Prehabilitation improves recovery and reduces complications for patients undergoing colorectal surgery, yet generalizability and feasibility depend on program adherence and addressing patient-centered psychosocial outcomes. ja.ma/4upXuVH

Prehabilitation improves recovery and reduces complications for patients undergoing colorectal surgery, yet generalizability and feasibility depend on program adherence and addressing patient-centered psychosocial outcomes. ja.ma/4tN5krB

#PancreaticCancer patients undergoing minimally invasive pancreatoduodenectomy had greater physical activity and less physiological stress up to 90 days after surgery compared with open approach, though absolute differences were modest and transient. ja.ma/49Ertks

From 2022 to 2024, #GLP1 use among adults with obesity, overweight, or diabetes increased sharply, while metabolic #BariatricSurgery utilization declined by over 30%. Treatment for obesity remains limited in this population. ja.ma/4wxGNZT

From 2022 to 2024, #GLP1 use among adults with obesity, overweight, or diabetes increased sharply, while metabolic #BariatricSurgery utilization declined by over 30%. Treatment for obesity remains limited in this population. ja.ma/4dMYnSo

From 2022 to 2024, #GLP1 use among adults with obesity, overweight, or diabetes increased sharply, while metabolic #BariatricSurgery utilization declined by over 30%. Treatment for obesity remains limited in this population. ja.ma/4dtllN5

Interview with Mehul V. Raval, MD, MS, MBA, and Jane L. Holl, MD, MPH, authors of Implementation and Effectiveness of an Enhanced Recovery Protocol for Children Undergoing Surgery: The ENRICH-US Stepped-Wedge Cluster-Randomized Trial. Hosted by Jamie Coleman, MD. ja.ma/3P0x7q3

Among pediatric patients undergoing elective GI surgery, higher adherence to a multicomponent enhanced recovery protocol was associated with shorter hospital stays, less opioid use, and fewer surgical complications. ja.ma/4u5Vylm

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/4ubks2I

From 2022 to 2024, #GLP1 use among adults with obesity, overweight, or diabetes increased sharply, while metabolic #BariatricSurgery utilization declined by over 30%. Treatment for obesity remains limited in this population. ja.ma/4dvS7yb

#RectalCancer hospital accreditation under the National Accreditation Program for Rectal Cancer correlated with increased annual patient and early-stage procedural volumes, without evidence of increased care fragmentation. ja.ma/4u8R7pC

💬 Invited Commentary: Emerging evidence supports de-escalation of axillary surgery for select patients with clinically palpable nodal #BreastCancer, but accurate staging and multidisciplinary care are essential for safe adoption. ja.ma/3QXOIiZ

#RectalCancer hospital accreditation under the National Accreditation Program for Rectal Cancer correlated with increased annual patient and early-stage procedural volumes, without evidence of increased care fragmentation. ja.ma/3PvKMFL

💬 Invited Commentary: Emerging evidence supports de-escalation of axillary surgery for select patients with clinically palpable nodal #BreastCancer, but accurate staging and multidisciplinary care are essential for safe adoption. ja.ma/4tSqchJ

Among patients with cN1 HR+/HER2- #BreastCancer, upfront sentinel lymph node biopsy was feasible, enabling omission of axillary lymph node dissection in nearly 70% with limited nodal disease burden. ja.ma/4nfESoD

Robotic-assisted groin hernia repair was associated with a higher long-term operative recurrence rate than laparoscopic or open repair among #Medicare beneficiaries, with overall recurrence rates remaining low across all methods. ja.ma/4cQhEC8

The MySurgeryRisk model accurately predicts risk of #ICU admission, mechanical ventilation, acute kidney injury, and in-hospital mortality after major surgery, with procedure type and clinician-specific factors as primary predictors. ja.ma/4t1RaCx

The MySurgeryRisk model accurately predicts risk of #ICU admission, mechanical ventilation, acute kidney injury, and in-hospital mortality after major surgery, with procedure type and clinician-specific factors as primary predictors. ja.ma/3OVE5wv

In patients undergoing permanent colostomy for #RectalCancer, use of a funnel-shaped intra-abdominal mesh reduced parastomal hernia incidence and size at 3 years without increased complications compared with no mesh. ja.ma/3OtFMkF

Reduction of air changes during unoccupied periods in 55 #OperatingRooms was not associated with increased surgical site infections or adverse surgical outcomes and reduced annual electricity use and cost. ja.ma/3QoLrcd

Among patients at nutritional risk after #Pancreatoduodenectomy, early enteral nutrition in addition to oral intake resulted in a lower overall burden of postoperative complications versus oral nutrition alone. ja.ma/4e3FYBy

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/4sPQEIk

In patients undergoing permanent colostomy for #RectalCancer, use of a funnel-shaped intra-abdominal mesh reduced parastomal hernia incidence and size at 3 years without increased complications compared with no mesh. ja.ma/4tsIRjW

30% of FDA-authorized breakthrough therapeutic devices had international health technology assessment ratings, most with equivocal or restricted-use recommendations, suggesting US coverage may expand beyond other countries. ja.ma/4eBuBRo

Surgeon compensation models in the US remain heterogeneous; productivity-based systems dominate, but emerging hybrid and value-based models seek to align compensation with quality and nonclinical contributions. ja.ma/489hCTa

Among patients with severe blunt splenic injury and multiple trauma, nonoperative management with angioembolization or observation reduced mortality, complications, and hospital stay compared with splenectomy. ja.ma/3OuYXuk

Opening a level 1 trauma center in a Chicago trauma desert reduced travel time and distance to care and was associated with a significant decrease in firearm mortality in the affected area. ja.ma/4cyi9PP

#Cholecystectomy complication rates among Medicare beneficiaries decreased from 2011 to 2021 despite greater patient complexity, with declines in hemorrhage and bile duct injury and increased use of postoperative drainage. ja.ma/41D7O03

Emergency Medical Services #Trauma clinicians with greater annual patient volume demonstrated lower early mortality rates and improved advanced airway procedure outcomes among severely injured patients. ja.ma/3PO4f4t

Participation in the Lung NODES National Quality Improvement Collaborative improved hospital-level compliance with lymph node sampling during #LungCancer surgery, with a median compliance increase from 67.8% to 90.5% across diverse program types. ja.ma/4sH2jIC

Laparoscopic adhesiolysis for #SmallBowelObstruction was not superior to open surgery for long-term recurrence, incisional hernia incidence, or quality of life at 5-year follow-up, confirming both as viable options. ja.ma/41PIzYg

A systematic review found that hospital admissions for #Diverticulitis consistently peaked in warmer months and were lowest in winter across multiple continents, indicating environmental or behavioral influences on disease onset. ja.ma/4cHSTrz

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/41PTiBX

Preoperative circulating tumor DNA (#ctDNA) detection in early-stage esophageal squamous cell carcinoma was associated with nodal metastasis and poorer survival, supporting its use for risk stratification. ja.ma/4cde7gW

Cardiac surgery outcomes at Veterans Affairs hospitals remained stable over 20 years despite rising patient risk and procedural complexity, indicating maintenance of high-quality #CardiacSurgery care for US veterans. ja.ma/4cjlnqc

Delayed diagnosis of anastomotic leak after #ColonResection was associated with increased mortality, more complications, and longer hospital stay, highlighting the importance of early detection and intervention. ja.ma/41U1e56

A pretransplant Liver Immune Frailty Index based on plasma fractalkine and matrix metalloproteinase 3 levels stratified patients by 1-year mortality risk following #LiverTransplant, enabling improved candidate assessment. ja.ma/3NY1InN

Level I and II trauma centers in the US operated above 80% occupancy for adult inpatient beds and demonstrated limited reserve, with a sustained daily influx of 241 patients saturating available trauma beds nationwide within 90 days. ja.ma/4tHLEWl

High-risk surgical procedures resulted in significant reductions in rapid eye movement and deep sleep through postoperative day 7, while intermediate-risk procedures caused milder, transient disruptions. ja.ma/47MIJTH

Cryopreserved platelets were associated with similar adverse events but were less effective than conventional liquid-stored platelets for bleeding during cardiac surgery, indicating no need for changes in current transfusion practice. ja.ma/4sVvNmU

A systematic review found that hospital admissions for #Diverticulitis consistently peaked in warmer months and were lowest in winter across multiple continents, indicating environmental or behavioral influences on disease onset. ja.ma/4sVvWqs

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/4t2ZfaY

📊 @jama.com Clinical Guidelines Synopsis: The 2024 guideline from the American_Heart and ACCinTouch recommends continuing statins and β-blockers for patients undergoing noncardiac surgery. ja.ma/41aOebd

Consensus guidelines recommend distinguishing infectious vs noninfectious mastitis, favor minimally invasive interventions for management, and guide use of antibiotics, imaging, and surgery for common breast conditions. ja.ma/4mbh7xK

Among patients with kidney failure undergoing dialysis and coronary artery bypass grafting, men had better 5-year survival than women after arterial grafting; both sexes benefited from LIMA grafting vs saphenous vein grafting. ja.ma/47F5etH

Interview with Eva B. Deerenberg, MD, PhD, and Rudolf van den Berg, BSc, authors of Small Bites vs Large Bites for Closure of Abdominal Midline Incisions: A Randomized Clinical Trial. Hosted by Jamie Coleman, MD. ja.ma/4tkiKLA

Small-bites fascial closure after elective midline laparotomy reduced long-term risk and size of incisional hernia vs traditional large-bites technique, supporting small bites as standard practice for abdominal closure. ja.ma/3PSn9XJ

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced. ja.ma/4c4IOEH

Among patients with #Diabetes and peripheral arterial disease, rates of major amputation after minor amputation are similar in Veterans Affairs hospitals and non-VA centers, supporting comparable limb salvage outcomes. ja.ma/4bMdkBY

Jamie Coleman, MD, interviews Maxine Germes, MD, and Maxime Collard, MD, about oncologic risk and the role of shared decision-making in antibiotic-only management. 🎧 Listen now: ja.ma/4ssNR7P