Invited Commentary  August 2, 2023 Magic Pen?—An Innovative Adjunct for Intraoperative Identification of Parathyroid Glands Michelle B. Mulder, Quan-Yang Duh JAMA Surg. Published online August 2, 2023. doi:10.1001/jamasurg.2023.3257 DeHoog et al1 introduce the MasSpec Pen (MSPen), a new technology that uses real-time mass spectroscopy for intraoperative parathyroid identification. This device is able to distinguish among parathyroid, thy...

ONLINE FIRST (FREE ACCESS) LATEST ARTICLES OPEN ACCESS ~ OriginalEpidemiology of surgery associated acute kidney injury (EPIS-AKI): a prospective international observational multi-center clinical studyZarbock A. et al.  ECMO PAL: using deep neural networks for survival prediction in venoarterial extracorporeal membrane oxygenationStephens A.F. et al. Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre...

Original Investigation  Association of VA Surgeons May 17, 2023 Rates of National Institutes of Health Funding for Surgeon-Scientists, 1995-2020 Mytien Nguyen, Luis Gonzalez, Ashley Newman, et al JAMA Surg. 2023;158(7):756-764. doi:10.1001/jamasurg.2023.1571 Key Points Question  How has National Institutes of Health (NIH) funding to surgeon-scientists changed between 1995 and 2020? Findings &nb...

Invited Commentary  April 26, 2023 Optimizing Hemostatic Resuscitation in Trauma—Will Endotyping Be the Key to the “Proper” Ratio? Purvi P. Patel, Matthew J. Martin JAMA Surg. 2023;158(7):736-737. doi:10.1001/jamasurg.2023.0825 “Measure what is measurable, and make measurable what is not so.”1(p301) Galileo Galilei Trauma endotypes (TEs) characterize patients based on dynamic changes in immune and inflammatory biomarkers after injury.2,3 ...

Invited Commentary  August 2, 2023 Should We Care About Hospital Consolidation? Christopher P. Childers, Beverley A. Petrie, Christian de Virgilio JAMA Surg. Published online August 2, 2023. doi:10.1001/jamasurg.2023.3256 Competition among businesses is thought to benefit the consumer. With the recent surge in hospital mergers, there is concern that competition is being stifled and that costs may increase without a concomitant improvement in ...

Personalising Fluid Therapy in Septic Shock Volume expansion, the initial therapeutic measure for septic shock, involves the intravenous injection of a few hundred millilitres of fluid over a few minutes. However, using fluids in septic patients is a complex strategy, with various types of fluids available. The effects of fluid boluses are inconsistent and transient, and fluids carry risks, especially during septic shock. There are also questions about which fluid ...

Original Investigation  August 2, 2023 Intraoperative Identification of Thyroid and Parathyroid Tissues During Human Endocrine Surgery Using the MasSpec Pen Rachel J. DeHoog, Mary E. King, Michael F. Keating, et al JAMA Surg. Published online August 2, 2023. doi:10.1001/jamasurg.2023.3229 Key Points Question  Does the metabolic information provided by the MasSpec Pen (MSPen) technology enable in...

Invited Commentary  May 10, 2023 Surgical Palliative Care—Who, When, and Why? Jason Michael Johanning, Ana Berlin, Pringl Miller JAMA Surg. 2023;158(7):755. doi:10.1001/jamasurg.2023.1406 Palliative care services for patients with inoperable cancer and end-stage chronic medical conditions have been shown to improve quality of life, reduce consumption of medical services, and overall increase long-term survival.1 In surgical populations, palliative...

Original Investigation  August 2, 2023 Outcomes for High-Risk Surgical Procedures Across High- and Low-Competition Hospital Markets Sherri R. Thumma, Shukri H. A. Dualeh, Nicholas J. Kunnath, et al JAMA Surg. Published online August 2, 2023. doi:10.1001/jamasurg.2023.3221 Key Points Question  What is the association between hospital market competition and patient outcomes after high-risk surgery...

Original Investigation  May 3, 2023 Diagnostic Accuracy of Unenhanced Computed Tomography for Evaluation of Acute Abdominal Pain in the Emergency Department Hiram Shaish, Justin Ream, Chenchan Huang, et al JAMA Surg. 2023;158(7):e231112. doi:10.1001/jamasurg.2023.1112 Key Points Question  What is the diagnostic accuracy of unenhanced computed tomography (CT) in patients admitted to an emergency department with abdominal pain? Findings&n...