March 1, 2021 Issue of JAMA Internal Medicine

March 2021, Vol 181, No. 3, Pages 304-409

Viewpoint

Medical Device Tracking鈥擧ow It Is and How It Should Be

Madris Kinard, MBA; Lisa McGiffert, BA

Abstract Full Text

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JAMA Intern Med. 2021;181(3):305-306. doi:10.1001/jamainternmed.2020.7797

This Viewpoint encourages a more consistent and widespread use of unique device identifiers.

The COVID-19 Pandemic鈥擜n Opportune Time to Update Medical Licensing

Samyukta Mullangi, MD, MBA; Mohit Agrawal, MS, MBA; Kevin Schulman, MD

Abstract Full Text

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JAMA Intern Med. 2021;181(3):307-308. doi:10.1001/jamainternmed.2020.8710

This Viewpoint discusses ways in which state medical licensing regulations can be modified to allow wider adoption of telemedicine by practitioners and to increase access for patients.

Podcast: An Opportune Time to Update Medical Licensing
Podcast: The Winter COVID-19 Surge in New York and Los Angeles

Editorial
Modernize Medical Licensing, and Credentialing, Too鈥擫essons From the COVID-19 Pandemic
Donnie L. Bell, MD; Mitchell H. Katz, MD

JAMA Intern Med
- Podcast: An Opportune Time to Update Medical Licensing
- Podcast: The Winter COVID-19 Surge in New York and Los Angeles

Original Investigation

Effectiveness of Mindfulness Meditation vs Headache Education for Adults With Migraine: A Randomized Clinical Trial

Rebecca Erwin Wells, MD, MPH; Nathaniel O鈥機onnell, PhD; Charles R. Pierce, MS; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):317-328. doi:10.1001/jamainternmed.2020.7090

This randomized clinical trial examines whether mindfulness-based stress reduction and headache education improve migraine day frequency and improvements in disability, quality of life, depression scores, pain catastrophizing, and self-efficacy for people who experience migraines.

Health Care Reform

Association of Stratification by Proportion of Patients Dually Enrolled in Medicare and Medicaid With Financial Penalties in the Hospital-Acquired Condition Reduction Program

Sukruth A. Shashikumar, AB; R. J. Waken, PhD; Alina A. Luke, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):330-338. doi:10.1001/jamainternmed.2020.7386

This economic evaluation used publicly available data to characterize the hospitals penalized by the Hospital-Acquired Condition Reduction Program and the distribution of financial penalties before and after stratification.

Comparing Health Outcomes of Privileged US Citizens With Those of Average Residents of Other Developed Countries

Ezekiel J. Emanuel, MD, PhD; Emily Gudbranson, BA; Jessica Van Parys, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):339-344. doi:10.1001/jamainternmed.2020.7484

This comparative effectiveness study assesses whether the health outcomes of White US citizens living in the 1% and 5% richest counties are better than the health outcomes of average residents in other developed countries.

Less Is More

Treatment and Outcomes of Inpatient Hypertension Among Adults With Noncardiac Admissions

Radhika Rastogi, MD, MPH; Megan M. Sheehan, BS; Bo Hu, PhD; et al.

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JAMA Intern Med. 2021;181(3):345-352. doi:10.1001/jamainternmed.2020.7501

This cohort study uses data from the electronic health record of patients admitted to Cleveland Clinic Hospitals to assess the outcomes of adults with noncardiac inpatient admissions who were treated for hypertension.

Comparison of Saliva and Nasopharyngeal Swab Nucleic Acid Amplification Testing for Detection of SARS-CoV-2: A Systematic Review and Meta-analysis

Guillaume Butler-Laporte, MD; Alexander Lawandi, MD, MSc; Ian Schiller, MSc; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):353-360. doi:10.1001/jamainternmed.2020.8876

This systematic review and meta-analysis assesses the diagnostic accuracy of saliva nucleic acid amplification tests for diagnosis of coronavirus disease 2019.

Effectiveness of a Nurse-Led Multidisciplinary Intervention vs Usual Care on Advance Care Planning for Vulnerable Older Adults in an Accountable Care Organization: A Randomized Clinical Trial

Jennifer Gabbard, MD; Nicholas M. Pajewski, PhD; Kathryn E. Callahan, MD, MS; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):361-369. doi:10.1001/jamainternmed.2020.5950

This randomized effectiveness trial evaluates whether a nurse navigator鈥搇ed advance care planning pathway combined with primary care professional鈥揻acing electronic health record interface facilitates use of advance care planning for vulnerable older adults.

Editorial
Advance Care Planning and the Cost of Pragmatism
Vinay Guduguntla, MD; Tracy Wang, MD, MHS, MSc; Deborah Grady, MD, MPH

JAMA Intern Med

Editorial

Advance Care Planning and the Cost of Pragmatism

Vinay Guduguntla, MD; Tracy Wang, MD, MHS, MSc; Deborah Grady, MD, MPH

Abstract Full Text

JAMA Intern Med. 2021;181(3):309-310. doi:10.1001/jamainternmed.2020.5935

The Updated US Preventive Services Task Force Hepatitis B Screening Recommendations鈥擲taying Committed

Chelsea Q. Xu, MD; Kali Zhou, MD; Danielle Brandman, MD, MAS

Abstract Full Text

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JAMA Intern Med. 2021;181(3):310-312. doi:10.1001/jamainternmed.2020.7858

Conversations with Dr Bauchner: USPSTF Recommendation: Screening for Hepatitis B Virus Infection in Adolescents and Adults

Editorial
USPSTF 2020 Hepatitis B Screening Recommendation: Evidence to Broaden Screening and Strengthen Linkage to Care
Jessica P. Hwang, MD, MPH; Anna S. Lok, MD

JAMA
- Conversations with Dr Bauchner: USPSTF Recommendation: Screening for Hepatitis B Virus Infection in Adolescents and Adults

Modernize Medical Licensing, and Credentialing, Too鈥擫essons From the COVID-19 Pandemic

Donnie L. Bell, MD; Mitchell H. Katz, MD

Abstract Full Text

free access has audio

JAMA Intern Med. 2021;181(3):312-315. doi:10.1001/jamainternmed.2020.8705

Podcast: An Opportune Time to Update Medical Licensing
Podcast: The Winter COVID-19 Surge in New York and Los Angeles

Moving Patient Care Forward in the Biden Era

Robert Steinbrook, MD; Mitchell H. Katz, MD; Rita F. Redberg, MD, MSc

Abstract Full Text

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JAMA Intern Med. 2021;181(3):315-316. doi:10.1001/jamainternmed.2021.0050

Video: Health Care Reform in the Biden Era

Conversations with Dr Bauchner: Health Care Reform in the Biden Era

Invited Commentary

Are Methods for Evaluating Medications Appropriate for Evaluating Nonpharmacological Treatments for Pain?鈥擟hallenges for an Emerging Field of Research

Daniel C. Cherkin, PhD

Abstract Full Text

JAMA Intern Med. 2021;181(3):328-329. doi:10.1001/jamainternmed.2020.7081

Media Portrayals of Extracorporeal Membrane Oxygenation: The Unforeseen Harm of Unfounded Optimism

Jessica N. Holtzman, MD; Sanket S. Dhruva, MD, MHS

Abstract Full Text

JAMA Intern Med. 2021;181(3):394-395. doi:10.1001/jamainternmed.2020.6091

Editor's Note

Regardless of Age, Obesity and Hypertension Increase Risks With COVID-19

Mitchell H. Katz, MD

Abstract Full Text

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JAMA Intern Med. 2021;181(3):381. doi:10.1001/jamainternmed.2020.5415

Amplifying Access to Hearing Aids

Jennifer Claytor, MD, MS; Kenneth E. Covinsky, MD, MPH

Abstract Full Text

JAMA Intern Med. 2021;181(3):385-386. doi:10.1001/jamainternmed.2020.5638

Reappraising Medical Syntax鈥擠oes Race Belong in the First Line of the Patient History?

Jesse C. Ikeme, MD; James W. Salazar, MD, MAS; Richard W. Grant, MD, MPH

Abstract Full Text

JAMA Intern Med. 2021;181(3):388-391. doi:10.1001/jamainternmed.2020.5789

Evidence to Practice

Compounded Bioidentical Hormone Therapy: The National Academies Weigh In

Cynthia A. Stuenkel, MD; JoAnn E. Manson, MD, DrPH

Abstract Full Text

JAMA Intern Med. 2021;181(3):370-371. doi:10.1001/jamainternmed.2020.7232

This review summarizes a report from the National Academies of Sciences, Engineering, and Medicine on the clinical utility of compounded bioidentical hormone therapy drug products.

Research Letter

Clinical Outcomes in Young US Adults Hospitalized With COVID-19

Jonathan W. Cunningham, MD; Muthiah Vaduganathan, MD, MPH; Brian L. Claggett, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):379-381. doi:10.1001/jamainternmed.2020.5313

This case series examines the clinical outcomes for young adults hospitalized with COVID-19.

Editor's Note
Regardless of Age, Obesity and Hypertension Increase Risks With COVID-19
Mitchell H. Katz, MD

JAMA Intern Med

Outcomes of Contact Tracing in San Francisco, California鈥擳est and Trace During Shelter-in-Place

Darpun D. Sachdev, MD; Hannah K. Brosnan, MPH; Michael J. A. Reid, MD, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):381-383. doi:10.1001/jamainternmed.2020.5670

This case series evaluates case investigation and contact tracing outcomes in San Francisco, California, during shelter-in-place restrictions during the COVID-19 pandemic.

Trends in Hearing Aid Ownership Among Older Adults in the United States From 2011 to 2018

Nicholas S. Reed, AuD; Emmanuel Garcia-Morales, PhD; Amber Willink, PhD

Abstract Full Text

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JAMA Intern Med. 2021;181(3):383-385. doi:10.1001/jamainternmed.2020.5682

This cohort study examines trends in hearing aid ownership in the US.

Editor's Note
Amplifying Access to Hearing Aids
Jennifer Claytor, MD, MS; Kenneth E. Covinsky, MD, MPH

JAMA Intern Med

Trends in Physician Voting Practices in California, New York, and Texas, 2006-2018

Hussain S. Lalani, MD, MPH; David H. Johnson, MD; Ethan A. Halm, MD, MPH, MBA; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):383-385. doi:10.1001/jamainternmed.2020.6887

This cohort study investigates physician voter participation, voter registration, and voter turnout from 2006 through 2018 in 3 states with the largest number of physicians.

Differential Documentation of Race in the First Line of the History of Present Illness

Jessica R. Balderston, MD; Zachary M. Gertz, MD; Raees Seedat, MS; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):386-388. doi:10.1001/jamainternmed.2020.5792

This cross-sectional study assesses medical records for evidence of racial bias in clinician documentation among patients admitted for breast cancer, sickle cell disease with crisis, status epilepticus, hypertensive emergency, pneumonia, or motor vehicle collision.

Editor's Note
Reappraising Medical Syntax鈥擠oes Race Belong in the First Line of the Patient History?
Jesse C. Ikeme, MD; James W. Salazar, MD, MAS; Richard W. Grant, MD, MPH

JAMA Intern Med

Trends in Outpatient Care Delivery and Telemedicine During the COVID-19 Pandemic in the US

Sadiq Y. Patel, PHD, MS, MSW; Ateev Mehrotra, MD, MPH; Haiden A. Huskamp, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):388-391. doi:10.1001/jamainternmed.2020.5928

This cohort study examines trends in the use of telemedicine and in-person outpatient visits in 2020 among a national sample of 16.7 million individuals with commercial or Medicare Advantage insurance.

Media Portrayals of Outcomes After Extracorporeal Membrane Oxygenation

Shannon M. Fernando, MD, MSc; Rebecca Mathew, MD; Arthur S. Slutsky, MD, MASc; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):391-394. doi:10.1001/jamainternmed.2020.6094

This cross-sectional study evaluates reports of patients receiving extracorporeal membrane oxygenation published in online media to systematically assess how mortality and disability attributed to this therapy were portrayed.

Effect and Reach of Medical Articles Posted on Preprint Servers During the COVID-19 Pandemic

Ye Eun (Grace) Jung, MD; Yifei Sun, PhD; Neil W. Schluger, MD

Abstract Full Text

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JAMA Intern Med. 2021;181(3):395-397. doi:10.1001/jamainternmed.2020.6629

This survey study examines the reach of studies about therapies for COVID-19 that were posted on preprint servers.

Association of Political Party Affiliation With Physical Distancing Among Young Adults During the COVID-19 Pandemic

Adam M. Leventhal, PhD; Hongying Dai, PhD; Jessica L. Barrington-Trimis, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(3):399-403. doi:10.1001/jamainternmed.2020.6898

This cross-sectional study estimates the association of political party affiliation with physical distancing behaviors among young adults during the coronavirus disease 2019 pandemic.

Challenges in Clinical Electrocardiography

The de Winter Electrocardiogram Pattern Evolving From Hyperacute T Waves

Yi-Wei Cao, MD; Hao-Yu Wu, MD; Lei Liang, MD

Abstract Full Text

JAMA Intern Med. 2021;181(3):372-373. doi:10.1001/jamainternmed.2020.7084

This case report describes the electrocardiographic findings of a man in his 40s presenting to the emergency department with chest pain, sweating, and nausea and no remarkable cardiopulmonary examination findings.

A Young Man With Generalized Muscle Weakness and a Peculiar Electrocardiogram: Carpe Diem

Dinkar Bhasin, MD, DM; Rahul Kumar, MD; Anunay Gupta, MD, DM

Abstract Full Text

JAMA Intern Med. 2021;181(3):374-376. doi:10.1001/jamainternmed.2020.7119

This case report describes the electrocardiographic findings of a man in his 20s who presented with acute-onset, bilateral lower-limb weakness and less severe upper-limb weakness a day after performing physical activity.

Acute Coronary Syndrome With Anterior Precordial ST Depression: Nip It in the Bud

Aayush K. Singal, MD; Bharath Raj Kidambi, MD, DM; Raghav Bansal, MD, DM

Abstract Full Text

JAMA Intern Med. 2021;181(3):377-378. doi:10.1001/jamainternmed.2020.7379

This case report presents electrocardiographic findings in a patient with acute onset left-sided chest pain associated with breathlessness for 16 hours.

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