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Viewpoint
Too Much Dentistry
PauloNadanovsky,DDS, PhD; Ana PaulaPires dos Santos,DDS, PhD; DavidNunan,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):713-714. doi:10.1001/jamainternmed.2024.0222
This Viewpoint explores whether all dental procedures are clinically necessary given their expense and the disparate access to treatment among some socioeconomic and racial and ethnic groups.
Health Care Reform
The Promise and Challenge of Value-Based Payment
Daniel K.Shenfeld,PhD; Amol S.Navathe,MD, PhD; Ezekiel J.Emanuel,MD, PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):716-717. doi:10.1001/jamainternmed.2024.1343
This Viewpoint discusses the benefits and challenges of transitioning to a value-based payment design for health care rather than a fee-for-service system.
Original Investigation
Time- vs Step-Based Physical Activity Metrics for Health
RikutaHamaya,MD, PhD, MS; Eric J.ShiromaJr,ScD, MEd; Christopher C.Moore,MS; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):718-725. doi:10.1001/jamainternmed.2024.0892
This cohort study compares the association of duration and intensity of physical activity with mortality and cardiovascular disease outcomes in female individuals older than 60 years.
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Editor's Note
Tracking Physical Activity One Step at a TimeCary P.Gross,MD; Raegan W.Durant,MD, MPH
JAMA Intern Med
Jinlida for Diabetes Prevention in Impaired Glucose Tolerance and Multiple Metabolic Abnormalities: The FOCUS Randomized Clinical Trial
HangyuJi,MD; XuefeiZhao,BS; XinyanChen,MD; et al.
Abstract Full Text
open access
JAMA Intern Med. 2024;184(7):727-735. doi:10.1001/jamainternmed.2024.1190
This randomized clinical trial investigates whether long-term use of Jinlida granules decreases the incidence of diabetes in participants with impaired glucose tolerance and multiple metabolic abnormalities.
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Editor's Note
Traditional Chinese Medicine to Prevent Type 2 Diabetes—A Difficult Path ForwardMitchell H.Katz,MD
JAMA Intern Med
Electronic Health Record Population Health Management for Chronic Kidney Disease Care: A Cluster Randomized Clinical Trial
ManishaJhamb,MD, MPH; Melanie R.Weltman,PharmD; Susan M.Devaraj,PhD, MS, RD; et al.
Abstract Full Text
open access
JAMA Intern Med. 2024;184(7):737-747. doi:10.1001/jamainternmed.2024.0708
This cluster randomized clinical trial examines the effectiveness of an electronic health record–based population health management intervention vs usual care for reducing chronic kidney disease progression.
Mobile Mindfulness Intervention for Psychological Distress Among Intensive Care Unit Survivors: A Randomized Clinical Trial
Christopher E.Cox,MD, MPH; John A.Gallis,ScM; Maren K.Olsen,PhD; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):749-759. doi:10.1001/jamainternmed.2024.0823
This randomized clinical trial evaluates the most effective method for delivering a mindfulness program via mobile app to improve depression symptoms among intensive care unit (ICU) survivors.
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Editor's Note
Value in Optimizing the Components of App Interventions Before Final TestingHeather GwynnAllore,PhD; Mitchell H.Katz,MD
JAMA Intern Med
Women's Health
Behavioral Interventions to Improve Breast Cancer Screening Outreach: Two Randomized Clinical Trials
Shivan J.Mehta,MD, MBA, MSHP; CorinneRhodes,MD, MPH; Kristin A.Linn,PhD; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):761-768. doi:10.1001/jamainternmed.2024.0495
This report of 2 randomized clinical trials evaluates whether bulk ordering, text messaging, and clinician endorsem*nt increase breast cancer screening rates.
Less Is More
Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime
RishiChanderraj,MD, MSc; Andrew J.Admon,MD, MSc, MPH; YingHe,PhD; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):769-777. doi:10.1001/jamainternmed.2024.0581
This cohort study compares 90-day mortality in patients with sepsis who received piperacillin-tazobactam vs cefepime for treatment of sepsis.
Thick Liquids and Clinical Outcomes in Hospitalized Patients With Alzheimer Disease and Related Dementias and Dysphagia
AlexanderMakhnevich,MD; AlexandraPerrin,BA; DristiTalukder,BS; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):778-785. doi:10.1001/jamainternmed.2024.0736
This cohort study assesses whether thick liquids are associated with better clinical outcomes than thin liquids in hospitalized patients with Alzheimer disease and related dementias (ADRD) and oropharyngeal dysphagia.
Household Water Lead and Hematologic Toxic Effects in Chronic Kidney Disease
JohnDanziger,MD, MPhil; JoannaWilletts,MS; JohnLarkin,PhD; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):788-796. doi:10.1001/jamainternmed.2024.0904
This cross-sectional study examines the levels of lead in household drinking water of individuals with kidney failure.
Clinical Outcomes After Admission of Patients With COVID-19 to Skilled Nursing Facilities
Brian E.McGarry,PT, PhD; Ashvin D.Gandhi,PhD; Mah AfrozeChughtai,MS; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):799-808. doi:10.1001/jamainternmed.2024.1079
This cohort study evaluates the changes in COVID-19 case counts and death rates among residents of skilled nursing facilities (SNFs) weeks before and weeks after their facility accepted hospital-discharged patients who still had COVID-19.
Patent Portfolios Protecting 10 Top-Selling Prescription Drugs
CarolineHorrow,JD; Sarah M.E.Gabriele,JD, LLM, MBE; S. SeanTu,PhD, JD; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):810-817. doi:10.1001/jamainternmed.2024.0836
This cross-sectional study examines the composition of the patents protecting the 10 top-selling prescription drugs in the US.
Invited Commentary
Reflections on Clinical Decision-Making in Contemporary Dental Practice
YehudaZadik,DMD, MHA
Abstract Full Text
JAMA Intern Med. 2024;184(7):714-715. doi:10.1001/jamainternmed.2024.0291
Integrating Specialist and Primary Care in Chronic Disease Management
YasamanYazdani,MD; Amit X.Garg,MD, PhD; MerrickZwarenstein,MBBCH, PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):747-748. doi:10.1001/jamainternmed.2024.0873
Less Is More
Thinning Evidence for Thickened Liquid Diets in Dementia and Dysphagia
EricWidera,MD
Abstract Full Text
JAMA Intern Med. 2024;184(7):786-787. doi:10.1001/jamainternmed.2024.0733
Drinking Water of Patients With Chronic Kidney Disease—Get the Lead Out
Alexandra L.Polasko,PhD, MSc; Chi-yuanHsu,MD, MSc; MayChien,MD
Abstract Full Text
JAMA Intern Med. 2024;184(7):797-798. doi:10.1001/jamainternmed.2024.0901
COVID-19 in Nursing Homes—Learning the Hard Way
James S.Goodwin,MD; HuiwenXu,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):808-809. doi:10.1001/jamainternmed.2024.1087
Editor's Note
Tracking Physical Activity One Step at a Time
Cary P.Gross,MD; Raegan W.Durant,MD, MPH
Abstract Full Text
JAMA Intern Med. 2024;184(7):726. doi:10.1001/jamainternmed.2024.0898
Traditional Chinese Medicine to Prevent Type 2 Diabetes—A Difficult Path Forward
Mitchell H.Katz,MD
Abstract Full Text
JAMA Intern Med. 2024;184(7):736. doi:10.1001/jamainternmed.2024.1208
Value in Optimizing the Components of App Interventions Before Final Testing
Heather GwynnAllore,PhD; Mitchell H.Katz,MD
Abstract Full Text
JAMA Intern Med. 2024;184(7):760. doi:10.1001/jamainternmed.2024.0833
Endocrine Adverse Effects of Long-Term Opioid Use
OrlyBogler,MD; Michael A.Incze,MD, MSEd
Abstract Full Text
JAMA Intern Med. 2024;184(7):831-832. doi:10.1001/jamainternmed.2024.0863
Adverse Consequences of Legalization of Edible Cannabis in Older Adults
LonaMody,MD, MSc; Sharon K.Inouye,MD, MPH
Abstract Full Text
JAMA Intern Med. 2024;184(7):842-843. doi:10.1001/jamainternmed.2024.1337
Health Care Expenses and Household Resources for Families With Low Income
Mitchell H.Katz,MD; Raegan W.Durant,MD, MPH; DeborahGrady,MD, MPH
Abstract Full Text
JAMA Intern Med. 2024;184(7):845-846. doi:10.1001/jamainternmed.2024.1473
Review
Approach to Obesity Treatment in Primary Care: A Review
Susan Z.Yanovski,MD; Jack A.Yanovski,MD, PhD
Abstract Full Text
has active quiz has audio
JAMA Intern Med. 2024;184(7):818-829. doi:10.1001/jamainternmed.2023.8526
This review provides guidance on the treatment of obesity in adults, including lifestyle interventions, antiobesity medications, and surgical approaches.
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Audio: Pragmatic Implementation of Online Obesity Treatment and Maintenance Interventions in Primary Care
Teachable Moment
Opioid-Induced Adrenal Insufficiency
DouglasRice,MD, PhD; HirofumiYoshida,MD
Abstract Full Text
has active quiz
JAMA Intern Med. 2024;184(7):830-831. doi:10.1001/jamainternmed.2024.0687
This case report describes a woman in her 40s with opioid use disorder receiving methadone who was admitted for extended antibiotic treatment for methicillin-resistant Staphylococcus aureus bacteremia and was subesequently diagnosed with opioid-induced adrenal insufficiency.
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Editor's Note
Endocrine Adverse Effects of Long-Term Opioid UseOrlyBogler,MD; Michael A.Incze,MD, MSEd
JAMA Intern Med
Less Is More
A Case for Regularly Obtaining Nutrition History: Food for Thought
MargaretShyu,MD; AnnaPfenniger,MD, PhD; Neil J.Stone,MD
Abstract Full Text
has active quiz
JAMA Intern Med. 2024;184(7):832-833. doi:10.1001/jamainternmed.2024.1363
This Teachable Moment discusses providing patients with an opportunity to initiate dietary change before prescribing statin therapy for even severely high low-density lipoprotein cholesterol levels.
Research Letter
Anti-Asian Hate and the Health of Older Asian Individuals
LingshengLi,MD, MHS; JasmineKang,MPH; MaxwellHo,BA; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):838-840. doi:10.1001/jamainternmed.2024.1090
This qualitative study assesses the association of anti-Asian hate with older Asian individuals’ health and the clinician’s role in addressing hate incidents.
Edible Cannabis Legalization and Cannabis Poisonings in Older Adults
Nathan M.Stall,MD, PhD; ShengliShi,MD, MSc, MPH, PhD; KamilMalikov,MD, MSc, MBA; et al.
Abstract Full Text
open access
JAMA Intern Med. 2024;184(7):840-842. doi:10.1001/jamainternmed.2024.1331
This cross-sectional study examines the association between edible cannabis legalization and emergency department visits for cannabis poisonings in older adults.
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Editor's Note
Adverse Consequences of Legalization of Edible Cannabis in Older AdultsLonaMody,MD, MSc; Sharon K.Inouye,MD, MPH
JAMA Intern Med
Health and the 2024 US Election
Financial Burden of Health Care in the Privately Insured US Population
Sukruth A.Shashikumar,MD; ZhaoNianZheng,MSc; Karen E.Joynt Maddox,MD, MPH; et al.
Abstract Full Text
JAMA Intern Med. 2024;184(7):843-845. doi:10.1001/jamainternmed.2024.1464
This cross-sectional study examines how changes in privately insured families’ contributions to insurance premiums and out-of-pocket spending have affected the financial burden of health care in recent decades.
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Editor's Note
Health Care Expenses and Household Resources for Families With Low IncomeMitchell H.Katz,MD; Raegan W.Durant,MD, MPH; DeborahGrady,MD, MPH
JAMA Intern Med
Guide to Statistics and Methods
Doubly Robust Causal Modeling to Evaluate Device Implantation
MichelleShardell,PhD; ChixiangChen,PhD; Rozalina G.McCoy,MD, MS
Abstract Full Text
JAMA Intern Med. 2024;184(7):834-835. doi:10.1001/jamainternmed.2024.1181
This Guide to Statistics and Methods explains doubly robust causal modeling, which offers 2 opportunities to correctly model confounders, when to use it, and discusses its limitations.
Challenges in Clinical Electrocardiography
A Small Wave Missed in Wide Complex Tachycardia
YiLi,MD; TongLiu,MD, PhD; ZhibingLu,MD, PhD
Abstract Full Text
has active quiz
JAMA Intern Med. 2024;184(7):836-837. doi:10.1001/jamainternmed.2023.7883
This case report describes a patient in their 60s with intermittent palpitation, weakness, and irregular cardiac rhythm.
JAMA Internal Medicine Patient Page
What Should I Know About Injectable Weight-Loss Medications?
AndrewKraftson,MD; DinaGriauzde,MD
Abstract Full Text
free access
JAMA Intern Med. 2024;184(7):854. doi:10.1001/jamainternmed.2023.7268
This JAMA Internal Medicine Patient Page describes how to use injectable weight-loss medications as well as their risks and benefits.
Comment & Response
Examining Safer Opioid Supply Policies
BohdanNosyk,PhD; AmandaSlaunwhite,PhD; KarenUrbanoski,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):846. doi:10.1001/jamainternmed.2024.1211
Examining Safer Opioid Supply Policies
Owen J.Chen,MSc; XiZhang,MSc; Julia X. X.Luo,MSc
Abstract Full Text
JAMA Intern Med. 2024;184(7):846-847. doi:10.1001/jamainternmed.2024.1214
Examining Safer Opioid Supply Policies
HudsonReddon,PhD; PaxtonBach,MD; M-J.Milloy,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):847-848. doi:10.1001/jamainternmed.2024.1217
Examining Safer Opioid Supply Policies—Reply
Hai V.Nguyen,PhD; ShwetaMital,PhD; EmmaMcGinty,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):848. doi:10.1001/jamainternmed.2024.1220
Is Screening for Primary Aldosteronism Always the Best Option?
RomainBoulestreau,MD; ThierryCouffinhal,MD, PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):849. doi:10.1001/jamainternmed.2024.1452
Is Screening for Primary Aldosteronism Always the Best Option?—Reply
Adina F.Turcu,MD, MS; SuranutCharoensri,MD; LindaBashaw,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):849-850. doi:10.1001/jamainternmed.2024.1455
Health Technology Assessment in the US—A Word of Caution
FranciscoOlivença,MPharm; Alexander I. G.Moore,MSc; Sreeram V.Ramagopalan,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):850-851. doi:10.1001/jamainternmed.2024.1458
Health Technology Assessment in the US—A Word of Caution—Reply
Olivier J.Wouters,PhD; HuseyinNaci,PhD; IrenePapanicolas,PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):851. doi:10.1001/jamainternmed.2024.1461
Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice
Po-RenHsiao,MD; James Cheng-ChungWei,MD, PhD
Abstract Full Text
JAMA Intern Med. 2024;184(7):851-852. doi:10.1001/jamainternmed.2024.1738
Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice—Reply
Julie M.Paik,MD, ScD, MPH; ElisabettaPatorno,MD, DrPH
Abstract Full Text
JAMA Intern Med. 2024;184(7):852-853. doi:10.1001/jamainternmed.2024.1741
JAMA Internal Medicine Masthead
JAMA Internal Medicine
Abstract Full Text
free access
JAMA Intern Med. 2024;184(7):712. doi:10.1001/jamainternmed.2023.5572
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New Online
Routine Electrocardiogram Screening and Cardiovascular Disease Events in Adults
Original Investigation | July 1, 2024
Preventive Effect of Neuromuscular Training on Chemotherapy-Induced Neuropathy: A Randomized Clinical Trial
Original Investigation | July 1, 2024
Screening ECGs for Cardiovascular Risk Assessment
Invited Commentary | July 1, 2024
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