JAMA surgery最新文献

{"title":"Textbook Outcomes 2.0-Using Data to Inform Preoperative Surgical Discussions.","authors":"Jacquelyn E Fitzgerald, Olivia Monton, Kimberly E Kopecky","doi":"10.1001/jamasurg.2025.3077","DOIUrl":"10.1001/jamasurg.2025.3077","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"1045-1046"},"PeriodicalIF":14.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bariatric Surgery, Employment, and Productivity Outcomes: A Systematic Review.","authors":"Qing Xia,Thomasina Donovan,Jiahao Diao,Xiao Yang,Xingzhong Jin,Stella T Lartey,Hannah E Carter","doi":"10.1001/jamasurg.2025.3611","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3611","url":null,"abstract":"ImportanceBariatric surgery is widely recognized for its health benefits; however, its association with work productivity and employment participation, though frequently reported, has not been systematically synthesized. This evidence is crucial to inform the economic evaluation of bariatric surgery.ObjectiveTo systematically analyze the evidence on occupational outcomes of bariatric surgery.Evidence ReviewA systematic literature search was conducted in 5 online databases to identify empirical studies on bariatric surgery-related employment and productivity outcomes published up to April 2024. Two coauthors independently screened the literature, and all coauthors contributed to data extraction and validation. Differences in occupational outcomes were compared before vs after surgery and between surgery vs nonsurgery groups. Comparisons were categorized into 3 groups: improvement, no difference, and worse. Where possible, summary values of occupational outcomes (eg, the average employment rate) were synthesized for each observational time point. Reported barriers and enablers to employment return or productivity were also identified.FindingsA total of 42 studies from 15 countries were included. Studies were published between 1977 and 2023, with most conducted in high-income countries. Roux-en-Y gastric bypass was the most frequently studied procedure. The most commonly evaluated metrics were employment and unemployment rates and absenteeism and sick leave. Bariatric surgery was associated with improvements in presenteeism and work hours and ability and short-term absenteeism and employment rates. However, the long-term employment rate followed a reversed U-shape trajectory, with employment rates initially increasing postsurgery but returning to baseline levels after about 5 years. Key barriers to improved occupational outcomes included insufficient weight loss, female sex, older age, preoperative comorbidities, lower quality of life, and a lack of prior work experience.Conclusions and RelevanceBariatric surgery demonstrates positive short-term impact on productivity and employment, but its long-term occupational benefits remain uncertain. Certain subgroups, such as females and older adults, may require tailored postsurgery support to sustain employment and productivity gains. These findings highlight the critical need for long-term strategies to sustain the occupational benefits postsurgery and to develop targeted interventions for at-risk populations.","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"2 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Robotic vs Laparoscopic Hiatal Hernia Repair in Older Adults.","authors":"Paul J Brosnihan, Ashkan Moazzez, Junko J Ozao-Choy, Amy K Yetasook, Christian Perez","doi":"10.1001/jamasurg.2025.3038","DOIUrl":"10.1001/jamasurg.2025.3038","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"1164-1166"},"PeriodicalIF":14.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prehabilitation-A New Standard in Liver Surgery.","authors":"Olivia Sears, Ya'nan Cao, Allan Tsung","doi":"10.1001/jamasurg.2025.3076","DOIUrl":"10.1001/jamasurg.2025.3076","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"1075"},"PeriodicalIF":14.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The GLP-1 Era-What Comes After Bariatric Surgery?","authors":"Kate V Lauer, David A Harris, Luke M Funk","doi":"10.1001/jamasurg.2025.3099","DOIUrl":"10.1001/jamasurg.2025.3099","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"1066-1067"},"PeriodicalIF":14.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking Risk in Ventral Hernia Repair.","authors":"Duyen Quach,Mike K Liang","doi":"10.1001/jamasurg.2025.3911","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3911","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"91 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Reflex Reaction to Rational Action-Personalizing Surgical Antibiotic Prophylaxis.","authors":"Renee W Green,William D Rieger,Lillian S Kao","doi":"10.1001/jamasurg.2025.3777","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3777","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"31 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and Adolescent Firearm-Related Homicide Occurring at Home.","authors":"Jordan M Rook,Whitney Orji,Savannah C Walker,Sindhu V Mannava,Katherine M Marsh,Heather A Hartman,Garret Zallen,Marion C Henry,J Leslie Knod,Joanne Baerg,Catherine Juillard,Bindi Naik-Mathuria","doi":"10.1001/jamasurg.2025.3429","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3429","url":null,"abstract":"ImportanceFirearms are the leading cause of death for children and adolescents in the United States. While mass shootings and community gun violence draw significant media attention, little research explores pediatric in-home homicide.ObjectiveTo analyze pediatric firearm homicides by location and sociodemographic characteristics. We hypothesized that young children are most likely to die by in-home firearm homicide.Design, Setting, and ParticipantsThis retrospective cohort study used data from the National Violent Death Reporting System Restricted Access Database, including 48 states and the District of Columbia from 2020 and 2021 and 14 states from 2005 through 2021. Child and adolescent victims of firearm-related homicide aged 0 to 17 years were included. Data were analyzed between September 13, 2024, and June 28, 2025.ExposureAge and child developmental stage.Main Outcome and MeasuresThe main outcome was in-home homicide vs homicide elsewhere. Multivariable logistic regression was used to assess characteristics associated with in-home pediatric homicide. Temporal trends were assessed with linear regression.ResultsAmong 2196 pediatric firearm-related homicides from 2020 through 2021, victims' median (IQR) age was 16 (14-17) years. Overall, 1790 (81.5%) were male and 406 (18.5%) were female. Of these homicides, 24.4% (n = 536) occurred at home and 75.6% (n = 1660) occurred outside the home. For younger children (aged 0-12 years; n = 391), 63.2% (n = 247) of firearm-related homicides occurred at home. Each 1-year increase in age was associated with a decrease in the odds of homicide occurring at home vs elsewhere (adjusted odds ratio, 0.83; 95% CI, 0.81-0.85; P < .001). Compared with firearm-related homicides occurring outside the home, in-home homicides were more often associated with murder-suicide (23.0% [n = 123] vs 1.6% [n = 27]; P < .001), child abuse (20.1% [n = 108] vs 2.3% [n = 38]; P < .001), and intimate partner violence (16.8% [n = 90] vs 2.4% [n = 40]; P < .001). Of the 310 in-home homicides for which the assailant relationship was identified, a parent was reported in 41.6% (n = 129), an acquaintance in 18.1% (n = 56), a sibling in 13.5% (n = 42), and a parent's intimate partner in 11.3% (n = 35). From 2005 through 2021, the incidence of in-home homicide increased from its lowest rate of 0.18 homicides per 100 000 children and adolescents in 2010 to 0.38 homicides per 100 000 in 2021 (β, 0.02; 95% CI, 0.01-0.03; P < .001).Conclusions and RelevanceThis study found that nearly one-quarter of pediatric firearm-related homicides occurred at home. Young children were more often affected. These data point to domestic violence and child abuse as significant risk factors for in-home firearm homicide. Traditional safe storage laws may be inadequate preventive measures. Extreme risk protection orders and mandatory domestic violence-related firearm relinquishment may prevent these deaths and warrant further investigation.","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"86 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-Home Pediatric Firearm Deaths-Evidence, Controversies, and the Case for Action.","authors":"Chethan Sathya,Ashley Carducci,Colleen Nofi","doi":"10.1001/jamasurg.2025.3438","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3438","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"18 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Prices, Low Outcomes-The Truth Behind Hospital Markups.","authors":"Sherene E Sharath,Panos Kougias,David H Berger","doi":"10.1001/jamasurg.2025.3660","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.3660","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"318 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145127202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}