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May 2023 - July 1883

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September 22/29, 2020, Vol 324, No. 12, Pages 1123-1255

In This Issue of JAMA

Audio Highlights

Abstract Full Text
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JAMA. 2020;324(12):e200038. doi:10.1001/jama.2020.0038
Original Investigation

Effect of Prophylactic Negative Pressure Wound Therapy vs Standard Wound Dressing on Surgical-Site Infection in Obese Women After Cesarean Delivery: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2020;324(12):1180-1189. doi:10.1001/jama.2020.13361

This open-label randomized trial compares the effects of preventive negative pressure wound therapy vs standard wound dressing on surgical site infection among obese women after cesarean delivery.

Trends in Blood Pressure Control Among US Adults With Hypertension, 1999-2000 to 2017-2018

Abstract Full Text
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JAMA. 2020;324(12):1190-1200. doi:10.1001/jama.2020.14545

This study uses US National Health and Nutrition Examination Survey data to characterize changes in blood pressure control among adults with hypertension between 1999-2000 and 2017-2018 overall and by age, race, insurance type, and health care access.

Preliminary Communication

Effect of Multilevel Upper Airway Surgery vs Medical Management on the Apnea-Hypopnea Index and Patient-Reported Daytime Sleepiness Among Patients With Moderate or Severe Obstructive Sleep Apnea: The SAMS Randomized Clinical Trial

Abstract Full Text
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JAMA. 2020;324(12):1168-1179. doi:10.1001/jama.2020.14265

This randomized clinical trial compares the effect of multilevel airway surgery (combined palatal and tongue surgery) vs ongoing medical management on apnea-hypopnea index (AHI) measures and daytime sleepiness symptoms in patients with obstructive sleep apnea (OSA) whose condition did not respond to CPAP treatment.

Research Letter

Trends in Obesity Prevalence by Race and Hispanic Origin—1999-2000 to 2017-2018

Abstract Full Text
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JAMA. 2020;324(12):1208-1210. doi:10.1001/jama.2020.14590

This study uses NHANES data to assess trends in obesity and severe obesity stratified by race and Hispanic origin among US residents from 1999 to 2018.

Association Between Number of In-Person Health Care Visits and SARS-CoV-2 Infection in Obstetrical Patients

Abstract Full Text
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JAMA. 2020;324(12):1210-1212. doi:10.1001/jama.2020.15242

This case-control study estimates the risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among pregnant women making antenatal visits to 4 Boston, Massachusetts, area hospitals during April-June 2020 vs uninfected controls matched on gestational age.

Geographic Distribution of US Cohorts Used to Train Deep Learning Algorithms

Abstract Full Text
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JAMA. 2020;324(12):1212-1213. doi:10.1001/jama.2020.12067

This study describes the US geographic distribution of patient cohorts used to train deep learning algorithms in published radiology, ophthalmology, dermatology, pathology, gastroenterology, and cardiology machine learning articles published in 2015-2019.

Viewpoint

Cardiology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1131-1132. doi:10.1001/jama.2020.15088

In this Viewpoint, JAMA Cardiology editors review the journal's more inportant articles advancing the scientific understanding of COVID-19 and the heart in the first 6 months of the pandemic, including evidence of direct myocardial injury and indirect effects of the pandemic on outcomes for patients with CVD postponing care for fear of contracting the virus.

Dermatology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1133-1134. doi:10.1001/jama.2020.15276

In this Viewpoint, JAMA Dermatology editors review the skin findings seen in association with coronavirus disease 2019 (COVID-19), how best to respond to those manifestations, and ways the pandemic has affected the practice of dermatology, including reassignment of specialists to COVID-19 care and the transition to teledermatology.

Internal Medicine and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1135-1136. doi:10.1001/jama.2020.15145

In this Viewpoint, JAMA Internal Medicine editors offer a broad review of the clinical science emerging from the first 6 months of the coronavirus disease 2019 (COVID-19) pandemic, including epidemiology of the infection, evidence that has influenced clinical care, and a discussion of workforce and supply chain issues and health inequities affecting patients and essential workers.

Nephrology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1137-1138. doi:10.1001/jama.2020.16779

In this Viewpoint, JAMA’s nephrology associate editor and colleagues review how COVID-19 has affected the practice of nephrology, including the rise in incidence of acute kidney injury (AKI) in patients with more severe disease, shortages of supplies and staff to care for AKI patients, effects on kidney transplantation, and implementation of telehealth.

Neurology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1139-1140. doi:10.1001/jama.2020.14254

In this Viewpoint, JAMA Neurology editors review the journal’s more important articles advancing scientific understanding of COVID-19 in the first 6 months of the pandemic, including surveys of neurologic manifestations of the infection and identification of potential direct viral involvement in the central nervous system.

Oncology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1141-1142. doi:10.1001/jama.2020.16945

This Viewpoint summarizes the clinical characteristics of patients with cancer as associated with increased mortality risk from COVID-19, and it highlights important areas where more research is needed.

Ophthalmology and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1143-1144. doi:10.1001/jama.2020.17595

In this Viewpoint, JAMA Ophthalmology’s editor reviews the known eye manifestations of COVID-19, the potential for ocular transmission of illness, and the effects of the pandemic on ophthalmologic practice and research.

Otolaryngology–Head and Neck Surgery and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1145-1146. doi:10.1001/jama.2020.15779

In this Viewpoint, JAMA Otolaryngology–Head & Neck Surgery’s editor in chief reviews how the COVID-19 pandemic has affected the practice of otolaryngology–head and neck surgery in its first 6 months, including through a shift away from procedural management of head and neck disease toward medical and noninvasive management to mitigate risk of infection transmission, and through the acute rise in incidence of patients with olfactory dysunction requiring consultation and follow-up.

Pediatrics and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1147-1148. doi:10.1001/jama.2020.14297

In this Viewpoint, the editor of JAMA Pediatrics summarizes the effect on children of the first 6 months of the COVID-19 pandemic, reviewing evidence for why they seem not to become ill or as sick as adults and discussing the pandemic’s likely long-term effects on child development and psychological health.

Psychiatry and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1149-1150. doi:10.1001/jama.2020.14294

In this Viewpoint, JAMA Network’s psychiatry editors review how the coronavirus disease 2019 (COVID-19) pandemic has affected the practice of psychiatry in its first 6 months, for example, through disruptions of care provided in group settings, provision of telehealth, and widespread anxiety and health care worker burnout and depression.

Surgery and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1151-1152. doi:10.1001/jama.2020.15191

In this Viewpoint JAMA Surgery’s editor reviews how the COVID-19 pandemic has affected the practice of general surgery in its first 6 months, including the need for universal precautions to mitigate the risks of infection transmission, the cessation and resumption of elective procedures, and adverse effects on educational experiences of students aspiring to the specialty.

JAMA Network Open and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1153-1154. doi:10.1001/jama.2020.15194

In this Viewpoint, JAMA Network Open editors review the journal's more important articles advancing scientific understanding of COVID-19 in the first 6 months of the pandemic, and discuss the importance of a global open access journal to meeting the public health challenge.

JAMA Health Forum and COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1155-1156. doi:10.1001/jama.2020.18432

In this Viewpoint, JAMA Health Forum’s editor reviews important policy issues that characterized the first 6 months of the COVID-19 pandemic, including personal protective equipment (PPE) shortages, health inequities among vulnerable populations, requests from patients for medical exemptions from face mask requirements, and the benefits and risks of school reopenings.

A Piece of My Mind

Running on Fumes

Abstract Full Text
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JAMA. 2020;324(12):1157-1158. doi:10.1001/jama.2020.17249

In this narrative medicine essay, a hospitalist charts his emotional journey from March comparing the elation in seeing the once brightly colored signs that declared hospital workers as heroes with the now faded signs reflecting how the protracted intense work makes COVID-19 feel mundane.

Editorial

The COVID-19 Pandemic and the JAMA Network

Abstract Full Text
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JAMA. 2020;324(12):1159-1160. doi:10.1001/jama.2020.18298

Upper Airway Surgery for Obstructive Sleep Apnea

Abstract Full Text
JAMA. 2020;324(12):1161-1162. doi:10.1001/jama.2020.9332

Obesity and Hypertension in the Time of COVID-19

Abstract Full Text
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JAMA. 2020;324(12):1163-1165. doi:10.1001/jama.2020.16753

Treatment and Control of Hypertension in 2020: The Need for Substantial Improvement

Abstract Full Text
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JAMA. 2020;324(12):1166-1167. doi:10.1001/jama.2020.13322
JAMA Insights

Intimate Partner Violence: Recognizing and Responding Safely

Abstract Full Text
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JAMA. 2020;324(12):1201-1202. doi:10.1001/jama.2020.11322

This JAMA Insights Clinical Update reviews clinical indicators of intimate partner violence (IPV) and ways that clinicians can ask about and begin to assist individuals who experienced IPV in phased, sensitive approaches that do not encourage patients to act before they are ready or compromise their autonomy or safety.

JAMA Clinical Guidelines Synopsis

Ulcerative Colitis in Adults

Abstract Full Text
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JAMA. 2020;324(12):1205-1206. doi:10.1001/jama.2020.11583

This JAMA Clinical Guidelines Synopsis summarizes the American College of Gastroenterology’s 2019 guideline on ulcerative colitis in adults.

JAMA Clinical Challenge

A Patient With Back Pain and Morning Stiffness

Abstract Full Text
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JAMA. 2020;324(12):1203-1204. doi:10.1001/jama.2020.6261

A 44-year-old White man had symptoms and radiographic signs of diffuse osteoarthritis, negative inflammatory markers and HLA-B27, and a brother with osteoarthritis, hypogonadism, and type 2 diabetes. What is the diagnosis and what would you do next?

Medical News & Perspectives

COVID-19 and mRNA Vaccines—First Large Test for a New Approach

Abstract Full Text
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JAMA. 2020;324(12):1125-1127. doi:10.1001/jama.2020.16866

This Medical News article discusses the leading vaccine candidates against the novel coronavirus.

News From the Centers for Disease Control and Prevention

Pandemic’s Mental Health Toll Grows

Abstract Full Text
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JAMA. 2020;324(12):1130. doi:10.1001/jama.2020.17280

Hand Sanitizer Poisoning and Deaths Reported in 2 States

Abstract Full Text
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JAMA. 2020;324(12):1130. doi:10.1001/jama.2020.16614
Clinical Trials Update

Novel Device Improves Barrett Esophagus Diagnosis in Primary Care

Abstract Full Text
JAMA. 2020;324(12):1129. doi:10.1001/jama.2020.16164

Baloxavir Protects Against Household Influenza Spread

Abstract Full Text
JAMA. 2020;324(12):1129. doi:10.1001/jama.2020.17522

Shared Decision-making Doesn’t Change Anticoagulation Treatment

Abstract Full Text
JAMA. 2020;324(12):1129. doi:10.1001/jama.2020.17523

Intravenous Ibuprofen Reduces Opioids After Orthopedic Trauma

Abstract Full Text
JAMA. 2020;324(12):1129. doi:10.1001/jama.2020.17524

Mixed Results for Progesterone for Miscarriage Prevention

Abstract Full Text
JAMA. 2020;324(12):1129. doi:10.1001/jama.2020.17525
Health Agencies Update

Declines in Lung Cancer Deaths Linked to Treatment Advances

Abstract Full Text
JAMA. 2020;324(12):1128. doi:10.1001/jama.2020.16750

Buprenorphine Implants, Injections Are Underused

Abstract Full Text
JAMA. 2020;324(12):1128. doi:10.1001/jama.2020.17587

VA Partners With OnStar to Increase Access to Suicide Prevention Services

Abstract Full Text
JAMA. 2020;324(12):1128. doi:10.1001/jama.2020.17588
Poetry and Medicine

The Exact Shade of Code Grey—Sutter Psych Hospital

Abstract Full Text
JAMA. 2020;324(12):1218. doi:10.1001/jama.2020.7940
JAMA Revisited

Life as It Is

Abstract Full Text
JAMA. 2020;324(12):1219. doi:10.1001/jama.2019.13631
Appendix

Medical Schools in the United States, 2019-2020

Abstract Full Text
free access
JAMA. 2020;324(12):1220-1229. doi:10.1001/jama.2020.14744

This Appendix presents data from the 2019-2020 Liaison Committee on Medical Education (LCME) annual questionnaire detailing information on the number of students, student demographics, curriculum content, and enrollment at US medical schools.

Graduate Medical Education, 2019-2020

Abstract Full Text
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JAMA. 2020;324(12):1230-1250. doi:10.1001/jama.2020.14635

This Appendix presents 2019 National GME Census data detailing the numbers and types of ACGME-accredited training programs and the residents and fellows in them.

JAMA Patient Page

High Blood Pressure

Abstract Full Text
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JAMA. 2020;324(12):1254-1255. doi:10.1001/jama.2020.11289

This JAMA Patient Page explains what high blood pressure is, why it is important to control, the difference between the top (systolic) and bottom (diastolic) numbers, and how it is best treated and prevented.

Comment & Response

CMS Quality Measure Development

Abstract Full Text
JAMA. 2020;324(12):1213-1214. doi:10.1001/jama.2020.12070

CMS Quality Measure Development—Reply

Abstract Full Text
JAMA. 2020;324(12):1214-1215. doi:10.1001/jama.2020.12073

Physicians and Social Determinants of Health

Abstract Full Text
JAMA. 2020;324(12):1215. doi:10.1001/jama.2020.12106

Physicians and Social Determinants of Health

Abstract Full Text
JAMA. 2020;324(12):1216. doi:10.1001/jama.2020.12112

Physicians and Social Determinants of Health

Abstract Full Text
JAMA. 2020;324(12):1216-1217. doi:10.1001/jama.2020.12109

Physicians and Social Determinants of Health—Reply

Abstract Full Text
JAMA. 2020;324(12):1217. doi:10.1001/jama.2020.12115
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2020;324(12):1123-1124. doi:10.1001/jama.2019.13624
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