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October 2024 - January 1908

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Issue

October 2023, Vol 183, No. 10, Pages 1042-1179

Viewpoint

Health Care Policy and Law

CalRx Biosimilar Insulin: California’s Initiative to Enter the Insulin Market

Abstract Full Text
JAMA Intern Med. 2023;183(10):1043-1044. doi:10.1001/jamainternmed.2023.3280

This viewpoint evaluates California’s CalRx Biosimilar Insulin Initiative, which aims to address insulin affordability by offering less expensive alternatives to existing products, specifically targeting patients with insulin-dependent diabetes.

Health Care Policy and Law

Unique Device Identifiers for Medical Devices at 10 Years

Abstract Full Text
JAMA Intern Med. 2023;183(10):1045-1046. doi:10.1001/jamainternmed.2023.3572

This Viewpoint discusses the next steps to realize the public health promise of using unique device identifiers in health information data and outlines the progress and challenges in implementation over the past 10 years.

The Future of Cancer Screening—Guided Without Conflicts of Interest

Abstract Full Text
JAMA Intern Med. 2023;183(10):1047-1048. doi:10.1001/jamainternmed.2023.4064

This Viewpoint discusses the benefits and harms of cancer screening tests in the context of various stakeholders.

Original Investigation

Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1061-1068. doi:10.1001/jamainternmed.2023.3264

This randomized crossover trial aims to determine the effect of using a regular blood pressure cuff vs an appropriately sized blood pressure cuff on automated blood pressure readings.

Association of Intensive Lifestyle Intervention for Type 2 Diabetes With Labor Market Outcomes

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1071-1079. doi:10.1001/jamainternmed.2023.3283

This cohort study assesses whether an intensive lifestyle intervention for weight loss among individuals with both type 2 diabetes and overweight or obesity was associated with changes in employment, earnings, and disability benefit receipt.

Comparison of Particulate Air Pollution From Different Emission Sources and Incident Dementia in the US

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1080-1089. doi:10.1001/jamainternmed.2023.3300

This cohort study examines the associations between incident dementia and long-term fine particulate matter expressed as total mass and fine particulate matter from unique emission sources.

Endovascular Aneurysm Repair Devices as a Use Case for Postmarketing Surveillance of Medical Devices

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1090-1097. doi:10.1001/jamainternmed.2023.3562

This cohort study of clinical data from the Veterans Affairs Corporate Data Warehouse uses advanced informatics and statistical methods to perform postmarketing device surveillance, using clinical outcomes associated with endovascular aneurysm repair devices as a use case.

Changes in the Use of Long-Term Medications Following Incident Dementia Diagnosis

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1098-1108. doi:10.1001/jamainternmed.2023.3575

This cohort study investigates changes in use of common medications after an incident dementia diagnosis in a national sample of Medicare beneficiaries.

Late Mortality After COVID-19 Infection Among US Veterans vs Risk-Matched Comparators: A 2-Year Cohort Analysis

Abstract Full Text
open access
JAMA Intern Med. 2023;183(10):1111-1119. doi:10.1001/jamainternmed.2023.3587

This retrospective cohort study of COVID-19 survivors and matched uninfected comparators assesses the time course of excess mortality after COVID-19.

Pharmacy e-Prescription Dispensing Before and After CancelRx Implementation

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192

This case series with interrupted time series analysis evaluates the association of the implementation of e-prescription cancellation messaging (CancelRx) with the discontinuation of medication dispensing after e-prescription in the electronic health record.

Defining Usual Oral Temperature Ranges in Outpatients Using an Unsupervised Learning Algorithm

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1128-1135. doi:10.1001/jamainternmed.2023.4291

This cross-sectional study uses biometric and demographic characteristics of patients to identify factors associated with oral temperature ranges within individuals and thereby generate personalized temperature ranges to assist in clinical decision-making in a population of adults receiving outpatient care.

Cardiac Arrest Survival at Emergency Medical Service Agencies in Catchment Areas With Primarily Black and Hispanic Populations

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1136-1143. doi:10.1001/jamainternmed.2023.4303

This cohort study evaluates the survival rates of Black and Hispanic patients compared with White patients with out-of-hospital cardiac arrest following emergency medical service response.

Editorial

Unique Device Identifiers—Missing in Action

Abstract Full Text
JAMA Intern Med. 2023;183(10):1049-1050. doi:10.1001/jamainternmed.2023.3561

The Need for Randomized Clinical Trials Demonstrating Reduction in All-Cause Mortality With Blood Tests for Cancer Screening

Abstract Full Text
JAMA Intern Med. 2023;183(10):1051-1053. doi:10.1001/jamainternmed.2023.3610

Introducing Inside Story, a New Section for JAMA Internal Medicine

Abstract Full Text
JAMA Intern Med. 2023;183(10):1053-1054. doi:10.1001/jamainternmed.2023.3795

Health Care Policy and Law

Updated USPSTF Recommendations for Preexposure Prophylaxis—New Choices, New Obstacles

Abstract Full Text
JAMA Intern Med. 2023;183(10):1054-1056. doi:10.1001/jamainternmed.2023.3929

Reducing the Risks of Nuclear War—The Role of Health Professionals

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1057-1058. doi:10.1001/jamainternmed.2023.4457

ÌÇÐÄvlog Call for Papers on Health and the 2024 US Election

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1058-1060. doi:10.1001/jamainternmed.2023.4474
Invited Commentary

There Is No 1-Size-Fits-All to Blood Pressure Measurement—Cuff Size Matters

Abstract Full Text
JAMA Intern Med. 2023;183(10):1069-1070. doi:10.1001/jamainternmed.2023.3277

The Maelstrom of Medications—Optimization of Prescribing During the Course of Dementia

Abstract Full Text
JAMA Intern Med. 2023;183(10):1108-1110. doi:10.1001/jamainternmed.2023.3584

Real-Time Benefit Tools Must Be Designed to Serve Both Clinicians and Patients

Abstract Full Text
JAMA Intern Med. 2023;183(10):1175-1176. doi:10.1001/jamainternmed.2023.3249
Editor's Note

Canceling Discontinued Electronic Prescriptions

Abstract Full Text
JAMA Intern Med. 2023;183(10):1126-1127. doi:10.1001/jamainternmed.2023.4190
Review

Assessing the Clinical Utility of Liquid Biopsies Across 5 Potential Indications From Therapy Selection to Population Screening: A Review

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1144-1151. doi:10.1001/jamainternmed.2023.3603

This review assesses 5 clinical indications for molecular-based tests to detect and quantify tumor DNA circulating in the bloodstream among patients with suspected cancer or recurrence.

Teachable Moment

Mild Transaminase Elevation With Rapid Diagnostic Escalation: A Teachable Moment

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1152-1153. doi:10.1001/jamainternmed.2023.3884

This Teachable Moment describes a 33-year-old woman with decreasing transaminase levels on repeated testing and ultrasonography showing fatty infiltration.

Research Letter

Association of Neighborhood-Level Environmental Injustice With Health Status in the US

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1162-1163. doi:10.1001/jamainternmed.2023.2835

This cross-sectional study uses the Environmental Justice Index to assess the association between environmental injustice and health status at the neighborhood level.

Health Care Policy and Law

Medical Product Industry Ties to Patient Advocacy Organizations’ Executive Leadership

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1164-1166. doi:10.1001/jamainternmed.2023.2842

This cross-sectional study examines the ties between pharmaceutical and medical device industries and the executive leadership of the 50 highest-revenue US-based patient advocacy organizations.

Health Care Reform

Career Plans of Internal Medicine Residents From 2019 to 2021

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1166-1167. doi:10.1001/jamainternmed.2023.2873

This survey study examines career choices of internal medicine residents from 2019 to 2021 and compares them with findings from a decade earlier.

Portrayal of Women as Physicians in Movies, 1990-2020

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1168-1170. doi:10.1001/jamainternmed.2023.2913

This cross-sectional study quantifies the portrayal of women as physicians in US movies over the past 3 decades.

Tobacco Product Marketing Orders and Online Marketing and Sale of Unauthorized ENDS Products

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1170-1172. doi:10.1001/jamainternmed.2023.3101

This study characterizes online marketing of unauthorized electronic nicotine delivery systems (ENDS).

Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1172-1175. doi:10.1001/jamainternmed.2023.3307

This cross-sectional study examines whether clinicians changed their medication orders after seeing the patient’s out-of-pocket drug costs in the electronic health record.

Challenges in Clinical Electrocardiography

Narrow Complex Tachycardia

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1154-1155. doi:10.1001/jamainternmed.2023.2250

This case report presents the electrocardiogram findings of a patient in their 50s with sudden onset, severe palpitations lasting for 2 hours.

Incorrect Electrocardiogram Lead Placement in ST-Segment–Elevation Myocardial Infarction

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1156-1157. doi:10.1001/jamainternmed.2023.2254

This case report describes a patient in their 70s with acute onset waxing and waning chest pressure, which radiated to both arms and was accompanied by shortness of breath.

Arrhythmia During Anaphylaxis—An Intrinsic or Extrinsic Cause?

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1158-1159. doi:10.1001/jamainternmed.2023.2259

A patient in their 50s presented to the emergency department (ER) within 30 minutes of ingestion of prawns at a restaurant with complaints of an itchy skin rash, and generalized weakness; his pulse rate was 79 bpm, his blood pressure was 50/30 mm Hg, and his respiratory rate was 20 per minute. What is your diagnosis?

Chest Pain With Exercise-Induced Left Bundle-Branch Block—Is There a Connection?

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(10):1160-1161. doi:10.1001/jamainternmed.2023.2264

This case report describes a patient in their early 60s with chest pain during exertion.

Comment & Response

Separating Actionable From Incidental Findings—Imperative for Meaningful Clinical Outcomes

Abstract Full Text
JAMA Intern Med. 2023;183(10):1176. doi:10.1001/jamainternmed.2023.4070

Separating Actionable From Incidental Findings—Imperative for Meaningful Clinical Outcomes—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(10):1176-1177. doi:10.1001/jamainternmed.2023.4067

Chatbot Confabulations Are Not Hallucinations

Abstract Full Text
JAMA Intern Med. 2023;183(10):1177. doi:10.1001/jamainternmed.2023.4231

Chatbot Confabulations Are Not Hallucinations—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(10):1177-1178. doi:10.1001/jamainternmed.2023.3875

Immortal Time Bias Possibly Affecting Fludrocortisone−Hydrocortisone Findings

Abstract Full Text
JAMA Intern Med. 2023;183(10):1178. doi:10.1001/jamainternmed.2023.4378

Immortal Time Bias Possibly Affecting Fludrocortisone−Hydrocortisone Findings—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(10):1178-1179. doi:10.1001/jamainternmed.2023.4375
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2023;183(10):1042. doi:10.1001/jamainternmed.2022.4653
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