June 8, 2021 Issue of JAMA

June 8, 2021, Vol 325, No. 22, Pages 2235-2322

This Week in JAMA

Audio Highlights

Abstract Full Text

free access online only has audio

JAMA. 2021;325(22):e2017977. doi:10.1001/jama.2020.17977

Podcast: Continuous Glucose Monitoring in Type 2 Diabetes Management, Interventions for Secondary Mitral Valve Regurgitation, General Health Checks in Adult Primary Care, and more

Original Investigation

Effect of Continuous Glucose Monitoring on Glycemic Control in Patients With Type 2 Diabetes Treated With Basal Insulin: A Randomized Clinical Trial

Thomas Martens, MD; Roy W. Beck, MD, PhD; Ryan Bailey, MS; et al.

Abstract Full Text

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JAMA. 2021;325(22):2262-2272. doi:10.1001/jama.2021.7444

This clinical trial compares the efficacy of continuous glucose monitoring (CGM) vs traditional blood glucose meter monitoring on glycemic control in adults with type 2 diabetes treated with basal insulin without prandial insulin in primary care practices.

Editorial
Broadening Access to Continuous Glucose Monitoring for Patients With Type 2 Diabetes
Monica E. Peek, MD, MPH, MS; Celeste C. Thomas, MD, MS

JAMA

Association of Real-time Continuous Glucose Monitoring With Glycemic Control and Acute Metabolic Events Among Patients With Insulin-Treated Diabetes

Andrew J. Karter, PhD; Melissa M. Parker, MS; Howard H. Moffet, MPH; et al.

Abstract Full Text

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JAMA. 2021;325(22):2273-2284. doi:10.1001/jama.2021.6530

This cohort study investigates the effect of real-time continuous glucose monitoring on glycemic control among patients with insulin-treated diabetes.

Editorial
Broadening Access to Continuous Glucose Monitoring for Patients With Type 2 Diabetes
Monica E. Peek, MD, MPH, MS; Celeste C. Thomas, MD, MS

JAMA

Association of Maternal Influenza Vaccination During Pregnancy With Early Childhood Health Outcomes

Azar Mehrabadi, PhD; Linda Dodds, PhD; Noni E. MacDonald, MD, MS; et al.

Abstract Full Text

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JAMA. 2021;325(22):2285-2293. doi:10.1001/jama.2021.6778

This population-based cohort study uses a birth registry linked with health administrative data to assess the association between maternal influenza vaccination during pregnancy and early childhood health outcomes in Nova Scotia, Canada.

Editorial
Realizing the Potential of Maternal Influenza Vaccination
Eduardo Azziz-Baumgartner, MD, MPH; Lisa Grohskopf, MD, MPH; Manish Patel, MD

JAMA

Research Letter

Rural-Urban Disparity in Mortality in the US From 1999 to 2019

Sarah H. Cross, PhD, MSW, MPH; Robert M. Califf, MD; Haider J. Warraich, MD

Abstract Full Text

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JAMA. 2021;325(22):2312-2314. doi:10.1001/jama.2021.5334

This study analyzes all deaths occurring in the US using the US Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database from 1999-2019 and the National Center for Health Statistics Urban-Rural Classification Scheme to create population categories per the 2013 US Census classification (large, small- or medium-sized, and rural areas).

Viewpoint

Influenza Activity in the US During the 2020-2021 Season

Timothy M. Uyeki, MD, MPH, MPP; David E. Wentworth, PhD; Daniel B. Jernigan, MD, MPH

Abstract Full Text

JAMA. 2021;325(22):2247-2248. doi:10.1001/jama.2021.6125

In this Viewpoint, CDC authors discuss the unusually low circulation of influenza virus in the US during the first year of the coronavirus pandemic, and implications for clinical practice and public health including the accuracy of diagnostic testing and the effectiveness of population mitigation strategies for influenza control.

The 2020-2021 Residency Application Cycle: Lessons Learned and Lingering Problems

Maya M. Hammoud, MD, MBA; Taylor C. Standiford, BS; J. Bryan Carmody, MD, MPH

Abstract Full Text

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JAMA. 2021;325(22):2249-2250. doi:10.1001/jama.2021.5708

This Viewpoint summarizes lessons learned in the 2020-2021 US medical residency application cycle, when the COVID-19 pandemic forced a shorter season and virtual interviews, and discusses opportunities for improvement related to systems equity, efficiency, and more.

Legislation to Criminalize Gender-Affirming Medical Care for Transgender Youth

Jack L. Turban, MD, MHS; Katherine L. Kraschel, JD; I. Glenn Cohen, JD

Abstract Full Text

JAMA. 2021;325(22):2251-2252. doi:10.1001/jama.2021.7764

This Viewpoint describes legislation aiming to criminalize medical care for transgender youth and explains why these bills are harmful and potentially unlawful.

A Piece of My Mind

A Mother鈥檚 Gold

Margot Robinson, MD

Abstract Full Text

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JAMA. 2021;325(22):2253-2254. doi:10.1001/jama.2021.8406

In this narrative medicine essay, a family medicine intern frames her infant鈥檚 beginning with another mother鈥檚 ending from COVID-19 and considers the threads of loss for the mother isolated from her son and imagines her own losses, beginning with her daughter鈥檚 weaning.

Editorial

Broadening Access to Continuous Glucose Monitoring for Patients With Type 2 Diabetes

Monica E. Peek, MD, MPH, MS; Celeste C. Thomas, MD, MS

Abstract Full Text

JAMA. 2021;325(22):2255-2257. doi:10.1001/jama.2021.6208

Realizing the Potential of Maternal Influenza Vaccination

Eduardo Azziz-Baumgartner, MD, MPH; Lisa Grohskopf, MD, MPH; Manish Patel, MD

Abstract Full Text

JAMA. 2021;325(22):2257-2259. doi:10.1001/jama.2021.7776

The Routine General Medical Checkup: Valuable Practice or Unnecessary Ritual?

Allan S. Brett, MD

Abstract Full Text

has audio

JAMA. 2021;325(22):2259-2261. doi:10.1001/jama.2021.4922

Podcast: General Health Checks in Adult Primary Care

Review

General Health Checks in Adult Primary Care: A Review

David T. Liss, PhD; Toshiko Uchida, MD; Cheryl L. Wilkes, MD; et al.

Abstract Full Text

has audio

JAMA. 2021;325(22):2294-2306. doi:10.1001/jama.2021.6524

This review provides updated evidence on general health checks in multiple important outcome domains, including mortality, cardiovascular outcomes, and risk factor control.

Podcast: General Health Checks in Adult Primary Care

Editorial
The Routine General Medical Checkup: Valuable Practice or Unnecessary Ritual?
Allan S. Brett, MD

JAMA
- Podcast: General Health Checks in Adult Primary Care

JAMA Insights

Responding to Intimate Partner Violence During Telehealth Clinical Encounters

Melissa A. Simon, MD, MPH

Abstract Full Text

free access

JAMA. 2021;325(22):2307-2308. doi:10.1001/jama.2021.1071

This JAMA Insights Clinical Update discusses the surge in intimate partner violence (IPV) during the COVID-19 lockdown and provides safe and patient-centered methods for primary care clinicians to screen for IPV and counsel patients during telehealth consultations.

JAMA Clinical Guidelines Synopsis

Interventions for Patients With Secondary Mitral Regurgitation

Sameer Hirji, MD, MPH; Adam S. Cifu, MD; Tsuyoshi Kaneko, MD

Abstract Full Text

JAMA. 2021;325(22):2309-2310. doi:10.1001/jama.2021.2741

This JAMA Clinical Guidelines Synopsis summarizes the ACC/AHA guideline for the treatment of patients with valve disease, with an emphasis on mitral regurgitation.

Medical News & Perspectives

Restrictive Policies Threaten Efforts to Stop 2 West Virginia HIV Outbreaks

Bridget M. Kuehn, MSJ

Abstract Full Text

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JAMA. 2021;325(22):2238-2240. doi:10.1001/jama.2021.7404

This Medical News article discusses ongoing HIV outbreaks in West Virginia and restrictive new laws that jeopardize syringe services programs aimed at halting HIV transmission.

Podcast: June 2021 Medical News Summary

The Push for Earlier Bariatric Surgery for Adolescents With Severe Obesity

Mary Chris Jaklevic, MSJ

Abstract Full Text

JAMA. 2021;325(22):2241-2242. doi:10.1001/jama.2021.7912

This Medical News article describes efforts to encourage the use of clinical indicators rather than age for referring severely obese adolescents for bariatric surgery.

News From the Centers for Disease Control and Prevention