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September 2021 - July 1883

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Issue

October 13, 2020, Vol 324, No. 14, Pages 1371-1476

In This Issue of JAMA

Audio Highlights

Abstract Full Text
free access online only has audio
JAMA. 2020;324(14):e200040. doi:10.1001/jama.2020.0040
Original Investigation

Effect of Sustained Smoking Cessation Counseling and Provision of Medication vs Shorter-term Counseling and Medication Advice on Smoking Abstinence in Patients Recently Diagnosed With Cancer: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2020;324(14):1406-1418. doi:10.1001/jama.2020.14581

This randomized trial compares the effect of sustained telephone counseling and medication vs shorter-term telephone counseling and medication advice on 6-month smoking abstinence among patients at academic cancer hospitals recently diagnosed with cancer.

Association of Lumbar Puncture With Spinal Hematoma in Patients With and Without Coagulopathy

Abstract Full Text
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JAMA. 2020;324(14):1419-1428. doi:10.1001/jama.2020.14895

This cohort study uses Danish registry data to assess the risk of spinal hematoma following lumbar puncture in patients with vs without coagulopathy (platelets <150 × 109/L, INR >1.4, or APTT >39 seconds).

Association of Geographic Differences in Prevalence of Uncontrolled Chronic Conditions With Changes in Individuals’ Likelihood of Uncontrolled Chronic Conditions

Abstract Full Text
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JAMA. 2020;324(14):1429-1438. doi:10.1001/jama.2020.14381

This cohort study uses Veterans Health Administration data to estimate the change in prevalence of chronic cardiovascular disease (CVD) risk factors among veterans whose residential zip code changed vs remained the same between 2008 and 2018 to better understand the contribution of geography vs individual patient characteristics to poor risk factor control.

Association of Receipt of Palliative Care Interventions With Health Care Use, Quality of Life, and Symptom Burden Among Adults With Chronic Noncancer Illness: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA. 2020;324(14):1439-1450. doi:10.1001/jama.2020.14205

This meta-analysis estimates the association between palliative care and health care use, disease-generic and disease-specific measures of quality of life, and symptom burden among adults with noncancer illness.

Research Letter

Time Course of a Second Outbreak of COVID-19 in Beijing, China, June-July 2020

Abstract Full Text
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JAMA. 2020;324(14):1458-1459. doi:10.1001/jama.2020.15894

This study from the Chinese CDC describes epidemiologic features of a second outbreak of COVID-19 in Beijing, China, in June and July 2020, and the public health response that contained it.

SARS-CoV-2 Testing and Changes in Primary Care Services in a Multistate Network of Community Health Centers During the COVID-19 Pandemic

Abstract Full Text
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JAMA. 2020;324(14):1459-1462. doi:10.1001/jama.2020.15891

This study uses electronic health record data to describe primary care services offered by US community health centers in March through May 2020, including SARS-CoV-2 testing, well-child visits, HbA1c testing, and cancer screening.

Prevalence of Third-Party Tracking on COVID-19–Related Web Pages

Abstract Full Text
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JAMA. 2020;324(14):1462-1464. doi:10.1001/jama.2020.16178

This study uses webXray, an automated tool that detects tracking on websites, to describe the prevalence and characteristics of third-party data requests and cookies on the top 20 COVID-19–related websites, including academic and government sites, from US-based search results in May 2020.

Viewpoint

Occupational Safety and Health Administration (OSHA) and Worker Safety During the COVID-19 Pandemic

Abstract Full Text
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JAMA. 2020;324(14):1389-1390. doi:10.1001/jama.2020.16343

This Viewpoint discusses the importance of preventive measures and supplies to reduce workplace COVID-19 transmission and calls for the US Occupational Safety and Health Administration (OSHA) to issue an enforceable requirement that employers implement standards and plans to minimize COVID-19 incidence among essential workers and spread to their families and communities.

Suboptimal US Response to COVID-19 Despite Robust Capabilities and Resources

Abstract Full Text
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JAMA. 2020;324(14):1391-1392. doi:10.1001/jama.2020.17395

This Viewpoint attempts to reconcile the US’s high 2019 preparedness ranking on the Global Health Security Index, an international framework for benchmarking health security, and its faltering coronavirus disease 2019 (COVID-19) pandemic response, and explores lessons learned from other countries whose higher rankings and efficient responses were more closely aligned.

Ensuring Adequate Palliative and Hospice Care During COVID-19 Surges

Abstract Full Text
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JAMA. 2020;324(14):1393-1394. doi:10.1001/jama.2020.16843

This Viewpoint discusses barriers to quality end-of-life care during the COVID-19 pandemic, including limited staffing, inadequate access to palliative medications, and restrictive visitation policies, and calls for proactive surge planning through organizational and policy reforms to facilitate symptom relief and comfort for patients dying in the pandemic.

Another Medical Malpractice Crisis?Try Something Different

Abstract Full Text
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JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557

This Viewpoint discusses the prospect of escalating malpractice claims and coverage costs in the wake of the COVID-19 pandemic, and proposes communication and resolution strategies focusing on patient safety, transparency, and proactive acknowledgement of error as an alternative to a defensive approach to claims and lawsuits.

The Case for Algorithmic Stewardship for Artificial Intelligence and Machine Learning Technologies

Abstract Full Text
has audio
JAMA. 2020;324(14):1397-1398. doi:10.1001/jama.2020.9371

This Viewpoint proposes creation of algorithmic stewardship programs at health systems, tasked similar to antibiotic stewardship committees with oversight of artificial intelligence and machine learning technologies to ensure they are used safely, effectively, fairly, and to the benefit of diverse patient populations.

A Piece of My Mind

Camping Alone—Recovering From COVID-19

Abstract Full Text
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JAMA. 2020;324(14):1399-1400. doi:10.1001/jama.2020.19304

In this narrative medicine essay a medical student describes similarities between a challenging high school wilderness isolation camping trip and her experience in isolation with and recovering from COVID-19 in the early months of the pandemic in New York.

Editorial

Intensive Smoking Cessation Counseling for Patients With Cancer

Abstract Full Text
JAMA. 2020;324(14):1401-1403. doi:10.1001/jama.2020.13102

Palliative Care for Patients With Noncancer Illnesses

Abstract Full Text
JAMA. 2020;324(14):1404-1405. doi:10.1001/jama.2020.15075
JAMA Insights

Women's Health

Hormonal Contraception in Women With Hypertension

Abstract Full Text
JAMA. 2020;324(14):1451-1452. doi:10.1001/jama.2020.11935

This JAMA Insights article proposes an algorithm to guide the choice of oral contraceptives (OCs) for individuals with hypertension given the risk of elevated blood pressure and attendant complications of hypertension with OCs.

JAMA Clinical Challenge

Pruritus and Tense Bullae After Discontinuation of Pembrolizumab in a Patient With Renal Cell Carcinoma

Abstract Full Text
has active quiz
JAMA. 2020;324(14):1453-1454. doi:10.1001/jama.2020.10159

A 53-year-old woman developed widespread tense bullae with pruritus and oral mucosal lesions recalcitrant to corticosteroids during a treatment with pembrolizumab for stage IV renal cell carcinoma that persisted after discontinuation of the drug. ESR and CRP levels were elevated and biopsy suggested an autoimmune bullous process, but direct immunofluorescence results were negative. What is the diagnosis and what would you do next?

JAMA Diagnostic Test Interpretation

Coronary Computed Tomography Angiography

Abstract Full Text
has active quiz
JAMA. 2020;324(14):1455-1456. doi:10.1001/jama.2020.10831

A 56-year-old woman with a history of CAD, hypertension controlled with medication, and a recent negative stress ECG for atypical chest pain underwent coronary CTA for persistent symptoms, which showed no stenosis or plaque. How would you follow up on the negative imaging result?

Medical News & Perspectives

As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts

Abstract Full Text
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JAMA. 2020;324(14):1381-1383. doi:10.1001/jama.2020.17709

This Medical News article discusses the puzzling phenomenon of “long-haulers,” patients who haven’t returned to full health weeks or even months after what sometimes is a mild case of COVID-19.

The JAMA Forum

Trump vs Biden on Health Care

Abstract Full Text
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JAMA. 2020;324(14):1384-1385. doi:10.1001/jama.2020.19172
News From the Centers for Disease Control and Prevention

How Workplace COVID-19 Outbreaks Affect Workers of Color

Abstract Full Text
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JAMA. 2020;324(14):1387. doi:10.1001/jama.2020.18607

Overdose Education and Naloxone Distribution Expanded

Abstract Full Text
JAMA. 2020;324(14):1387. doi:10.1001/jama.2020.19115
Biotech Innovations

Portable MRI—Coming to the ICU?

Abstract Full Text
JAMA. 2020;324(14):1386. doi:10.1001/jama.2020.19612

Combining Rapid PCR and Antibody Tests Improved COVID-19 Diagnosis

Abstract Full Text
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JAMA. 2020;324(14):1386. doi:10.1001/jama.2020.19129

Heritable Genome Editing Not Ready for the Clinic, Panel Says

Abstract Full Text
JAMA. 2020;324(14):1386. doi:10.1001/jama.2020.19614
The Arts and Medicine

That Dragon, Cancer—Exploring End of Life Through an Unwinnable Video Game

Abstract Full Text
JAMA. 2020;324(14):1379-1380. doi:10.1001/jama.2020.16060

This Arts and Medicine feature reviews That Dragon, Cancer, a 2016 video game that challenges players to love and care for a 4-year-old with brain cancer whose treatment options gradually narrow and disappear.

Poetry and Medicine

Babinski Sign

Abstract Full Text
JAMA. 2020;324(14):1470. doi:10.1001/jama.2020.8829
JAMA Revisited

Women in Medicine

Abstract Full Text
JAMA. 2020;324(14):1471. doi:10.1001/jama.2019.13653
JAMA Patient Page

Smoking Cessation and Cancer Survivorship

Abstract Full Text
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JAMA. 2020;324(14):1475. doi:10.1001/jama.2020.16277

This JAMA Patient Page describes available smoking cessation treatments and explains how quitting smoking can improve quality of life and survival among patients with cancer.

Influenza Vaccine

Abstract Full Text
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JAMA. 2020;324(14):1476. doi:10.1001/jama.2020.16846

This JAMA Patient Page describes the different types of influenza vaccines available and the specific populations for which each should be used.

Comment & Response

Diagnostic Imaging for Kidney Stones

Abstract Full Text
JAMA. 2020;324(14):1464-1465. doi:10.1001/jama.2020.14865

Diagnostic Imaging for Kidney Stones—Reply

Abstract Full Text
JAMA. 2020;324(14):1465. doi:10.1001/jama.2020.14877

Replicability of Treatment Effect in Study of Blood Pressure Lowering With Dementia

Abstract Full Text
JAMA. 2020;324(14):1465-1466. doi:10.1001/jama.2020.14871

Replicability of Treatment Effect in Study of Blood Pressure Lowering With Dementia—Reply

Abstract Full Text
JAMA. 2020;324(14):1466-1467. doi:10.1001/jama.2020.14880

Door-to-Needle Time and Long-term Outcomes in Patients With Stroke

Abstract Full Text
JAMA. 2020;324(14):1467. doi:10.1001/jama.2020.15185

Door-to-Needle Time and Long-term Outcomes in Patients With Stroke—Reply

Abstract Full Text
JAMA. 2020;324(14):1467-1468. doi:10.1001/jama.2020.15188
Correction

Incorrect Information in Text and Table Heading

Abstract Full Text
free access
JAMA. 2020;324(14):1468. doi:10.1001/jama.2020.18585
JAMA Masthead

JAMA

Abstract Full Text
free access
JAMA. 2020;324(14):1371-1372. doi:10.1001/jama.2019.13646
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