Alzheimer disease and related dementias screening of adults ≥65 years in primary care had no significant benefits or harms on family member quality of life or psychological well-being.
https://ja.ma/4sOLifJ
Among patients with #COPD, umeclidinium-vilanterol dry powder inhalers were associated with fewer moderate or severe exacerbations compared with glycopyrrolate-formoterol and tiotropium-olodaterol. https://ja.ma/48uwrQ7
🎧 Listen to JAMA Internal Medicine authors Vineet Ahuja, DM, and Michael H. Woodworth, MD, MSc, discuss the effectiveness of fecal microbiota transplant in patients with gastrointestinal diseases with @IlanaRichman, MD, MHS. https://ja.ma/4cC8qbm
A single fecal microbiota transplant did not increase multidrug-resistant organisms decolonization or reduce resistance gene abundance vs sham in patients with #GIDisease, but did increase gut bacterial diversity. https://ja.ma/4sGiiqf
Medicare’s reinstated 3-day hospitalization rule increased the duration of inpatient stays for skilled nursing facility (SNF) care but did not reduce SNF use or improve short-term patient outcomes. https://ja.ma/48V3jle
💬 Editorial: Statin guidelines and patient preferences for #ASCVD prevention often misalign, supporting the need for clearer risk communication and shared decision-making in clinical practice. https://ja.ma/4ckSECM
Automated #UrinaryIncontinence screening and education in primary care increased rates of new diagnoses and referrals for pelvic floor therapy and specialty care among women, without affecting medication prescriptions. https://ja.ma/4tjpTMC
In New York State, 46.7% of external health insurance appeals were overturned from 2019 to 2025, with highest rates for home health care and managed long-term care, supporting targeted regulatory review of denial practices. https://ja.ma/4myjbzQ
A national analysis linking US board-certified family physician survey responses with Medicare data found that self-reported #burnout was associated with significantly higher rates of physician turnover. https://ja.ma/4tst7gC
Among older adults discharged from emergency departments, 6.5% received high-risk medications flagged by GEMS-Rx, most commonly skeletal muscle relaxants and first-generation antihistamines. https://ja.ma/4bRIc5w
📃 This case report describes a woman in her 30s with a 10-year history of systemic lupus erythematosus presented with fever, chest tightness, oliguria, and lower extremity edema. https://ja.ma/4tK45cS
Continuing #GLP1 or GIP agonists before upper endoscopy increased the risk of clinically significant residual gastric volume, with no additional aspiration events.
https://ja.ma/40Z1fVf
In adults with type 2 #Diabetes and heart failure (HF), oral #semaglutide reduced risk of composite HF outcomes with no increase in adverse events compared to placebo. https://ja.ma/3Q4nFlP
Today, the JAMA Network launches @JAMAplusTrials, a new online platform that highlights the vision, innovation, and resilience of clinical trial research.
Designed for clinicians, investigators, trainees, and others engaged in clinical research worldwide, JAMA+ Trials is an interdisciplinary resource for enhancing insights and promoting dialogue in clinical trial research. 🧵
📃 This case report describes a patient receiving peritoneal dialysis who presented to the emergency department with a fever and elevated procalcitonin levels the day after receiving a COVID-19 vaccine. https://ja.ma/3OGMTWQ
💬 Editorial: ED-based decision support and pharmacist-led interventions can reduce discharge prescriptions for potentially inappropriate Geriatric Emergency Medication Safety Recommendations (GEMS-Rx) medications among older adults. https://ja.ma/4t7rLrK
For US patients with end-stage #LiverDisease, palliative care delivered by trained hepatologists was noninferior to specialist care for 3-month quality of life and improved patient satisfaction, supporting both care models for early intervention.
https://ja.ma/41zsxBP
A healthy woman in her early 60s presented with 4 hours of substernal chest pain and diaphoresis. The initial electrocardiogram was read as showing no diagnostic abnormalities, and she was referred for outpatient evaluation.
📄Read the full case report: https://ja.ma/4mq3CKp
💬 Editorial: Deprescribing interventions combining prescriber education and patient materials led to greater reductions in long-term proton pump inhibitor use, without increased reflux symptoms, compared to prescriber-only or usual care. https://ja.ma/4sPnE2R
A patient- and general practitioner–facing intervention led to greater reductions in inappropriate long-term proton pump inhibitor use among primary care patients than practitioner-only or usual care, without affecting GERD symptom scores. https://ja.ma/4ejgyQi
This Teachable Moment describes how traditional titration protocols for patients with #fentanyl use disorder may be inadequate for patients with frequent, high-dose, or high-potency #opioid use.
https://ja.ma/4mqvwWN
This JAMA Internal Medicine Patient Page describes sources of information about #vaccination and how to know which sources are trustworthy.
https://ja.ma/4vsq49X
A produce prescription subsidy providing $80 per month did not improve glycemic control, blood pressure, body mass index, or health care use for patients with #Diabetes at risk for food insecurity.
https://ja.ma/48GGzoW
A produce prescription subsidy providing $80 per month did not improve glycemic control, blood pressure, body mass index, or health care use for patients with #Diabetes at risk for food insecurity. https://ja.ma/4bNy4dW
Communities with higher socioeconomic disadvantage had reduced access to dialysis facilities and fewer nearby stations, highlighting persistent inequities in US dialysis care. https://ja.ma/4miZ4FC
I was a co-author on a @JAMAInternalMed article that examined the change in national kidney transplant rates after a national mandate required wait time modifications for Black candidates disadvantaged by race-based eGFR equations: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2846010 🩺 #HealthEquity
Rotator cuff abnormalities on #MRI were found in 99% of adults aged 41–76, including 96% of asymptomatic shoulders, indicating most findings are age-related rather than disease. https://ja.ma/4mbUf10
Most patients seeking abortion accurately self-selected eligibility for #MedicationAbortion using a prototype OTC package and drug facts label, with 88% concordance with clinician assessment.
https://ja.ma/47GcWnx
A national analysis linking US board-certified family physician survey responses with Medicare data found that self-reported #burnout was associated with significantly higher rates of physician turnover. https://ja.ma/41U6ypf
This Teachable Moment describes how traditional titration protocols for patients with fentanyl use disorder may be inadequate for patients with frequent, high-dose, or high-potency opioid use.
https://ja.ma/4c58xvs
Continuing #GLP1 or GIP agonists before upper endoscopy increased the risk of clinically significant residual gastric volume, with no additional aspiration events.
https://ja.ma/4m0UP1u
#OrthostaticHypotension increases fall and mortality risk in older adults.
📌 This Review aims to present important diagnostic and treatment approaches for a generalist audience to improve confidence in managing this important medical condition.
https://ja.ma/4e3jmkp
💬 Editorial: The $35 insulin copay cap for Medicare Part D beneficiaries reduced insulin costs and improved glycemic control among existing users, but did not increase overall insulin initiation or lower total drug spending.
https://ja.ma/4bT3DTC
A $35 monthly insulin out-of-pocket cap for Medicare beneficiaries with #Type2Diabetes was associated with significant reductions in insulin spending, modest increases in insulin use, and improved glycemic control.
https://ja.ma/4e3i5K9
📊 JAMA Clinical Guidelines Synopsis: The 2024 guideline from the @American_Heart and @ACCinTouch recommends continuing statins and β-blockers for patients undergoing noncardiac surgery.
https://ja.ma/4tyy6wl
From @JAMA_current: At a $245/month price, the CMS BALANCE model could save Medicare nearly $933 million on #semaglutide in 2027, offsetting costs for up to 550 000 additional beneficiaries eligible for #obesity coverage.
https://ja.ma/4seaDzm
A national analysis linking US board-certified family physician survey responses with Medicare data found that self-reported #burnout was associated with significantly higher rates of physician turnover. https://ja.ma/47vZK4C
💡This JAMA Internal Medicine Clinical Insights article discusses improving care quality for hospitalized patients who have a nondominant language preference.
https://ja.ma/4satbR0
Among adults hospitalized with severe #Babesiosis, red blood cell exchange transfusion within 7 days was associated with a significantly lower risk of in-hospital death or 30-day readmission compared with no transfusion.
https://ja.ma/4bL4Jkp
Among adults hospitalized with severe #Babesiosis, red blood cell exchange transfusion within 7 days was associated with a significantly lower risk of in-hospital death or 30-day readmission compared with no transfusion. https://ja.ma/4uVqmWO