JAMA Surgery

Increasing the familiarity of surgeon-anesthesiologist dyads represents an opportunity to improve patient outcomes for GI, gynecology oncology, and spine surgery. ja.ma/4kpF1mj @mcisaac_d @alanaflex

"Good decision-making does not entail hiding a professional opinion; it requires engaging in genuine deliberation with a patient." Read this Viewpoint about the complexities of surgical decision-making. ja.ma/44Tlrug

Most viewed this week from @JAMASurgery: In acute care surgery, robotic-assisted cholecystectomy and laparoscopic cholecystectomy had comparable rates of bile duct injury but differences in secondary outcomes. ja.ma/4lWbUJ1

Patients with stage IV melanoma may benefit from a combined approach of first-line immunotherapy based on site of metastasis. ja.ma/45eKzvz

Systematic review: Pectus arcuatum, a rare chest wall deformity distinct from other pectus types, requires standardized diagnostic criteria and unified terminology. ja.ma/4l2DIKI

In women diagnosed with breast cancer at age 40 years or younger, risk of isolated locoregional recurrence was relatively low at a median follow-up of 10.1 years, and significant differences were not seen by tumor subtype. ja.ma/44V2GFz

Cipepofol provided superior hemodynamic stability as an induction agent compared to propofol at equipotent doses and similar anesthesia depths for patients with aortic stenosis. ja.ma/4nEUKks

Most viewed this week from @JAMASurgery: Preoperatively started antibiotic treatment did not decrease the risk of appendiceal perforation rate in acute uncomplicated appendicitis. ja.ma/40sL7LP

In acute care surgery, robotic-assisted cholecystectomy and laparoscopic cholecystectomy had comparable rates of bile duct injury but differences in secondary outcomes. ja.ma/4kwAFKv @NWoldehana @AlisaMae @elliotthaut

Systematic review: This analysis identified 50 evidence-based recommendations for managing mental disorders in traumatic injury patients, with a focus on traumatic brain injury. ja.ma/3GLVeoc @BrubMlanie1

Fiber-based near-infrared autofluorescence can increase the number of parathyroid glands identified during thyroidectomy and bilateral exploration parathyroidectomy without increasing the duration of the surgery. ja.ma/4nXGqnp @EndoSurgSF

RCT: CPOE prompts recommending standard-spectrum empiric antibiotic therapy for low-risk patients hospitalized with abdominal infection reduced extended-spectrum antibiotic use without harm. ja.ma/4nyqlnL

Most viewed this week from @JAMASurgery: Preoperatively started antibiotic treatment did not decrease the risk of appendiceal perforation rate in acute uncomplicated appendicitis. ja.ma/3Ihsmor

Tumor-bed biopsy combined with imaging criteria does not support omitting surgery for patients with breast cancer after neoadjuvant chemotherapy, except potentially for ERBB2-positive breast cancer. ja.ma/40CLu6j @wapnir

Viewpoint: Anti-diversity, equity, and inclusion (DEI) legislation threatens to impede medical education and research on health disparities. ja.ma/3IzmZAP

Augmented reality (AR) enhances surgical procedures by overlaying patient-specific anatomy onto the surgeon's view, improving visualization, decision-making, and potentially reducing operative times and complications. ja.ma/4nAMaTE

Most viewed this week from @JAMASurgery: Preoperatively started antibiotic treatment did not decrease the risk of appendiceal perforation rate in acute uncomplicated appendicitis. ja.ma/3GDS3Po

Supervised exercise therapy remains underutilized across all US payer groups, but may improve functional outcomes, reduce symptoms, and delay the need for invasive interventions among patients with claudication. ja.ma/44kYOi9 @corey_kalbaugh @CaitlinWHicks