, E. Madeline Grenader, Fan Li, Michael O. Harhay, M. Kit Delgado
ImportancePrescribing more opioids than patients need following surgery is associated with long-term use, misuse, and diversion. Interventions are needed to increase adherence to procedure-specific guidelines while preserving the ability to manage pain.ObjectiveTo test whether providing clinicians monthly feedback with peer comparisons and patient-reported outcomes would increase adherence to postoperative
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Differences in Helicopter Ambulance Use by Race and Ethnicity. JAMA Surg. (IF 15.7) Pub Date : 2025-06-04 Matthew L Harrison
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Differences in Helicopter Ambulance Use by Race and Ethnicity-Reply. JAMA Surg. (IF 15.7) Pub Date : 2025-06-04 Christian Mpody,Matthias Eikermann,Olubukola O Nafiu
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Differences in Helicopter Ambulance Use by Race and Ethnicity. JAMA Surg. (IF 15.7) Pub Date : 2025-06-04 Kenneth E Stewart,Yashwanth Myneni,Kenichi A Tanaka
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Rethinking Local Therapy for Rectal Cancer in the Era of Precision Oncology-When Less Is More. JAMA Surg. (IF 15.7) Pub Date : 2025-05-28 Aron Bercz,Philip S Bauer,J Joshua Smith
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Association of Familiarity of the Surgeon-Anesthesiologist Dyad With Major Morbidity After Surgery. JAMA Surg. (IF 15.7) Pub Date : 2025-05-28 Jasmine Hwang,Rachel R Kelz
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Tracheobronchial Replacement JAMA Surg. (IF 15.7) Pub Date : 2025-05-28 Emmanuel Martinod, Dana M. Radu, Ilaria Onorati, Xavier Chapalain, Ana Maria Santos Portela, Marine Peretti, Olivia Freynet, Yurdagül Uzunhan, Kader Chouahnia, Boris Duchemann, Charles Juvin, Guillaume Lebreton, Hélène Rouard, Guillaume Van der Meersch, Geraud Galvaing, Jean-Baptiste Chadeyras, François Tronc, Paulina Kuczma, Christophe Trésallet, Nicolas Vénissac, Sadek Beloucif, Olivier Huet, Eric
ImportanceTracheobronchial replacement remains a surgical and biological challenge despite several decades of experimental and clinical research.ObjectiveTo compile a comprehensive state-of-the-science review examining the current indications, techniques, and outcomes of tracheobronchial replacement in human patients.Evidence ReviewA systematic review of the literature was conducted on July 1, 2024
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Hospital Ownership and Surgical Outcomes in East, Central, and Southern Africa JAMA Surg. (IF 15.7) Pub Date : 2025-05-28 Robert K. Parker, Yves Yankunze, Andrea S. Parker, Eric O’Flynn, Niraj Bachheta, Abebe Bekele, Michael M. Mwachiro
ImportanceSurgical mortality remains a critical public health issue in resource-limited settings. Hospital ownership type may influence surgical outcomes, yet this relationship is not well understood in East, Central, and Southern Africa, where a diverse mix of public, private, and faith-based hospitals provides care.ObjectiveTo determine whether hospital ownership type (public, private, or faith-based)
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Familiarity of the Surgeon-Anesthesiologist Dyad and Major Morbidity After High-Risk Elective Surgery JAMA Surg. (IF 15.7) Pub Date : 2025-05-28 Julie Hallet, Angela Jerath, Pablo Perez d’Empaire, François Carrier, Alexis F. Turgeon, Daniel I. McIsaac, Chris Idestrup, Gianni Lorello, Alana Flexman, Biniam Kidane, Wing C. Chan, Anna Gombay, Natalie Coburn, Antoine Eskander, Rinku Sutradhar
ImportanceThe surgeon-anesthesiologist teamwork is a core component of performance in the operating room, which can influence patient outcomes.ObjectiveTo examine the association between surgeon-anesthesiologist dyad familiarity (as dyad volume, the number of procedures done together) with 90-day postoperative major morbidity for high-risk elective surgery.Design, Setting, and ParticipantsThis population-based
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Clinical Outcomes of Laparoscopic vs Robotic-Assisted Cholecystectomy in Acute Care Surgery JAMA Surg. (IF 15.7) Pub Date : 2025-05-21 Nathnael Abera Woldehana, Andrew Jung, Brett Colton Parker, Alisa Mae Coker, Elliott Richard Haut, Gina Lynn Adrales
ImportanceThe use of robotic-assisted cholecystectomy in acute care surgery is increasing, but its safety and efficacy compared with laparoscopic cholecystectomy remain unclear.ObjectiveTo compare clinical outcomes and bile duct injury rates between robotic-assisted cholecystectomy and laparoscopic cholecystectomy in acute care surgery.Design, Setting, and ParticipantsThis was a retrospective cohort
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Mitigating the Blood Pressure Fall With Propofol. JAMA Surg. (IF 15.7) Pub Date : 2025-05-21 Brandi Bottiger,Jessica Zvara,Michael Mazzeffi
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Hemodynamic Impact of Cipepofol vs Propofol During Anesthesia Induction in Patients With Severe Aortic Stenosis JAMA Surg. (IF 15.7) Pub Date : 2025-05-21 Tingting Ni, Xiaoxia Zhou, Shuguang Wu, Tao Lv, Yujiao Hu, Qi Gao, Ge Luo, Chen Xie, Jingcheng Zou, Yuexiu Chen, Linqian Zhao, Jie Xiao, Xincheng Tao, Yu Yi, Zhili Xu, Tingting Wang, Junyu Zhou, Yuanyuan Yao, Min Yan
ImportancePostinduction hemodynamic instability is a frequent complication among patients with severe aortic stenosis (AS). Using cipepofol as the anesthesia agent may reduce the incidence and severity of hemodynamic instability.ObjectiveTo assess whether cipepofol outperforms propofol in maintaining postinduction hemodynamic stability in patients with AS.Design, Setting, and ParticipantsThis single-center
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Providing Equitable Surgical Care to Patients in Law Enforcement Custody JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 Elinore J. Kaufman, Jesse E. Passman, Rucha Alur, Randi Smith, Anwar Osborne, Sara Scarlet, Kimberly Sue, Robert Wright, Rebecca Maine, Nephetari Smith, Nia Holston, Emily Zhu, Jessica H. Beard
ImportanceApproximately 2 million individuals are incarcerated in the US. Surgical needs increase with age, and an aging prison population means an increasing need for surgical care for incarcerated individuals. Challenges in logistics, privacy, communication, and comorbidities put people in law enforcement custody at risk for suboptimal care and outcomes. Little guidance exists for surgeons seeking
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Role of Preoperative Antibiotic Treatment While Awaiting Appendectomy JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 Karoliina Jalava, Ville Sallinen, Hanna Lampela, Hanna Malmi, Ingeborg Steinholt, Knut Magne Augestad, Ari Leppäniemi, Panu Mentula
ImportanceAntibiotics are thought to decelerate inflammation progression and reduce complications in acute uncomplicated appendicitis. The evidence of their effectiveness is insufficient, and treatment practices vary widely.ObjectiveTo investigate the effect of preoperatively started antibiotic treatment on the rate of appendiceal perforation.Design, Setting, and ParticipantsThis multicenter, noninferiority
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Pancreatic Fistula After Minimally Invasive and Open Pancreaticoduodenectomy. JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 Changhao Gao,Zhiyao Fan,Hanxiang Zhan
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Pancreatic Fistula After Minimally Invasive and Open Pancreatoduodenectomy. JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 Max Judish,Charles M Vollmer
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Pancreatic Fistula After Minimally Invasive and Open Pancreatoduodenectomy-Reply. JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 Caro L Bruna,Marc G Besselink,Mohammad Abu Hilal
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Failure Rate of Nonoperative Treatment of Appendicitis—Closer to 15% Than 50%? JAMA Surg. (IF 15.7) Pub Date : 2025-05-14 David A. Talan, Salomone Di Saverio
This Viewpoint outlines the problems with the failure rates for nonoperative treatment of uncomplicated appendicitis (NOTA) reported in several major trials and discusses why NOTA may be preferable to appendectomy.
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Breast Tumor-Bed Biopsy for Pathological Complete Response Prediction JAMA Surg. (IF 15.7) Pub Date : 2025-05-07 Mark Basik, Reena S. Cecchini, Jennifer F. De Los Santos, Heidi R. Umphrey, Thomas B. Julian, Eleftherios P. Mamounas, Julia R. White, Peter C. Lucas, Christa R. Balanoff, Antoinette R. Tan, Joseph J. Weber, David A. Edmonson, Ursa A. Brown-Glaberman, Emilia J. Diego, Mediget Teshome, Cindy B. Matsen, Samantha A. Seaward, Irene L. Wapnir, Jamie L. Wagner, Judy A. Tjoe, Alastair M. Thompson, Norman
ImportanceUse of modern neoadjuvant chemotherapy (NAC) regimens has markedly increased rates of pathologic complete response (pCR) in breast cancer, raising the question of whether surgical removal of the primary tumor is required for patients with pCR. For surgery to be omitted, one must be able to accurately predict pCR before surgery.ObjectiveTo investigate if adding post-NAC core needle biopsy
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Anti-DEI Legislation and Equitable Surgical Care and Workforce Diversity. JAMA Surg. (IF 15.7) Pub Date : 2025-05-07 M Libby Weaver
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Orchestrating Cancer Care-Will the Surgeon Always Participate? JAMA Surg. (IF 15.7) Pub Date : 2025-05-07 Lee G Wilke,Meeghan A Lautner
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Major Adverse Cardiac Events After Gastric Bypass vs Sleeve Gastrectomy JAMA Surg. (IF 15.7) Pub Date : 2025-05-07 Simone Wildisen, Rahel Laager, Tristan Struja, Alessia Wildisen, Beat Mueller, Philipp Schuetz, Ralph Peterli, Alexander Kutz
ImportanceMetabolic bariatric surgery is the most effective and durable treatment for weight loss and improvement of cardiovascular diseases. With sleeve gastrectomy now surpassing gastric bypass as the most common procedure worldwide, comparing these procedures’ associations with major adverse cardiac events (MACE) is needed.ObjectiveTo compare the risk of MACE among individuals undergoing gastric
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Innovations in Surgical Communication 5—When Surgery Is a Bad Idea, Focus on the Goals JAMA Surg. (IF 15.7) Pub Date : 2025-05-07 Margaret L. Schwarze, Lauren J. Taylor, Robert M. Arnold, Ramey D. Littell
This Viewpoint provides communication techniques for surgeons in decision-making discussions with patients who likely will not reach their goals with surgery.
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Postoperative Outcomes Among Sodium-Glucose Cotransporter 2 Inhibitor Users JAMA Surg. (IF 15.7) Pub Date : 2025-04-30 Roberta Teixeira Tallarico, Bocheng Jing, Kaiwei Lu, Shweta Amy Chawla, Yanting Luo, Anusha Badathala, Catherine L. Chen, Arthur W. Wallace, Matthieu Legrand
ImportanceCase reports and small retrospective studies have suggested that there is an increased risk of postoperative euglycemic ketoacidosis (eKA) and acute kidney injury (AKI) among patients using sodium-glucose cotransporter 2 inhibitors (SGLT2i) preoperatively. However, there has not been a representative assessment of the risks of these agents among patients undergoing surgery.ObjectiveTo evaluate
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Surgical Performance Metrics for 1-Year Patient-Reported Outcomes After Radical Prostatectomy JAMA Surg. (IF 15.7) Pub Date : 2025-04-30 John R. Heard, Umar Ghaffar, Runzhuo Ma, Cherine H. Yang, Melissa Assel, Christian Wagner, Geoffrey A. Sonn, Alvin C. Goh, Shady Saikali, Vipul Patel, Andrew Vickers, Jim C. Hu, Andrew J. Hung
ImportanceThere is a dearth of surgical performance measures that accurately predict long-term patient outcomes.ObjectiveTo develop surgical performance measures collected at the time of surgery that accurately predict future outcomes.Design, Setting, and ParticipantsIn this cohort study, surgical video of 157 patients undergoing robotic-assisted radical prostatectomy by 28 surgeons from 4 tertiary
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Disability in Surgery—A Call to Action JAMA Surg. (IF 15.7) Pub Date : 2025-04-30 Priyanka V. Chugh, Brian A. Jones, Kathryn E. Twomey
This Viewpoint discusses surgeons with disabilities, their experience in the work environment, and the need to create more informed structure and guidance to include and support trainees and surgeons with disabilities.
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Identity Concordance-A Key Component of Optimal Surgical Outcomes. JAMA Surg. (IF 15.7) Pub Date : 2025-06-01 Christopher J D Wallis,Raj Satkunasivam,Angela Jerath
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Long-Term Postoperative Outcomes by Surgeon Gender and Patient-Surgeon Gender Concordance in the US JAMA Surg. (IF 15.7) Pub Date : 2025-04-23 Ryo Ikesu, Hiroshi Gotanda, Tara A. Russell, Melinda Maggard-Gibbons, Marcia McGory Russell, Ryu Yoshida, Ruixin Li, Alexandra Klomhaus, Christian de Virgilio, Yusuke Tsugawa
ImportanceEvidence suggests that physician gender and patient-physician gender concordance have the potential to improve patient outcomes, especially for female patients. However, whether long-term outcomes differ by surgeon gender and patient-surgeon gender concordance has not been studied in the US.ObjectiveTo compare long-term postoperative outcomes by surgeon gender and patient-surgeon gender concordance
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Trends in Clinical Outcomes After Major Emergency Abdominal Surgery in Denmark, Data From 2002-2022 JAMA Surg. (IF 15.7) Pub Date : 2025-04-23 Johanne Gormsen, Dunja Kokotovic, Thomas Korgaard Jensen, Jakob Burcharth
ImportanceMajor emergency abdominal surgery is associated with high morbidity and mortality. Understanding trends in outcomes over time can reveal critical practice-changing improvements, identify gaps in postoperative care, and establish a large-scale benchmark for future research.ObjectiveTo investigate trends in morbidity and mortality after major emergency abdominal surgery in Denmark.Design, Setting
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A Surgeon's Simplified Guide to US Patents. JAMA Surg. (IF 15.7) Pub Date : 2025-06-01 Ammar Saed Aldien,Hassan ElHawary,Shafic Abdulkarim,Jeffrey E Janis
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New International Editorial Board Member-February 2025. JAMA Surg. (IF 15.7) Pub Date : 2025-04-16 Melina R Kibbe
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Operative vs Nonoperative Treatment of Acute Cholecystitis in Older Adults With Multimorbidity JAMA Surg. (IF 15.7) Pub Date : 2025-04-16 Rachael C. Acker, Sara P. Ginzberg, James Sharpe, Luke Keele, Jasmine Hwang, Emna Bakillah, Drew Goldberg, Elinore Kaufman, Rachel R. Kelz
ImportanceAcute cholecystitis in older patients with multimorbidity is associated with a high risk of morbidity and mortality. Debate exists as to whether operative or nonoperative treatment is the most appropriate approach.ObjectivesTo compare the effectiveness of operative and nonoperative treatment in older adults with multimorbidity who are hospitalized emergently with acute cholecystitis.Design
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Intraoperative Trauma Video Review JAMA Surg. (IF 15.7) Pub Date : 2025-04-16 Daniel N. Holena, Marc A. de Moya
This Surgical Innovation describes the use of video review of intraoperative trauma care and the potential to improve the quality of trauma care and create opportunities for coaching.
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Cutting the Antibiotic Spectrum for Low-Risk Abdominal Infection. JAMA Surg. (IF 15.7) Pub Date : 2025-04-10 Joshua B Brown
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Improving Empiric Antibiotic Selection for Patients Hospitalized With Abdominal Infection JAMA Surg. (IF 15.7) Pub Date : 2025-04-10 Shruti K. Gohil, Edward Septimus, Ken Kleinman, Neha Varma, Kenneth E. Sands, Taliser R. Avery, Amarah Mauricio, Selsebil Sljivo, Risa Rahm, Kaleb Roemer, William S. Cooper, Laura E. McLean, Naoise G. Nickolay, Russell E. Poland, Robert A. Weinstein, Samir M. Fakhry, Jeffrey Guy, Julia Moody, Micaela H. Coady, Kim N. Smith, Brittany Meador, Allison Froman, Katyuska Eibensteiner, Mary K. Hayden, David
ImportanceEmpiric extended-spectrum antibiotics are routinely prescribed for over a million patients hospitalized annually with abdominal infection despite low likelihoods of infection with multidrug-resistant organisms (MDROs).ObjectiveTo evaluate whether computerized provider order entry (CPOE) prompts providing patient- and pathogen-specific MDRO infection risk estimates can reduce empiric extended-spectrum
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LASER Focus on Long-Term Outcomes for Diverticular Disease. JAMA Surg. (IF 15.7) Pub Date : 2025-06-01 Sara Myers,Jennifer S Davids
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Foley Catheter Management JAMA Surg. (IF 15.7) Pub Date : 2025-04-09 Anne P. Cameron, Glenn T. Werneburg
ImportanceAbout 100 million urinary catheters are used globally each year. Urinary catheters are effective to establish bladder drainage, but they are associated with risks, including infection and encrustation. To mitigate the associated risks, an understanding of urinary catheter indications, placement and removal techniques, and maintenance is necessary.ObservationsThis review describes catheter
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Sigmoid Resection vs Conservative Treatment After Diverticulitis JAMA Surg. (IF 15.7) Pub Date : 2025-04-09 Alexandre Santos, Panu Mentula, Tarja Pinta, Shamel Ismail, Tero Rautio, Risto Juusela, Aleksi Lähdesmäki, Tom Scheinin, Ville Sallinen
ImportanceLaparoscopic elective sigmoid resection is a treatment option for patients with recurring, persistent painful, or complicated diverticulitis, but outcomes of surgery compared with conservative treatment are unclear in long-term follow-up.ObjectiveTo compare quality-of-life (QOL), complication, and recurrence outcomes of surgery vs conservative treatment in patients with recurring, persistent
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Operative vs Nonoperative Treatment for Adult Symptomatic Lumbar Scoliosis at 8-Year Follow-Up JAMA Surg. (IF 15.7) Pub Date : 2025-04-04 Justin S. Smith, Michael P. Kelly, Elizabeth L. Yanik, Christine R. Baldus, Vy Pham, David Ben-Israel, Jon D. Lurie, Charles Edwards, Steven D. Glassman, Lawrence G. Lenke, Jacob M. Buchowski, Leah Y. Carreon, Charles H. Crawford, Stephen J. Lewis, Tyler Koski, Virginie Lafage, Munish C. Gupta, Han Jo Kim, Christopher P. Ames, Shay Bess, Frank J. Schwab, Christopher I. Shaffrey, Keith H. Bridwell
ImportanceLong-term follow-up studies of operative and nonoperative treatment of adult symptomatic lumbar scoliosis (ASLS) are needed to assess benefits and durability.ObjectiveTo assess the durability of treatment outcomes for operative vs nonoperative treatment of ASLS.Design, Setting, and ParticipantsThe Adult Symptomatic Lumbar Scoliosis 1 (ASLS-1) study was a multicenter, prospective study with
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Appendiceal Tumor Prevalence in Patients With Periappendicular Abscess JAMA Surg. (IF 15.7) Pub Date : 2025-04-04 Roosa Salminen, Jenny Alajääski, Tero Rautio, Saija Hurme, Pia Nordström, Elisa Mäkäräinen, Elina Lietzén, Tarja Pinta, Marie Grönroos-Korhonen, Tuomo Rantanen, Jan Andersén, Anne Mattila, Jyrki Kössi, Antti Riikola, Hannu Paajanen, Markku Matikainen, Vesa Pokela, Paulina Salminen
ImportanceThere are no large prospective cohort studies validating the previously reported high appendiceal tumor rate in patients with periappendicular abscess.ObjectiveTo confirm the appendiceal neoplasm rate associated with periappendicular abscess.Design, Setting, and ParticipantsThe Peri-Appendicitis Acuta Tumor prospective multicenter cohort study was conducted at 12 hospitals in Finland. All
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Survival and Cost-Effectiveness of Bariatric Surgery Among Patients With Obesity and Cirrhosis JAMA Surg. (IF 15.7) Pub Date : 2025-04-04 Shalini Bansal, Amanda Bader, Nadim Mahmud, David E. Kaplan
ImportanceObesity and steatotic liver disease are associated with excess morbidity and mortality from cardiovascular, pulmonary, metabolic, and hepatic causes. Bariatric surgery has demonstrated long-term benefits in terms of weight loss and mortality rates, but barriers to its utilization persist.ObjectiveTo evaluate the impact of bariatric surgery on outcomes and cost-effectiveness among patients
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Early Surgery for Painful Chronic Pancreatitis. JAMA Surg. (IF 15.7) Pub Date : 2025-06-01 Rupjyoti Talukdar,Guduru Venkat Rao,Duvuur Nageshwar Reddy
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Early Surgery for Painful Chronic Pancreatitis-Reply. JAMA Surg. (IF 15.7) Pub Date : 2025-06-01 Charlotte L van Veldhuisen,Marja A Boermeester,Yama Issa
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Options for Management of Fractures of the Humeral Diaphysis. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Kevin C Chung
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Operative vs Nonoperative Management of Fractures of the Humeral Diaphysis JAMA Surg. (IF 15.7) Pub Date : 2025-03-26 William M. Oliver, Katrina R. Bell, Thomas H. Carter, Catriona Graham, Timothy O. White, Nicholas D. Clement, Andrew D. Duckworth, Samuel G. Molyneux
ImportanceHumeral shaft fractures are routinely managed nonoperatively, but this approach is potentially associated with higher nonunion rates and inferior functional outcomes when compared with operative fixation.ObjectiveTo assess whether there is any difference in outcome between surgery and functional bracing for adults with an isolated, closed humeral shaft fracture.Design, Setting, and ParticipantsThis
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Perioperative Penicillin and Cephalosporin Antibiotic Allergy Assessment and Testing JAMA Surg. (IF 15.7) Pub Date : 2025-03-26 Joseph Francis De Luca, Sara Vogrin, Natasha Elizabeth Holmes, Gemma Kate Reynolds, Jamie Lee Waldron, Fionnuala Cox, Justin Nazareth, Ranjan Guha, Ned Douglas, Andrew Hardidge, Trisha Nicole Peel, Jo Anne Douglass, Douglas Forsyth Johnson, Jason Anthony Trubiano
ImportanceAntibiotic allergy labels (AALs) impact patient health and perioperative outcomes. Antibiotic allergy delabeling could improve antibiotic prescribing and infection-related outcomes perioperatively.ObjectiveTo assess the feasibility and safety of antibiotic allergy assessment and delabeling in anesthesiologist-led preoperative assessment clinics and expand delabeling efforts outside of specialist
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Faculty Characteristics and Surgery Trainee Attrition JAMA Surg. (IF 15.7) Pub Date : 2025-03-26 Haley Harris, Isabelle M.C. Tan, Yuqing Qiu, Julianna Brouwer, Julie Ann Sosa, Heather Yeo
This cohort study examines correlations between underrepresented-in-medicine and female faculty representation, retention, and promotion and general surgery resident attrition at a national level.
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Is There a Need for Drain Placement After Gastrectomy? JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Kyle D Klingbeil,Ami Hayashi,Edward H Livingston
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Is There a Need for Drain Placement After Gastrectomy?-Reply. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Jacopo Weindelmayer,Giovanni de Manzoni,Giuseppe Verlato
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Will Care for Esophageal Squamous Cell Carcinoma Change? JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Ernest G Chan,Jessica S Donington
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Two Guidelines on Coronary Disease and the Atlantic Divide. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Faisal Bakaeen,Torsten Doenst
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Total Endoscopic Robotic Mitral Valve Repair Surgery. JAMA Surg. (IF 15.7) Pub Date : 2025-03-19 Ahmed H Aly,T Sloane Guy
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Molecular Testing and Targeted Therapies in Hepatobiliary Cancers JAMA Surg. (IF 15.7) Pub Date : 2025-03-19 Diamantis I. Tsilimigras, Razelle Kurzrock, Timothy M. Pawlik
ImportanceHepatobiliary cancers are heterogeneous and molecularly complex. Recent advances in next-generation sequencing (NGS) have enhanced the understanding of their molecular landscape and enabled deployment of biomarker-based gene- and immune-targeted therapies. This review examines the role of molecular testing and targeted therapies in these malignant neoplasms.ObservationsPatients with hepatobiliary
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Neoadjuvant Chemoradiotherapy vs Chemoimmunotherapy for Esophageal Squamous Cell Carcinoma JAMA Surg. (IF 15.7) Pub Date : 2025-03-19 Xufeng Guo, Chunji Chen, Jinbo Zhao, Changchun Wang, Xinyu Mei, Jianfei Shen, Huilai Lv, Yongtao Han, Qifeng Wang, Jiahua Lv, Hainan Chen, Xiaolong Yan, Zhichao Liu, Zhengyang Zhang, Qihong Zhong, Youhua Jiang, Liwei Xu, Xiaoyang Li, Dong Qian, Dehua Ma, Minhua Ye, Chunguo Wang, Zimin Wang, Jiangbo Lin, Ziqiang Tian, Xuefeng Leng, Zhigang Li
ImportanceThe association of neoadjuvant chemoimmunotherapy (NCIT) vs chemoradiotherapy (NCRT) with tumor downstaging and survival in locally advanced esophageal squamous cell carcinoma (ESCC) remains unclear because of limited evidence.ObjectiveTo compare the associations of NCIT and NCRT with tumor regression and long-term survival in patients with locally advanced ESCC.Design, Setting, and ParticipantsIn
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Summative Assessment of Trainees-An Opportunity to Improve. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Colleen E McDermott,Ananya Anand,Tejas S Sathe
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Optimizing Prehabilitation-Aligning the Right Patients With the Right Program. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Katherine M Reitz,Shipra Arya
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Fluorescence, Lymph Nodes, and Minimal Invasiveness in Digestive Surgery. JAMA Surg. (IF 15.7) Pub Date : 2025-05-01 Mario Morino,Alberto Arezzo