October 10, 2023 Issue of JAMA

October 10, 2023, Vol 330, No. 14, Pages 1309-1398

This Week in JAMA

Audio Highlights

Abstract Full Text

free access online only has audio

JAMA. 2023;330(14):e2216079. doi:10.1001/jama.2022.16079

Podcast: ICU Decolonization Strategies, Follow Up of Abnormal Cancer Screening Test Results, Bipolar Disorder Review, and more

Original Investigation

Caring for the Critically Ill Patient

Nasal Iodophor Antiseptic vs Nasal Mupirocin Antibiotic in the Setting of Chlorhexidine Bathing to Prevent Infections in Adult ICUs: A Randomized Clinical Trial

Susan S. Huang, MD, MPH; Edward J. Septimus, MD; Ken Kleinman, ScD; et al.

Abstract Full Text

free access has active quiz has audio

JAMA. 2023;330(14):1337-1347. doi:10.1001/jama.2023.17219

This clinical trial compares the effectiveness of nasal iodophor vs mupirocin for decolonization in combination with chlorhexidine gluconate bathing in adult patients in the intensive care unit (ICU).

Podcast: Nasal Iodophor vs Nasal Mupirocin With Chlorhexidine Baths to Prevent Infections in Adult ICUs

Editorial
Decolonization Strategies to Prevent Staphylococcal Infections: Mupirocin by a Nose
Thomas R. Talbot, MD, MPH

JAMA

A Multilevel Primary Care Intervention to Improve Follow-Up of Overdue Abnormal Cancer Screening Test Results: A Cluster Randomized Clinical Trial

Steven J. Atlas, MD, MPH; Anna N. A. Tosteson, ScD; Adam Wright, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(14):1348-1358. doi:10.1001/jama.2023.18755

This cluster randomized trial compares the effects of electronic health record reminders and patient outreach with or without patient navigation on overdue follow-up of abnormal cancer screening test results for colorectal, cervical, breast, or lung cancer among primary care patients.

Efficacy and Tolerability of Gefapixant for Treatment of Refractory or Unexplained Chronic Cough: A Systematic Review and Dose-Response Meta-Analysis

Elena Kum, BSc; Matthew Patel, MD; Nermin Diab, MD, MPH; et al.

Abstract Full Text

free access

JAMA. 2023;330(14):1359-1369. doi:10.1001/jama.2023.18035

This systematic review and dose-response meta-analysis evaluates the efficacy and tolerability of gefapixant, a new P2X3 antagonist, for the treatment of adults with refractory or unexplained chronic cough.

Editorial
Gefapixant for Refractory or Unexplained Chronic Cough?
Richard S. Irwin, MD; J. Mark Madison, MD

JAMA

Research Letter

PTSD Symptoms Among Family Members of Patients With ARDS Caused by COVID-19 After 12 Months

Nancy Kentish-Barnes, PhD; Matthieu Resche-Rigon, MD, PhD; Antoine Lafarge; et al.

Abstract Full Text

free access

JAMA. 2023;330(14):1383-1385. doi:10.1001/jama.2023.15879

This study compares data on the symptoms of posttraumatic stress disorder (PTSD) among family members of patients with acute respiratory distress syndrome (ARDS) caused by COVID-19 vs non鈥揅OVID-19 ARDS.

Climate Change and Health

Canadian Wildfire Smoke and Asthma Syndrome Emergency Department Visits in New York City

Kai Chen, PhD; Yiqun Ma, MPhil; Michelle L. Bell, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(14):1385-1387. doi:10.1001/jama.2023.18768

This study examines the association between the Canadian wildfires that occurred in summer 2023 with emergency department visits for asthma symptoms in New York City.

Viewpoint

Diversifying the Medical Pathway in a Post鈥揂ffirmative Action World

Utibe R. Essien, MD, MPH; Victor Agbafe, BA; Keith C. Norris, MD, PhD

Abstract Full Text

JAMA. 2023;330(14):1325-1326. doi:10.1001/jama.2023.17089

This Viewpoint discusses a pathway toward individual, institutional, professional, and societal actions to increase the number of underrepresented individuals in medicine within the medical workforce in a 鈥減ost鈥揳ffirmative action鈥� landscape.

Calling on the USPSTF to Address Ableism and Structural Ableism

Dimitri A. Christakis, MD, MPH; Lisa I. Iezzoni, MD, MSc

Abstract Full Text

JAMA. 2023;330(14):1327-1328. doi:10.1001/jama.2023.17092

In this Viewpoint, the authors urge the USPSTF to undertake a comprehensive effort to ensure its recommendations systematically consider the effects of ableism and structural ableism on individuals with disability.

Invited Commentary
Stigma Associated With Requesting Accommodations鈥攖he High Cost of Ableism in Medicine
Meaghan Roy-O鈥橰eilly, MD, PhD; Arghavan Salles, MD, PhD

JAMA Netw Open

Maintenance of Certification (MOC)鈥擝enefit vs Burden

Dipesh Uprety, MD; Howard 鈥淛ack鈥� West, MD

Abstract Full Text

JAMA. 2023;330(14):1329-1330. doi:10.1001/jama.2023.17056

This Viewpoint examines the demands of maintenance of certification (MOC) requirements from the ABIM on balance with the projected benefits to quality of patient care.

Role of Registries in Medicare Coverage of New Alzheimer Disease Drugs

Ilina C. Odouard, MPH; Mariana P. Socal, MD, PhD; Gerard F. Anderson, PhD

Abstract Full Text

JAMA. 2023;330(14):1331-1332. doi:10.1001/jama.2023.17131

This Viewpoint discusses how the design of the Centers for Medicare & Medicaid Services (CMS) registry could impact Medicare鈥檚 ability to evaluate whether monoclonal antibodies are reasonable and necessary for patients with Alzheimer disease and help physicians understand when the drug is most beneficial.

A Piece of My Mind

Lying to My Mom

Chris Feudtner, MD, PhD, MPH

Abstract Full Text

JAMA. 2023;330(14):1333-1334. doi:10.1001/jama.2023.17581

In this narrative medicine essay, a pediatrician-medical ethicist navigates the decision to honor his 87-year-old mother鈥檚 wishes to refrain from cancer treatment and elects not to tell her of a mass in her liver discovered by a CT scan.

Editorial

Gefapixant for Refractory or Unexplained Chronic Cough?

Richard S. Irwin, MD; J. Mark Madison, MD

Abstract Full Text

JAMA. 2023;330(14):1335-1336. doi:10.1001/jama.2023.18508

Review

Diagnosis and Treatment of Bipolar Disorder: A Review

Andrew A. Nierenberg, MD; Bruno Agustini, MD, PhD; Ole Köhler-Forsberg, MD, PhD; et al.

Abstract Full Text

has active quiz

JAMA. 2023;330(14):1370-1380. doi:10.1001/jama.2023.18588

This review discusses current evidence regarding the diagnosis and treatment of bipolar disorder, including differential diagnoses, treatment of mania and depressive episodes, and maintenance treatment.

JAMA Insights

Doxycycline Postexposure Prophylaxis and Sexually Transmitted Infections

Kenneth H. Mayer, MD; Michael Traeger, PhD; Julia L. Marcus, PhD

Abstract Full Text

has active quiz has audio

JAMA. 2023;330(14):1381-1382. doi:10.1001/jama.2023.16416

This JAMA Insights discusses the use of antibiotics for sexually transmitted infection prevention.

Podcast: Doxycycline Postexposure Prophylaxis and Sexually Transmitted Infections

Editor's Note

Metamorphosis, Metaphor, and Medicine

Rafael Campo, MD, MA

Abstract Full Text

free access

JAMA. 2023;330(14):1392. doi:10.1001/jama.2023.17541

Medical News & Perspectives

Climate Change and Health

Raging Wildfires Are Exposing More People to Smoky Air鈥擧ere鈥檚 What That Means for Health

Melissa Suran, PhD, MSJ

Abstract Full Text

has audio

JAMA. 2023;330(14):1311-1314. doi:10.1001/jama.2023.13606

This Medical News article discusses why wildfires are intensifying and how to stay safe from residual smoke.

Podcast: September 2023 Medical News Summary

AI in Medicine

Google Health鈥檚 Chief Clinical Officer Talks About Incorporating AI in Health Care

Rebecca Voelker, MSJ

Abstract Full Text

free access has multimedia has audio

JAMA. 2023;330(14):1315-1317. doi:10.1001/jama.2023.19137

This Medical News article is an interview with Michael Howell, MD, MPH, about applications of large language models in medicine.

Video: AI and Clinical Practice鈥擜I Gaslighting, AI Hallucinations, and GenAI Potential

Podcast: AI and Clinical Practice鈥擜I Gaslighting, AI Hallucinations, and GenAI Potential

Medical News in Brief

CDC Issues Warning Amid Vibrio vulnificus Infections

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1318. doi:10.1001/jama.2023.17816

Abortions in States Without Bans Surge Post-Roe

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1318. doi:10.1001/jama.2023.17817

Semaglutide Associated With Less Insulin Need in Early Type 1 Diabetes

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1318. doi:10.1001/jama.2023.17818

Antipsychotics Might Be Overprescribed for Dementia

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1318. doi:10.1001/jama.2023.17819

Southern Hemisphere Outcomes Support Flu Vaccine Effectiveness

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1318-1319. doi:10.1001/jama.2023.17822

Blot Clot Risk Higher When Pain Relievers Used With Hormonal Contraception

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1319. doi:10.1001/jama.2023.17823

Lead Exposure Might Cause More Deaths, IQ Loss Than Expected

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1319. doi:10.1001/jama.2023.17824

Meta-Analysis: Hobbies Tied to Better Health for Older Adults

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1319. doi:10.1001/jama.2023.17825

Staying Up Late Tied to Unhealthful Lifestyle, Increased Diabetes Risk

Emily Harris

Abstract Full Text

JAMA. 2023;330(14):1319. doi:10.1001/jama.2023.17826

Poetry and Medicine

Seeing and Thinking

Arjun Ganga, BS

Abstract Full Text

JAMA. 2023;330(14):1392. doi:10.1001/jama.2023.16457

Editor's Note
Metamorphosis, Metaphor, and Medicine
Rafael Campo, MD, MA

JAMA

JAMA Revisited

Psychoanalysis

Abstract Full Text

JAMA. 2023;330(14):1393. doi:10.1001/jama.2022.16080

JAMA Patient Page

What to Know About Gonorrhea

Sarah Kurz, MD; Adam Ressler, MD, MPH

Abstract Full Text

free access

JAMA. 2023;330(14):1397. doi:10.1001/jama.2023.15431

This JAMA Patient Page describes the signs and symptoms, diagnosis, treatment, and prevention of gonorrhea infection.

What to Know About Chlamydia

Adam Ressler, MD, MPH; Sarah Kurz, MD

Abstract Full Text

free access

JAMA. 2023;330(14):1398. doi:10.1001/jama.2023.15460

This JAMA Patient Page describes the signs and symptoms, diagnosis, treatment, and prevention of chlamydia infection.

Comment & Response

Family Leave and Maternal Mortality in the US

Richa Bhatia, MD

Abstract Full Text

JAMA. 2023;330(14):1387. doi:10.1001/jama.2023.14933

Family Leave and Maternal Mortality in the US鈥擱eply

Kristan Scott, MD; Emily F. Gregory, MD, MHS; Heather H. Burris, MD, MPH

Abstract Full Text

JAMA. 2023;330(14):1387-1388. doi:10.1001/jama.2023.14936

Antenatal Screening for CFTR Variants

Nikolaos Vlachadis, MD, DSc; Nikolaos Vrachnis, MD, PhD

Abstract Full Text

JAMA. 2023;330(14):1388. doi:10.1001/jama.2023.14991

Antenatal Screening for CFTR 痴补谤颈补苍迟蝉鈥搁别辫濒测

Thida Ong, MD; Bonnie W. Ramsey, MD

Abstract Full Text

JAMA. 2023;330(14):1388-1389. doi:10.1001/jama.2023.14994

Organ Procurement Using Normothermic Regional Perfusion

Kari Esbensen, MD, PhD; Kenneth Prager, MD

Abstract Full Text

JAMA. 2023;330(14):1389-1390. doi:10.1001/jama.2023.16884

Organ Procurement Using Normothermic Regional Perfusion

Anji E. Wall, MD, PhD; Carrie Thiessen, MD, PhD; Elizabeth Anne Pomfret, MD, PhD

Abstract Full Text

JAMA. 2023;330(14):1390. doi:10.1001/jama.2023.16887

Organ Procurement Using Normothermic Regional Perfusion鈥擱eply

Robert D. Truog, MD; Andrew Flescher, PhD; Keren Ladin, PhD, MSc

Abstract Full Text

JAMA. 2023;330(14):1390-1391. doi:10.1001/jama.2023.16890

November 2024 - July 1883

Decade

Year

Issue

October 10, 2023, Vol 330, No. 14, Pages 1309-1398

Caring for the Critically Ill Patient

Climate Change and Health

Climate Change and Health

AI in Medicine

Latest from the USPSTF