September 1, 2021 Issue of JAMA Internal Medicine

September 2021, Vol 181, No. 9, Pages 1154-1268

Viewpoint

Physician Work Environment and Well-Being

Toward Gender Equity in Academic Promotions

Leah M. Marcotte, MD; Vineet M. Arora, MD, MAPP; Ishani Ganguli, MD, MPH

Abstract Full Text

JAMA Intern Med. 2021;181(9):1155-1156. doi:10.1001/jamainternmed.2021.3471

This Viewpoint outlines policy changes to make academic promotions more equitable for women physicians.

Affordability and Access to Abortion Care in the United States

Samuel L. Dickman, MD; Kari White, PhD, MPH; Daniel Grossman, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1157-1158. doi:10.1001/jamainternmed.2021.3502

This Viewpoint discusses the continuing physical and financial effects of the 1976 Hyde Amendment (as subsequently revised) curtailing access to abortion services for low-income US citizens and examines the risks posed by this and similar legislation.

Perspective

Finding a Voice for the Accidentally Unbefriended

Anita B. Major, MD; Aanand D. Naik, MD; Timothy W. Farrell, MD

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1159-1160. doi:10.1001/jamainternmed.2021.2956

This essay describes the challenges that older adults faced during shelter-in-place orders during the beginning of the COVID-19 pandemic.

Original Investigation

Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial

Kevin L. Schwartz, MD; Noah Ivers, MD; Bradley J. Langford, PharmD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1165-1173. doi:10.1001/jamainternmed.2021.2790

This randomized clinical trial evaluates peer-comparison audit and feedback to primary care physicians with a high volume of antibiotic prescribing to assess the effect of targeted messaging on avoiding unnecessary antibiotic initiation and long-duration prescribing.

The Trial to Reduce Antimicrobial Use in Nursing Home Residents With Alzheimer Disease and Other Dementias (TRAIN-AD): A Cluster Randomized Clinical Trial

Susan L. Mitchell, MD, MPH; Erika M. C. D鈥橝gata, MD, MPH; Laura C. Hanson, MD, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1174-1182. doi:10.1001/jamainternmed.2021.3098

This cluster randomized clinical trial in 28 nursing homes in the Boston area tested the effectiveness of a multicomponent intervention to improve management of suspected urinary tract and lower respiratory infections in residents with advanced dementia.

Coffee Consumption and Incident Tachyarrhythmias: Reported Behavior, Mendelian Randomization, and Their Interactions

Eun-jeong Kim, MD; Thomas J. Hoffmann, PhD; Gregory Nah, MA; et al.

Abstract Full Text

free access has multimedia has audio

JAMA Intern Med. 2021;181(9):1185-1193. doi:10.1001/jamainternmed.2021.3616

This cohort study assesses the association between consumption of common caffeinated products and the risk of arrhythmias using data from the UK Biobank.

Video: Caffeine and the Human Body

Podcast: Coffee Consumption and Incident Tachyarrhythmias

Association of Cycling With All-Cause and Cardiovascular Disease Mortality Among Persons With Diabetes: The European Prospective Investigation Into Cancer and Nutrition (EPIC) Study

Mathias Ried-Larsen, PhD; Martin Gillies Rasmussen, PhD; Kim Blond, MSc; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1196-1205. doi:10.1001/jamainternmed.2021.3836

This cohort study investigates the association between time spent cycling and all-cause and cardiovascular disease mortality among persons with diabetes.

Editor's Note
Cycling for Health
Rita F. Redberg, MD, MSc; Eric Vittinghoff, PhD; Mitchell H. Katz, MD

JAMA Intern Med

Health Care Reform

Changes in Racial and Ethnic Disparities in Access to Care and Health Among US Adults at Age 65 Years

Jacob Wallace, PhD; Karen Jiang, BA; Paul Goldsmith-Pinkham, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1207-1215. doi:10.1001/jamainternmed.2021.3922

This cross-sectional study examines the association of Medicare with racial and ethnic disparities in access to care and health.

Editor's Note
Reducing Racial and Ethnic Disparities in Health Care
Robert Steinbrook, MD

JAMA Intern Med

Health Care Policy and Law

Reporting of Death in US Food and Drug Administration Medical Device Adverse Event Reports in Categories Other Than Death

Christina Lalani, MD; Elysha M. Kunwar, BA; Madris Kinard, MBA; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1217-1223. doi:10.1001/jamainternmed.2021.3942

This study examines the percentage of medical device adverse event reports submitted to the Us Food and Drug Administration鈥檚 Manufacturer and User Facility Device Experience database that were not classified as death even though the patient died.

Editorial

Nine Lessons Learned From the COVID-19 Pandemic for Improving Hospital Care and Health Care Delivery

Eric K. Wei, MD, MBA; Theodore Long, MD, MHS; Mitchell H. Katz, MD

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1161-1163. doi:10.1001/jamainternmed.2021.4237

Physician Work Environment and Well-Being

Persistent Gender Pay Gaps in Medicine: What Is Good for the Goose Is Better for the Gander鈥檚 Paycheck

Rita F. Redberg, MD; Anna L. Parks, MD; Jessica Beth Rubin, MD, MPH

Abstract Full Text

JAMA Intern Med. 2021;181(9):1164. doi:10.1001/jamainternmed.2021.3470

Invited Commentary

Reducing Antimicrobial Use Among Nursing Home Residents With Advanced Dementia: The Need for Practical Tools

Shiwei Zhou, MD; Preeti N. Malani, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1183-1184. doi:10.1001/jamainternmed.2021.3243

Another Cup of Coffee Without an Arrhythmia, Please

Zachary D. Goldberger, MD, MS; Rodney A. Hayward, MD

Abstract Full Text

has audio

JAMA Intern Med. 2021;181(9):1193-1195. doi:10.1001/jamainternmed.2021.4073

Podcast: Coffee Consumption and Incident Tachyarrhythmias

High-Sensitivity Cardiac Troponin Assay in Patients With Kidney Impairment: A Challenge to Clinical Implementation

Keith C. Hemmert, MD; Benjamin C. Sun, MD, MPP

Abstract Full Text

JAMA Intern Med. 2021;181(9):1239-1241. doi:10.1001/jamainternmed.2021.1194

Editor's Note

Cycling for Health

Rita F. Redberg, MD, MSc; Eric Vittinghoff, PhD; Mitchell H. Katz, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1206. doi:10.1001/jamainternmed.2021.3830

Reducing Racial and Ethnic Disparities in Health Care

Robert Steinbrook, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1216. doi:10.1001/jamainternmed.2021.3908

A Response to Excessive Screening Questions

Mitchell H. Katz, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1255. doi:10.1001/jamainternmed.2021.2925

Research Letter

Use of High-Sensitivity Cardiac Troponin in Patients With Kidney Impairment: A Randomized Clinical Trial

Peter J. Gallacher, MD; Eve Miller-Hodges, MD; Anoop S.V. Shah, MD; et al.

Abstract Full Text

open access

JAMA Intern Med. 2021;181(9):1237-1239. doi:10.1001/jamainternmed.2021.1184

This randomized clinical trial examines the use of high-sensitivity cardiac troponin testing for patients with kidney impairment.

Effectiveness of Tocilizumab in Patients Hospitalized With COVID-19: A Follow-up of the CORIMUNO-TOCI-1 Randomized Clinical Trial

Xavier Mariette, MD, PhD; Olivier Hermine, MD, PhD; Pierre-Louis Tharaux, MD, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1241-1243. doi:10.1001/jamainternmed.2021.2209

This follow-up study of the CORIMUNO-TOCI-1 randomized clinical trial examines the association between survival and C-reactive protein levels in patients hospitalized with COVID-19 who were treated with tocilizumab.

Association of Facial Paralysis With mRNA COVID-19 Vaccines: A Disproportionality Analysis Using the World Health Organization Pharmacovigilance Database

Lucie Renoud; Charles Khouri, PharmD, PhD; Bruno Revol, PharmD, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1243-1245. doi:10.1001/jamainternmed.2021.2219

This disproportionality analysis uses the World Health Organization pharmacovigilance database to explore the potential safety signal of facial paralysis after COVID-19 vaccination.

Social Connectedness Among Medicare Beneficiaries Following the Onset of the COVID-19 Pandemic

Wesley J. Talcott, MD, MBA; James B. Yu, MD, MHS; Cary P. Gross, MD; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1245-1248. doi:10.1001/jamainternmed.2021.2348

This cross-sectional study examines social connectedness among Medicare beneficiaries during the COVID-19 pandemic.

Gender, Race, Ethnicity, and Sexual Orientation of Editors at Leading Medical and Scientific Journals: A Cross-sectional Survey

James W. Salazar, MD, MAS; Jennifer D. Claytor, MD, MS; Anand R. Habib, MD, MPhil; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1248-1251. doi:10.1001/jamainternmed.2021.2363

This survey study assesses the diversity of editors at leading medical and scientific journals.

Spread of Misinformation About Face Masks and COVID-19 by Automated Software on Facebook

John W. Ayers, PhD, MA; Brian Chu, BS; Zechariah Zhu; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1251-1253. doi:10.1001/jamainternmed.2021.2498

This cross-sectional study examines the spread of misinformation regarding the Danish Study to Assess Face Masks for the Protection Against COVID-19 Infection on Facebook.

Less Is More

Frequency of Administration of Standardized Screening Questions in Federally Qualified Health Centers

Jodi Simon, DrPH, MS; Jeffrey Panzer, MD, MS; Elizabeth Adetoro, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2021;181(9):1253-1255. doi:10.1001/jamainternmed.2021.2503

This quality improvement study assesses the frequency of standardized screenings tied to performance metrics within a national network of federally qualified health centers.

Editor's Note
A Response to Excessive Screening Questions
Mitchell H. Katz, MD

JAMA Intern Med

Physician Work Environment and Well-Being

Gender Gaps in Salary and Representation in Academic Internal Medicine Specialties in the US

Teresa Wang, MD; Pamela S. Douglas, MD; Nosheen Reza, MD

Abstract Full Text

free access

JAMA Intern Med. 2021;181(9):1255-1257. doi:10.1001/jamainternmed.2021.3469

This cross-sectional analysis examines survey data on academic physician salaries from 2018 to 2019 using the Association of American Medical Colleges Faculty Salary Report to evaluate demographics and salaries of academic internal medicine physician specialists.

Editorial
Persistent Gender Pay Gaps in Medicine: What Is Good for the Goose Is Better for the Gander鈥檚 Paycheck
Rita F. Redberg, MD; Anna L. Parks, MD; Jessica Beth Rubin, MD, MPH

JAMA Intern Med

Challenges in Clinical Electrocardiography

Acute Myocardial Infarction With Diffuse ST-Segment Elevation: Where Is the Culprit?

Kent L. Beam, MD; Travis K. Barlock, MD; Laszlo Littmann, MD, PhD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1224-1226. doi:10.1001/jamainternmed.2021.2607

This case report describes the electrocardiographic results of a patient with severe substernal chest pain.

Stress-Induced Progression of Atrioventricular Block in a Patient with Breathlessness

Ameer Hamid A. Khan, MBBS, BSc; Sagar Kulkarni, MBBS, BSc; Han B. Xiao, MBBS, PhD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1227-1228. doi:10.1001/jamainternmed.2021.2970

This case report describes a patient in their 50s with mild exertional breathlessness.

A Mimic of Myocardial Ischemia in a Woman With Hyperemesis Gravidarum

Nisha N. Menon, MBBS

Abstract Full Text

JAMA Intern Med. 2021;181(9):1229-1230. doi:10.1001/jamainternmed.2021.3053

This case report presents electrocardiographic findings mimicking myocardial ischemia in a pregnant woman in her 20s with hyperemesis gravidarum.

Diagnostic Approach to Wide Complex Tachycardia

Maxime Cerantola, MD; Jeffrey Arkles, MD; David S. Frankel, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1231-1233. doi:10.1001/jamainternmed.2021.3189

This case report presents the electrocardiographic findings in a woman in her 60s with metastatic melanoma who presented with intermittent palpitations and light-headedness.

Home Diagnosis of Wide Complex Tachycardia鈥擳he Value for Remote Monitoring

Shawn Lee, MD; Gregory P. Siroky, MD; Ranjit Suri, MD

Abstract Full Text

JAMA Intern Med. 2021;181(9):1234-1236. doi:10.1001/jamainternmed.2021.3194

This case report presents the electrocardiographic findings of a patient in their 60s with a history of myocardial infarction, coronary artery bypass surgery, reduced left ventricular ejection fraction, and a single-chamber implantable cardioverter-defibrillator who experienced palpitations at home.

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