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August 2024, Vol 159, No. 8, Pages 840-960

Viewpoint

Time to Rethink the Approach to Treating Obesity

Abstract Full Text
JAMA Surg. 2024;159(8):841-842. doi:10.1001/jamasurg.2024.1502

This Viewpoint describes potential benefits and hurdles to implementing a more personalized approach to obesity treatment through a comprehensive multidisciplinary evaluation that considers surgical, medical, and combined therapies.

Institutional Diversity in the Selection Process for General Surgery Residency

Abstract Full Text
JAMA Surg. 2024;159(8):843-844. doi:10.1001/jamasurg.2024.1506

This Viewpoint examines the challenges faced by students from diverse institutional backgrounds in pursuing academic surgery and recommends measures to promote institutional diversity by adopting a more holistic approach in the selection process for general surgery residency.

Original Investigation

Apical Suspension Repair for Vaginal Vault Prolapse: A Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2024;159(8):845-855. doi:10.1001/jamasurg.2024.1206

This randomized clinical trial investigates if there is a preferred approach for the surgical repair of vaginal vault prolapse after hysterectomy.

Breast Cancer Risk After Bariatric Surgery and Influence of Insulin Levels: A Nonrandomized Controlled Trial

Abstract Full Text
has audio
JAMA Surg. 2024;159(8):856-863. doi:10.1001/jamasurg.2024.1169

This nonrandomized controlled trial evaluates the association between bariatric surgery and breast cancer incidence and whether this association varies by baseline insulin level.

Time From Colorectal Cancer Surgery to Adjuvant Chemotherapy: Post Hoc Analysis of the SCOT Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2024;159(8):865-871. doi:10.1001/jamasurg.2024.1555

This post hoc analysis of the phase 3 SCOT randomized clinical trial investigates the association between the timing of adjuvant chemotherapy after surgery for colorectal cancer and disease-free survival.

Early Implementation of Exercise to Facilitate Recovery After Breast Cancer Surgery: A Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2024;159(8):872-880. doi:10.1001/jamasurg.2024.1633

This randomized clinical trial evaluates the use of an early exercise intervention in shoulder range of motion following surgery in patients with breast cancer.

Liver Resection vs Nonsurgical Treatments for Patients With Early Multinodular Hepatocellular Carcinoma

Abstract Full Text
JAMA Surg. 2024;159(8):881-889. doi:10.1001/jamasurg.2024.1184

This cohort study assesses data from 2 large Italian multicenter databases for patients with early multinodular hepatocellular carcinoma to compare the efficacy of liver resection vs percutaneous radiofrequency ablation and transarterial chemoembolization.

Hemorrhage Sites and Mitigation Strategies After Pancreaticoduodenectomy

Abstract Full Text
JAMA Surg. 2024;159(8):891-899. doi:10.1001/jamasurg.2024.1228

This cohort study analyzes data for patients who underwent pancreaticoduodenectomy to determine the frequency of gastroduodenal artery bleeding compared with other sites and the results of mitigation strategies.

Quality of Life and Nutritional Outcomes of Stomach-Preserving Surgery for Early Gastric Cancer: A Secondary Analysis of the SENORITA Randomized Clinical Trial

Abstract Full Text
JAMA Surg. 2024;159(8):900-908. doi:10.1001/jamasurg.2024.1210

This secondary analysis of a randomized clinical trial evaluates quality of life and nutrition outcomes in individuals who underwent stomach-preserving surgery vs gastrectomy for early gastric cancer.

The Carceral State, Social Disorganization, and Firearm Homicides in Chicago

Abstract Full Text
JAMA Surg. 2024;159(8):910-916. doi:10.1001/jamasurg.2024.1596

This cross-sectional study analyzes the association of race-specific incarceration with race-specific firearm violence rates in Chicago, Illinois, and whether social or familial instability mediate these associations.

Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings

Abstract Full Text
has audio
JAMA Surg. 2024;159(8):918-926. doi:10.1001/jamasurg.2024.1582

This cohort study examines the Centers for Medicare & Medicaid Services star ratings in hospitals for mortality, serious complication, and readmission outcomes.

Large Language Model Capabilities in Perioperative Risk Prediction and Prognostication

Abstract Full Text
JAMA Surg. 2024;159(8):928-937. doi:10.1001/jamasurg.2024.1621

This prognostic study investigates the ability of a large language model to perform risk stratification and predict postoperative outcomes using a description of the procedure and the patient’s preoperative clinical notes.

Liver Transplant Costs and Activity After United Network for Organ Sharing Allocation Policy Changes

Abstract Full Text
JAMA Surg. 2024;159(8):939-947. doi:10.1001/jamasurg.2024.1208

This cross-sectional study examines data from US transplant centers to estimate liver transplant volume and cost changes in the 12 months after implementation of a new liver allocation policy.

Invited Commentary

The Distortion of the Composite Prism

Abstract Full Text
JAMA Surg. 2024;159(8):855. doi:10.1001/jamasurg.2024.1207

Bariatric Surgery Reduces Breast Cancer Incidence in a Prospective Trial

Abstract Full Text
JAMA Surg. 2024;159(8):863-864. doi:10.1001/jamasurg.2024.1158

A Hybrid Rehabilitation Strategy Improves Breast Surgery Outcomes

Abstract Full Text
JAMA Surg. 2024;159(8):880. doi:10.1001/jamasurg.2024.1643

What Is the Best Local Therapy for HCC?It Actually Matters More How They All Work Together

Abstract Full Text
JAMA Surg. 2024;159(8):889-890. doi:10.1001/jamasurg.2024.1163

Contemporary Complication Rates and the Morbidity of Intervention

Abstract Full Text
JAMA Surg. 2024;159(8):899. doi:10.1001/jamasurg.2024.1235

Laparoscopic Sentinel Node Navigation Surgery for Quality of Life Gains: When Is Less More?

Abstract Full Text
JAMA Surg. 2024;159(8):908-909. doi:10.1001/jamasurg.2024.1211

The Link Between State Carceral Violence and Firearm Homicide

Abstract Full Text
JAMA Surg. 2024;159(8):916-917. doi:10.1001/jamasurg.2024.1644

The American College of Surgeons Approach to Public Reporting

Abstract Full Text
JAMA Surg. 2024;159(8):926-927. doi:10.1001/jamasurg.2024.1591

Travel Guide From the Brave New World of Artificial Intelligence

Abstract Full Text
JAMA Surg. 2024;159(8):937-938. doi:10.1001/jamasurg.2024.1645

New Liver Allocation Policy and National Liver Transplant Volume

Abstract Full Text
JAMA Surg. 2024;159(8):947-948. doi:10.1001/jamasurg.2024.1209
Review

Preventing Surgical Site Infections in the Era of Escalating Antibiotic Resistance and Antibiotic Stewardship

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(8):949-956. doi:10.1001/jamasurg.2024.0429

This narrative review discusses efforts to reduce the incidence of surgical site infections and suggests a sustainable approach to infection prevention via principles of antimicrobial stewardship and microbiome sciences.

Surgical Innovation

Deep Learning for Video-Based Assessment in Surgery

Abstract Full Text
has active quiz
JAMA Surg. 2024;159(8):957-958. doi:10.1001/jamasurg.2024.1510

This surgical innovation explains how applying deep neural networks could ensure the continued use of video-based assessment.

Comment & Response

Comments on a Randomized Clinical Trial of Intraoperative Wound Irrigation

Abstract Full Text
JAMA Surg. 2024;159(8):959. doi:10.1001/jamasurg.2024.1755

Comments on a Randomized Clinical Trial of Intraoperative Wound Irrigation—Reply

Abstract Full Text
JAMA Surg. 2024;159(8):959-960. doi:10.1001/jamasurg.2024.1756
Correction

Error in Author Affiliation

Abstract Full Text
free access
JAMA Surg. 2024;159(8):960. doi:10.1001/jamasurg.2024.2710

Error in Figure 2

Abstract Full Text
free access
JAMA Surg. 2024;159(8):960. doi:10.1001/jamasurg.2024.2789

Error in Designation of Co–First Authorship

Abstract Full Text
free access
JAMA Surg. 2024;159(8):960. doi:10.1001/jamasurg.2024.2885
JAMA Surgery Masthead

JAMA Surgery

Abstract Full Text
free access
JAMA Surg. 2024;159(8):840. doi:10.1001/jamasurg.2023.5165
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