This cluster randomized trial compares the effects of a patient-centered transitional care service intervention vs usual care on a composite outcome of all-cause readmission, emergency department (ED) visit, or death at 3 months, and a composite of all-cause readmission or ED visit at 30 days among patients hospitalized for heart failure.
This cohort study assesses the association between overlapping surgery (in which the same primary surgeon is involved in ≥2 cases simultaneously) and in-hospital mortality, in-hospital complications, and length of surgery among adult patients.
This case-control study investigates genetic variants associated with thiopurine-induced myelosuppression among patients of European ancestry with inflammatory bowel disease (IBD).
This case report describes contamination of crematory equipment with lutetium Lu 177 after cremation of a patient with a pancreatic neuroendocrine tumor treated with the radioisotope 2 days prior to his death.
This Viewpoint characterizes clinicians who are expert diagnosticians as well-calibrated and argues that development of diagnostic performance measures and feedback pathways could produce a better calibrated physician who would reduce patient harm from missed and delayed diagnoses, overdiagnosis, overtesting, and overtreatment.
This Viewpoint discusses the forces underlying the explosion of biomarker measurement, the way the measures will likely be manipulated by market forces, and the harms that can result from overscreening and overdiagnosis, and proposes approaches to counteracting the trend, including development of standards of transparency and public registries of results to ensure that new biomarkers, for example from genetic testing and wearable devices, provide value for patients and not just profit for manufacturers.
This Viewpoint discusses the adverse effects for the US health care system of the 2018 Presidential proclamation banning travelers from Iran, Syria, Yemen, Libya, and Somalia, including a decline in international medical graduates who provide care to a disproportionate number of socioeconomically disadvantaged patients.
This Viewpoint reviews the challenges of health information technology (HIT) usability since the 2009 HITECH Act promoted the adoption of electronic health records (EHRs), and proposes a 5-point plan for next advances, including a national database of usability issues and development of data-driven design standards and usability and safety measures.
This Viewpoint discusses the public health rationale and benefits of supervised drug injection facilities and the legal risks to the model under US laws that prohibit sites that knowingly allow use of illicit drugs on the premises, and urges the US Department of Justice to apply science rather than criminal law in their determination of how to handle the facilities.
In this narrative medicine essay, a psychiatrist used her residency to avoid grieving the loss of her brother to suicide but through participation in a grief support group during training she began to thaw enough to remember her brother, watch videos of ephemeral moments like celebrating his fourth birthday, an act that allowed her to see him and her family again.
This narrative review article summarizes treatment advances to aid primary care physicians who treat patients with chronic obstructive pulmonary disease.
This JAMA Guide to Statistics and Methods explains the calculations and concepts underlying the NNT as a summary statistic of effect, and the assumptions underlying the measure that affect its interpretation.
This JAMA Clinical Guidelines Synopsis summarizes the 2018 American Heart Association/American College of Cardiology (AHA/ACC) guideline on management of blood cholesterol in patients with or at risk of developing atherosclerotic cardiovascular disease.
This Medical News story examines why US rates of congenital syphilis reached a 20-year high in 2017.
This Medical News article discusses what’s new in the recently updated cholesterol clinical practice guidelines from the American Heart Association and the American College of Cardiology.
This Arts and Medicine essay examines the art of Marilène Oliver, who uses data from medical imaging to create works representing the human form, thereby hoping to a forge a connection between clinical data and human expression and consciousness.
This JAMA Patient Page describes the causes, symptoms, diagnosis, treatment, and prevention of leptospirosis.
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