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January 2019 - July 1883




December 25, 2018, Vol 320, No. 24, Pages 2499-2608

In This Issue of JAMA


Abstract Full Text
free access has audio
JAMA. 2018;320(24):2499-2501. doi:10.1001/jama.2017.12691

Potential Risks and Benefits of Mental Health Screening of Physicians

Abstract Full Text
JAMA. 2018;320(24):2527-2528. doi:10.1001/jama.2018.18403

This Viewpoint discusses the barriers to physicians’ seeking treatment for depression, burnout, and suicide ideation; reviews the pros and cons of establishing a mental health screening protocol for physicans; and calls for research on the effect screening has on mental health outcomes.

The Challenges of Improving Treatments for Depression

Abstract Full Text
JAMA. 2018;320(24):2529-2530. doi:10.1001/jama.2018.17824

In this Viewpoint, the author discusses the need for studying treatments that help patients with persistent depression.

The Ethics of Heritable Genome Editing: New Considerations in a Controversial Area

Abstract Full Text
JAMA. 2018;320(24):2531-2532. doi:10.1001/jama.2018.18270

This Viewpoint about heritable genome editing–the modification of DNA of an embryo, sperm, or egg to alter its characteristics for future generations–summarizes the 2018 Nuffield Council on Bioethics report on social and ethical issues raised by the technique, and questions its rejection of a distinction between gene editing for therapeutic vs feature enhancement purposes.

Improving Electronic Health Record Usability and Safety Requires Transparency

Abstract Full Text
JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079

This Viewpoint discusses ways in which vendors of electronic health record (EHR) systems can block the conduct and dissemination of EHR usability and safety research and calls for policies that promote the identification and communication of usability and safety issues.

Using Standardized “Cancer Clocks”

Abstract Full Text
JAMA. 2018;320(24):2535-2536. doi:10.1001/jama.2018.18756

This Viewpoint discusses the practice of using a clock timer analogy to describe population risks of cancer and suggests standardizing the measures of incidence rates used in the clocks to population size to facilitate more accurate comparisons between populations.

A Piece of My Mind

The Language of Suicide

Abstract Full Text
JAMA. 2018;320(24):2537-2538. doi:10.1001/jama.2018.19199

In this narrative medicine essay, a neonatologist-in-training finds that small, ordinary treasures—the first blooms of forsythia, the brilliant flash of an ignited Amaretti wrapper, incandescent cracks of lightning on a muggy summer night—mitigate some of the pain of her memories of having watched her father’s struggle with alcoholism, his failed marriage, and his suicide.


Unintended Harm Associated With the Hospital Readmissions Reduction Program

Abstract Full Text
JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325
Original Investigation

Association of the Hospital Readmissions Reduction Program With Mortality Among Medicare Beneficiaries Hospitalized for Heart Failure, Acute Myocardial Infarction, and Pneumonia

Abstract Full Text
JAMA. 2018;320(24):2542-2552. doi:10.1001/jama.2018.19232

This cohort study examined the effects of the CMS’s Hospital Readmissions Reduction Program, which imposed financial penalties on hospitals with higher-than-expected readmission rates, on mortality among Medicare beneficiaries hospitalized with heart failure, acute myocardial infarction (AMI), or pneumonia.

Association of Genetic Variants Related to Gluteofemoral vs Abdominal Fat Distribution With Type 2 Diabetes, Coronary Disease, and Cardiovascular Risk Factors

Abstract Full Text
JAMA. 2018;320(24):2553-2563. doi:10.1001/jama.2018.19329

This cohort study uses GWAS data to identify genetic variants associated with higher waist-to-hip ratio (WHR) via gluteofemoral vs abdominal fat distribution and to estimate the association between a polygenic score for higher WHR and blood pressure, lipids and glucose levels, and type 2 diabetes and CVD risk.

Association of Pharmacological Treatments With Long-term Pain Control in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis

Abstract Full Text
has active quiz
JAMA. 2018;320(24):2564-2579. doi:10.1001/jama.2018.19319

This network meta-analysis of randomized clinical trials estimates the effects of analgesics, vitamin E, bone-acting agents like bisphosphonates and calcitonin, nonsteroidal anti-inflammatory drugs, intra-articular hyaluronic acid and corticosteroids, chondroitin sulfate and glucosamines, and disease-modifying agents on pain, physical function, and joint structure in patients with osteoarthritis.


In-Flight Medical Emergencies: A Review

Abstract Full Text
has active quiz has audio
JAMA. 2018;320(24):2580-2590. doi:10.1001/jama.2018.19842

This narrative review summarizes evidence about the prevalence and management of in-flight medical emergencies and provides guidance for health care professionals who may be called on to help during these events.

JAMA Clinical Challenge

Fever, Rash, and Abnormal Liver Function Test Results

Abstract Full Text
JAMA. 2018;320(24):2591-2592. doi:10.1001/jama.2018.16143

A man in his 30s had a 5-day history of fever, rhinorrhea, nonproductive cough, fever, and a maculopapular rash on his neck and trunk that spread to the extremities. He had leukopenia, and liver enzyme levels were elevated. What would you do next?

JAMA Diagnostic Test Interpretation

The Direct Antiglobulin Test for Evaluating Anemia

Abstract Full Text
JAMA. 2018;320(24):2593-2594. doi:10.1001/jama.2018.14317

A 68-year-old woman with chronic lymphocytic leukemia (CLL) presents with dyspnea on exertion, conjunctival pallor and scleral icterus, and moderate anemia with elevated reticulocytes and LDH and a 3+ anti-IgG direct antiglobulin test (DAT). How do you interpret the results?

Research Letter

Adoption of Medicare’s Transitional Care Management and Chronic Care Management Codes in Primary Care

Abstract Full Text
JAMA. 2018;320(24):2596-2597. doi:10.1001/jama.2018.16116

This study analyzes Medicare claims data to assess the use of transitional care management and chronic care management services delivered by primary care physicians to fee-for-service beneficiaries.

Medical News & Perspectives

Whole-Fat or Nonfat Dairy? The Debate Continues

Abstract Full Text
has audio
JAMA. 2018;320(24):2514-2516. doi:10.1001/jama.2018.17692

This Medical News & Perspectives story examines the debate over whether opting for whole-fat dairy or nonfat dairy or avoiding dairy altogether is optimal for health.

Unraveling the Mysteries of the Human Placenta

Abstract Full Text
has audio
JAMA. 2018;320(24):2516-2518. doi:10.1001/jama.2018.18200

This Medical News article is an interview with the director of the National Institute of Child Health and Human Development about its Human Placenta Project.

The JAMA Forum

Common Ground on Health

Abstract Full Text
free access
JAMA. 2018;320(24):2518-2519. doi:10.1001/jama.2018.19581
News From the Centers for Disease Control and Prevention

Increase in Firearm Homicides

Abstract Full Text
JAMA. 2018;320(24):2522. doi:10.1001/jama.2018.19331

Shifting Hepatitis A Epidemiology

Abstract Full Text
JAMA. 2018;320(24):2522. doi:10.1001/jama.2018.19604
Clinical Trials Update

Balance Exercises Prevented Falls

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JAMA. 2018;320(24):2521. doi:10.1001/jama.2018.19334

Less Sitting Improved Work and Mood

Abstract Full Text
JAMA. 2018;320(24):2521. doi:10.1001/jama.2018.20157

Hand Sanitizer Combated Sickness in Day Care Centers

Abstract Full Text
JAMA. 2018;320(24):2521. doi:10.1001/jama.2018.20158

Chemoimmunotherapy for Triple-Negative Breast Cancer

Abstract Full Text
JAMA. 2018;320(24):2521. doi:10.1001/jama.2018.20159

Dual Receptor Agonist for Type 2 Diabetes

Abstract Full Text
JAMA. 2018;320(24):2521. doi:10.1001/jama.2018.20160
Health Agencies Update

Final Rules for Religious or Moral Objections to Contraceptive Coverage

Abstract Full Text
JAMA. 2018;320(24):2520. doi:10.1001/jama.2018.19473

GAO Assessment of the Opioid Public Health Emergency

Abstract Full Text
JAMA. 2018;320(24):2520. doi:10.1001/jama.2018.20155

Studying the Impact of Disabilities on Pregnancy

Abstract Full Text
JAMA. 2018;320(24):2520. doi:10.1001/jama.2018.20156
Comment & Response

Electrocardiography Screening for Atrial Fibrillation

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JAMA. 2018;320(24):2598. doi:10.1001/jama.2018.17764

Electrocardiography Screening for Atrial Fibrillation—Reply

Abstract Full Text
JAMA. 2018;320(24):2598-2599. doi:10.1001/jama.2018.17768

Digital Media Use and ADHD Symptoms

Abstract Full Text
JAMA. 2018;320(24):2599. doi:10.1001/jama.2018.18095

Digital Media Use and ADHD Symptoms—Reply

Abstract Full Text
JAMA. 2018;320(24):2599-2600. doi:10.1001/jama.2018.18103

Providing Individual Research Results to Participants

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JAMA. 2018;320(24):2600-2601. doi:10.1001/jama.2018.18099

Providing Individual Research Results to Participants—Reply

Abstract Full Text
JAMA. 2018;320(24):2601. doi:10.1001/jama.2018.18111

Inconsistent Reporting of Potential Conflicts of Interest in JAMA

Abstract Full Text
JAMA. 2018;320(24):2601-2602. doi:10.1001/jama.2018.18490

Inconsistent Conflict of Interest Disclosure

Abstract Full Text
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JAMA. 2018;320(24):2602. doi:10.1001/jama.2018.18875
The Arts and Medicine

Graphic Medicine: The Best of 2018

Abstract Full Text
JAMA. 2018;320(24):2510-2511. doi:10.1001/jama.2018.18009

This Arts and Medicine essay reviews the 2 best graphic medicine publications of 2018: Ellen Forney’s Rock Steady, about her approach to self-managing her bipolar disorder, and Marnie Galloway’s Slightly Plural, about overcoming cultural myths of pregnancy and motherhood to develop one’s own story of parenting.

Poetry and Medicine

Twelve Blessings for a Surgeon

Abstract Full Text
JAMA. 2018;320(24):2603. doi:10.1001/jama.2018.12434
JAMA Revisited

Some Hazards at Christmastime

Abstract Full Text
JAMA. 2018;320(24):2604. doi:10.1001/jama.2017.12723
JAMA Patient Page


Abstract Full Text
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JAMA. 2018;320(24):2608. doi:10.1001/jama.2018.17953

This JAMA Patient Page describes the symptoms, causes, diagnosis, and treatment of endometriosis.

JAMA Masthead


Abstract Full Text
free access
JAMA. 2018;320(24):2503-2504. doi:10.1001/jama.2017.12692