March 1, 2023 Issue of JAMA Internal Medicine

March 2023, Vol 183, No. 3, Pages 176-278

Viewpoint

Health Care Policy and Law

Breaking the Link Between Enrollment in Hospice and Discontinuation of Dialysis

Kai Romero, MD; Eric Widera, MD; Melissa W. Wachterman, MD, MSc, MPH

Abstract Full Text

JAMA Intern Med. 2023;183(3):177-178. doi:10.1001/jamainternmed.2022.6390

This Viewpoint discusses Medicare coverage regarding hospice care for patients receiving dialysis at the end of life.

Redesigning Opioid Pain Agreements to Promote Patient-Centered Care

Michael A. Incze, MD, MSEd

Abstract Full Text

JAMA Intern Med. 2023;183(3):179-180. doi:10.1001/jamainternmed.2022.6520

This Viewpoint discusses opioid pain agreements to promote patient-centered care.

Perspective

Solo With Cancer

Shivakumar Narayanan, MD

Abstract Full Text

JAMA Intern Med. 2023;183(3):181-182. doi:10.1001/jamainternmed.2022.6304

This essay describes the author鈥檚 experience with a socially isolated patient who declined cancer treatment because he had no one to help him after transarterial radioembolization therapy.

Original Investigation

Prevalence of Colorectal Neoplasia 10 or More Years After a Negative Screening Colonoscopy in 120鈥�000 Repeated Screening Colonoscopies

Thomas Heisser, MSc; Jens Kretschmann, MSc; Bernd Hagen, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):183-190. doi:10.1001/jamainternmed.2022.6215

This cross-sectional study examines the prevalence of advanced colorectal neoplasms at least 10 years after a negative screening colonoscopy in repeated screening colonoscopy participants in Germany.

Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial

Nauzer Forbes, MD, MSc; B. Joseph Elmunzer, MD, MSc; Thibault Allain, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):191-200. doi:10.1001/jamainternmed.2022.6394

This randomized clinical trial determines contamination rates after high-level disinfection and technical performance of duodenoscopes with disposable elevator caps compared with those with standard designs.

Chest Pain Management Using Prehospital Point-of-Care Troponin and Paramedic Risk Assessment

Luke P. Dawson, MBBS, MPH; Emily Nehme, MBiostats; Ziad Nehme, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):203-211. doi:10.1001/jamainternmed.2022.6409

This economic evaluation uses cost-minimization analysis to estimate the cost savings of paramedic risk stratification of adult acute chest pain and point-of-care troponin testing.

Editorial
Are We Ready for Prehospital Troponin Testing?
Isabel R. Ostrer, MD; Tracy Y. Wang, MD, MHS, MSc

JAMA Intern Med

Effect of Antibiotic Prescription Audit and Feedback on Antibiotic Prescribing in Primary Care: A Randomized Clinical Trial

Soheila Aghlmandi, PhD; Florian S. Halbeisen, PhD; Ramon Saccilotto, MD; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):213-220. doi:10.1001/jamainternmed.2022.6529

This randomized clinical trial investigates the effect of quarterly audit and feedback on antibiotic prescribing among primary care physicians in Switzerland with medium to high antibiotic prescription rates.

Less Is More

Deprescribing Medications Among Older Adults From End of Hospitalization Through Postacute Care: A Shed-MEDS Randomized Clinical Trial

Eduard E. Vasilevskis, MD, MPH; Avantika Saraf Shah, MPH; Emily Kay Hollingsworth, MSW; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):223-231. doi:10.1001/jamainternmed.2022.6545

This randomized clinical trial examines the safety and efficacy of reducing or stopping medications among inpatients 50 years or older.

Adherence to Healthy Lifestyle Prior to Infection and Risk of Post鈥揅OVID-19 Condition

Siwen Wang, MD; Yanping Li, PhD; Yiyang Yue, MS; et al.

Abstract Full Text

open access

JAMA Intern Med. 2023;183(3):232-241. doi:10.1001/jamainternmed.2022.6555

This prospective cohort study investigates the association between healthy lifestyle factors prior to SARS-CoV-2 infection and risk of post鈥揅OVID-19 condition.

Comparing Effectiveness and Safety of SGLT2 Inhibitors vs DPP-4 Inhibitors in Patients With Type 2 Diabetes and Varying Baseline HbA_1c Levels

Elvira D鈥橝ndrea, MD, PhD; Deborah J. Wexler, MD, MSc; Seoyoung C. Kim, MD, ScD; et al.

Abstract Full Text

open access

JAMA Intern Med. 2023;183(3):242-254. doi:10.1001/jamainternmed.2022.6664

This comparative effectiveness study evaluates cardiovascular effectiveness and safety of SGLT2 inhibitors vs DPP-4 inhibitors in adults with type 2 diabetes overall and at varying baseline HbA_1c levels.

Editorial

Are We Ready for Prehospital Troponin Testing?

Isabel R. Ostrer, MD; Tracy Y. Wang, MD, MHS, MSc

Abstract Full Text

JAMA Intern Med. 2023;183(3):211-212. doi:10.1001/jamainternmed.2022.6600

Invited Commentary

Duodenoscopes With Disposable Elevator Caps鈥擜n Incremental Reduction in Infection Risk for Patients

Melinda Wang, MD; Graham M. Snyder, MD, SM

Abstract Full Text

JAMA Intern Med. 2023;183(3):200-202. doi:10.1001/jamainternmed.2022.6393

Simplicity Matters鈥擮verengineering Feedback Can Be Counterproductive

Jeffrey A. Linder, MD, MPH; Craig R. Fox, PhD

Abstract Full Text

JAMA Intern Med. 2023;183(3):220-222. doi:10.1001/jamainternmed.2022.6528

Special Communication

Dr Herman A. Barnett, Black Civil Rights Activists, and the Desegregation of The University of Texas Medical Branch in 1949: 鈥淲e Ought to Go in Texas and I Don鈥檛 Mean to a Segregated Medical School鈥�

Vanessa Northington Gamble, MD, PhD

Abstract Full Text

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JAMA Intern Med. 2023;183(3):255-260. doi:10.1001/jamainternmed.2022.6700

This review discusses the role that Herman A. Barnett III and Black civil rights activists played in the history of medical education in the United States and the dismantlement of racially exclusionary policies in medical schools.

Podcast: Dr Barnett and Desegregation of The University of Texas Medical Branch in 1949

Research Letter

Physician Work Environment and Well-Being

Self-reported Sexual Harassment and Subsequent Reporting Among Internal Medicine Residency Trainees in the US

Elizabeth M. Viglianti, MD, MPH, MSc; Lisa M. Meeks, PhD; Andrea L. Oliverio, MD, MSc; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):269-271. doi:10.1001/jamainternmed.2022.6108

This study uses survey data to describe the types of sexual harassment experienced by internal medicine residents, their knowledge of reporting mechanisms, their reporting intentions and actions, and satisfaction with reporting outcomes.

Trends in FDA Adverse Events Reporting for Inferior Vena Cava Filters and Estimated Insertions in the US, 2016 to 2020

Rachel E. Warren, BA; Sanket S. Dhruva, MD, MHS; Madris Kinard, MBA; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):271-272. doi:10.1001/jamainternmed.2022.6161

This quality improvement study identifies adverse events for inferior vena cava filters and reports changes in adverse event reporting and estimated insertions between 2016 and 2020 in the US.

Health Care Reform

Effect of Moderate and Vigorous Aerobic Exercise on Incident Diabetes in Adults With Obesity: A 10-Year Follow-up of a Randomized Clinical Trial

Ying Chen, MD, PhD; Zheng Chen, MD; Lingling Pan, MD, PhD; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):272-275. doi:10.1001/jamainternmed.2022.6291

This randomized clinical trial assesses the long-term effect of vigorous and moderate exercise on incident diabetes over a 10-year follow-up after a 12-month exercise intervention.

Health Care Policy and Law

Estimated Medicaid Spending on Original and Citrate-Free Adalimumab From 2014 Through 2021

Junyi Wang, MS; ChangWon C. Lee, AB; Aaron S. Kesselheim, MD, JD, MPH; et al.

Abstract Full Text

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JAMA Intern Med. 2023;183(3):275-276. doi:10.1001/jamainternmed.2022.6299

This cross-sectional study assesses Medicaid spending associated with citrate-free vs original adalimumab.

Challenges in Clinical Electrocardiography

Does ST Elevation in Lead aVR Require an Emergent Trip to the Catheterization Laboratory?

Michael Brouner, MD; Jamey Hammock, MD; Harish Doppalapudi, MD

Abstract Full Text

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JAMA Intern Med. 2023;183(3):261-262. doi:10.1001/jamainternmed.2022.5901

This case report describes a patient in their 50s with hypertension, chronic obstructive pulmonary disease, heavy alcohol use, and tobacco use who presented to the emergency department with a 2-month history of nausea and vomiting.

A Paradoxical ST-Segment Elevation Distribution Rendering a Challenging Prediction of the Culprit Vessel in Acute Myocardial Infarction

Ruihai Zhou, MSc, MD, RPVI

Abstract Full Text

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JAMA Intern Med. 2023;183(3):263-264. doi:10.1001/jamainternmed.2022.6088

This case report describes a patient in their 50s with sudden-onset chest pain.

Ominous Electrocardiographic Patterns in an Older Adult With Chest Pain

Zhangli Yang, MD; Chuan-Hai Zhang, MD; Xuanxuan Li, MD

Abstract Full Text

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JAMA Intern Med. 2023;183(3):265-266. doi:10.1001/jamainternmed.2022.6092

This case report describes an older adult with a history of hypertension and diabetes with paroxysmal chest pain.

Wide QRS Complex Tachycardia Change to Narrow QRS Complex Tachycardia After 尾-Blocker Administration

Jun-Peng Liu, MD, PhD; Wen-Duo Zhang, MD, PhD; Hua Wang, MD

Abstract Full Text

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JAMA Intern Med. 2023;183(3):267-268. doi:10.1001/jamainternmed.2022.6096

This case report describes a patient in their 80s with a history of paroxysmal atrial fibrillation who presented with palpitation, dizziness, nausea, and vomiting.

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