March 7, 2017 Issue of JAMA

March 7, 2017, Vol 317, No. 9, Pages 883-984

This Week in JAMA

Highlights

Abstract Full Text

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JAMA. 2017;317(9):883-885. doi:10.1001/jama.2016.13020

Podcast: Association between diet and mortality, maternal obesity and cerebral palsy, routine pelvic exams in healthy women, and more

Original Investigation

Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States

Renata Micha, RD, PhD; Jose L. Peñalvo, PhD; Frederick Cudhea, PhD; et al.

Abstract Full Text

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JAMA. 2017;317(9):912-924. doi:10.1001/jama.2017.0947

This nutritional epidemiology study uses NHANES data to estimate associations between dietary components and mortality due to heart disease, stroke, and type 2 diabetes among US adults between 2002 and 2012.

Editorial
Attributing Death to Diet: Precision Counts
Noel T. Mueller, PhD, MPH; Lawrence J. Appel, MD, MPH

JAMA

Association Between Maternal Body Mass Index in Early Pregnancy and Incidence of Cerebral Palsy

Eduardo Villamor, MD, DrPH; Kristina Tedroff, MD, PhD; Mark Peterson, PhD; et al.

Abstract Full Text

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JAMA. 2017;317(9):925-936. doi:10.1001/jama.2017.0945

This cohort study uses Swedish national registry data to examine associations between maternal body mass index and rates of cerebral palsy among their singleton children.

Association of Rare and Common Variation in the Lipoprotein Lipase Gene With Coronary Artery Disease

Amit V. Khera, MD; Hong-Hee Won, PhD; Gina M. Peloso, PhD; et al.

Abstract Full Text

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JAMA. 2017;317(9):937-946. doi:10.1001/jama.2017.0972

This cross-sectional study examines whether rare and common variants in the lipoprotein lipase gene are associated with early-onset coronary artery disease.

Research Letter

Change in Percentages of Adults With Overweight or Obesity Trying to Lose Weight, 1988-2014

Kassandra R. Snook, MPH; Andrew R. Hansen, DrPH; Carmen H. Duke, MPH; et al.

Abstract Full Text

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JAMA. 2017;317(9):971-973. doi:10.1001/jama.2016.20036

This national survey study uses NHANES data to assess the trend in the percentage of overweight or obese adults trying to lose weight from 1988 to 2014.

US Preventive Services Task Force

Recommendation Statement

Screening for Gynecologic Conditions With Pelvic Examination: US Preventive Services Task Force Recommendation Statement

US Preventive Services Task Force

Abstract Full Text

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JAMA. 2017;317(9):947-953. doi:10.1001/jama.2017.0807

This Recommendation Statement from the US Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of performing screening pelvic examinations for gynecologic conditions in asymptomatic, nonpregnant adult women.

Podcast: USPSTF Recommendation: The Screening Pelvic Examination

Editorial
Is It Time to Abandon the Routine Pelvic Examination in Asymptomatic Nonpregnant Women?
Colleen McNicholas, DO, MSCI; Jeffrey F. Peipert, MD, PhD

JAMA
Screening Pelvic Examinations: The Emperor鈥檚 New Clothes, Now in 3 Sizes?
George F. Sawaya, MD

JAMA Intern Med

Evidence Report

Periodic Screening Pelvic Examination: Evidence Report and Systematic Review for the US Preventive Services Task Force

Janelle M. Guirguis-Blake, MD; Jillian T. Henderson, PhD; Leslie A. Perdue, MPH

Abstract Full Text

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JAMA. 2017;317(9):954-966. doi:10.1001/jama.2016.12819

This Evidence Report to support the 2017 US Preventive Services Task Force Recommendation Statement on the screening pelvic examination summarizes current evidence on benefits, accuracy, and harms of periodic screening pelvic examination for gynecologic conditions in asymptomatic, nonpregnant women.

Editorial
Is It Time to Abandon the Routine Pelvic Examination in Asymptomatic Nonpregnant Women?
Colleen McNicholas, DO, MSCI; Jeffrey F. Peipert, MD, PhD

JAMA
Screening Pelvic Examinations: The Emperor鈥檚 New Clothes, Now in 3 Sizes?
George F. Sawaya, MD

JAMA Intern Med

Viewpoint

Addressing Physician Burnout: The Way Forward

Tait D. Shanafelt, MD; Lotte N. Dyrbye, MD, MHPE; Colin P. West, MD, PhD

Abstract Full Text

JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076

This Viewpoint proposes changes at the national, state, organization, leader, and individual levels to address and prevent physician burnout.

Improving the Health of the United States With a 鈥淲innable Battles鈥� Initiative

Thomas R. Frieden, MD, MPH; Kathleen Ethier, PhD; Anne Schuchat, MD

Abstract Full Text

JAMA. 2017;317(9):903-904. doi:10.1001/jama.2017.0436

In this Viewpoint, former Centers for Disease Control and Prevention Director Thomas Frieden and colleagues review the Center鈥檚 2010 Winnable Battles initiative, and discuss target areas where they met and fell short of their public health goals.

The European Medicines Agency and Publication of Clinical Study Reports: A Challenge for the US FDA

Anna L. Davis, JD, MPH; James Dabney Miller, JD, MPH

Abstract Full Text

JAMA. 2017;317(9):905-906. doi:10.1001/jama.2017.0918

This Viewpoint argues that publication by the European Medicines Agency of clinical study reports as part of its approval process for commercial drugs sets a standard of transparency that could challenge the reputation of the US Food and Drug Administration as the international standard-bearer in drug and device approval.

A Piece of My Mind

Praise for an Obituary

Donald A. B. Lindberg, MD

Abstract Full Text

JAMA. 2017;317(9):907. doi:10.1001/jama.2016.11556

Editorial

Attributing Death to Diet: Precision Counts

Noel T. Mueller, PhD, MPH; Lawrence J. Appel, MD, MPH

Abstract Full Text

JAMA. 2017;317(9):908-909. doi:10.1001/jama.2017.0946

Is It Time to Abandon the Routine Pelvic Examination in Asymptomatic Nonpregnant Women?

Colleen McNicholas, DO, MSCI; Jeffrey F. Peipert, MD, PhD

Abstract Full Text

JAMA. 2017;317(9):910-911. doi:10.1001/jama.2017.0899

JAMA Clinical Evidence Synopsis

Opioid Agonist Treatment for Patients With Dependence on Prescription Opioids

Suzanne Nielsen, BPharm, PhD; Briony Larance, PhD; Nicholas Lintzeris, MBBS, PhD

Abstract Full Text

JAMA. 2017;317(9):967-968. doi:10.1001/jama.2017.0001

This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials comparing different opioid agonist treatments, and comparing buprenorphine vs opioid taper vs psychological treatments for the treatment of prescription opioid dependence.

Medical News & Perspectives

Alzheimer Outlook Far From Bleak

Jeff Lyon

Abstract Full Text

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JAMA. 2017;317(9):896-898. doi:10.1001/jama.2017.0276

This Medical News story features an interview with 2 leading Alzheimer disease researchers discussing the disease鈥檚 pathogenesis and potential treatments.

Podcast: Alzheimer Disease Overview and the Possibility That It鈥檚 Caused By Infections
Podcast: Alzheimer Outlook Far From Bleak

News From the Food and Drug Administration

Cancer Center Launched Within FDA

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(9):900. doi:10.1001/jama.2017.0888

Advice for Safe Fish Consumption

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(9):900. doi:10.1001/jama.2017.1063

Relief for Chronic Constipation

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(9):900. doi:10.1001/jama.2017.1065

Lab Reports

New Insights on How Immune Cells Breach Blood Vessel Walls

Tracy Hampton, PhD

Abstract Full Text

JAMA. 2017;317(9):899. doi:10.1001/jama.2017.1067

Weakened Connectivity in Fetal Brains Prior to Preterm Birth

Tracy Hampton, PhD

Abstract Full Text

JAMA. 2017;317(9):899. doi:10.1001/jama.2017.1385

Technique Monitors T Cells as They Target Cancer

Tracy Hampton, PhD

Abstract Full Text

JAMA. 2017;317(9):899. doi:10.1001/jama.2017.1388

The Arts and Medicine

鈥淭hat Landscape Is Where I鈥檇 Like to Be 鈥� 鈥�: Offering Patients With Cancer a Choice of Artwork

Daniel R. George, PhD, MSc; Claire de Boer, MS; Michael J. Green, MD, MS

Abstract Full Text

JAMA. 2017;317(9):890-892. doi:10.1001/jama.2017.1233

This Arts and Medicine essay discusses Penn State College of Medicine鈥檚鈥淎rts in Health鈥� program, which commissions work by regional artists for placement in hospital rooms as a way to improve the experience of hospitalization.

Poetry and Medicine