| Publisher: American Medical Association
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JAMA Internal Medicine
Journal Prestige (SJR): 8.032  Citation Impact (citeScore): 4 Number of Followers: 214  Subscription journalISSN (Print) 2168-6106 - ISSN (Online) 2168-6114 Published by American Medical Association  [14 journals]
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- JAMA Internal Medicine
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Pages: 1184 - 1184
Abstract: Mission Statement: To promote the art and science of medicine and the betterment of public health by publishing manuscripts of interest and relevance to internists practicing as generalists or as medical subspecialists.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2022.4657
Issue No: Vol. 183, No. 11 (2023)
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- Screening for Hypertensive Disorders of Pregnancy in the US—A New
Hypertensive Urgency-
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Pages: 1185 - 1186
Abstract: Maternal death is a tragedy in any setting. Unfortunately, the US has maternal mortality far higher than many other well-resourced nations. Moreover, egregious disparities within the US population persist: Alaska Native, American Indian, and Black individuals experience maternal mortality rates 2 to 3 times those of White individuals, and rates among Hispanic individuals are at an all-time high. The fact that approximately 80% of maternal deaths are preventable highlights the urgency and responsibility for all clinicians to ensure that pregnant-capable, pregnant, and postpartum individuals are screened, counseled, and treated for one of the leading contributors to maternal deaths: hypertensive disorders of pregnancy (HDP). In this context, the US Preventive Services Task Force (USPSTF) should be applauded for its updated recommendation statement and expansion of focus to the 2017 recommendation for screening for preeclampsia among pregnant persons. Given the US’s abysmal track record in addressing maternal mortality, a new sense of “hypertensive urgency” is required: screening for and addressing HDP must be prioritized and addressed with a renewed focus by clinicians, policymakers, and the research community.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4723
Issue No: Vol. 183, No. 11 (2023)
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- Opt-Out vs Opt-In Outreach Strategies for Breast Cancer Screening
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Pages: 1187 - 1194
Abstract: This randomized clinical trial compares rates of adherence to recommended breast cancer screening when using an opt-out automatic referral strategy compared with an opt-in automated telephone message strategy among veterans.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4321
Issue No: Vol. 183, No. 11 (2023)
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- Designing Effective and Appropriate Opt-Out Approaches for Patient
Outreach-
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Pages: 1194 - 1195
Abstract: Despite considerable efforts to increase breast cancer screening, completion rates remain suboptimal across patient populations. Prior work has confirmed that we cannot rely solely on clinician visits to increase participation in preventive cancer screenings, and organized population health efforts directed to patients are a potentially promising pathway to increase uptake. However, many of these programs use conventional forms of engagement, relying on information and education alone to promote behavior change.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4628
Issue No: Vol. 183, No. 11 (2023)
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- Estimated Lifetime Gained With Cancer Screening Tests
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Pages: 1196 - 1203
Abstract: The meta-analysis examines evidence from randomized clinical trials of lifetime gained with use of screening tests for lung, breast, prostate, and colorectal cancer.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.3798
Issue No: Vol. 183, No. 11 (2023)
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- Association of Gestational Diabetes With Long-Term Risk of Mortality
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Pages: 1204 - 1213
Abstract: This cohort study examines the mortality, morbidity, and other outcomes associated with reproductive characteristics and lifestyle factors among female nurses who participated in the Nurses’ Health Study II.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4401
Issue No: Vol. 183, No. 11 (2023)
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- Comparison of Hospital Online Price and Telephone Price for Shoppable
Services-
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Pages: 1214 - 1220
Abstract: This cross-sectional study examines how well a hospital’s online prices for vaginal childbirth and brain magnetic resonance imaging correlate with their prices provided via telephone.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4753
Issue No: Vol. 183, No. 11 (2023)
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- Health Care Transparency—What You See Should Be What You Get
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Pages: 1220 - 1221
Abstract: The rapid increase in out-of-pocket medical costs has motivated the implementation of policies that provide consumer-friendly and actionable cost information. The aims of price transparency regulations include a more engaged health care consumer and enhanced competition among clinicians, ultimately leading to improved patient-centered outcomes and increased efficiency in medical spending. An important example is the Centers for Medicare & Medicaid Services (CMS) Hospital Price Transparency Rule that requires hospitals to disclose cash prices and commercial payer–specific negotiated rates for 70 clinical services deemed to be shoppable.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4742
Issue No: Vol. 183, No. 11 (2023)
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- Care Ecosystem Collaborative Dementia Care and Medicare Costs
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Pages: 1222 - 1228
Abstract: This secondary analysis of a randomized clinical trial assesses collaborative dementia care and total Medicare reimbursement costs compared with usual care.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4764
Issue No: Vol. 183, No. 11 (2023)
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- Racial Disparities in Emergency Department Physical Restraint Use
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Pages: 1229 - 1237
Abstract: This systematic review with meta-analysis examines the use of physical restraint use in adult emergency departments among patients of different racial and ethnic backgrounds.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4832
Issue No: Vol. 183, No. 11 (2023)
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- Disparities in Kidney Transplant Waitlisting Among Young Patients
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Pages: 1238 - 1246
Abstract: This cohort study examines disparities in kidney transplant waitlisting among younger patients without medical comorbidities in the US.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.5013
Issue No: Vol. 183, No. 11 (2023)
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- Health Care Staff Turnover and Quality of Care at Nursing Homes
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Pages: 1247 - 1254
Abstract: This cross-sectional study examines whether greater periods of nursing staff turnover are associated with quality of care in US nursing homes.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.5225
Issue No: Vol. 183, No. 11 (2023)
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- Testing Whether Cancer Screening Saves Lives
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Pages: 1255 - 1258
Abstract: This Special Communication examines the feasibility of testing all-cause mortality for multicancer screening.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.3781
Issue No: Vol. 183, No. 11 (2023)
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- An Interesting Wide QRS Complex Tachycardia
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Pages: 1259 - 1260
Abstract: This case report describes a patient in their 70s who presented to the emergency department with sudden-onset tachycardia that had been going on for more than 1 day after experiencing recurrent palpitations for the past 20 years.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.2270
Issue No: Vol. 183, No. 11 (2023)
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- An Abnormal ECG Finding in a Patient With COVID-19
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Pages: 1261 - 1262
Abstract: This case report presents the electrocardiogram findings of a patient in their 50s with severe COVID-19 pneumonia, hypertension, and diabetes.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.2457
Issue No: Vol. 183, No. 11 (2023)
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- An Older Patient With Chest Pain—Diagnostic Traps
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Pages: 1263 - 1264
Abstract: This case report describes an older patient with persistent chest pain, recent hospitalization for SARS-CoV-2 infection, and previous kidney transplantation.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.2461
Issue No: Vol. 183, No. 11 (2023)
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- Hidden Fatal ECG Manifestations
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Pages: 1265 - 1266
Abstract: This case report presents the electrocardiogram findings of a patient in their 50s with syncope and palpitation and amaurosis followed by loss of consciousness for several minutes without preceding position change, cough, chest pain, or shortness of breath.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.2850
Issue No: Vol. 183, No. 11 (2023)
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- Point-of-Care Ultrasonography in Suspected Acute Coronary Syndrome
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Pages: 1267 - 1268
Abstract: This case report presents the ECG findings of a patient in their 40s with post-tubercular bronchiectasis who presented with acute exacerbation of dyspnea and no chest pain.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.2855
Issue No: Vol. 183, No. 11 (2023)
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- Incidental CAC on Chest CT in Persons Without Known ASCVD
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Pages: 1269 - 1270
Abstract: This cross-sectional study examines the expected prevalence of coronary artery calcium (CAC) on chest computed tomography (CT) in people without clinical atherosclerotic cardiovascular disease (ASCVD) by age, sex, and race and ethnicity.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.3317
Issue No: Vol. 183, No. 11 (2023)
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- Coronary Artery Calcium Screening—Data First
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Pages: 1270 - 1271
Abstract: Screening tests are examinations performed on asymptomatic individuals to diagnose life-threatening medical conditions early enough to intervene to reduce disease-specific and overall mortality. Although the benefits of finding an unrecognized disease early in its course seem intuitive, screening tests and the clinical decisions based on them require testing with randomized clinical trials (RCTs) to understand the magnitude of benefit (if any) and the potential for harms including radiation, psychological stress, and unnecessary downstream testing and treatment with additional costs and potential complications. Coronary artery calcium scanning (CACS), a screening test introduced in 1990 to reduce mortality from coronary artery disease (CAD), has never been evaluated in an RCT designed and powered to assess its effect on CAD or all-cause mortality. Nevertheless, the Society of Cardiac Computed Tomography and the National Lipid Association (NLA) not only recommend the use of CACS to screen intermediate-risk asymptomatic individuals, but also provide recommendations for statin and aspirin therapy based on the results. In addition, the NLA advocates for the use of CACS to screen selected groups who already qualify for lipid lowering therapy (those with diabetes and familial hypercholesterolemia) to guide decisions around intensity, without evidence of improved outcomes.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.3250
Issue No: Vol. 183, No. 11 (2023)
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- Feasibility of Emulating Trials Supporting Approvals of Drugs and
Biologics-
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Pages: 1271 - 1273
Abstract: This cross-sectional study evaluates the supporting clinical trials for supplemental new drug applications and supplemental biologics license applications from 2017 to 2019.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4073
Issue No: Vol. 183, No. 11 (2023)
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- Medical Student Health Insurance Coverage for Mental Health Treatment
After COVID-19-
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Pages: 1273 - 1275
Abstract: This quality improvement study aims to update the existing literature and evaluate current mental health insurance coverage for medical students in the postpandemic environment.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4408
Issue No: Vol. 183, No. 11 (2023)
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- Policies of US Companies Offering Direct -to-Consumer Laboratory Tests
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Pages: 1275 - 1278
Abstract: This qualitative study assesses the practices and policies of companies offering direct-to-consumer laboratory testing in the US.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4726
Issue No: Vol. 183, No. 11 (2023)
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- Why Medicine Still Needs Humans
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Pages: 1278 - 1279
Abstract: To the Editor As artificial intelligence (AI) chatbot assistants transform the art of medicine, we read the article by Dr Ayers and colleagues with reservations. The study found that chatbot-generated responses outperformed physician-generated responses in both quality and empathy. The conclusions have garnered popular attention with a focus on enhancing patient messaging, leading to improved workflow, physician performance, and patient care; we are excited for this potential in advancing health care. Yet, we harbor concerns about the study’s assessment of empathy.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4386
Issue No: Vol. 183, No. 11 (2023)
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- Medicine Still Needs Humans
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Pages: 1279 - 1279
Abstract: To the Editor Can humans learn empathy from a machine' Dr Ayers and colleagues explored the comparison between physician and artificial intelligence (AI) chatbot responses to patient questions posted on a public social media forum. Their findings indicate that chatbot responses were preferred and rated significantly higher in terms of quality and empathy. We commend the authors for their innovative and timely study and would like to broaden the discussion on empathy, AI, and medicine.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4389
Issue No: Vol. 183, No. 11 (2023)
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- Machine-Made Empathy' Why Medicine Still Needs Humans—Reply
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Pages: 1279 - 1280
Abstract: In Reply Establishing a strong physician-patient relationship, which includes patients feeling heard and understood, is essential to health care. An automated tool that creates empathic language offers promising opportunities for bolstering the physician-patient relationship. We found that responses generated by an artificial intelligence (AI) chatbot were 9.8 times more likely to be considered empathetic or very empathetic than responses authored by a physician. Moreover, this difference persisted even when we compared the chatbot replies to the longest physician-authored replies.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4392
Issue No: Vol. 183, No. 11 (2023)
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- Approval of Xuebijing Injection for Sepsis Treatment Outside of China
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Pages: 1280 - 1281
Abstract: To the Editor A recent study by Liu and colleagues reported a reduction in 28-day mortality in patients with sepsis treated with Xuebijing (XBJ), a Chinese medicine compounded injection, compared with placebo. In fact, XBJ has been used in the Chinese market for almost 20 years since its approval in 2004, and it was approved by the National Medical Products Administration of China for the treatment of severe COVID-19 in 2020. However, there is still a long way to go before XBJ can be approved outside of China.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4398
Issue No: Vol. 183, No. 11 (2023)
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- Discrepancies in Sensitivity of Fracture Prediction Tools
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Pages: 1281 - 1282
Abstract: To the Editor We read with great enthusiasm the recently published original investigation by Dr Crandall and colleagues that evaluated the Fracture Risk Assessment Tool (FRAX) and the Osteoporosis Self-Assessment Tool and found poor performance in identifying major osteoporotic fracture (MOF) in young postmenopausal women of certain racial and ethnic categories. This discovery is very important for guiding early screening of osteoporosis in women, given that one-third of women globally will experience at least 1 fracture in their lives after age 50 years. The findings of Dr Crandall and colleagues challenged the validity of the traditional FRAX scale and the Osteoporosis Self-Assessment Tool and offered valuable insights for developing new screening guidelines with higher sensitivity and specificity for osteoporosis in the future.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4702
Issue No: Vol. 183, No. 11 (2023)
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- Approval of Xuebijing Injection for the Sepsis Treatment Outside of
China—Reply-
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Pages: 1281 - 1281
Abstract: In Reply We appreciate Dr Hu’s interest in and thoughtful criticism of our clinical trial. We agree that it will be challenging to get Xuebijing approved outside of China, but that the obstacles are surmountable.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4395
Issue No: Vol. 183, No. 11 (2023)
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- Discrepancies in Sensitivity of Fracture Prediction Tools
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Pages: 1282 - 1282
Abstract: To the Editor A recent study by Dr Crandall and colleagues found that both the Osteoporosis Self-Assessment Tool and the US version of the Fracture Risk Assessment Tool (US FRAX), which includes racial and ethnic categories, exhibited suboptimal performance in discriminating major osteoporotic fractures (MOFs) among younger postmenopausal women. Routine use of the US FRAX was not recommended for making screening decisions in younger postmenopausal women. However, we have certain concerns.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4705
Issue No: Vol. 183, No. 11 (2023)
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- Discrepancies in Sensitivity of Fracture Prediction Tools—Reply
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Pages: 1282 - 1283
Abstract: In Reply We appreciate the comments provided by Dr Deng and colleagues regarding our recent JAMA Internal Medicine publication. Their letter highlights the potential existence of racial and/or ethnic differences in the sensitivity of Fracture Risk Assessment Tool (FRAX) for predicting major osteoporotic fractures in younger postmenopausal women by age (eg, the group 50-54 years of age vs 60-64 years), and that the ability of the FRAX calculator may perform differently in women with vs without a previous fracture. We agree that this information would provide a substantial contribution to the understanding of fracture prediction among younger postmenopausal women. Depending on sample size within subgroups (eg, stratified by race/ethnicity and age, or by race/ethnicity and prior fracture history), we will consider undertaking such analysis in the future.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4717
Issue No: Vol. 183, No. 11 (2023)
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- How Can Palliative Care Help Me'
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Pages: 1284 - 1284
Abstract: This JAMA Internal Medicine Patient Page describes details of palliative care, including who it can benefit and when it should be considered.
PubDate: Wed, 01 Nov 2023 00:00:00 GMT
DOI: 10.1001/jamainternmed.2023.4383
Issue No: Vol. 183, No. 11 (2023)
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