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November 2021 - July 1883




May 14, 2019, Vol 321, No. 18, Pages 1741-1836

In This Issue of JAMA


Abstract Full Text
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JAMA. 2019;321(18):1741-1743. doi:10.1001/jama.2018.15322
Original Investigation

Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient Order Errors: A Randomized Clinical Trial

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JAMA. 2019;321(18):1780-1787. doi:10.1001/jama.2019.3698

This randomized trial compares the risk of wrong-patient orders in an electronic health record (EHR) configuration allowing 1 vs up to 4 concurrently open patient records.

Association of Unrecognized Obstructive Sleep Apnea With Postoperative Cardiovascular Events in Patients Undergoing Major Noncardiac Surgery

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JAMA. 2019;321(18):1788-1798. doi:10.1001/jama.2019.4783

This cohort study assesses the association between unrecognized obstructive sleep apnea (OSA) and 30-day risk of cardiovascular complications (myocardial injury, cardiac death, heart failure, thromboembolism, atrial fibrillation, and stroke) among adults undergoing major noncardiac surgery.

Association of a Beverage Tax on Sugar-Sweetened and Artificially Sweetened Beverages With Changes in Beverage Prices and Sales at Chain Retailers in a Large Urban Setting

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JAMA. 2019;321(18):1799-1810. doi:10.1001/jama.2019.4249

This study examines prices and sales of sweetened beverages before and after implementation of a excise tax in Philadelphia, intended to reduce unhealthful drink consumption, and compares it with sales in Baltimore, which did not institute the same tax.

Research Letter

Postpublication Metrics of Randomized Clinical Trials With and Without Null Findings

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JAMA. 2019;321(18):1825-1826. doi:10.1001/jama.2019.2994

This study examined the association between RCT findings supporting or rejecting the trials’ experimental hypotheses and postpublication metrics reflecting scientific and public interest; namely, citations, Altimetric scores, and views.


Trust in Health Care

From Distrust to Building Trust in Clinician-Organization Relationships

Abstract Full Text
JAMA. 2019;321(18):1761-1762. doi:10.1001/jama.2018.22133

This Viewpoint reviews the sources of distrust between clinicians and the leadership of health systems they practice in, and proposes principles by which trust might be rebuilt, including competent leadership that is visible, available, and responsive; transparency and honesty in communication; and articulation of a shared mission backed by the behavior of leaders at times of stress or crisis.

Trust in Health Care

Building Trust Between the Government and Clinicians: Person to Person and Organization to Organization

Abstract Full Text
JAMA. 2019;321(18):1763-1764. doi:10.1001/jama.2019.4499

As part of a JAMA series on reestablishing trust in medicine, Don Berwick and colleagues review the clinical, financial, and emotional costs to physicians of regulatory burdens, and propose ways to better balance audit and trust including requirements for policy makers to experience the daily lives of clinicians, precertification systems that reduce the burden on the majority of trustworthy professionals, and payment reforms that reward value.

Long-lasting Consequences of Gun Violence and Mass Shootings

Abstract Full Text
JAMA. 2019;321(18):1765-1766. doi:10.1001/jama.2019.5063

In the wake of the suicides of 2 students who survived the 2018 Parkland, Florida, mass shooting, this Viewpoint reviews evidence about the long-term adverse psychological effects of mass shootings on survivors and their families and communities, and proposes that changes in mental health service delivery may be necessary, with the ultimate goal of promoting a sense of safety and of self- and community efficacy, connectedness, and hope over a sustained period for communities exposed to gun violence.

Health Insurance and Mobile Health Devices: Opportunities and Concerns

Abstract Full Text
JAMA. 2019;321(18):1767-1768. doi:10.1001/jama.2019.3353

This Viewpoint reviews the ways health insurers are incentivizing the purchase of wearable health devices and using them to reward healthy behaviors, and discusses the potential benefits (eg, increased physical activity, improved coordination of care) and adverse consequences (eg, increased health disparities, accuracy and privacy of digital health data) of the trend.

A Piece of My Mind

Listen to Your Heart

Abstract Full Text
JAMA. 2019;321(18):1769-1770. doi:10.1001/jama.2019.5165

In this narrative medicine essay, an infection diseases physician unconvinced of a stroke diagnosis listened to his own heart beat and accurately diagnosed mitral valve prolapse and reminds physicians to consider other possibilities when the symptoms don’t line up with the diagnosis.


Restricting the Number of Open Patient Records in the Electronic Health Record: Is the Record Half Open or Half Closed?

Abstract Full Text
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JAMA. 2019;321(18):1771-1773. doi:10.1001/jama.2019.3835

Unrecognized Obstructive Sleep Apnea and Postoperative Cardiovascular Complications: A Wake-up Call

Abstract Full Text
JAMA. 2019;321(18):1774-1776. doi:10.1001/jama.2019.4781

Sugar-Sweetened Beverage Taxes: Emerging Evidence on a New Public Health Policy

Abstract Full Text
JAMA. 2019;321(18):1777-1779. doi:10.1001/jama.2019.5344
JAMA Insights

Genomics and Precision Health

What Are Polygenic Scores and Why Are They Important?

Abstract Full Text
JAMA. 2019;321(18):1820-1821. doi:10.1001/jama.2019.3893

This Genomics and Precision Health article explains the use and interpretation of polygenic risk scores for determining disease risk and emphasizes the gap between widespread availability of direct-to-consumer (DTC) genetic testing and the near absence of evidence validating the scores in clinical populations and demonstrating associations with the ability to improve clinical outcomes via interventions.

JAMA Clinical Guidelines Synopsis

Diagnosis and Management of Crohn Disease

Abstract Full Text
JAMA. 2019;321(18):1822-1823. doi:10.1001/jama.2019.3684

This JAMA Clinical Guidelines Synopsis summarizes the 2018 American College of Gastroenterology (ACG) guideline on management of Crohn disease in adults.

Medical News & Perspectives

The Arts Dispel Medical Students’ Qualms About Dementia

Abstract Full Text
JAMA. 2019;321(18):1754-1756. doi:10.1001/jama.2019.3502

In this Medical News article, experts discuss how various arts program can help medical students see people with dementia in a positive new light.

Wild Health: Dogs and Bats and Chickens, Oh My!

Abstract Full Text
JAMA. 2019;321(18):1756-1757. doi:10.1001/jama.2019.2026

This Medical News feature explains how 3 disparate types of animals help researchers make medical discoveries.

The JAMA Forum

Democrats Ponder Options: Medicare for All, Medicare for More, or Strengthening the ACA

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JAMA. 2019;321(18):1757-1758. doi:10.1001/jama.2019.5600
News From the Centers for Disease Control and Prevention

TB at Record Low in US

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JAMA. 2019;321(18):1760. doi:10.1001/jama.2019.5616

HIV Underdiagnosed

Abstract Full Text
JAMA. 2019;321(18):1760. doi:10.1001/jama.2019.4922
Biotech Innovations

AI Identifies Implanted Cardiac Devices

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JAMA. 2019;321(18):1759. doi:10.1001/jama.2019.5805

Novel Nanochip Paves Way for Early Ovarian Cancer Detection

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JAMA. 2019;321(18):1759. doi:10.1001/jama.2019.5460

Off-the-Shelf Bioengineered Blood Vessels Tested in Trials

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JAMA. 2019;321(18):1759. doi:10.1001/jama.2019.5806
Poetry and Medicine

Love Poem Without Wheat

Abstract Full Text
JAMA. 2019;321(18):1831. doi:10.1001/jama.2019.1553
JAMA Revisited

Narcotic Drug Addiction as Regulated by a State Department of Health

Abstract Full Text
JAMA. 2019;321(18):1832. doi:10.1001/jama.2018.15330
JAMA Patient Page

Rib Fractures

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JAMA. 2019;321(18):1836. doi:10.1001/jama.2019.2313

This JAMA Patient Page describes the symptoms and treatment of rib fractures.

Comment & Response

High-Flow Oxygen Therapy for Respiratory Failure in Immunocompromised Patients

Abstract Full Text
JAMA. 2019;321(18):1826-1827. doi:10.1001/jama.2019.2028

High-Flow Oxygen Therapy for Respiratory Failure in Immunocompromised Patients—Reply

Abstract Full Text
JAMA. 2019;321(18):1827. doi:10.1001/jama.2019.2064

Acute Kidney Injury Related to Sepsis

Abstract Full Text
JAMA. 2019;321(18):1827-1828. doi:10.1001/jama.2019.2040

Acute Kidney Injury Related to Sepsis

Abstract Full Text
JAMA. 2019;321(18):1828. doi:10.1001/jama.2019.2044

Acute Kidney Injury Related to Sepsis—Reply

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JAMA. 2019;321(18):1828-1829. doi:10.1001/jama.2019.2072

Patient-Centered Performance Metrics

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JAMA. 2019;321(18):1829. doi:10.1001/jama.2019.2056

Patient-Centered Performance Metrics—Reply

Abstract Full Text
JAMA. 2019;321(18):1829-1830. doi:10.1001/jama.2019.2080

Incorrect Values in Flow Diagram

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JAMA. 2019;321(18):1830. doi:10.1001/jama.2019.5197
JAMA Masthead


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JAMA. 2019;321(18):1745-1746. doi:10.1001/jama.2018.15323