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October 2021 - July 1883

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Issue

March 9, 2021, Vol 325, No. 10, Pages 907-1016

In This Issue of JAMA

Audio Highlights

Abstract Full Text
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JAMA. 2021;325(10):e2017833. doi:10.1001/jama.2020.17833
Original Investigation

Effect of Ventral vs Dorsal Spinal Surgery on Patient-Reported Physical Functioning in Patients With Cervical Spondylotic Myelopathy: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2021;325(10):942-951. doi:10.1001/jama.2021.1233

This randomized trial compares the effects of ventral surgery (disk removal and fusion) vs dorsal surgery (laminectomy or laminoplasty) on patient-reported physical functioning 1 year after surgery among patients with multilevel cervical spondylotic myelopathy.

Prevalence of Central Nervous System–Active Polypharmacy Among Older Adults With Dementia in the US

Abstract Full Text
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JAMA. 2021;325(10):952-961. doi:10.1001/jama.2021.1195

This pharmacoepidemiology study uses Medicare claims data to describe the prevalence of central nervous system–active polypharmacy among community-dwelling older adults with dementia in the US, including durations of exposure and number of drugs and drug classes.

Research Letter

Prevalence of SARS-CoV-2 in Karnataka, India

Abstract Full Text
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JAMA. 2021;325(10):1001-1003. doi:10.1001/jama.2021.0332

In the context of large numbers of workers moving from urban to rural areas with less strict lockdown policies in low- and middle-income countries, this study describes community-based severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) prevalence in urban vs rural areas of Karnataka state, India.

Association Between Changes in Social Distancing Policies in Ohio and Traffic Volume and Injuries, January Through July 2020

Abstract Full Text
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JAMA. 2021;325(10):1003-1006. doi:10.1001/jama.2020.25770

This study compares traffic volume and motor vehicle crash injuries before, during, and after state-of-emergency and stay-at-home orders in the state of Ohio from January to July 2020 vs the same period in 2019.

US Preventive Services Task Force

Recommendation Statement

Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
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JAMA. 2021;325(10):962-970. doi:10.1001/jama.2021.1117

This US Preventive Services Task Force Recommendation Statement concludes with moderate certainty that annual screening for lung cancer with low-dose computed tomography has a moderate benefit in persons at high risk of lung cancer based on age, total cumulative exposure to tobacco smoke, and years since quitting smoking (Grade B).

Evidence Report

Screening for Lung Cancer With Low-Dose Computed Tomography: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
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JAMA. 2021;325(10):971-987. doi:10.1001/jama.2021.0377

This systematic review to support the 2021 US Preventive Services Task Force Recommendation Statement on screening for lung cancer summarizes published evidence about the relative benefits and harms of low-dose computed tomography to identify lung cancer in persons at high risk.

Modeling Study

Evaluation of the Benefits and Harms of Lung Cancer Screening With Low-Dose Computed Tomography: Modeling Study for the US Preventive Services Task Force

Abstract Full Text
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JAMA. 2021;325(10):988-997. doi:10.1001/jama.2021.1077

This simluation study models the benefits and harms associated with low-dose computed tomography (LDCT) screening for lung cancer based on a range of starting and stopping ages, screening frequencies, cumulative pack-years, and years since quitting smoking.

Viewpoint

Health Policy

Addressing Consolidation in Health Care Markets

Abstract Full Text
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JAMA. 2021;325(10):927-928. doi:10.1001/jama.2021.0038

This Viewpoint proposes 3 steps the Biden administration can take to slow consolidation within health care, which has been shown to raise costs without improving service or quality: better fund federal antitrust enforcement agencies; appoint agency heads committed to enforcement; and create an interagency task force devoted to enhancing competition.

Health Policy

Overcoming the Market Dominance of Hospitals

Abstract Full Text
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JAMA. 2021;325(10):929-930. doi:10.1001/jama.2021.0079

This Viewpoint reviews the conditions which incentivize consolidation of health systems, hospitals, and physician practices into entities that decrease health care quality and increase prices, and in the context of financial pressures wrought by the COVID-19 pandemic proposes policy solutions that could protect patients against potential adverse effects of accelerating trends toward consolidation.

Rapid Implementation of a Vaccination Superstation

Abstract Full Text
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JAMA. 2021;325(10):931-932. doi:10.1001/jama.2021.0801

This Viewpoint details lessons learned from a county-private-university collaboration in San Diego to stand up a coronavirus vaccine superstation to immunize 4500-5000 people daily, detailing optimization of patient throughput and ways to monitor adverse events and document vaccine administration at scale.

The Centers for Medicare & Medicaid Services Requirement for Shared Decision-making for Lung Cancer Screening

Abstract Full Text
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JAMA. 2021;325(10):933-934. doi:10.1001/jama.2021.1817

This Viewpoint discusses implications of the USPSTF 2021 lung cancer screening recommendation update, which broadens the number of patients eligible for screening, for CMS’ shared decision-making requirement, arguing that to make shared decision-making a reality, CMS should reimburse these visits delivered by nonphysician staff and/or telehealth.

The Triple Aim Applied to Correctional Health Systems

Abstract Full Text
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JAMA. 2021;325(10):935-936. doi:10.1001/jama.2021.0263

This Viewpoint characterizes correctional health care as a separate health system in the US responsible for the lives of 2 million citizens, but largely neglected by the quality improvement movement, and discusses ways to improve care, outcomes, and health care value for incarcerated individuals and populations.

A Piece of My Mind

Trauma Comes Home

Abstract Full Text
JAMA. 2021;325(10):937-938. doi:10.1001/jama.2021.0594

In this narrative medicine essay, a surgeon tells of her experience as a caretaker for her partner disabled by chronic sequelae of head trauma, and the challenges it poses as she tries to maintain the professional distance required to do her job as a trauma attending.

Editorial

Broadened Eligibility for Lung Cancer Screening: Challenges and Uncertainty for Implementation and Equity

Abstract Full Text
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JAMA. 2021;325(10):939-941. doi:10.1001/jama.2020.26422
JAMA Insights

Effectiveness of Mask Wearing to Control Community Spread of SARS-CoV-2

Abstract Full Text
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JAMA. 2021;325(10):998-999. doi:10.1001/jama.2021.1505

This JAMA Insights CDC review summarizes accumulating evidence that mask wearing reduces spread of SARS-CoV-2 infection and that universal mandatory mask wearing policies reduce infections and deaths and emphasizes face masks are one component of pandemic control measures, including physical distancing and handwashing, pending natural or vaccine-induced population immunity.

Medical News & Perspectives

The Price of Success—How to Evaluate COVID-19 Vaccines When They’re Available Outside of Clinical Trials

Abstract Full Text
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JAMA. 2021;325(10):918-921. doi:10.1001/jama.2021.0641

This Medical News feature examines the challenge of continuing or launching placebo-controlled trials of COVID-19 vaccines now that some have been authorized for use in the community.

The JAMA Forum

Building Health Care Better Means Reining In Costs

Abstract Full Text
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JAMA. 2021;325(10):922-923. doi:10.1001/jama.2021.1578
News From the Centers for Disease Control and Prevention

More Resources, Community Outreach Needed to Boost Contact Tracing

Abstract Full Text
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JAMA. 2021;325(10):925. doi:10.1001/jama.2021.1575

Dramatic Cervical Cancer Screening Decline During Pandemic

Abstract Full Text
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JAMA. 2021;325(10):925. doi:10.1001/jama.2021.1977
Biotech Innovations

Prolonged SARS-CoV-2 Infection in a CAR T-Cell Therapy Recipient

Abstract Full Text
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JAMA. 2021;325(10):924. doi:10.1001/jama.2021.2493

Saliva Tests Comparable With Nasal Swabs for SARS-CoV-2 Detection

Abstract Full Text
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JAMA. 2021;325(10):924. doi:10.1001/jama.2021.1780

COVID-19 “Liquid Biopsy” Could Offer Monitoring, Prognostic Tool

Abstract Full Text
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JAMA. 2021;325(10):924. doi:10.1001/jama.2021.2496
The Arts and Medicine

Addiction Screening—The A Star Is Born Movie Series and Destigmatization of Substance Use Disorders

Abstract Full Text
JAMA. 2021;325(10):915-917. doi:10.1001/jama.2020.25256

This Arts and Medicine feature uses the A Star is Born movie series to chart trends in popular cultural representations of addiction and to argue for more authentic Hollywood depictions of substance use disorder.

Poetry and Medicine

Credo

Abstract Full Text
JAMA. 2021;325(10):1009. doi:10.1001/jama.2020.24030
JAMA Revisited

Cancer of the Lung

Abstract Full Text
JAMA. 2021;325(10):1010. doi:10.1001/jama.2020.17834
JAMA Patient Page

Monoclonal Antibodies for COVID-19

Abstract Full Text
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JAMA. 2021;325(10):1015. doi:10.1001/jama.2021.1225

This JAMA Patient Page describes use of monoclonal antibodies for treatment of nonsevere COVID-19, which may help prevent progression to severe infection.

Screening for Lung Cancer

Abstract Full Text
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JAMA. 2021;325(10):1016. doi:10.1001/jama.2021.1799

This JAMA Patient Page explains the US Preventive Services Task Force 2021 recommendation to screen for lung cancer in adults aged 50 to 80 years who have a 20-pack-year or greater smoking history and currently smoke or have quit within the past 15 years.

Comment & Response

Use of e-Cigarettes for Smoking Cessation

Abstract Full Text
JAMA. 2021;325(10):1006. doi:10.1001/jama.2020.27207

Use of e-Cigarettes for Smoking Cessation—Reply

Abstract Full Text
JAMA. 2021;325(10):1006-1007. doi:10.1001/jama.2020.27210

Effect of Emergency Department Care Bundle on Elderly Patients With Acute Heart Failure

Abstract Full Text
JAMA. 2021;325(10):1007. doi:10.1001/jama.2020.27291

Effect of Emergency Department Care Bundle on Elderly Patients With Acute Heart Failure—Reply

Abstract Full Text
JAMA. 2021;325(10):1007-1008. doi:10.1001/jama.2020.27294
Correction

Minor Clarification

Abstract Full Text
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JAMA. 2021;325(10):1008. doi:10.1001/jama.2021.2530
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2021;325(10):907-908. doi:10.1001/jama.2020.17831
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