Editors’ Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the November 22, 2016 issue
This Viewpoint discusses self-administered outpatient intravenous antibiotic treatment as an example of a health care delivery innovation that improves the patient experience of health care, improves outcomes, and reduces costs.
This Viewpoint argues for a shift in pharmaceutical pricing from an individual- to a population-based perspective and proposes policy options to incentivize pricing that would make treating populations with disease sustainable.
This Viewpoint summarizes tobacco industry challenges to public health laws and the risks faced by countries seeking to enact laws targeting smoking and highlights the need for full exclusion of tobacco products from trade agreements.
This Viewpoint by David Ludwig assesses the lessons learned from US nutrition recommendations to limit fat intake and the continuing increase in obesity and diabetes and discusses the challenges inherent in scientific evidence regarding nutrition.
This randomized trial assesses the effect of an inpatient palliative care intervention vs standard transplant care on quality of life during hospitalization for patients undergoing hematopoietic stem cell transplantation (HCT).
This meta-analysis of clinical trials article assesses the effects of palliative care interventions on patient quality of life, symptom burden, and survival and on caregiver burden and satisfaction.
This study uses National Electronic Injury Surveillance System–Cooperative Adverse Drug Event Surveillance data to characterize emergency department visits for adverse drug events in the United States in 2013-2014 and to describe changes in emergency department visits for adverse drug events since 2005-2006
This meta-analysis of data from 5 population-based cohort studies assesses the associations between coronary artery calcium (CAC) score and atherosclerotic cardiovascular disease (CVD) in low-risk women and the changes in risk discrimination when CAC score is added to traditional CVD risk factors.
This narrative review summarizes the most commonly used colorectal cancer screening tests in the United States and offers guidance about screening programs for higher-risk patients and management of antithrombotic therapy before colonoscopy.
An 84-year-old woman with a history of chronic kidney disease, prior stroke, and hypertension but no personal or family history of bleeding disorders was admitted with a 2-week history of spontaneous subcutaneous ecchymoses and hematomas. She had normal vital signs, laboratory results showing isolated severe anemia but unremarkable for other causes of anemia, and a large soft-tissue hematoma in the left chest wall without evidence of internal hemorrhage. How do you interpret these test results?
This study uses data from the US National Office of Vital Statistics and the Centers for Disease Control and Prevention WONDER database to characterize trends in infectious disease mortality from 1980 through 2014.
This Medical News article discusses the Human Genome Project-write with Harvard geneticist, George Church, PhD.
In this Arts and Medicine essay, the author, an artist and facial plastic surgeon, describes the importance of sculpture as an educational tool to enhance surgeons’ aesthetic judgment and procedural technique.