Letter regarding “Truveta carotid stenting trends”
https://www.jvascsurg.org/article/S0741-5214(26)01160-2/fulltext?rss=yes
https://www.jvascsurg.org/article/S0741-5214(26)01160-2/fulltext?rss=yes
Journal of Vascular Surgery
Letter regarding “Truveta carotid stenting trends”
I read with great interest the paper by Columbo et al1 on Medicare carotid stenting
coverage changes. Using Truveta data, the study found that, after the October 2023
policy expansion, transfemoral carotid artery stenting (TFCAS) use rose only 2.1%,
whereas…
coverage changes. Using Truveta data, the study found that, after the October 2023
policy expansion, transfemoral carotid artery stenting (TFCAS) use rose only 2.1%,
whereas…
Letter regarding “Targeted screening for abdominal aortic aneurysm in high-risk women”
https://www.jvascsurg.org/article/S0741-5214(26)01157-2/fulltext?rss=yes
https://www.jvascsurg.org/article/S0741-5214(26)01157-2/fulltext?rss=yes
Journal of Vascular Surgery
Letter regarding “Targeted screening for abdominal aortic aneurysm in high-risk women”
Söderberg et al1 evaluated targeted abdominal aortic aneurysm (AAA) screening among
women at high risk with a smoking history. The authors demonstrate that a selective
screening strategy increases AAA detection while reducing the number of examinations
performed…
women at high risk with a smoking history. The authors demonstrate that a selective
screening strategy increases AAA detection while reducing the number of examinations
performed…
Benefits and Harms of Protamine Use during Carotid Endarterectomy: An Updated Systematic Review and Meta-analysis
https://www.jvascsurg.org/article/S0741-5214(26)01309-1/fulltext?rss=yes
https://www.jvascsurg.org/article/S0741-5214(26)01309-1/fulltext?rss=yes
Journal of Vascular Surgery
Benefits and Harms of Protamine Use during Carotid Endarterectomy: An Updated Systematic Review and Meta-analysis
Despite all the advances in endovascular techniques, carotid endarterectomy (CEA)
remains the standard intervention for carotid stenosis. The refinement of intra- and
post-operative care increasingly aims to increasingly minimize the risks associated
with…
remains the standard intervention for carotid stenosis. The refinement of intra- and
post-operative care increasingly aims to increasingly minimize the risks associated
with…
Balancing Quality and Timeliness in Cancer Care
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852683
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852683
Jamanetwork
Balancing Quality and Timeliness in Cancer Care
Over the past 2 decades, cancer care has become increasingly sophisticated, centralized, and multidisciplinary. These changes have improved outcomes for many patients, but as Sakowitz and colleagues1 report, timeliness is emerging as an important dimension…
Preoperative GLP-1 RA Use and Weight Loss After Bariatric Surgery
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852682
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852682
Jamanetwork
Preoperative GLP-1 RA Use and Weight Loss After Bariatric Surgery
This cohort study investigates the association of weight loss after bariatric surgery and preoperative use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs).
Divergence Between Utilization and Spending in Inpatient Surgery, 2016-2022
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852681
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852681
Jamanetwork
Divergence Between Utilization and Spending in Inpatient Surgery, 2016-2022
This study examines trends in inpatient surgical costs from 2016 through 2022.
ICD-10 Crosswalk of NSQIP Complications
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852680
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852680
Jamanetwork
ICD-10 Crosswalk of NSQIP Complications
This diagnostic/prognostic study compares distributions of patient characteristics and procedure groups year-to-year to develop and validate a comprehensive surgical complication list aligning codes from the ICD-9 and ICD-10 and definitions from the National…
National Trends and Predictors of Waiting Times for Cancer Surgery in the US
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852679
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852679
Jamanetwork
National Trends and Predictors of Waiting Times for Cancer Surgery in the US
This cohort study uses the US National Cancer Database to evaluate national trends and predictors of delays from diagnosis to initiation of first-course therapy among patients ultimately undergoing cancer surgery.
A New Era for Cold-Stored Platelets in Cardiac Surgery
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852949
https://jamanetwork.com/journals/jamasurgery/fullarticle/2852949
Jamanetwork
A New Era for Cold-Stored Platelets in Cardiac Surgery
Before the 1960s, platelet transfusions were commonly stored at 4 °C (cold-stored platelets [CSPs]) and used primarily for the treatment of active bleeding, with relatively little attention paid to posttransfusion platelet survival.1 In the late 1960s and…
GME Expansion and the Challenge of Rural Workforce Distribution
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853204
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853204
Jamanetwork
GME Expansion and the Challenge of Rural Workforce Distribution
Ramesh and coauthors1 shared a brief examination and evaluation of the results from the Consolidated Appropriations Acts (CAA) 20212 and 2023,3 which when fully awarded, will raise the number of Medicare-funded graduate medical education (GME) residency positions…
Considering Incisional Negative-Pressure Wound Therapy
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853203
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853203
Jamanetwork
Considering Incisional Negative-Pressure Wound Therapy
Patel et al1 performed a meta-analysis of 85 randomized clinical trials (RCTs) comprising 16 980 adult patients in whom prophylactic incisional negative pressure wound therapy (piNPWT) was applied to primarily closed surgical incisions and compared with standard…
Updated Framework for Atypical Breast Lesions
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853202
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853202
Jamanetwork
Updated Framework for Atypical Breast Lesions
While extensive high-quality data have driven rapid advances in breast cancer management over the last few decades, the management of atypical benign proliferative lesions has remained largely controversial with constraints of limited prospective data and…
Adhesions After Surgery and Anti-Adhesion Barriers
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853293
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853293
Jamanetwork
Adhesions After Surgery and Anti-Adhesion Barriers
In the era of minimally invasive surgery, postoperative intra-abdominal adhesions are still one of the most common complications in mid- and long-term follow-up. Since 2010, there is evidence that the laparoscopic approach is associated with lower rates of…
Detecting Incisional Surgical Site Infections on Wound Images
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853285
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853285
Jamanetwork
Detecting Incisional Surgical Site Infections on Wound Images Through Deep Learning
This diagnostic/prognostic study uses postoperative wound photographs to develop and externally validate a deep learning model to detect wounds suggestive of surgical site infections.
The Best Patients for Effective Radiation of Pancreatic Cancer
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853292
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853292
Jamanetwork
The Best Patients for Effective Radiation of Pancreatic Cancer
Interest in neoadjuvant chemoradiation was fueled by a trial demonstrating chemoradiation to provide for survival advantage over upfront surgery.1 Almost all trials since then have indicated that it was chemotherapy and not radiation responsible for the improved…
Why Is Pediatric Surgery Still Waiting for Enhanced Recovery?
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853291
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853291
Jamanetwork
Why Is Pediatric Surgery Still Waiting for Enhanced Recovery?
It is long overdue for enhanced recovery after surgery (ERAS) approaches to be adopted by pediatric perioperative teams. Now a global standard in adults, ERAS was introduced in the early 2000s to target perioperative physiologic stresses. Over the last 25…
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Perceived Surgeon Burden and Duty Hour Limits
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853799
https://jamanetwork.com/journals/jamasurgery/fullarticle/2853799
Jamanetwork
Perceived Surgeon Burden and Duty Hour Limits
The article by Sumra et al1 reports several important findings. In their survey of fellows and associate fellows of the American College of Surgeons, surgeons reported working an average of 68.1 scheduled hours per week and working outside scheduled hours…
Veterans Affairs Community Care Vascular Surgery Procedural Costs from 2020 to 2025 Dominated by Infrainguinal Endovascular Interventions
https://www.jvascsurg.org/article/S0741-5214(26)01618-6/fulltext?rss=yes
https://www.jvascsurg.org/article/S0741-5214(26)01618-6/fulltext?rss=yes
Journal of Vascular Surgery
Veterans Affairs Community Care Vascular Surgery Procedural Costs from 2020 to 2025 Dominated by Infrainguinal Endovascular Interventions
The 2018 MISSION ACT for expanding access for Veterans to receive care outside of
the VA healthcare system has resulted in a significant increase in Vascular Surgery
Community Care referrals and cost, especially for endovascular procedures, over time.
We…
the VA healthcare system has resulted in a significant increase in Vascular Surgery
Community Care referrals and cost, especially for endovascular procedures, over time.
We…