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November 10, 2020, Vol 324, No. 18, Pages 1805-1916

In This Issue of JAMA

Audio Highlights

Abstract Full Text
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JAMA. 2020;324(18):e200044. doi:10.1001/jama.2020.0044
Original Investigation

Effect of e-Cigarettes Plus Counseling vs Counseling Alone on Smoking Cessation: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2020;324(18):1844-1854. doi:10.1001/jama.2020.18889

This randomized trial compares the effect of using e-cigarettes with individual counseling vs individual counseling alone for smoking cessation on point prevalence abstinence at 12 weeks.

Effect of Vitamin D Supplementation, Omega-3 Fatty Acid Supplementation, or a Strength-Training Exercise Program on Clinical Outcomes in Older Adults: The DO-HEALTH Randomized Clinical Trial

Abstract Full Text
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JAMA. 2020;324(18):1855-1868. doi:10.1001/jama.2020.16909

This randomized trial compares the effects of vitamin D, omega-3s, and a strength-training exercise program alone or in combination vs no supplementation and control exercise on changes in blood pressure, physical and cognitive function, nonvertebral fractures, and infections over 3 years among older adults.

Association of Skilled Nursing Facility Participation in a Bundled Payment Model With Institutional Spending for Joint Replacement Surgery

Abstract Full Text
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JAMA. 2020;324(18):1869-1877. doi:10.1001/jama.2020.19181

This study compares mean levels of institutional spending for Medicare beneficiaries after lower extremity joint replacement at skilled nursing facilities (SNFs) participating vs not participating in Medicare’s bundled payment program, before vs after implementation of the program.

Research Letter

Gastrointestinal Complications in Critically Ill Patients With and Without COVID-19

Abstract Full Text
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JAMA. 2020;324(18):1899-1901. doi:10.1001/jama.2020.19400

This cohort study compares the incidence of gastrointestinal complications (transaminitis, ileus, Ogilvie syndrome, mesenteric ischemia) among critically ill patients with coronavirus disease 2019 (COVID-19)– vs non–COVID-19–induced acute respiratory distress syndrome (ARDS) at a single US academic hospital between March and May 2020.

Preprint Servers’ Policies, Submission Requirements, and Transparency in Reporting and Research Integrity Recommendations

Abstract Full Text
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JAMA. 2020;324(18):1901-1903. doi:10.1001/jama.2020.17195

This study describes the policies, submission requirements, and transparency in reporting and research integrity recommendations of academic preprint servers.

Submissions and Downloads of Preprints in the First Year of medRxiv

Abstract Full Text
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JAMA. 2020;324(18):1903-1905. doi:10.1001/jama.2020.17529

This study describes submissions, postings, abstract views, downloads, comments, and withdrawals on the medRxiv preprint server from June 2019 to June 2020 and compares submissions and postings before and after COVID-19.

US Preventive Services Task Force

Recommendation Statement

Screening for High Blood Pressure in Children and Adolescents: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
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JAMA. 2020;324(18):1878-1883. doi:10.1001/jama.2020.20122

This 2020 US Preventive Services Task Force Recommendation Statement concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents (I statement).

Evidence Report

Screening for Hypertension in Children and Adolescents: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
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JAMA. 2020;324(18):1884-1895. doi:10.1001/jama.2020.11119

This systematic review to support the 2020 US Preventive Services Task Force Recommendation Statement on screening for hypertension in children and adolescents summarizes published evidence on the benefits and harms of screening for hypertension in asymptomatic children and adolescents and on the effect of treating childhood hypertension on outcomes in adulthood.

Viewpoint

A National Commitment to Improve the Care of Patients With Hypertension in the US

Abstract Full Text
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JAMA. 2020;324(18):1825-1826. doi:10.1001/jama.2020.20356

This Viewpoint from the US Surgeon General’s office announces the 2020 release of the Surgeon General’s Call to Action to Control Hypertension and summarizes its key goals and recommendations aimed at making hypertension control a national public health priority and ensuring communities and patients have the resources to achieve it.

Sensible Medicine—Balancing Intervention and Inaction During the COVID-19 Pandemic

Abstract Full Text
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JAMA. 2020;324(18):1827-1828. doi:10.1001/jama.2020.20271

This Viewpoint discusses the tensions between rapid adoption of interventions for coronavirus disease 2019 (COVID-19) before adequate evidence justifies their use and therapeutic nihilism, and argues for sensible medicine between the 2, which favors usual care, disfavors unnecessary interventions, but embraces rapid scientific evaluation with clinical translation of options proven effective.

COVID-19: Beyond Tomorrow

Pandemic-Driven Posttraumatic Growth for Organizations and Individuals

Abstract Full Text
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JAMA. 2020;324(18):1829-1830. doi:10.1001/jama.2020.20275

This Viewpoint discusses how disruptions from the coronavirus disease 2019 (COVID-19) pandemic can set the stage for beneficial personal and organizational change, and proposes steps that can be taken to catalyze the posttraumatic growth process.

Confronting State Medicaid Drug Spending Pressures

Abstract Full Text
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JAMA. 2020;324(18):1831-1832. doi:10.1001/jama.2020.19325

In the context of declining state Medicaid revenues and rising enrollment related due to coronavirus disease 2019, this Viewpoint proposes policy and payment reforms related to mandated drug coverage and manufacturer rebates that could assist states financially while maintaining patient access to life-saving medications.

A Piece of My Mind

Relationships Between Academic Medicine Leaders and Industry—Time for Another Look?

Abstract Full Text
JAMA. 2020;324(18):1833-1834. doi:10.1001/jama.2020.21021

In this narrative medicine essay, a Brigham and Women’s Hospital (BWH) clinician uses the resignation of BWH's president from Moderna's board of directors after a stock sale reportedly paying her millions to question why leaders of academic medical centers are allowed to develop lucrative relationships with industry that prioritize mutual profits over patient well-being and public health.

Editorial

Randomized Trials of e-Cigarettes for Smoking Cessation

Abstract Full Text
JAMA. 2020;324(18):1835-1837. doi:10.1001/jama.2020.18967

The US Preventive Services Task Force Recommendation on Screening for Blood Pressure in Children: Increasing the Pressure to Get It Right

Abstract Full Text
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JAMA. 2020;324(18):1838-1839. doi:10.1001/jama.2020.21711

Preprints Involving Medical Research—Do the Benefits Outweigh the Challenges?

Abstract Full Text
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JAMA. 2020;324(18):1840-1843. doi:10.1001/jama.2020.20674
JAMA Performance Improvement

Outpatient Management of Liver Function Test Abnormalities in Patients With a Liver Transplant

Abstract Full Text
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JAMA. 2020;324(18):1896-1897. doi:10.1001/jama.2020.15919

This JAMA Performance Improvement article describes development of a protocol for workup and management of elevated liver function tests in liver transplant patients without readmission to their transplant referral center, and findings and outcomes for a case series of 80 patients managed with the new protocol from 2017 to 2019.

Medical News & Perspectives

The Challenges of Expanding Rapid Tests to Curb COVID-19

Abstract Full Text
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JAMA. 2020;324(18):1813-1815. doi:10.1001/jama.2020.21106

This Medical News feature examines the debate about the value of frequent testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

The JAMA Forum

The Great Coronavirus Pandemic of 2020—7 Critical Lessons

Abstract Full Text
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JAMA. 2020;324(18):1816-1817. doi:10.1001/jama.2020.18347
News From the Centers for Disease Control and Prevention

COVID-19 Deaths Among US Clinicians

Abstract Full Text
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JAMA. 2020;324(18):1819. doi:10.1001/jama.2020.20804

COVID-19 Poses Pregnancy Risks

Abstract Full Text
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JAMA. 2020;324(18):1819. doi:10.1001/jama.2020.21129
Biotech Innovations

Investigational KRAS Inhibitor Tested for Advanced Solid Tumors

Abstract Full Text
JAMA. 2020;324(18):1818. doi:10.1001/jama.2020.21627

COVID-19 Antibody Tests Perform Well in Head-to-Head Comparison

Abstract Full Text
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JAMA. 2020;324(18):1818. doi:10.1001/jama.2020.21073

Tinnitus Symptoms Improve With Sound and Tongue Stimulation

Abstract Full Text
JAMA. 2020;324(18):1818. doi:10.1001/jama.2020.21628
Poetry and Medicine

The God of Small Things

Abstract Full Text
JAMA. 2020;324(18):1910. doi:10.1001/jama.2020.13911
JAMA Revisited

Editorial: Nice Baby

Abstract Full Text
JAMA. 2020;324(18):1911. doi:10.1001/jama.2019.13697
JAMA Patient Page

Screening for High Blood Pressure in Children and Adolescents

Abstract Full Text
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JAMA. 2020;324(18):1916. doi:10.1001/jama.2020.19880

This JAMA Patient Page summarizes the 2020 USPSTF recommendation statement on blood pressure screening in children, which concludes that the current evidence is insufficient to assess the balance of benefits and harms of the practice (I statement).

Comment & Response

Noninvasive Oxygenation Strategies for Acute Hypoxemic Respiratory Failure

Abstract Full Text
JAMA. 2020;324(18):1905-1906. doi:10.1001/jama.2020.18591

Noninvasive Oxygenation Strategies for Acute Hypoxemic Respiratory Failure—Reply

Abstract Full Text
JAMA. 2020;324(18):1906-1907. doi:10.1001/jama.2020.18602

New Statin Use and Mortality in Older Veterans

Abstract Full Text
JAMA. 2020;324(18):1907. doi:10.1001/jama.2020.19009

New Statin Use and Mortality in Older Veterans

Abstract Full Text
JAMA. 2020;324(18):1907-1908. doi:10.1001/jama.2020.19012

New Statin Use and Mortality in Older Veterans

Abstract Full Text
JAMA. 2020;324(18):1908. doi:10.1001/jama.2020.19015

New Statin Use and Mortality in Older Veterans—Reply

Abstract Full Text
JAMA. 2020;324(18):1908-1909. doi:10.1001/jama.2020.19018
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2020;324(18):1805-1806. doi:10.1001/jama.2019.13690
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