💬 Viewpoint: Required transportation escorts after outpatient surgery may delay care and worsen access for patients with limited social support, transportation insecurity, or privacy concerns.

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Among patients with #GastricCancer and positive peritoneal lavage cytology or localized peritoneal metastasis, #chemotherapy plus #gastrectomy was associated with better survival than gastrectomy alone or chemotherapy alone.

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💬 Viewpoint: Required transportation escorts after outpatient surgery may delay care and worsen access for patients with limited social support, transportation insecurity, or privacy concerns.

ja.ma/4rT57DB

Among patients with #GastricCancer and positive peritoneal lavage cytology or localized peritoneal metastasis, #chemotherapy plus #gastrectomy was associated with better survival than gastrectomy alone or chemotherapy alone.

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New #NationalInstitutesOfHealth awards to surgeon-scientists declined in 2025, driven mainly by fewer new R01 awards, while K awards remained stable. ja.ma/4rFZfxD

Among injured patients, Black patients were less likely to receive some #PrehospitalCare interventions, and these disparities were not significantly explained by neighborhood social determinants of health.

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For benign and low-grade #PancreaticHead tumors, enucleation was associated with more clinically relevant postoperative pancreatic fistula vs pancreatoduodenectomy, but fewer major complications and shorter hospitalization.

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In resectable #EsophagealCancer, robotic minimally invasive esophagectomy yielded more resected lymph nodes vs conventional minimally invasive esophagectomy, with similar postoperative complications and 1-year survival.

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In prospective hepatobiliary #LaparoscopicSurgery videos, automated skill scores aligned more closely with expert ratings than scores from resident and attending surgeons. ja.ma/4iPemlO

In #AI-generated letters for surgical trainees, 4 large language models used more agentic descriptors for male-gendered vs female-gendered names based on the same curriculum vitae.

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In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/4x5kDNL

Among surgical faculty at 10 US medical centers, 41.1% reported seriously considering leaving, most often associated with unhappiness with leadership or governance, lacking work-life balance, and burnout.

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Older age, elective surgery, open approach, and longer operative time were associated with greater likelihood of #Opioid prescribing at discharge in pediatric surgical care. ja.ma/3TgraHx

In academic #Surgery, about 4 in 10 faculty surveyed were considering leaving their current job. Departmental governance, work-life balance, and burnout were leading factors, discussed in the latest JAMA Surgery Author Interviews podcast.

🎧 Listen now: edhub.ama-assn.org/jn-learning/...

In #TuboOvarianAbscess, transvaginal drainage did not establish noninferiority vs #laparoscopy for 6-week cure and required reintervention more often.

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Among women with #BRCA1 or #BRCA2 pathogenic variants, the projected benefit of bilateral salpingo-oophorectomy declined with age but remained present into older age.

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In youths after sleeve gastrectomy, early reinitiation of obesity medication was associated with greater 12-month weight loss vs surgery alone, without higher postoperative morbidity. ja.ma/4qZ4ecf

More than one-third of older adults at extreme risk for early mortality died within 48 hours of high-risk #EGS, highlighting a substantial rate of nonbeneficial surgery. ja.ma/4x7Qy00

Compared with nonoperative management, surgical stabilization of rib fractures was associated with lower risk of pulmonary complications, even when performed >3 days after blunt chest trauma. ja.ma/4zUX7G1

#WholeBlood transfusion delivers red cells, plasma, and platelets in physiologic proportions and may reduce transfusion burden and improve early outcomes in trauma, but definitive guidance awaits adequately powered randomized trials. ja.ma/4qWhZZj