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July 2019 - July 1883

Decade

Year

Issue

August 1, 2017, Vol 318, No. 5, Pages 403-490

In This Issue of JAMA

Highlights

Abstract Full Text
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JAMA. 2017;318(5):403-405. doi:10.1001/jama.2016.13245
Original Investigation

Effect of Oral Methylprednisolone on Clinical Outcomes in Patients With IgA Nephropathy: The TESTING Randomized Clinical Trial

Abstract Full Text
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JAMA. 2017;318(5):432-442. doi:10.1001/jama.2017.9362

This randomized clinical trial evaluated the effectiveness and safety of oral methylprednisolone vs placebo in patients with IgA nephropathy and proteinuria.

Effect of Endovascular Contact Aspiration vs Stent Retriever on Revascularization in Patients With Acute Ischemic Stroke and Large Vessel Occlusion: The ASTER Randomized Clinical Trial

Abstract Full Text
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JAMA. 2017;318(5):443-452. doi:10.1001/jama.2017.9644

This randomized trial compares the effects of thrombectomy with a contact aspiration vs a stent retriever technique on successful endovascular revascularization in patients with acute ischemic stroke.

Association of Practice-Level Social and Medical Risk With Performance in the Medicare Physician Value-Based Payment Modifier Program

Abstract Full Text
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JAMA. 2017;318(5):453-461. doi:10.1001/jama.2017.9643

This cross-sectional study assesses whether physician practices serving more socially high-risk and medically high-risk patients are associated with performance in the Medicare Physician Value-Based Payment Modifier Program.

Research Letter

Fees for Certification and Finances of Medical Specialty Boards

Abstract Full Text
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JAMA. 2017;318(5):477-479. doi:10.1001/jama.2017.7464

This study investigates fees charged to physicians for certification examinations and finances of the American Board of Medical Specialties member boards.

Viewpoint

Treatment of Cholesterol in 2017

Abstract Full Text
JAMA. 2017;318(5):417-418. doi:10.1001/jama.2017.6753

This Viewpoint clarifies 3 treatment options for treating patients with elevated cholesterol levels by discussing patient goals, encouraging lifestyle changes, and using lipid-lowering medication.

Inconsistent Guideline Recommendations for Cardiovascular Prevention and the Debate About Zeroing in on and Zeroing LDL-C Levels With PCSK9 Inhibitors

Abstract Full Text
JAMA. 2017;318(5):419-420. doi:10.1001/jama.2017.6765

This Viewpoint discusses variances in cardiovascular prevention guidelines from the United States, Europe, and Canada and the debate surrounding low-density lipoprotein levels as the primary focus.

Marshaling FDA Benefit-Risk Expertise to Address the Current Opioid Abuse Epidemic

Abstract Full Text
JAMA. 2017;318(5):421-422. doi:10.1001/jama.2017.9205

In this Viewpoint, FDA Commissioner Scott Gottlieb and CDER Director Janet Woodcock discuss how the FDA weighs the risks and benefits of opioids and integrates public health and clinical perspectives into decisions about opioid approval, marketing, restrictions, and labeling.

Both Urgency and Balance Needed in Addressing Opioid Epidemic: A Report From the National Academies of Sciences, Engineering, and Medicine

Abstract Full Text
JAMA. 2017;318(5):423-424. doi:10.1001/jama.2017.10046

This Viewpoint describes the National Academies of Sciences, Engineering, and Medicine’s new report on the harms associated with opioid misuse and the effects of strategies to reduce those harms, and discusses the importance of balancing patients’ pain management and addressing the current opioid epidemic.

New Data on Opioid Use and Prescribing in the United States

Abstract Full Text
JAMA. 2017;318(5):425-426. doi:10.1001/jama.2017.8913

This Viewpoint from the acting director of the CDC and coauthors reports data on opioid prescribing and related misuse and overdose-related deaths for the period 2006-2015 in the United States.

A Piece of My Mind

The Paradox of Mindfulness: Seamus Heaney’s “St Kevin and the Blackbird”

Abstract Full Text
JAMA. 2017;318(5):427-428. doi:10.1001/jama.2017.6164
Editorial

Corticosteroids for IgA Nephropathy: TESTING for Benefit, Discovering Harm

Abstract Full Text
JAMA. 2017;318(5):429-431. doi:10.1001/jama.2017.9359
The Rational Clinical Examination

Does This Child Have Pneumonia?The Rational Clinical Examination Systematic Review

Abstract Full Text
has active quiz has multimedia
JAMA. 2017;318(5):462-471. doi:10.1001/jama.2017.9039

This systematic review analyzes 23 cohort studies to assess the accuracy of individual symptoms and physical examination findings for the diagnosis of radiographic pneumonia in children.

From the JAMA Network

Viral Testing for Pediatric Respiratory Infections: Why Precise Diagnoses Do Not Always Translate to Patient Benefit

Abstract Full Text
JAMA. 2017;318(5):472-473. doi:10.1001/jama.2017.3985

This commentary discusses a narrative review published in JAMA Pediatrics that summarized the rationale historically used to support respiratory viral testing in children and the potential considerations and limitations of the various types of tests.

JAMA Diagnostic Test Interpretation

24-Hour Urine Calcium in the Evaluation and Management of Nephrolithiasis

Abstract Full Text
has active quiz
JAMA. 2017;318(5):474-475. doi:10.1001/jama.2017.7085

A 29-year-old man presented with recurrent nephrolithiasis with 95% calcium oxalate and 5% calcium phosphate. His maternal family history was significant for nephrolithiasis, but his laboratory studies showed normal results. How would you proceed?

Medical News & Perspectives

Pilot Programs Seek to Integrate Genomic Data Into Practice

Abstract Full Text
JAMA. 2017;318(5):410-412. doi:10.1001/jama.2017.7181

This Medical News article discusses recent programs and initiatives aimed at better integrating genomic data into clinical practice.

News From the Food and Drug Administration

New Hereditary Angioedema Therapy

Abstract Full Text
JAMA. 2017;318(5):416. doi:10.1001/jama.2017.9334

Another Fluoroquinolone Approved

Abstract Full Text
JAMA. 2017;318(5):416. doi:10.1001/jama.2017.9336

Extended-Release ADHD Drug

Abstract Full Text
JAMA. 2017;318(5):416. doi:10.1001/jama.2017.9338
The JAMA Forum

State Flexibility for Medicaid: How Much?

Abstract Full Text
free access has audio
JAMA. 2017;318(5):413-414. doi:10.1001/jama.2017.8758
Bench to Bedside

CRISPR-Based System Uncovers Key Regulators of Disease-Related Genes

Abstract Full Text
JAMA. 2017;318(5):412-413. doi:10.1001/jama.2017.9216
JAMA Infographic

Visualizing Health Policy

Costs and Outcomes of Mental Health and Substance Use Disorders in the US

Abstract Full Text
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JAMA. 2017;318(5):415. doi:10.1001/jama.2017.8558
Poetry and Medicine

Michael Jackson’s Skin

Abstract Full Text
JAMA. 2017;318(5):485. doi:10.1001/jama.2017.4229
JAMA Revisited

Medical News: London Letter

Abstract Full Text
JAMA. 2017;318(5):486. doi:10.1001/jama.2017.8599
JAMA Patient Page

Childhood Pneumonia

Abstract Full Text
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JAMA. 2017;318(5):490. doi:10.1001/jama.2017.9428
Comment & Response

Dexmedetomidine in Patients With Sepsis Requiring Mechanical Ventilation

Abstract Full Text
JAMA. 2017;318(5):479-480. doi:10.1001/jama.2017.7853

Dexmedetomidine in Patients With Sepsis Requiring Mechanical Ventilation—Reply

Abstract Full Text
JAMA. 2017;318(5):480. doi:10.1001/jama.2017.7869

Exercise for Patients With Hypertrophic Cardiomyopathy

Abstract Full Text
JAMA. 2017;318(5):480-481. doi:10.1001/jama.2017.8193

Exercise for Patients With Hypertrophic Cardiomyopathy—Reply

Abstract Full Text
JAMA. 2017;318(5):481-482. doi:10.1001/jama.2017.8201

Risks of Medical Metaphors

Abstract Full Text
JAMA. 2017;318(5):482. doi:10.1001/jama.2017.8197

Risks of Medical Metaphors—Reply

Abstract Full Text
JAMA. 2017;318(5):482-483. doi:10.1001/jama.2017.8205

Time to Diagnostic Testing After a Positive Colorectal Cancer Screening Test

Abstract Full Text
JAMA. 2017;318(5):483. doi:10.1001/jama.2017.9312

Time to Diagnostic Testing After a Positive Colorectal Cancer Screening Test—Reply

Abstract Full Text
JAMA. 2017;318(5):483-484. doi:10.1001/jama.2017.9316
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2017;318(5):407-408. doi:10.1001/jama.2016.13246
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