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May 2022 - July 1883

Decade

Year

Issue

March 23/30, 2021, Vol 325, No. 12, Pages 1125-1234

In This Issue of JAMA

Audio Highlights

Abstract Full Text
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JAMA. 2021;325(12):e2017857. doi:10.1001/jama.2020.17857
Original Investigation

Caring for the Critically Ill Patient

Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries

Abstract Full Text
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JAMA. 2021;325(12):1164-1172. doi:10.1001/jama.2021.1727

This international cohort study describes the incidence and nature of cardiovascular instability, severe hypoxemia, and cardiac arrest surrounding endotracheal intubation.

Caring for the Critically Ill Patient

Ventilator Weaning and Discontinuation Practices for Critically Ill Patients

Abstract Full Text
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JAMA. 2021;325(12):1173-1184. doi:10.1001/jama.2021.2384

This critical care epidemiology study describes practice variation in invasive mechanical ventilation weaning and discontinuation practices, associations between initial discontinuation events and outcomes, and factors associated with use of select discontinuation strategies and failed initial spontaneous breathing trials among critically ill patients in ICUs in 19 countries.

Association of Convalescent Plasma Treatment With Clinical Outcomes in Patients With COVID-19: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA. 2021;325(12):1185-1195. doi:10.1001/jama.2021.2747

This meta-analysis of randomized trials reported in medical journals, preprint servers, and press releases estimates associations between convalescent plasma treatment and clinical outcomes (all-cause mortality, length of stay, clinical improvement, clinical deterioration, mechanical ventilation use, serious adverse events) in patients with COVID-19.

Research Letter

Association Between the Proportion of Black Patients Cared for at Hospitals and Financial Penalties Under Value-Based Payment Programs

Abstract Full Text
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JAMA. 2021;325(12):1219-1221. doi:10.1001/jama.2021.0026

This study evaluates whether US hospitals with mostly Black patients are more likely than other hospitals to have penalties associated with Centers for Medicare & Medicaid Services (CMS) value-based payment programs.

Association of Clinician Minority Patient Caseload With Performance in the 2019 Medicare Merit-based Incentive Payment System

Abstract Full Text
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JAMA. 2021;325(12):1221-1223. doi:10.1001/jama.2021.0031

This study assesses the association between US clinicians’ caseload of minority patients and their 2019 Medicare Merit-based Incentive Payment System performance score.

US Preventive Services Task Force

Recommendation Statement

Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
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JAMA. 2021;325(12):1196-1201. doi:10.1001/jama.2021.2566

This 2021 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 hearing loss in older adults (I statement).

Evidence Report

Screening for Hearing Loss in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
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JAMA. 2021;325(12):1202-1215. doi:10.1001/jama.2020.24855

This systematic review to support the 2021 US Preventive Services Task Force Recommendation Statement on screening for hearing loss in older adults summarizes published evidence on the benefits and harms of screening and interventions for hearing loss in adults aged 50 years or older.

Viewpoint

Health Policy

Envisioning the Veterans Affairs Health Care System of the Future

Abstract Full Text
JAMA. 2021;325(12):1143-1144. doi:10.1001/jama.2021.0961

This Viewpoint proposes strategies the Veterans Affairs (VA) health care system can pursue to shore up its mission in response to declining numbers of veterans and impending budget constraints, including accelerating a transition to value-based care, optimization of infrastructure, and strengthening engagement with employees and the public.

Health Policy

Federally Qualified Health Centers and Related Primary Care Workforce Issues

Abstract Full Text
JAMA. 2021;325(12):1145-1146. doi:10.1001/jama.2021.1964

This Viewpoint proposes education, training, and funding reforms to expand the primary care workforce to supply federally qualified health centers (FQHCs), government-funded community-based health care sites that by providing safety-net primary care in underserved areas will be vital to addressing health inequities in the US.

Removing One Barrier to Opioid Use Disorder Treatment: Is It Enough?

Abstract Full Text
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JAMA. 2021;325(12):1147-1148. doi:10.1001/jama.2021.0958

This Viewpoint discusses policy reforms necessary to advance medical management of opioid use disorder in the wake of retraction by the Biden adminstration of proposed federal Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder.

Overcoming Barriers to Treatment of Opioid Use Disorder

Abstract Full Text
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JAMA. 2021;325(12):1149-1150. doi:10.1001/jama.2021.1741

This Viewpoint discusses federal guidance that would exempt physicians from a standing requirement to apply for a waiver to prescribe buprenorphine for opioid use disorder (OUD) and makes additional recommendations to expand access to medication treatment of OUD, including expanded prescriber training and office-based methadone treatment.

Continued Increases in Overdose Deaths Related to Synthetic Opioids: Implications for Clinical Practice

Abstract Full Text
JAMA. 2021;325(12):1151-1152. doi:10.1001/jama.2021.1169

This Viewpoint summarizes a 2021 MMWR report documenting a concerning rise in illicit and synthetic opioid overdose deaths in the US between 2013 and 2019 and proposes strategies to connect clinicians and health systems with public health, public safety, and other community partners to share data, monitor trends, and better respond to the overdose epidemic.

The US Regulatory System and COVID-19 Vaccines: The Importance of a Strong and Capable FDA

Abstract Full Text
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JAMA. 2021;325(12):1153-1154. doi:10.1001/jama.2021.1961

This Viewpoint examines the important role of the Food and Druf Administration (FDA) in facilitating the rapid development of coronavirus disease 2019 (COVID-19) vaccines.

A Piece of My Mind

I Am Not Burned Out

Abstract Full Text
JAMA. 2021;325(12):1155-1156. doi:10.1001/jama.2021.2861

In this narrative medicine essay, a pediatrician describes her struggle to recognize postpartum depression with the birth of her third child and how she found her way out.

Editorial

International Variation in Intubation and Extubation Practices and Adverse Events Among Critically Ill Patients Receiving Mechanical Ventilation

Abstract Full Text
JAMA. 2021;325(12):1157-1159. doi:10.1001/jama.2021.1178

Emerging Lessons From COVID-19 for the US Clinical Research Enterprise

Abstract Full Text
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JAMA. 2021;325(12):1159-1161. doi:10.1001/jama.2021.3284

Screening for Hearing Loss in Older Adults: Insufficient Evidence Does Not Mean Insufficient Benefit

Abstract Full Text
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JAMA. 2021;325(12):1162-1163. doi:10.1001/jama.2021.2020
JAMA Diagnostic Test Interpretation

Evaluation of Hypokalemia

Abstract Full Text
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JAMA. 2021;325(12):1216-1217. doi:10.1001/jama.2020.17672

This case report describes the evaluation of a 52-year-old woman taking a thiazide diuretic with hypokalemia (potassium, 2.6 mEq/L) and hypertension (blood pressure, 159/94 mm Hg) and presents an algorithm for the diagnosis and management of underlying causes of low serum potassium levels.

Medical News & Perspectives

When the Human Voice Speaks Volumes About Lung Function

Abstract Full Text
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JAMA. 2021;325(12):1130-1131. doi:10.1001/jama.2020.22460

This Medical News article describes how the human voice might be harnessed to diagnose obstructive lung disease and monitor lung function.

The JAMA Forum

The Coronavirus Pandemic 1 Year On—What Went Wrong?

Abstract Full Text
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JAMA. 2021;325(12):1132-1133. doi:10.1001/jama.2021.3207
News From the Centers for Disease Control and Prevention

Survey—Many High School Students Have Experienced Violence

Abstract Full Text
JAMA. 2021;325(12):1136. doi:10.1001/jama.2021.2934

Sexual Minorities Have Greater COVID-19 Risk Factors

Abstract Full Text
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JAMA. 2021;325(12):1136. doi:10.1001/jama.2021.3356
Clinical Trials Update

With Good Adherence, Daily Aspirin May Prevent Pregnancy Loss

Abstract Full Text
JAMA. 2021;325(12):1135. doi:10.1001/jama.2021.1788

Virtual Postoperative Visits Noninferior to In-Person Visits

Abstract Full Text
JAMA. 2021;325(12):1135. doi:10.1001/jama.2021.3570

Better Hypertension Control With Digital Self-monitoring

Abstract Full Text
JAMA. 2021;325(12):1135. doi:10.1001/jama.2021.3572

Molecular Point-of-Care Test Improved Influenza Care

Abstract Full Text
JAMA. 2021;325(12):1135. doi:10.1001/jama.2021.3574

Polypill Plus Aspirin Effective for Cardiovascular Disease Prevention

Abstract Full Text
JAMA. 2021;325(12):1135. doi:10.1001/jama.2021.3576
Health Agencies Update

Another Explanation for Why Cloth Masks Reduce COVID-19 Severity

Abstract Full Text
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JAMA. 2021;325(12):1134. doi:10.1001/jama.2021.2955

VA Nursing Homes’ History of Infection Control Shortcomings

Abstract Full Text
JAMA. 2021;325(12):1134. doi:10.1001/jama.2021.3562

HHS Expands Number of People Who Can Vaccinate Against COVID-19

Abstract Full Text
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JAMA. 2021;325(12):1134. doi:10.1001/jama.2021.3564
The Arts and Medicine

“Self-Portrait as Exit Wounds”: A Graphic Story

Abstract Full Text
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JAMA. 2021;325(12):1127-1129. doi:10.1001/jama.2020.27162

This wordless graphic story conveys the loss and powerlessness felt by health care workers, patients, and families confronting the coronavirus pandemic, and was drawn by a community hospitalist as a tribute to each.

Poetry and Medicine

Shelter

Abstract Full Text
JAMA. 2021;325(12):1229. doi:10.1001/jama.2021.3481
JAMA Revisited

Beware, the Sporothrix

Abstract Full Text
JAMA. 2021;325(12):1230. doi:10.1001/jama.2020.17858
JAMA Patient Page

Screening for Hearing Loss in Older Adults

Abstract Full Text
free access has audio
JAMA. 2021;325(12):1234. doi:10.1001/jama.2021.2513

This JAMA Patient Page summarizes the US Preventive Services Task Force’s 2021 recommendation that current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in older adults (I statement).

Comment & Response

Review of Hearing Loss in Children

Abstract Full Text
JAMA. 2021;325(12):1223-1224. doi:10.1001/jama.2021.0387

Review of Hearing Loss in Children—Reply

Abstract Full Text
JAMA. 2021;325(12):1224-1225. doi:10.1001/jama.2021.0390

Driving Impairment Following Vaporization of Cannabis

Abstract Full Text
JAMA. 2021;325(12):1225. doi:10.1001/jama.2021.0451

Driving Impairment Following Vaporization of Cannabis

Abstract Full Text
JAMA. 2021;325(12):1225-1226. doi:10.1001/jama.2021.0448

Driving Impairment Following Vaporization of Cannabis

Abstract Full Text
JAMA. 2021;325(12):1226. doi:10.1001/jama.2021.0445

Driving Impairment Following Vaporization of Cannabis—Reply

Abstract Full Text
JAMA. 2021;325(12):1226-1227. doi:10.1001/jama.2021.0454
Correction

Correction to Medical News Interview

Abstract Full Text
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JAMA. 2021;325(12):1227. doi:10.1001/jama.2021.3447
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2021;325(12):1125-1126. doi:10.1001/jama.2020.17855
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