May 23/30, 2023, Vol 329, No. 20, Pages 1717-1802

In This Issue of JAMA

Audio Highlights

Abstract Full Text

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JAMA. 2023;329(20):e2215917. doi:10.1001/jama.2022.15917

Audio: Group-Based Intervention for Reducing Opioid Use for Chronic Pain, Community Health Worker Intervention for Well-Child Care, Coronary Artery Calcium Score and Polygenic Risk Score for the Prediction of Coronary Heart Disease Events, and more

Original Investigation

Reducing Opioid Use for Chronic Pain With a Group-Based Intervention: A Randomized Clinical Trial

Harbinder K. Sandhu, DHealthPsy; Katie Booth, MSc; Andrea D. Furlan, MD, PhD; et al.

Abstract Full Text

JAMA. 2023;329(20):1745-1756. doi:10.1001/jama.2023.6454

This randomized clinical trial compares the efficacy of a multicomponent, group-based, self-management intervention vs usual care in reducing opioid use and improving pain-related disability in patients taking strong opioids to treat chronic pain from nonmalignant causes.

Community Health Workers in Early Childhood Well-Child Care for Medicaid-Insured Children: A Randomized Clinical Trial

Tumaini R. Coker, MD, MBA; Kendra Liljenquist, PhD, MPH; Sarah J. Lowry, PhD; et al.

Abstract Full Text

JAMA. 2023;329(20):1757-1767. doi:10.1001/jama.2023.7197

This cluster randomized clinical trial compares the effectiveness of the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT) intervention at well-child care visits for parents with children younger than 2 years of age vs usual care.

Coronary Artery Calcium Score and Polygenic Risk Score for the Prediction of Coronary Heart Disease Events

Sadiya S. Khan, MD, MSc; Wendy S. Post, MD; Xiuqing Guo, PhD; et al.

Abstract Full Text

JAMA. 2023;329(20):1768-1777. doi:10.1001/jama.2023.7575

This study involving 2 large, community-based, longitudinal, cohort studies whether adding 2 markers—coronary artery calcium score and polygenic risk score—to traditional risk factor–based scores improves predicting coronary heart disease among middle-aged to older adults.

Transcatheter Mitral Valve Repair for Degenerative Mitral Regurgitation

Raj R. Makkar, MD; Joanna Chikwe, MD; Tarun Chakravarty, MD; et al.

Abstract Full Text

JAMA. 2023;329(20):1778-1788. doi:10.1001/jama.2023.7089

This cohort study assesses residual mitral regurgitation and mitral gradient outcomes as well as clinical outcomes after transcatheter mitral valve repair in a registry of patients with moderate to severe or severe degenerative mitral regurgitation.

Research Letter

Group A Streptococcal Meningitis With the M1_UK Variant in the Netherlands

Boas C. L. van der Putten, PhD; Bart J. M. Vlaminckx, MD, PhD; Brechje de Gier, PhD; et al.

Abstract Full Text

JAMA. 2023;329(20):1791-1792. doi:10.1001/jama.2023.5927

This study reports an epidemiological assessment of laboratory-confirmed group A streptococcal meningitis cases in the Netherlands using more than 40 years of national bacteriological surveillance data.

Changes in Waivered Clinicians Prescribing Buprenorphine and Prescription Volume by Patient Limit

Qian Luo, PhD; Clese E. Erikson, MPAff

Abstract Full Text

JAMA. 2023;329(20):1792-1794. doi:10.1001/jama.2023.5038

This study uses data from a Drug Enforcement Administration list of Drug Addiction Treatment Act (DATA)–waivered clinicians to examine trends in DATA-waivered clinicians’ active participation in prescribing buprenorphine overall and by patient limits between January 2017 and May 2021.

Viewpoint

Cost-Free Preventive Care Under the ACA Faces Legal Challenge

Abbe R. Gluck, JD; Lawrence O. Gostin, JD

Abstract Full Text

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JAMA. 2023;329(20):1733-1734. doi:10.1001/jama.2023.6584

This Viewpoint examines the recent decision by a federal district court that undercuts the Affordable Care Act’s mandate for cost-free coverage of preventive services, including contraception, some vaccinations, many screenings, and preexposure prophylaxis for HIV, among others.

Audio: The Continued Legal Battle to Undercut the ACA

Editorial
US Preventive Services Task Force Challenged in Federal Court
Gregory Curfman, MD; Kirsten Bibbins-Domingo, PhD, MD, MAS

Court Intrusion Into Science and Medicine—The Mifepristone Decisions

Daniel G. Aaron, MD, JD; Teneille R. Brown, JD; Michael S. Sinha, MD, JD, MPH

Abstract Full Text

JAMA. 2023;329(20):1735-1737. doi:10.1001/jama.2023.7790

This Viewpoint discusses recent US court decisions on the availability of mifepristone, a drug used to terminate pregnancies, and how these conflicting court decisions affect the scientific process and decision-making of the US Food and Drug Administration.

Treating Opioid Use Disorder in Patients Who Are Incarcerated: Quandaries of a Hospitalist

Anna-Maria South, MD; Laura Fanucchi, MD, MPH; Michelle Lofwall, MD

Abstract Full Text

JAMA. 2023;329(20):1738-1739. doi:10.1001/jama.2023.5904

This Viewpoint discusses the importance of ensuring that life-saving medication for opioid use disorder is available to hospitalized persons who are incarcerated.

Transforming Clinical Research to Meet Health Challenges

Carrie D. Wolinetz, PhD; Lawrence A. Tabak, DDS, PhD

Abstract Full Text

JAMA. 2023;329(20):1740-1741. doi:10.1001/jama.2023.3964

This Viewpoint discusses specific areas of improvement in the National Institutes of Health’s funding of and research criteria for clinical trials to be inclusive, transparent, and broad reaching.

A Piece of My Mind

The Snowstorm

Sonja Van Hala, MD, MPH

Abstract Full Text

JAMA. 2023;329(20):1742. doi:10.1001/jama.2023.7072

In this narrative medicine essay, a family physician takes a moment-by-moment, one-step-at-a-time approach to move from her couch to recovery from treatment for lymphoblastic leukemia to finally reaching the cross-country ski trails.

Editorial

US Preventive Services Task Force Challenged in Federal Court

Gregory Curfman, MD; Kirsten Bibbins-Domingo, PhD, MD, MAS

Abstract Full Text

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JAMA. 2023;329(20):1743-1744. doi:10.1001/jama.2023.6605

JAMA Clinical Guidelines Synopsis

Prescribing Opioids for Pain

Mim Ari, MD; Jason T. Alexander, MD; George Weyer, MD

Abstract Full Text

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JAMA. 2023;329(20):1789-1790. doi:10.1001/jama.2023.6539

This JAMA Clinical Guidelines Synopsis summarizes the Centers for Disease Control and Prevention’s 2022 clinical practice guideline for prescribing opioids for pain.

Editor's Note

Does Poetry Make Nothing Happen?

Rafael Campo, MA, MD

Abstract Full Text

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JAMA. 2023;329(20):1797. doi:10.1001/jama.2023.8123

Medical News & Perspectives

Artificial Intelligence, Emerging Threats, and Diagnostic Advances—Highlights From ECCMID, Europe’s Largest Infectious Disease Conference

Preeti Malani, MD, MSJ

Abstract Full Text

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JAMA. 2023;329(20):1722-1723. doi:10.1001/jama.2023.6066

This Medical News article is an interview with ECCMID program director Jacob Moran-Gilad, MD, MPH.

Audio: Highlights From ECCMID, Europe’s Largest Infectious Diseases Conference

Autism Prevalence Has Been on the Rise in the US for Decades—And That’s Progress

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1724-1726. doi:10.1001/jama.2023.6078

This Medical News article discusses advancements in understanding and characterizing autism over the past 20 years.

How Primary Care Physicians Can Recognize and Treat Long COVID

Esther Wei-Yun Landhuis, PhD

Abstract Full Text

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JAMA. 2023;329(20):1727-1729. doi:10.1001/jama.2023.6604

This Medical News article discusses challenges to treatment of post–COVID-19 condition in primary care.

Medical News in Brief

ACA Had “Minimal” Effect on Health Insurance Stability

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1730. doi:10.1001/jama.2023.7759

Growth of Home Care Coverage Outpaced Number of Workers

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1730. doi:10.1001/jama.2023.7760

Updated Meta-analysis: Cranberry Products Reduced UTI Risk

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1730. doi:10.1001/jama.2023.7761

BCG Vaccine Not Effective Against COVID-19

Emily Harris

Abstract Full Text

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JAMA. 2023;329(20):1730. doi:10.1001/jama.2023.7763

Ownership Data Now Available for Hospice and Home Health Agencies

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1730-1731. doi:10.1001/jama.2023.7764

RSV Infection During Infancy Tied to Asthma Later

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1731. doi:10.1001/jama.2023.7765

Swapping Out Sugary Drinks Associated With Lower Mortality

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1731. doi:10.1001/jama.2023.7766

HIV Status Not Linked to Treatment Outcomes for People With Mpox

Emily Harris

Abstract Full Text

JAMA. 2023;329(20):1731. doi:10.1001/jama.2023.7767

XBB.1.16 Deemed COVID-19 “Variant of Interest”

Emily Harris

Abstract Full Text

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JAMA. 2023;329(20):1731. doi:10.1001/jama.2023.7768

The Arts and Medicine

The Mould That Changed the World—A Musical Paean to Penicillin

Maureen J. Miller, MD, MPH

Abstract Full Text

JAMA. 2023;329(20):1719-1721. doi:10.1001/jama.2023.7306

This Arts and Medicine feature reviews The Mould That Changed the World, a musical about the history of penicillin that uses fringe set design, eccentric staging, and quirky lyrics to teach audiences the importance of antimicrobial stewardship.

Poetry and Medicine