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