JACS Highlights April 2025

The following articles appear in the April 2025 issues of the Journal of the American College of Surgeons. A complimentary online subscription to JACS is a benefit of ACS membership. See more articles on the JACS website.

Challenging Legacy Burn Resuscitation Paradigms with Fluid Restriction and Early Plasma

Steven A. Kahn, MD, FACS, Mallorie L. Huff, MD, MPH, Justin Taylor, MD, and colleagues

This study found that restrictive resuscitation of burn patients with limited crystalloid and early plasma is safe, feasible, and associated with better outcomes than crystalloid-heavy resuscitation paradigms. Read more.

Metabolic and Bariatric Operation and the Path to Kidney Transplantation

Abdallah Attia, MD, Eman Toraih, MD, PhD, Claire Ardis, MS, and colleagues

Metabolic and bariatric surgery (MBS) significantly improves access to kidney transplantation and long-term survival for obese end-stage renal disease patients. Patients who underwent MBS demonstrated notable improvement in cardiovascular health, potentially leading to a better quality of life and survival. Read more.

The Passion Tax: Valuation Disparity among Academic and Nonacademic Surgery Subspecialty

Rajavi S. Parikh, DO, Emily A. Grimsley, MD, David O. Anderson, MBA, MHA, and colleagues

The goal of this study was to determine the difference in valuation of clinical effort between academic and nonacademic surgeons across general surgery subspecialties. Despite generating higher work relative value units (wRVUs) based on total cash compensation per wRVU, most academic general surgery subspecialties are compensated less than their nonacademic counterparts. Read more.

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