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April 2024, Vol 159, No. 4, Pages 358-470

Viewpoint

Should Current Laws Be Revised to Address Occupational Hazards Caused by Hand-Tool Size Mismatch Among Surgeons?

Abstract Full Text
JAMA Surg. 2024;159(4):359-360. doi:10.1001/jamasurg.2023.7448

This Viewpoint discusses the challenges faced by surgeons with a smaller hand size—and women in particular—when using surgical tools designed for larger hands and explores potential legal remedies to address these challenges.

Optimal Practices for Suspected Nodal Melanoma—The Role of the General Surgeon

Abstract Full Text
JAMA Surg. 2024;159(4):361-362. doi:10.1001/jamasurg.2023.7451

This Viewpoint describes results of trials on neoadjuvant checkpoint inhibitor immunotherapy for patients with metastatic melanoma and recommends increased use of this approach.

Original Investigation

EMS Treatment Guidelines in Major Traumatic Brain Injury With Positive Pressure Ventilation

Abstract Full Text
JAMA Surg. 2024;159(4):363-372. doi:10.1001/jamasurg.2023.7155

This case-control study evaluates the association of implementation of prehospital traumatic brain injury evidence-based guidelines with survival among patients with prehospital positive pressure ventilation.

Timing to First Whole Blood Transfusion and Survival Following Severe Hemorrhage in Trauma Patients

Abstract Full Text
JAMA Surg. 2024;159(4):374-381. doi:10.1001/jamasurg.2023.7178

This cohort study examines whether the timing of whole blood transfusion is associated with improved survival among adult trauma patients presenting with severe hemorrhage in US and Canadian trauma centers.

Surgeon Intersectionality and Academic Promotion and Retention in the US

Abstract Full Text
JAMA Surg. 2024;159(4):383-388. doi:10.1001/jamasurg.2023.7866

This cohort study investigates the association of academic surgeon sex and race and ethnicity with career trajectory.

Optimal Surveillance Interval of Branch Duct Intraductal Papillary Mucinous Neoplasm of the Pancreas

Abstract Full Text
JAMA Surg. 2024;159(4):389-396. doi:10.1001/jamasurg.2023.7010

This cohort study uses data from several large, international institutions to determine the optimal surveillance protocol for intraductal papillary mucinous neoplasm.

Assessing the Ambulatory Surgery Center Volume-Outcome Association

Abstract Full Text
JAMA Surg. 2024;159(4):397-403. doi:10.1001/jamasurg.2023.7161

This study attempts to determine if low-volume ambulatory surgery centers have a higher rate of revisits after surgery, particularly among patients with multimorbidity.

Factors in Hand Surgery Access for Rheumatoid Arthritis Before vs After the Patient Protection and Affordable Care Act

Abstract Full Text
JAMA Surg. 2024;159(4):404-410. doi:10.1001/jamasurg.2023.7189

This cross-sectional study identifies factors associated with the time to hand surgery for rheumatoid arthritis, surgical incidence, and costs and compares changes in these factors before vs after passage of the Patient Protection and Affordable Care Act.

Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods

Abstract Full Text
JAMA Surg. 2024;159(4):411-419. doi:10.1001/jamasurg.2023.7468

This cohort study uses data from the National Surgical Quality Improvement Program and electronic health records to assess the association of neighborhood deprivation with case presentation acuity and surgical outcomes regardless of insurance type.

Health Insurance Status and Unplanned Surgery for Access-Sensitive Surgical Conditions

Abstract Full Text
JAMA Surg. 2024;159(4):420-427. doi:10.1001/jamasurg.2023.7530

This cross-sectional study examines associations between health insurance status and rates and outcomes of unplanned surgery for abdominal aortic aneurysm repair, ventral hernia repair, and colectomy for colon cancer.

Implementation of Best Practices in Pancreatic Cancer Care in the Netherlands: A Stepped-Wedge Randomized Clinical Trial

Abstract Full Text
open access
JAMA Surg. 2024;159(4):429-437. doi:10.1001/jamasurg.2023.7872

This study aims to improve the nationwide implementation of guideline-based best practices in pancreatic cancer care and assess the impact on survival.

Mapping the Discharge Process After Surgery

Abstract Full Text
JAMA Surg. 2024;159(4):438-444. doi:10.1001/jamasurg.2023.7539

This qualitative study maps hospital surgical discharge processes and identifies key components and potential challenges specific to discharge surgical patients.

Invited Commentary

Guideline Implementation Is Improving Trauma Care in the Wild, Wild West

Abstract Full Text
JAMA Surg. 2024;159(4):372-373. doi:10.1001/jamasurg.2023.7154

Time to First Whole Blood Associated With Survival—First (Whole) Blood?

Abstract Full Text
JAMA Surg. 2024;159(4):381-382. doi:10.1001/jamasurg.2023.7186

Health Insurance for Care—Access-Sensitive Surgical Conditions

Abstract Full Text
JAMA Surg. 2024;159(4):427-428. doi:10.1001/jamasurg.2023.7536
Review

Academic Surgery in the Era of Large Language Models: A Review

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(4):445-450. doi:10.1001/jamasurg.2023.6496

This narrative review evaluates the use of large language models in surgery.

Guide to Statistics and Methods

Surgical Education Research

Practical Guide to Qualitative Research in Surgical Education

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(4):451-452. doi:10.1001/jamasurg.2023.6681

This Guide to Statistics and Methods provides an overview of the selection and application of qualitative research in surgical education.

Surgical Education Research

Practical Guide to Surgical Simulation Research

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(4):453-454. doi:10.1001/jamasurg.2023.6684

This Guide to Statistics and Methods provides an overview of simulation-based education and its impact on surgeon performance.

Surgical Education Research

Practical Guide to Machine Learning and Artificial Intelligence in Surgical Education Research

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(4):455-456. doi:10.1001/jamasurg.2023.6687

This Guide to Statistics and Methods gives an overview of artificial intelligence techniques and tools in surgical education research.

Surgical Innovation

Real-Time Magnetic Resonance Imaging During Convective Gene Therapy Perfusion of the Brain

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(4):457-458. doi:10.1001/jamasurg.2023.3852

This article discusses use of intraoperative MRI in convective gene therapy perfusion.

Research Letter

Representation of Women and Racially and Ethnically Marginalized Principal Investigators in Vascular Device Trials

Abstract Full Text
JAMA Surg. 2024;159(4):459-461. doi:10.1001/jamasurg.2023.7174

This quality improvement study describes the lack of diversity in trial leadership, especially in arterial disease device trials, and recommends action steps.

Trends in Firearm Injury Prevention Research Funding, Clinical Trials, and Publications in the US, 1985-2022

Abstract Full Text
JAMA Surg. 2024;159(4):461-463. doi:10.1001/jamasurg.2023.7461

This cross-sectional study examines federal funding, registered clinical trials, and publications to quantify trends in firearm injury prevention research in the US from 1985 to 2022.

Access to Burn Care in the US

Abstract Full Text
JAMA Surg. 2024;159(4):463-465. doi:10.1001/jamasurg.2023.7763

This cross-sectional study examines burn incidence rates and accessibility of American Burn Association–verified or self-designated burn centers from 2013 to 2019.

Comment & Response

Optimal Timing of Cholecystectomy for Severe Acute Pancreatitis and Understanding Complications and Comorbidities

Abstract Full Text
JAMA Surg. 2024;159(4):465. doi:10.1001/jamasurg.2023.6926

Optimal Timing of Cholecystectomy for Severe Acute Pancreatitis and Understanding Complications and Comorbidities

Abstract Full Text
JAMA Surg. 2024;159(4):465-466. doi:10.1001/jamasurg.2023.6929

Optimal Timing of Cholecystectomy for Severe Acute Pancreatitis and Understanding Complications and Comorbidities—Reply

Abstract Full Text
JAMA Surg. 2024;159(4):466-467. doi:10.1001/jamasurg.2023.6932

Examining Gender Disparities Among Physicians When Sample Sizes Differ

Abstract Full Text
JAMA Surg. 2024;159(4):467-468. doi:10.1001/jamasurg.2023.7021

Examining Gender Disparities Among Physicians When Sample Sizes Differ

Abstract Full Text
JAMA Surg. 2024;159(4):468. doi:10.1001/jamasurg.2023.7024

Examining Gender Disparities Among Physicians When Sample Sizes Differ—Reply

Abstract Full Text
JAMA Surg. 2024;159(4):468-469. doi:10.1001/jamasurg.2023.7027

Salpingectomy and Ovarian Cancer Prevention

Abstract Full Text
JAMA Surg. 2024;159(4):469-470. doi:10.1001/jamasurg.2023.7770

Salpingectomy and Ovarian Cancer Prevention—Reply

Abstract Full Text
JAMA Surg. 2024;159(4):470. doi:10.1001/jamasurg.2023.7773
Correction

Error in Table 1

Abstract Full Text
free access
JAMA Surg. 2024;159(4):470. doi:10.1001/jamasurg.2024.0324
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2024;159(4):358. doi:10.1001/jamasurg.2023.5149
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