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Some evidence suggests that mycophenolate mofetil may be superior to methotrexate for initial treatment of noninfectious uveitis. Rathinam and colleagues randomized 216 adults with noninfectious uveitis and found that the use of mycophenolate mofetil, compared with methotrexate, as first-line corticosteroid-sparing treatment did not result in superior control of inflammation.
Visual Abstract and CME
The benefit of exercise interventions for patients with hip fracture may be attributable to the treatment itself or to the experience of receiving intensive contact with well-trained professionals. Magaziner and colleagues randomized 210 older adults with hip fracture and found that a multicomponent home-based physical therapy intervention, compared with an active control that included transcutaneous electrical nerve stimulation and active range-of-motion exercises, did not result in a statistically significant improvement in the ability to walk 300 m or more in 6 minutes after 16 weeks.
Kidney transplantation is the preferred treatment for most adults with end-stage kidney disease, but only 14% of patients in the United States receive transplant or have been placed on a waiting list within 1 year of end-stage kidney disease diagnosis. Gander and colleagues conducted a retrospective cohort study of 1 478 564 patients in 6511 US dialysis facilities and found that receiving dialysis in for-profit, compared with nonprofit, facilities was associated with lower likelihood of accessing kidney transplant. In an Editorial, Boulware reports that recently proposed Medicare payment models will provide incentives to enhance transplant rates.
Cannabis is often used for medicinal purposes. This JAMA Insights article by Hill discusses the benefits and harms of cannabis use for specific medical conditions.
Data from the 2018-2019 Liaison Committee on Medical Education (LCME) annual questionnaire provide a picture of student demographics, curriculum content, and enrollment at US medical schools
Editorial and Related Article
2018 National GME Census data are presented, detailing the numbers and types of accredited training programs and the residents and fellows in them.
Highlights. JAMA. 2019;322(10):903–905. doi:10.1001/jama.2018.15498
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