In This Issue February 2018 Volume 153, Number 2 JAMA Surgery Pages 101-196 Clinical Review & Education Research JAMA Surgery Clinical Challenge Prehospital Transportation and Trauma Mortality 107 Prehospital trauma care policies affect patient outcomes. This study evaluates whether pri- vate vehicle transport confers a survival advantage over ground emergency medical ser- vices transport for penetrating trauma in urban US trauma systems. Wandling et al retro- spectively assessed 103 029 individuals with penetrating injuries who were treated at 298 urban trauma centers and identified a substantial mortality benefit associated with private vehicle transport. CME jamanetwork.com/learning 179 What is your diagnosis? ASSOCIATION OF VA SURGEONS Video jamasurgery.com Combining Oral Antibiotics and Bowel Preparation for Surgery 114 Surgical site infection is a common postoperative complication after colorectal surgery, af- LETTERS fecting patient morbidity and mortality. In this cohort study of 89 patients, Vo et al exam- ined the association of combined oral antibiotic and mechanical bowel preparation with sur- Comment & Response gical site infections in left colon and rectal cancer resections and the effect of this regimen 188 Association Between Appendectomy Outcomes and Surgeons’ Seniority on timely administration of adjuvant therapy. They found that oral antibiotics and mechani- cal bowel preparation were associated with a significant decrease in surgical site infections 189 Outcomes After Adjustable Gastric Banding overall. 191 Metabolic and Bariatric Surgery Invited Commentary 121 Accreditation and Quality Improvement Program Accreditation: Time to Move Solving the Emergency General Surgery Crisis 150 From Competition to Collaboration Acute care surgery was proposed as a solution to a national crisis in access to emergency 192 Correction general surgery. Khubchandani and coauthors surveyed 1690 US hospitals, linking re- sponses to geocoded hospital and census data, and found that acute care surgery is diffus- + Online @ jamasurgery.com ing unevenly, with rural and less-educated communities not enjoying the increased access through acute care surgery implementation that urban locations might experience. Original Investigation Correlation Between 24-Hour CME jamanetwork.com/learning Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge Postoperative and Postdischarge Opioid Use EY Chen and Coauthors The association between a patient’s postoperative opioid use 24 hours predischarge and Prevalence of Work-Related the quantity prescribed at discharge is not well understood. Chen et al performed a retro- Musculoskeletal Disorders Among spective, cross-sectional study of 18 343 patients to examine this association. They found Surgeons and Interventionalists: A Systematic Review and Meta-analysis that opioids are not prescribed in a patient-specific manner and that potential overpre- S Epstein and Coauthors scription may occur regularly after surgery. Invited Commentary Invited Commentary Opioid Stewardship and the Surgeon PR Varley and BS Zuckerbraun Work-Related Injuries in Surgeons A growing body of literature describes a high rate of work-related musculoskeletal disor- ders among surgeons and interventionalists; however, estimates vary widely. This system- atic review and meta-analysis by Epstein et al synthesizes 21 studies of 5828 physicians to estimate true prevalence. They find that work-related injuries are common and identify op- portunities for improvement. CME jamanetwork.com/learning Author Audio Interview jamasurgery.com Departments 102 Staff Listing 107, 150 CME Articles 194 Classified Advertising 194 Journal Advertiser Index 195 Contact Information 196 CME Questions jamasurgery.com (Reprinted) JAMA Surgery February 2018 Volume 153, Number 2 101 © 2018 American Medical Association. All rights reserved.
JAMA Surgery – American Medical Association
Published: Feb 1, 2018
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