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April 2021 - July 1883




January 23/30, 2018, Vol 319, No. 4, Pages 319-418

In This Issue of JAMA


Abstract Full Text
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JAMA. 2018;319(4):319-321. doi:10.1001/jama.2017.12207
Original Investigation

Effect of Prolonged Exposure Therapy Delivered Over 2 Weeks vs 8 Weeks vs Present-Centered Therapy on PTSD Symptom Severity in Military Personnel: A Randomized Clinical Trial

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JAMA. 2018;319(4):354-364. doi:10.1001/jama.2017.21242

This randomized trial compared the effects of prolonged exposure therapy (10 sessions over 2 weeks vs 8 weeks) vs present-centered therapy vs minimal contact on posttraumatic stress disorder (PTSD) symptom severity among active duty military personnel.

Association Between Left Atrial Appendage Occlusion and Readmission for Thromboembolism Among Patients With Atrial Fibrillation Undergoing Concomitant Cardiac Surgery

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JAMA. 2018;319(4):365-374. doi:10.1001/jama.2017.20125

This cohort study evaluates the association between surgical left atrial appendage occlusion and subsequent risk of arterial thromboembolism among older patients with atrial fibrillation undergoing coronary artery bypass grafting or valvular surgery.

Association of Hysteroscopic vs Laparoscopic Sterilization With Procedural, Gynecological, and Medical Outcomes

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JAMA. 2018;319(4):375-387. doi:10.1001/jama.2017.21269

This cohort study uses national clinical and claims data to compare the risks of procedural, medical, and reproductive complications among women undergoing hysteroscopic or laparoscopic sterilization.

Research Letter

Altmetric Scores, Citations, and Publication of Studies Posted as Preprints

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JAMA. 2018;319(4):402-404. doi:10.1001/jama.2017.21168

This study describes views, downloads, Altmetric scores, and citations of articles published as preprints and differences in Altmetric scores and citations of published articles by prior preprint status.

Characteristics of Interim Publications of Randomized Clinical Trials and Comparison With Final Publications

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JAMA. 2018;319(4):404-406. doi:10.1001/jama.2017.20653

This study describes the number of interim reports of ongoing randomized trials published between 2006 and 2015, the reasons for interim reporting, and differences in the abstract conclusions between interim and final publications.

Trialists’ Intent to Share Individual Participant Data as Disclosed at ClinicalTrials.gov

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JAMA. 2018;319(4):406-408. doi:10.1001/jama.2017.20581

This study summarizes responses to trial registration fields on the ClinicalTrials.gov website asking users if they plan to share individual participant data and what information they would be willing to share.

Prevalence of Disclosed Conflicts of Interest in Biomedical Research and Associations With Journal Impact Factors and Altmetric Scores

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JAMA. 2018;319(4):408-409. doi:10.1001/jama.2017.20738

This study estimates the prevalence of conflict of interest disclosures in medical journal articles published in 2016 and associations between disclosures and median journal impact factor and article Altmetric scores.

Editorial Evaluation, Peer Review, and Publication of Research Reports With and Without Supplementary Online Content

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JAMA. 2018;319(4):410. doi:10.1001/jama.2017.20650

This study assesses whether research manuscripts with supplemental material submitted in 2016 to JAMA, JAMA Internal Medicine, and JAMA Pediatrics were more likely than those without supplements to undergo peer review, be accepted, and have more online views and downloads.

Special Communication

Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies: The PRISMA-DTA Statement

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JAMA. 2018;319(4):388-396. doi:10.1001/jama.2017.19163

This extension of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline establishes consensus standards for reporting systematic reviews of diagnostic test accuracy studies.


The Rise and Fall of Mandatory Cardiac Bundled Payments

Abstract Full Text
JAMA. 2018;319(4):335-336. doi:10.1001/jama.2017.19205

This Viewpoint reviews the rationale and evidence for implementing bundled hospital payments for cardiac care and argues that the Centers for Medicare & Medicaid Services' 2017 cancellation of a bundled payment plan for acute myocardial infarction care and coronary artery bypass surgery procedures dims prospects for a health care system that focuses on value rather than volume.

Improving Public Health Requires Inclusion of Underrepresented Populations in Research

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JAMA. 2018;319(4):337-338. doi:10.1001/jama.2017.19138

This Viewpoint discusses the need to fund and conduct clinical trials that focus on the needs of pregnant women, children, people older than 65 years, and people with intellectual, functional or physical disabilities given that these populations comprise more than half of the US population.

Lessons From the Opioid Epidemic to Reinvigorate Tobacco Control Initiatives

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JAMA. 2018;319(4):339-340. doi:10.1001/jama.2017.19739

This Viewpoint discusses how the current attention to the opioid epidemic might be used to reinvigorate tobacco control initiatives.

A Piece of My Mind

The Things We Say

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JAMA. 2018;319(4):341-342. doi:10.1001/jama.2017.20545

In this essay, the author shows moments when the words he and other physicians used alienated his patient and family, interfered with fully understanding a patient’s medical needs, and impaired clinical judgment.


A Window Into the Evolution of Trauma-Focused Psychotherapies for Posttraumatic Stress Disorder

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JAMA. 2018;319(4):343-345. doi:10.1001/jama.2017.21880

Left Atrial Appendage Occlusion During Cardiac Operations for Prevention of Thromboembolic Events

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JAMA. 2018;319(4):345-347. doi:10.1001/jama.2017.20361

Evaluating the Long-term Safety of Hysteroscopic Sterilization

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JAMA. 2018;319(4):347-350. doi:10.1001/jama.2017.21268

Three Decades of Peer Review Congresses

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JAMA. 2018;319(4):350-353. doi:10.1001/jama.2017.20606
JAMA Clinical Evidence Synopsis

Oral Medications to Treat Toenail Fungal Infection

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JAMA. 2018;319(4):397-398. doi:10.1001/jama.2017.20160

This Clinical Evidence Synopsis summarizes a Cochrane review comparing the effectiveness and safety of oral antifungal medications for treatment of fungal toenail infection.

JAMA Clinical Challenge

Nystagmus and Platinum Hair

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JAMA. 2018;319(4):399-400. doi:10.1001/jama.2017.20673

A 25-year-old woman of European ethnic ancestry with poor vision and photophobia since childhood and a history of pendular nystagmus had hypopigmented hair and lashes, fair skin, and reddish-pink irides on examination, with visual acuity 20/60 bilaterally. What would you do next?

Medical News & Perspectives

Shantanu Nundy, MD: The Human Diagnosis Project

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JAMA. 2018;319(4):329-331. doi:10.1001/jama.2017.13897

This Medical News article is an interview with Shantanu Nundy, MD, about a new way for physicians to collaborate on cases online.

News From the Centers for Disease Control and Prevention

Possible Racial Disparities in NICU Breast Milk Use

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JAMA. 2018;319(4):334. doi:10.1001/jama.2017.20797

African Countries Move Closer to Eradicating Guinea Worm Disease

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JAMA. 2018;319(4):334. doi:10.1001/jama.2017.21121
Clinical Trials Update

New Combination Therapy for Cystic Fibrosis

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JAMA. 2018;319(4):333. doi:10.1001/jama.2017.20792

Social Media Intervention Improves Vaccine Acceptance

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JAMA. 2018;319(4):333. doi:10.1001/jama.2017.21378

Bariatric Surgery Controls Blood Pressure

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JAMA. 2018;319(4):333. doi:10.1001/jama.2017.21380

Opioid Agonist and Antagonist Therapies Prevent Opioid Relapse

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JAMA. 2018;319(4):333. doi:10.1001/jama.2017.21382
Health Agencies Update

Tick Bite Linked to Red Meat Allergy

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JAMA. 2018;319(4):332. doi:10.1001/jama.2017.20802

CMS Cancels Mandatory Hip and Cardiac Payment Bundles

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JAMA. 2018;319(4):332. doi:10.1001/jama.2017.21303

Study Recruitment to Accelerate Precision Medicine

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JAMA. 2018;319(4):332. doi:10.1001/jama.2017.21305
The Arts and Medicine

Pharma Art—Abstract Medication in the Work of Beverly Fishman

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JAMA. 2018;319(4):326-328. doi:10.1001/jama.2017.18675

This Arts and Medicine essay discusses the work of Beverly Fishman, whose abstract works are inspired by pill-related forms and themes and are intended as commentary on the role of pharmacy and the pharmaceutical industry in contemporary culture.

Orpheus’ Descent Into the Neurointensive Care Unit

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JAMA. 2018;319(4):328. doi:10.1001/jama.2017.16521

This Arts and Medicine essay describes a 2014 staging of the opera Orphée et Eurydice , directed by Romeo Castellucci, in which Eurydice’s residence in the Underworld is represented by a patient with locked-in syndrome from a vertebrobasilar stroke.

Poetry and Medicine

Let the Darkness In

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JAMA. 2018;319(4):412. doi:10.1001/jama.2017.10234
JAMA Revisited

Predetermination of Sex

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JAMA. 2018;319(4):413. doi:10.1001/jama.2017.12215
JAMA Patient Page

Patellofemoral Pain

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JAMA. 2018;319(4):418. doi:10.1001/jama.2017.19690

This JAMA Patient Page describes patellofemoral pain and its causes, diagnosis, and treatment.

JAMA Masthead


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JAMA. 2018;319(4):323-324. doi:10.1001/jama.2017.12208