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October 2024 - January 1908

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December 2023, Vol 183, No. 12, Pages 1288-1414

Inside Story

Waiting for a Heart Valve—You Can’t Go Back

Abstract Full Text
JAMA Intern Med. 2023;183(12):1293-1294. doi:10.1001/jamainternmed.2023.5339

This essay describes a family of physicians waiting for a heart valve for their vivacious 95-year-old aunt.

Original Investigation

The Natural History of Disability and Caregiving Before and After Long-Term Care Entry

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1295-1303. doi:10.1001/jamainternmed.2023.5427

This cohort study describes disability and caregiving before and after long-term care facility entry, comparing nursing home, assisted living, and independent living entrants.

Homelessness and Incidence and Causes of Sudden Death: Data From the POST SCD Study

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1306-1314. doi:10.1001/jamainternmed.2023.5475

This cohort study compares incidence and causes of sudden death by autopsy among housed and unhoused individuals in San Francisco County, California.

Changes in Care Use and Financial Status Associated With Dementia in Older Adults

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1315-1323. doi:10.1001/jamainternmed.2023.5482

This cohort study aims to determine the incremental changes associated with dementia in regard to older adults’ care use as well as assess financial consequences for individuals, families, and society.

Endogenous and Exogenous Thyrotoxicosis and Risk of Incident Cognitive Disorders in Older Adults

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1324-1331. doi:10.1001/jamainternmed.2023.5619

This cohort study assesses whether endogenous and exogenous thyrotoxicosis is associated with higher risk of cognitive disorders in adults 65 years and older.

Less Is More

Personalized Multilevel Intervention for Improving Appropriate Use of Colorectal Cancer Screening in Older Adults: A Cluster Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1334-1342. doi:10.1001/jamainternmed.2023.5656

This cluster randomized clinical trial evaluates the effect of a personalized multilevel intervention on screening orders in older adults due for average-risk colorectal cancer (CRC) screening.

Nurse Care Management for Opioid Use Disorder Treatment: The PROUD Cluster Randomized Clinical Trial

Abstract Full Text
free access has audio
JAMA Intern Med. 2023;183(12):1343-1354. doi:10.1001/jamainternmed.2023.5701

This cluster randomized clinical trial assesses whether implementation of the Massachusetts model of nurse care management for opioid use disorder in primary care increases opioid use disorder treatment with buprenorphine or extended-release injectable naltrexone and secondarily decreases acute care utilization.

Physician Work Environment and Well-Being

Changes in Physician Electronic Health Record Use With the Expansion of Telemedicine

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1357-1365. doi:10.1001/jamainternmed.2023.5738

This longitudinal cohort study measures changes in physician use of electronic health records and electronic messaging given the telemedicine expansion catalyzed by the COVID-19 pandemic.

Effect of a Novel Multicomponent Intervention to Improve Patient Access to Kidney Transplant and Living Kidney Donation: The EnAKT LKD Cluster Randomized Clinical Trial

Abstract Full Text
open access has multimedia
JAMA Intern Med. 2023;183(12):1366-1375. doi:10.1001/jamainternmed.2023.5802

This randomized clinical trial evaluates the effect of implementing a novel multicomponent intervention designed to target several barriers that prevent eligible patients from completing key steps toward receiving a kidney transplant.

Overnight Stay in the Emergency Department and Mortality in Older Patients

Abstract Full Text
free access has audio
JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961

This French cohort study evaluates in-hospital mortality and adverse effects among older adults (≥75 years) who waited overnight in the emergency department for a bed in a hospital ward.

Editorial

Introducing the Guide to Statistics and Methods: A New Series for JAMA Internal Medicine

Abstract Full Text
JAMA Intern Med. 2023;183(12):1289-1290. doi:10.1001/jamainternmed.2023.5370

Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1290-1292. doi:10.1001/jamainternmed.2023.6657
Invited Commentary

Care Demands Ahead of Transitioning Into Residential Care—A Window Into Family Caregiving at Home

Abstract Full Text
JAMA Intern Med. 2023;183(12):1304-1305. doi:10.1001/jamainternmed.2023.5490

Disentangling the Association Between Excess Thyroid Hormone and Cognition in Older Adults

Abstract Full Text
JAMA Intern Med. 2023;183(12):1332-1333. doi:10.1001/jamainternmed.2023.5618

Amplifying the Strength and Leadership of Nurses in Opioid Use Disorder Care—Loud and PROUD

Abstract Full Text
has audio
JAMA Intern Med. 2023;183(12):1354-1356. doi:10.1001/jamainternmed.2023.5712

Solving the Kidney Transplant Conundrum Through Systems Thinking

Abstract Full Text
JAMA Intern Med. 2023;183(12):1376-1377. doi:10.1001/jamainternmed.2023.5818

The Risks of Being in Limbo in the Emergency Department

Abstract Full Text
has audio
JAMA Intern Med. 2023;183(12):1385-1386. doi:10.1001/jamainternmed.2023.5953
Editor's Note

FDA Regulations of AI-Driven Clinical Decision Support Devices Fall Short

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1401-1402. doi:10.1001/jamainternmed.2023.5006

Gender Equity in Clinical Trial Leadership—A Win-Win for Everyone

Abstract Full Text
JAMA Intern Med. 2023;183(12):1408-1409. doi:10.1001/jamainternmed.2023.5091
Research Letter

Analysis of Devices Authorized by the FDA for Clinical Decision Support in Critical Care

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1399-1401. doi:10.1001/jamainternmed.2023.5002

This case series study examines the clinical evidence cited for US Food and Drug Administration–approved clinical decision support devices for use in the critical care setting.

Variations in State Laws on Mental Health–Related Firearm Prohibition

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1402-1404. doi:10.1001/jamainternmed.2023.5092

This quality improvement study assesses heterogeneity in state rules regarding reporting of mental health conditions to the National Instant Criminal Background Check System when individuals seek to acquire firearms.

Nirmatrelvir and Molnupiravir and Post–COVID-19 Condition in Older Patients

Abstract Full Text
open access
JAMA Intern Med. 2023;183(12):1404-1406. doi:10.1001/jamainternmed.2023.5099

This observational cohort study assesses the occurrence of post–COVID-19 condition symptoms in Medicare enrollees prescribed nirmatrelvir and molnupiravir.

Gender Gap in Leadership of Clinical Trials

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1406-1408. doi:10.1001/jamainternmed.2023.5104

This cross-sectional study investigates representation of women as principal investigators of clinical trials by study phase, medical specialty, and representation of women trial participants.

Challenges in Clinical Electrocardiography

Diagnostic Challenges in Atrioventricular Block Preceding Cardiomyopathy

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1387-1388. doi:10.1001/jamainternmed.2023.2860

This case report describes a patient in their 30s with ventricular tachycardia and coexisting atrioventricular block and atrial fibrillation with normal cardiac structure and function.

Ominous Electrocardiogram Changes in a Man With Distal Extremity Weakness

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1389-1390. doi:10.1001/jamainternmed.2023.3613

This case report describes a man in his 30s who presented to the emergency department with a sudden onset of distal extremity weakness after waking up 10 hours prior.

A Curious Case of Intermittent Negative Deflections Preceding the QRS Complexes

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1391-1392. doi:10.1001/jamainternmed.2023.3617

This case report describes a patient in their 60s who developed apparent abnormal Q waves and severe hypomagnesemia while receiving chemotherapy for metastatic rectal carcinoma.

A Case of S1Q3T3—A Classic Nonspecific Electrocardiogram Finding

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1393-1394. doi:10.1001/jamainternmed.2023.3623

This case report describes a patient in their 40s with a history of end-stage kidney disease secondary to hypertension and diabetes who presented with fatigue, cough, weakness, and dyspnea on exertion and was subsequently diagnosed with acute disseminated cryptococcal infection.

The Tip of the Iceberg—Concealing of Advanced Conduction Abnormality

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1395-1396. doi:10.1001/jamainternmed.2023.3627

This case report describes a patient in their 80s who presented with dyspnea and syncope during exercise and a history of essential hypertension and Parkinson disease.

Acute Myocardial Infarction Revealed by an Escape Rhythm in a Patient With Failed Sgarbossa Criteria

Abstract Full Text
has active quiz
JAMA Intern Med. 2023;183(12):1397-1398. doi:10.1001/jamainternmed.2023.3632

This case report describes a man in his 80s with a medical history of essential hypertension who presented to the emergency department with sudden onset epigastric pain.

Comment & Response

Causes of Vagally Mediated Paroxysmal Atrioventricular Block

Abstract Full Text
JAMA Intern Med. 2023;183(12):1409. doi:10.1001/jamainternmed.2023.5181

Causes of Vagally Mediated Paroxysmal Atrioventricular Block—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(12):1409-1410. doi:10.1001/jamainternmed.2023.5184

Anchoring to a Diagnosis?

Abstract Full Text
JAMA Intern Med. 2023;183(12):1410. doi:10.1001/jamainternmed.2023.5342

Anchoring to a Diagnosis?—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(12):1410-1411. doi:10.1001/jamainternmed.2023.5345

Thinking Differently—On Solitude and Productivism

Abstract Full Text
JAMA Intern Med. 2023;183(12):1411-1412. doi:10.1001/jamainternmed.2023.5521

Thinking Differently—On Solitude and Productivism—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(12):1412. doi:10.1001/jamainternmed.2023.5524

Further Analysis Needed of Migrating Localized ST-Segment Elevation or Was It Lead Reversal?

Abstract Full Text
JAMA Intern Med. 2023;183(12):1412. doi:10.1001/jamainternmed.2023.5683

Further Analysis Needed of Migrating Localized ST-Segment Elevation or Was It Lead Reversal?

Abstract Full Text
JAMA Intern Med. 2023;183(12):1413. doi:10.1001/jamainternmed.2023.5686

Further Analysis Needed of Migrating Localized ST-Segment Elevation or Was It Lead Reversal?—Reply

Abstract Full Text
JAMA Intern Med. 2023;183(12):1413-1414. doi:10.1001/jamainternmed.2023.5689
Correction

Errors in Supplement 1

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1414. doi:10.1001/jamainternmed.2023.5348
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2023;183(12):1288. doi:10.1001/jamainternmed.2022.4661
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