October 24, 2023 Issue of JAMA

October 24/31, 2023, Vol 330, No. 16, Pages 1505-1594

This Week in JAMA

Audio Highlights

Abstract Full Text

free access online only has audio

JAMA. 2023;330(16):e2216097. doi:10.1001/jama.2022.16097

Podcast: Traditional Chinese Medicine for STEMI, Early Metformin for Gestational Diabetes, Review of Knee Pain, and more

Original Investigation

Traditional Chinese Medicine Compound (Tongxinluo) and Clinical Outcomes of Patients With Acute Myocardial Infarction: The CTS-AMI Randomized Clinical Trial

Yuejin Yang, MD, PhD; Xiangdong Li, MD, PhD; Guihao Chen, MD, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(16):1534-1545. doi:10.1001/jama.2023.19524

This randomized clinical trial assesses the efficacy of Tongxinluo, a traditional Chinese medicine compound, vs placebo in improving clinical outcomes in patients with ST-segment elevation myocardial infarction.

Editorial
Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart
Richard G. Bach, MD

JAMA
- Podcast: Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart
Editor's Note
Traditional Chinese Medicine for ST-Segment Elevation Myocardial Infarction
Gregory Curfman, MD

JAMA

Early Metformin in Gestational Diabetes: A Randomized Clinical Trial

Fidelma Dunne, PhD; Christine Newman, MD; Alberto Alvarez-Iglesias, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(16):1547-1556. doi:10.1001/jama.2023.19869

This randomized clinical trial compares use of metformin vs placebo in treating the maternal and neonatal outcomes associated with gestational diabetes.

Editorial
Metformin for Diabetes in Pregnancy: Are We Closer to Defining Its Role?
Denice S. Feig, MD

JAMA
- Podcast: Metformin for Diabetes in Pregnancy

Caring for the Critically Ill Patient

Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection: The ACORN Randomized Clinical Trial

Edward T. Qian, MD, MSc; Jonathan D. Casey, MD, MSc; Adam Wright, PhD; et al.

Abstract Full Text

free access has active quiz

JAMA. 2023;330(16):1557-1567. doi:10.1001/jama.2023.20583

This randomized clinical trial compares the use of cefepime vs piperacillin-tazobactam and the risk of acute kidney injury and neurological dysfunction in adults hospitalized with acute infection.

Editorial
Acute Kidney Injury With Empirical Antibiotics for Sepsis
Steven Y. C. Tong, PhD; Balasubramanian Venkatesh, MD; Erin K. McCreary, PharmD

JAMA

Research Letter

Randomized Clinical Trial Visual Abstract Display and Social Media鈥揇riven Website Traffic

N. Seth Trueger, MD, MPH; Eman Aly, MSW; Sebastien Haneuse, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(16):1583-1585. doi:10.1001/jama.2023.16839

In this study, the authors assessed whether publication of a visual abstract on social media was associated with reader engagement online.

Invited Commentary
Leveraging Tweets, Citations, and Social Networks to Improve Bibliometrics
N. Seth Trueger, MD, MPH; Yusuf Yilmaz, PhD, MSc; Teresa M. Chan, MD, MHPE

JAMA Netw Open

Kindergarten Vaccination Status in California After Changes to Medical Exemption Policy

Paul L. Delamater, PhD; Alison M. Buttenheim, PhD, MBA; Daniel A. Salmon, PhD; et al.

Abstract Full Text

free access

JAMA. 2023;330(16):1585-1587. doi:10.1001/jama.2023.16995

This study evaluates changes in medical exemptions and geographic distribution of kindergarteners in California not up to date on vaccination after changes to state legislation.

Viewpoint

COVID-19 in the Fall of 2023鈥擣orgotten but Not Gone

Carlos del Rio, MD; Preeti N. Malani, MD, MSJ

Abstract Full Text

JAMA. 2023;330(16):1517-1518. doi:10.1001/jama.2023.19049

This Viewpoint addresses the state of COVID-19 as of fall 2023 in the US and summarizes key clinical information for health care professionals and patients.

COVID-19 Therapeutics for Nonhospitalized Patients鈥擴pdates and Future Directions

Kara W. Chew, MD, MS; Preeti N. Malani, MD, MSJ; Rajesh T. Gandhi, MD

Abstract Full Text

has audio

JAMA. 2023;330(16):1519-1520. doi:10.1001/jama.2023.19542

In this Viewpoint, the authors summarize the therapeutic landscape for COVID-19, discuss who is most likely to benefit from treatment, provide an update on managing illness in immunocompromised individuals, and highlight how to improve COVID-19 treatment.

Podcast: Fluvoxamine vs Placebo and Time to Sustained Recovery From Mild or Moderate COVID-19

Transformation of Undergraduate Medical Education in 2023

Bernard S. Chang, MD, MMSc

Abstract Full Text

free access has audio

JAMA. 2023;330(16):1521-1522. doi:10.1001/jama.2023.16943

This Viewpoint discusses potential shifts in teaching and learning for undergraduate medical education with the advent of artificial intelligence tools.

Podcast: AI and Clinical Practice鈥擟an AI Accelerate Medical Education?

Navigating Legal Risks When Providing Essential Reproductive Care Post-Roe

Rabia Muqaddam, JD; Molly R. Duane, JD, MPH; Jenna Hudson, JD

Abstract Full Text

JAMA. 2023;330(16):1523-1524. doi:10.1001/jama.2023.17355

In this Viewpoint, the authors discuss how clinicians can weigh legal risks against risks to patients鈥� health and lives when providing essential reproductive care.

The Model State Indoor Air Quality Act

Lawrence O. Gostin, JD; James G. Hodge Jr, JD, LLM; Gigi K. Gronvall, PhD

Abstract Full Text

JAMA. 2023;330(16):1525-1526. doi:10.1001/jama.2023.17334

This Viewpoint discusses how poor indoor air quality can affect health and examines the Model State Indoor Air Quality Act, which provides science-based regulatory standards aimed at ensuring public indoor environments provide healthy air.

A Piece of My Mind

Discarding Information

Katharine P. Callahan, MD, MSME

Abstract Full Text

JAMA. 2023;330(16):1527-1528. doi:10.1001/jama.2023.19005

In this narrative essay, a neonatologist describes the importance of giving patients the respect and space to decide the value of medical information themselves.

Editorial

Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart

Richard G. Bach, MD

Abstract Full Text

has audio

JAMA. 2023;330(16):1529-1530. doi:10.1001/jama.2023.20838

Podcast: Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart

Acute Kidney Injury With Empirical Antibiotics for Sepsis

Steven Y. C. Tong, PhD; Balasubramanian Venkatesh, MD; Erin K. McCreary, PharmD

Abstract Full Text

JAMA. 2023;330(16):1531-1533. doi:10.1001/jama.2023.18591

Review

Evaluation and Treatment of Knee Pain: A Review

Vicky Duong, DPT, PhD; Win Min Oo, MD, PhD; Changhai Ding, MD, PhD; et al.

Abstract Full Text

has active quiz has multimedia has audio

JAMA. 2023;330(16):1568-1580. doi:10.1001/jama.2023.19675

This review summarizes current evidence regarding the diagnosis and treatment of knee osteoarthritis, patellofemoral pain, and meniscal tears.

Video: Clinical Examination for Diagnosing Meniscal Tears

Podcast: Diagnosis and Management of Common Knee Problems

JAMA Clinical Challenge

Peripheral Blasts in a Patient Receiving Chemotherapy

Sabin Kshattry, MD, PhD; Terri L. Parker, MD; Scott F. Huntington, MD, MPH, MSc

Abstract Full Text

has active quiz

JAMA. 2023;330(16):1581-1582. doi:10.1001/jama.2023.17117

An older patient with stage II bladder carcinoma presented with 1 week of fatigue and 2 days of dyspnea on exertion. He was receiving carboplatin/gemcitabine with 6 mg of pegylated G-CSF chemotherapy; his white blood cell count was elevated, hemoglobin low, and ferritin notably increased. What is the diagnosis and what would you do next?

Editor's Note

Traditional Chinese Medicine for ST-Segment Elevation Myocardial Infarction

Gregory Curfman, MD

Abstract Full Text

free access

JAMA. 2023;330(16):1546. doi:10.1001/jama.2023.19712

When Medicine Seems Surreal

Rafael Campo, MD, MA

Abstract Full Text

free access

JAMA. 2023;330(16):1590. doi:10.1001/jama.2023.18662

Medical News & Perspectives

AI in Medicine

Electronic Health Records Failed to Make Clinicians鈥� Lives Easier鈥擶ill AI Technology Succeed?

Yulin Hswen, ScD, MPH; Rebecca Voelker, MSJ

Abstract Full Text

free access has multimedia has audio

JAMA. 2023;330(16):1509-1511. doi:10.1001/jama.2023.19138

In this Medical News article, medical informatics expert Kevin B. Johnson, MD, MS, of the University of Pennsylvania discusses whether artificial intelligence can help reduce clinician workloads and burnout.

Video: AI and Clinical Practice鈥攖he Potential to Reduce Clinician Burden and Streamline Health Systems

Podcast: AI and Clinical Practice鈥攖he Potential to Reduce Clinician Burden and Streamline Health Systems

Editorial
AI in Medicine鈥�JAMA鈥檚 Focus on Clinical Outcomes, Patient-Centered Care, Quality, and Equity
Rohan Khera, MD, MS; Atul J. Butte, MD, PhD; Michael Berkwits, MD, MSCE; Yulin Hswen, ScD, MPH; Annette Flanagin, RN, MA; Hannah Park; Gregory Curfman, MD; Kirsten Bibbins-Domingo, PhD, MD, MAS

JAMA

Overworked and Understaffed, More Than 1 in 4 US Nurses Say They Plan to Leave the Profession

Melissa Suran, PhD, MSJ

Abstract Full Text

has audio

JAMA. 2023;330(16):1512-1514. doi:10.1001/jama.2023.10055

This Medical News article discusses how burnout and staffing shortages are driving nurses away from their jobs.

Podcast: October 2023 Medical News Summary

Invited Commentary
A Peripandemic Examination of Health Care Worker Burnout and Implications for Clinical Practice, Education, and Research
Ari Shechter, PhD; Allison A. Norful, PhD, RN, ANP-BC

JAMA Netw Open

Medical News in Brief

US Obesity Prevalence Surged Over the Past Decade

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1515. doi:10.1001/jama.2023.19201

Changes in SARS-CoV-2 Sequence Linked With Antiviral Use

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1515. doi:10.1001/jama.2023.19202

Trial Launches of New HIV Vaccine Candidate With CMV Vector

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1515. doi:10.1001/jama.2023.19203

Majority of People Live With Uncontrolled Hypertension Worldwide

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1515. doi:10.1001/jama.2023.19204

Study: Waist-to-Hip Ratio Might Predict Mortality Better Than BMI

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1515-1516. doi:10.1001/jama.2023.19205

How to Reduce Worldwide Cancer Inequities for Women

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1516. doi:10.1001/jama.2023.19206

Large Number of People Diagnosed With Type 1 Diabetes After Age 30

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1516. doi:10.1001/jama.2023.19207

US Survey: About 7% of Adults, 1% of Children Have Had Long COVID

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1516. doi:10.1001/jama.2023.19208

Increasing Proportion of Visits Delivered by NPs, PAs

Emily Harris

Abstract Full Text

JAMA. 2023;330(16):1516. doi:10.1001/jama.2023.19209

The Arts and Medicine

Fortunate People鈥�50 Years of Country Doctoring

Amanda Howe, OBE, MD, MEd, MA

Abstract Full Text

JAMA. 2023;330(16):1507-1508. doi:10.1001/jama.2023.16846

This Arts and Medicine feature reviews journalist Polly Morland鈥檚 A Fortunate Woman, a 2022 follow-up to John Berger鈥檚 classic 1967 A Fortunate Man, detailing changes over 50 years in the rewards and challenges of primary care practice in small-town rural general practice in northern England.

Poetry and Medicine