JAMA Surgery

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Emergency Medical Services   clinicians with greater annual patient volume demonstrated lower early mortality rates and ...
04/17/2026

Emergency Medical Services clinicians with greater annual patient volume demonstrated lower early mortality rates and improved advanced airway procedure outcomes among severely injured patients.

This cohort study evaluates the association between patient volume of individual emergency medical services clinicians and trauma patient outcomes.

Participation in the Lung NODES National Quality Improvement Collaborative improved hospital-level compliance with lymph...
04/16/2026

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

Laparoscopic adhesiolysis for   was not superior to open surgery for long-term recurrence, incisional hernia incidence, ...
04/16/2026

Laparoscopic adhesiolysis for 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.

This prespecified analysis of the Laparoscopic vs Open Adhesiolysis for Adhesive Small Bowel Obstruction (LASSO) randomized clinical trial investigates if laparoscopic surgery for adhesive small bowel obstruction decreases small bowel obstruction recurrence rate or incidence of incisional hernias...

A systematic review found that hospital admissions for   consistently peaked in warmer months and were lowest in winter ...
04/15/2026

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

https://ja.ma/4ce0QVf

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and hi...
04/15/2026

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.

https://ja.ma/3NZF3Ht

Preoperative circulating tumor DNA ( ) detection in early-stage esophageal squamous cell carcinoma was associated with n...
04/15/2026

Preoperative circulating tumor DNA ( ) detection in early-stage esophageal squamous cell carcinoma was associated with nodal metastasis and poorer survival, supporting its use for risk stratification. https://ja.ma/3Q8zd7v

Cardiac surgery outcomes at Veterans Affairs hospitals remained stable over 20 years despite rising patient risk and pro...
04/14/2026

Cardiac surgery outcomes at Veterans Affairs hospitals remained stable over 20 years despite rising patient risk and procedural complexity, indicating maintenance of high-quality care for US veterans. https://ja.ma/3O5xjUC

Delayed diagnosis of anastomotic leak after   was associated with increased mortality, more complications, and longer ho...
04/13/2026

Delayed diagnosis of anastomotic leak after was associated with increased mortality, more complications, and longer hospital stay, highlighting the importance of early detection and intervention.

https://ja.ma/4sAg8sr

A pretransplant Liver Immune Frailty Index based on plasma fractalkine and matrix metalloproteinase 3 levels stratified ...
04/12/2026

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

https://ja.ma/41pGiTA

Level I and II trauma centers in the US operated above 80% occupancy for adult inpatient beds and demonstrated limited r...
04/11/2026

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. https://ja.ma/4mmPmlH

High-risk surgical procedures resulted in significant reductions in rapid eye movement and deep sleep through postoperat...
04/10/2026

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.

This cohort study among participants in the All of Us Research Program database characterizes postoperative alterations in sleep stages and determines how these trajectories vary across different surgical procedures.

Cryopreserved platelets were associated with similar adverse events but were less effective than conventional liquid-sto...
04/09/2026

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.

There is no substitute for blood during the treatment of hemorrhage. From the first reported successful transfusion of human blood to treat postpartum hemorrhage in 1825,1 to the early use of whole blood in combat casualty care during World War I,2 and to the development of blood preservation and...

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