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October 2024 - July 1883

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July 11, 2023, Vol 330, No. 2, Pages 101-198

This Week in JAMA

Audio Highlights

Abstract Full Text
free access online only has audio
JAMA. 2023;330(2):e2215971. doi:10.1001/jama.2022.15971
Original Investigation

Bempedoic Acid for Primary Prevention of Cardiovascular Events in Statin-Intolerant Patients

Abstract Full Text
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JAMA. 2023;330(2):131-140. doi:10.1001/jama.2023.9696

This 32-country randomized clinical trial assesses the effects of bempedoic acid on cardiovascular outcomes in statin-intolerant patients receiving bempedoic acid vs placebo for primary prevention of a first major adverse cardiovascular event.

Caring for the Critically Ill Patient

Continuous vs Intermittent Meropenem Administration in Critically Ill Patients With Sepsis: The MERCY Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;330(2):141-151. doi:10.1001/jama.2023.10598

This randomized clinical trial compares the effect of continuous administration of meropenem vs intermittent administration on a composite outcome of mortality and emergence of pandrug-resistant or extensively drug-resistant bacteria in critically ill patients with sepsis.

Cytisinicline for Smoking Cessation: A Randomized Clinical Trial

Abstract Full Text
free access has active quiz
JAMA. 2023;330(2):152-160. doi:10.1001/jama.2023.10042

This randomized trial compares the efficacy and tolerability of 2 durations of cytisinicline treatment (6 or 12 weeks) vs placebo for smoking cessation in adults who smoked cigarettes daily.

Rapid Whole-Genomic Sequencing and a Targeted Neonatal Gene Panel in Infants With a Suspected Genetic Disorder

Abstract Full Text
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JAMA. 2023;330(2):161-169. doi:10.1001/jama.2023.9350

This prospective multicenter study of 400 hospitalized infants with a suspected genetic disorder evaluated rates of molecular diagnostic yield, time to return of results, and clinical utility by comparing between genomic sequencing and targeted neonatal gene-sequencing testing.

Research Letter

BA.1 Bivalent COVID-19 Vaccine Use and Stroke in England

Abstract Full Text
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JAMA. 2023;330(2):184-185. doi:10.1001/jama.2023.10123

This study investigates the association between bivalent COVID-19 vaccines and ischemic stroke, as well as the effect of simultaneous influenza vaccination on the association.

Medicare Advantage Disenrollment Patterns Among Beneficiaries With Multiple Chronic Conditions

Abstract Full Text
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JAMA. 2023;330(2):185-187. doi:10.1001/jama.2023.10369

This study examines whether Medicare Advantage (MA) enrollees with more chronic conditions were more likely to disenroll when MA enrollment grew rapidly from 2009 to 2019.

Viewpoint

The Medicare Physician Fee Schedule and Unethical Behavior

Abstract Full Text
JAMA. 2023;330(2):115-116. doi:10.1001/jama.2023.6154

This Viewpoint discusses the Medicare Physician Fee Schedule and its flaws, including how they might be remedied by severing CMS dependence on Relative Value Update Committee estimates of time and intensity.

Medicare Physician Payment in Need of Major Repair

Abstract Full Text
JAMA. 2023;330(2):117-118. doi:10.1001/jama.2023.8460

This Viewpoint examines Medicare physician payment flaws and needed reforms, including changes implemented by Congress, CMS, commercial payers, and physician employers.

Obstacles to Care Mount 1 Year After Dobbs Decision

Abstract Full Text
JAMA. 2023;330(2):119-120. doi:10.1001/jama.2023.10151

This Viewpoint discusses the ramifications of the Dobbs v Jackson Women’s Health Organization decision by the US Supreme Court and the state of reproductive health care in the US.

A Piece of My Mind

A Daughter’s Impact

Abstract Full Text
JAMA. 2023;330(2):121-122. doi:10.1001/jama.2023.9981

In this narrative medicine essay, a resident otolaryngologist’s grief over the loss of his daughter at nearly 20 weeks’ gestation nearly crushes him until he finds relief hearing the stories of other parents at a hospital-sponsored rememberance celebration.

Editorial

Bempedoic Acid for High-Risk Primary Prevention of Cardiovascular Disease: Not a Statin Substitute but a Good Plan B

Abstract Full Text
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JAMA. 2023;330(2):123-125. doi:10.1001/jama.2023.9854

Do Prolonged Infusions of β-Lactam Antibiotics Improve Outcomes in Critically Ill Patients With Sepsis?

Abstract Full Text
JAMA. 2023;330(2):126-128. doi:10.1001/jama.2023.6483

Cytisinicline to Speed Smoking Cessation in the United States

Abstract Full Text
JAMA. 2023;330(2):129-130. doi:10.1001/jama.2023.5939
Review

Cushing Syndrome: A Review

Abstract Full Text
has active quiz has audio
JAMA. 2023;330(2):170-181. doi:10.1001/jama.2023.11305

This review summarizes current evidence regarding diagnosis and treatment of Cushing syndrome due to endogenous overproduction of cortisol.

JAMA Insights

Prophylaxis Against Pneumocystis jirovecii Pneumonia in Adults

Abstract Full Text
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JAMA. 2023;330(2):182-183. doi:10.1001/jama.2023.9844

This JAMA Insights Clinical Update discusses current recommendations regarding prevention of Pneumocystis pneumonia in patients who are immunocompromised.

Editor's Note

Of High Risk Plans and Poetry

Abstract Full Text
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JAMA. 2023;330(2):192. doi:10.1001/jama.2023.10838
Medical News & Perspectives

Highlights From the ASCO Annual Meeting—New Approaches to Cancers of the Blood, Brain, Lung, and More

Abstract Full Text
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JAMA. 2023;330(2):104-106. doi:10.1001/jama.2023.8800

This Medical News article discusses new research presented at the American Society of Clinical Oncology’s 2023 annual meeting.

Abortion Clinics Are Moving From States With Bans to Those Without, Raising Questions About Whether Bans Can Be Enforced Across State Lines

Abstract Full Text
JAMA. 2023;330(2):107-110. doi:10.1001/jama.2023.8809

This Medical News feature discusses the flight of clinics from states with abortion bans to those without them.

Medical News in Brief

CMS Will Test New Value-Based Primary Care Model

Abstract Full Text
JAMA. 2023;330(2):111. doi:10.1001/jama.2023.10735

Patients With Diabetes Turn to Crowdfunding for Expenses

Abstract Full Text
JAMA. 2023;330(2):111. doi:10.1001/jama.2023.10736

Loan Repayment Program Aims to Grow US Pediatric Specialist Workforce

Abstract Full Text
JAMA. 2023;330(2):111. doi:10.1001/jama.2023.10737

Amid Paraguay Chikungunya Outbreak, Vaccine Candidate Safe, Immunogenic

Abstract Full Text
JAMA. 2023;330(2):111. doi:10.1001/jama.2023.10738

Proportion of Nursing Home Residents With Dementia Affects Their Care

Abstract Full Text
JAMA. 2023;330(2):111-112. doi:10.1001/jama.2023.10739

Prehospital Tranexamic Acid Does Not Improve Disability Outcomes

Abstract Full Text
JAMA. 2023;330(2):112. doi:10.1001/jama.2023.10740

Most Women With Early Invasive Breast Cancer Survive

Abstract Full Text
JAMA. 2023;330(2):112. doi:10.1001/jama.2023.10741

HHS Announces National Implementation Plan to Reduce STIs

Abstract Full Text
JAMA. 2023;330(2):112. doi:10.1001/jama.2023.10744

Study: Bacterial Infection Tied to Some Endometriosis Cases

Abstract Full Text
JAMA. 2023;330(2):112. doi:10.1001/jama.2023.10747
Poetry and Medicine

Thirty-Five

Abstract Full Text
JAMA. 2023;330(2):192. doi:10.1001/jama.2023.10349
JAMA Revisited

Foreign Letters

Abstract Full Text
JAMA. 2023;330(2):193. doi:10.1001/jama.2022.15972
JAMA Patient Page

What Is Aortic Dissection?

Abstract Full Text
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JAMA. 2023;330(2):198. doi:10.1001/jama.2023.5592

This JAMA Patient Page describes aortic dissection, a tear in the aorta, and how it is diagnosed and treated.

Comment & Response

Intrapartum Azithromycin vs Placebo for Neonatal Sepsis

Abstract Full Text
JAMA. 2023;330(2):187-188. doi:10.1001/jama.2023.8328

Intrapartum Azithromycin vs Placebo for Neonatal Sepsis—Reply

Abstract Full Text
JAMA. 2023;330(2):188. doi:10.1001/jama.2023.8331

A Review of Glioblastoma and Other Primary Brain Malignancies

Abstract Full Text
JAMA. 2023;330(2):188-189. doi:10.1001/jama.2023.8587

A Review of Glioblastoma and Other Primary Brain Malignancies—Reply

Abstract Full Text
JAMA. 2023;330(2):189-190. doi:10.1001/jama.2023.8590

DNA Sequencing in Adults With Acute Myeloid Leukemia to Detect Residual Disease Prior to Hematopoietic Cell Transplant

Abstract Full Text
JAMA. 2023;330(2):190. doi:10.1001/jama.2023.8650

DNA Sequencing in Adults With Acute Myeloid Leukemia to Detect Residual Disease Prior to Hematopoietic Cell Transplant—Reply

Abstract Full Text
JAMA. 2023;330(2):190-191. doi:10.1001/jama.2023.8653
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2023;330(2):101-102. doi:10.1001/jama.2022.15970
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