September 1, 2022 Issue of JAMA Internal Medicine

September 2022, Vol 182, No. 9, Pages 896-1016

Viewpoint

The Role of Primary Care Clinicians in Protecting Access to Abortion Services

Miriam R. Singer, BA; Deborah Bartz, MD, MPH; Lydia E. Pace, MD, MPH

Abstract Full Text

JAMA Intern Med. 2022;182(9):897-898. doi:10.1001/jamainternmed.2022.3188

This Viewpoint discusses the key role of primary care clinicians in protecting patient access to safe abortion services.

Perspective

Less Is More

The Gift

Ramya Sampath, BA

Abstract Full Text

JAMA Intern Med. 2022;182(9):899-900. doi:10.1001/jamainternmed.2022.2937

This essay describes the author鈥檚 family鈥檚 experience in shared decision-making and clinician鈥揻amily communication in end-of-life care of a loved one.

Original Investigation

High-Dose Dexamethasone and Oxygen Support Strategies in Intensive Care Unit Patients With Severe COVID-19 Acute Hypoxemic Respiratory Failure: The COVIDICUS Randomized Clinical Trial

Lila Bouadma, MD, PhD; Armand Mekontso-Dessap, MD, PhD; Charles Burdet, MD, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):906-916. doi:10.1001/jamainternmed.2022.2168

This randomized clinical trial assesses high-dose dexamethasone vs standard care and 3 oxygenation strategies for intensive care unit (ICU) patients with severe COVID-19 acute hypoxemic respiratory failure.

Association of Sociodemographic Characteristics With US Medical Student Attrition

Mytien Nguyen, MS; Sarwat I. Chaudhry, MD; Mayur M. Desai, PhD, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):917-924. doi:10.1001/jamainternmed.2022.2194

This retrospective cohort study investigates the association between sociodemographic characteristics and medical school attrition rates in the US.

Clinical Outcomes and Cost Associated With an Intravascular Microaxial Left Ventricular Assist Device vs Intra-aortic Balloon Pump in Patients Presenting With Acute Myocardial Infarction Complicated by Cardiogenic Shock

P. Elliott Miller, MD, MHS; Samantha G. Bromfield, PhD; Qinli Ma, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):926-933. doi:10.1001/jamainternmed.2022.2735

This cohort study examines the association of intravascular left ventricular assist device or intra-aortic balloon pump use with clinical outcomes and cost in patients with acute myocardial infarction complicated by cardiogenic shock.

Editorial
Intravascular Microaxial Left Ventricular Assist Device for Acute Myocardial Infarction With Cardiogenic Shock鈥擜 Call for Evidence of Benefit
Gene Hu, MD; Anand R. Habib, MD, MPhil; Rita F. Redberg, MD, MSc

JAMA Intern Med

Syncope and the Risk of Subsequent Motor Vehicle Crash: A Population-Based Retrospective Cohort Study

John A. Staples, MD, MPH; Shannon Erdelyi, MSc; Ketki Merchant, MSc, MBBS; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):934-942. doi:10.1001/jamainternmed.2022.2865

This cohort study compares the rate of motor vehicle crashes among patients discharged from the emergency department after first-episode syncope vs conditions other than syncope to determine if more stringent driving restrictions are warranted.

Editor's Note
Driving Safety After an Acute Illness鈥擳his Is Our Lane
Cary P. Gross, MD; Mark R. Rosekind, PhD

JAMA Intern Med

Effect of a Comprehensive Telehealth Intervention vs Telemonitoring and Care Coordination in Patients With Persistently Poor Type 2 Diabetes Control: A Randomized Clinical Trial

Matthew J. Crowley, MD, MHS; Phillip E. Tarkington, MD; Hayden B. Bosworth, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):943-952. doi:10.1001/jamainternmed.2022.2947

This randomized clinical trial assesses the effect of a comprehensive telehealth intervention vs a simpler telehealth approach for patients with persistently poorly controlled type 2 diabetes.

Effectiveness of Early Time-Restricted Eating for Weight Loss, Fat Loss, and Cardiometabolic Health in Adults With Obesity: A Randomized Clinical Trial

Humaira Jamshed, PhD; Felicia L. Steger, PhD; David R. Bryan, MA; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):953-962. doi:10.1001/jamainternmed.2022.3050

This randomized clinical trial assesses whether practicing early time-restricted eating is more effective for weight loss, fat loss, and cardiometabolic health in adults with obesity than eating over a period of 12 or more hours.

Podcast: Effectiveness of Early Time-Restricted Eating for Weight Loss and Fat Loss in Adults With Obesity

Assessment of Calories Purchased After Calorie Labeling of Prepared Foods in a Large Supermarket Chain

Joshua Petimar, ScD; Anna H. Grummon, PhD; Fang Zhang, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):965-973. doi:10.1001/jamainternmed.2022.3065

This longitudinal study examines associations of calorie labeling of prepared foods with calories purchased in a large supermarket chain.

Less Is More

Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: A Randomized Comparative Effectiveness Trial

John D. Piette, MSc, PhD; Sean Newman, MS; Sarah L. Krein, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):975-983. doi:10.1001/jamainternmed.2022.3178

This randomized noninferiority trial compares the effectiveness and cost of cognitive behavioral therapy delivered using artificial intelligence vs traditional telephone therapy for patients with chronic back pain.

Editorial

Updated USPSTF Recommendations for Behavioral Counseling Interventions: Gaps, Challenges, and Opportunities

Sara N. Bleich, PhD

Abstract Full Text

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JAMA Intern Med. 2022;182(9):901-903. doi:10.1001/jamainternmed.2022.2015

Podcast: USPSTF Recommendation: Behavioral Counseling Interventions to Promote Healthy Behaviors for CVD Prevention

Editorial
Implications of the New Recommendation on Behavioral Counseling Interventions to Promote Healthy Eating and Physical Activity
Dariush Mozaffarian, MD, DrPH

JAMA
- Podcast: USPSTF Recommendation: Behavioral Counseling Interventions to Promote Healthy Behaviors for CVD Prevention
Improving Behavioral Counseling for Primary Cardiovascular Disease Prevention
Carl J. Lavie, MD; Barry A. Franklin, PhD; Keith C. Ferdinand, MD

JAMA Cardiol
- Podcast: USPSTF Recommendation: Behavioral Counseling Interventions to Promote Healthy Behaviors for CVD Prevention

Intravascular Microaxial Left Ventricular Assist Device for Acute Myocardial Infarction With Cardiogenic Shock鈥擜 Call for Evidence of Benefit

Gene Hu, MD; Anand R. Habib, MD, MPhil; Rita F. Redberg, MD, MSc

Abstract Full Text

JAMA Intern Med. 2022;182(9):903-905. doi:10.1001/jamainternmed.2022.2734

Invited Commentary

Repaving the Pathway to Prevent the Loss of Students With Marginalized Identities鈥擬edical Student Attrition

Monica L. Lypson, MD, MHPE; Cristina M. Gonzalez, MD, MEd; Paula Y. Thompson, PhD, MA

Abstract Full Text

JAMA Intern Med. 2022;182(9):924-925. doi:10.1001/jamainternmed.2022.2140

Time-Restricted Eating to Improve Health鈥擜 Promising Idea in Need of Stronger Clinical Trial Evidence

Shalender Bhasin, MB, BS

Abstract Full Text

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JAMA Intern Med. 2022;182(9):963-964. doi:10.1001/jamainternmed.2022.3038

Podcast: Effectiveness of Early Time-Restricted Eating for Weight Loss and Fat Loss in Adults With Obesity

Health Care Policy and Law

Preventing Obesity鈥擨t Is Time for Multiple Policy Strategies

Marion Nestle, PhD, MPH

Abstract Full Text

JAMA Intern Med. 2022;182(9):973-974. doi:10.1001/jamainternmed.2022.3039

Unmet Needs in Health Disparities Research鈥擨t鈥檚 Not Just About Patients

Nadine J. Barrett, PhD, MA, MS; Karen Bullock, PhD; Kimberly S. Johnson, MD, MHS

Abstract Full Text

JAMA Intern Med. 2022;182(9):995-996. doi:10.1001/jamainternmed.2022.2877

Remote Patient Monitoring鈥擶ill More Data Lead to More Health?

Amol S. Navathe, MD, PhD; Aidan Crowley, BS; Joshua M. Liao, MD, MSc

Abstract Full Text

JAMA Intern Med. 2022;182(9):1007-1008. doi:10.1001/jamainternmed.2022.3040

Editor's Note

Driving Safety After an Acute Illness鈥擳his Is Our Lane

Cary P. Gross, MD; Mark R. Rosekind, PhD

Abstract Full Text

JAMA Intern Med. 2022;182(9):942. doi:10.1001/jamainternmed.2022.2874

Research Letter

Differences Among Racial and Ethnic Minority Groups in the Unmet Existential and Supportive Care Needs of People Receiving Dialysis

Catherine R. Butler, MD, MA; Rashmi K. Sharma, MD, MHS; Nwamaka D. Eneanya, MD, MPH; et al.

Abstract Full Text

open access

JAMA Intern Med. 2022;182(9):992-995. doi:10.1001/jamainternmed.2022.1677

This cohort study examines differences regarding existential and supportive care needs for patients with kidney disease between individuals of racial and ethnic minority groups compared with White individuals.

Assessment of Prices for Cardiovascular Tests and Procedures at Top-Ranked US Hospitals

Andrew S. Oseran, MD, MBA; Shylie Ati, BA; William B. Feldman, MD, DPhil, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):996-999. doi:10.1001/jamainternmed.2022.2602

This cross-sectional study describes variation in prices for common cardiovascular tests and procedures, both between and within top-ranked US hospitals.

Less Is More

Evaluation of a Best Practice Advisory on Ordering Prothrombin Time, International Normalized Ratio, and Partial Thromboplastin Time Tests

Madison Breeden, MD; Steven J. Bernstein, MD, MPH; Rodney A. Hayward, MD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):999-1000. doi:10.1001/jamainternmed.2022.2609

This quality improvement study assesses changes in prothrombin time, international normalized ratio, and partial thromboplastin time testing after a best practices advisory was issued.

An Electronic Medical Record鈥揃ased Decision Support Tool for the Diagnosis of Primary Hyperparathyroidism

Nardeen B. Dawood, BA; Michelle L. Shu, BS; Chi-Hong Tseng, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):1000-1002. doi:10.1001/jamainternmed.2022.2684

This cohort study evaluates an electronic medical record鈥揵ased tool for diagnosis of primary hyperparathyroidism in patients with chronic hypercalcemia.

Internet Searches for Abortion Medications Following the Leaked Supreme Court of the United States Draft Ruling

Adam Poliak, PhD; Nora Satybaldiyeva, MPH; Steffanie A. Strathdee, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):1002-1004. doi:10.1001/jamainternmed.2022.2998

This cross-sectional study evaluates whether internet searches for abortion medications increased following the leak of a draft Supreme Court of the United States ruling that would overturn the 1973 Roe v Wade decision.

Trends in Remote Patient Monitoring Use in Traditional Medicare

Mitchell Tang, BA, BS; Carter H. Nakamoto, AB; Ariel D. Stern, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2022;182(9):1005-1006. doi:10.1001/jamainternmed.2022.3043

This cross-sectional study uses traditional Medicare claims data to assess trends in general remote patient monitoring from January 2018 through September 2021.

Challenges in Clinical Electrocardiography

The Devil Hides in the Details鈥擱are Electrocardiogram Findings in a Patient in Their 50s

Xiao-Yan Yang, MD; Chang-Qing Zhong, PhD; Yi Zhang, PhD

Abstract Full Text

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JAMA Intern Med. 2022;182(9):984-985. doi:10.1001/jamainternmed.2022.2720

This case report describes a patient in their 50s who presented to the emergency department with dyspnea, palpitations, fatigue, and syncope, following a fever and symptoms of an upper respiratory tract infection.

Beyond Left Bundle Branch Block

Rimmy Garg, MD; Sudhir Mungee, MD; Mazen M. Kawji, MD

Abstract Full Text

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JAMA Intern Med. 2022;182(9):986-987. doi:10.1001/jamainternmed.2022.2804

This case report describes the electrocardiogram findings of a patient with a history of atrial fibrillation, hypertension, and hyperlipidemia who presented with sudden onset chest pain and shortness of breath.

Wide Complex Tachycardia and Flecainide

Carlos Ruben Lopez Perales, MD; Pablo Manuel Fernandez Corredoira, MD; Maruan Chabbar Boudet, MD

Abstract Full Text

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JAMA Intern Med. 2022;182(9):988-989. doi:10.1001/jamainternmed.2022.2940

This case report describes a patient in their 70s with a history of paroxysmal atrial fibrillation who presented to the emergency department with complaints of dizziness.

Remarkably Widened QRS Complex Following a Lethal Dose of Propafenone鈥擜n Ominous Sign

Jing-Xiu Li, MD, PhD; Mu-Qiu Wang, MD; Min Gao, MD, PhD

Abstract Full Text

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JAMA Intern Med. 2022;182(9):990-991. doi:10.1001/jamainternmed.2022.3367

This case report describes the electrocardiogram findings of a patient in their 30s who attempted suicide by taking propafenone and presented to the emergency department with impaired consciousness and convulsions.

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