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Year

Day

December 17, 2018
Viewpoint

Challenges of Non–Intention-to-Treat Analyses

Abstract Full Text
free access
JAMA. Published online December 17, 2018. doi:10.1001/jama.2018.19192

reviews the rationale for intention-to-treat (ITT) analyses of randomized trials, explains how commonly used alternatives reintroduce confounding that randomization is intended to eliminate, and emphasizes that even an ITT analysis is no substitute for informed scientific and clinical judgement when interpreting trial results.

JAMA Clinical Guidelines Synopsis

Management of Posttraumatic Stress Disorder

Abstract Full Text
free access
JAMA. Published online December 17, 2018. doi:10.1001/jama.2018.19290

This JAMA Clinical Guidelines Synopsis summarizes the 2017 clinical practice guidance from the US Department of Veterans Affairs/US Department of Defense on management of posttraumatic stress disorder and acute stress disorder.

December 14, 2018
Viewpoint

Physicians’ Voices on Gun Violence and Other Important Public Health Issues

Abstract Full Text
free access
JAMA. Published online December 14, 2018. doi:10.1001/jama.2018.20754

In this Viewpoint, Sandro Galea acknowledges reasons physicians have traditionally been hesitant to speak out publicly on matters of politics and public health, and reviews how shifting roles and means of communication are forcing practitioners to reconsider that hesitancy and engage in controversies of public health concern, such as gun violence.

Medical News & Perspectives

Physicians Are Steering the Conversation About Gun Violence

Abstract Full Text
free access has audio
JAMA. Published online December 14, 2018. doi:10.1001/jama.2018.20385

This Medical News story is an interview with Megan Ranney, MD, MPH, one of the leading voices in the “This Is Our Lane” movement, which discusses the role of physicians and other health-care professionals in addressing firearm violence as a public health issue.

December 13, 2018
Viewpoint

Medicare’s Approach to Paying for Services That Promote Coordinated Care

Abstract Full Text
free access
JAMA. Published online December 13, 2018. doi:10.1001/jama.2018.19315

This Viewpoint discusses new fee-for-service billing codes introduced by CMS for reimbursement of virtual care including e-consults, remote physiologic monitoring, and video and image review, and proposes strategies to incentivize the activities to promote coordinated care.

JAMA Clinical Challenge

A Patient With an Elevated α-Fetoprotein Level and Liver Masses

Abstract Full Text
free access
JAMA. Published online December 13, 2018. doi:10.1001/jama.2018.18435

A 55-year-old man with several weeks of malaise, a 6.8-kg weight loss, a CT scan with multifocal liver masses and elevated alkaline phosphatase, ALT, and AFP levels had a heterogeneously enhancing pancreatic-tail mass on triple-phase CT. What would you do next?

December 12, 2018
Medical News & Perspectives

For Nobel Peace Prize Winner Dr Denis Mukwege, His Patients Motivate and Inspire

Abstract Full Text
free access has audio
JAMA. Published online December 12, 2018. doi:10.1001/jama.2018.18199

This Medical News article is an interview with Denis Mukwege, MD, cowinner of the 2018 Nobel Peace Prize.

Black Lung Resurgence Raises New Challenges for Coal Country Physicians

Abstract Full Text
free access
JAMA. Published online December 12, 2018. doi:10.1001/jama.2018.15966

In this Medical News & Perspectives article, experts discuss how physicians deal with increasing black lung disease cases among Appalachian miners, many at younger ages than in the past.

December 10, 2018
Viewpoint

Humanizing Artificial Intelligence

Abstract Full Text
free access has audio
JAMA. Published online December 10, 2018. doi:10.1001/jama.2018.19398

In this Viewpoint, Abraham Verghese and Sonoo Thadaney Israni acknowledge the promise of artificial intelligence (AI) for health care, but argue that developers must work with physicians to ensure that any AI health care system helps clinicians deliver better, more equitable humanistic care, not just more accurate, scientific care.

Questions for Artificial Intelligence in Health Care

Abstract Full Text
free access
JAMA. Published online December 10, 2018. doi:10.1001/jama.2018.18932

This Viewpoint discusses questions that should be addressed to successfully integrate artificial intelligence into clinical care.

December 7, 2018
Viewpoint

Using Standardized “Cancer Clocks”

Abstract Full Text
free access
JAMA. Published online December 7, 2018. doi:10.1001/jama.2018.18756

This Viewpoint discusses the practice of using a clock timer analogy to describe population risks of cancer and suggests standardizing the measures of incidence rates used in the clocks to population size to facilitate more accurate comparisons between populations.

Free Medical School Tuition: Will It Accomplish Its Goals?

Abstract Full Text
free access
JAMA. Published online December 7, 2018. doi:10.1001/jama.2018.19457

This Viewpoint discusses free or reduced tuition programs for medical students and the implications for diversifying the health care workforce, filling shortages in primary care specialties, improving patient access, closing the health disparities gap, and improving population health.

December 6, 2018
Viewpoint

Health as a Way of Doing Business

Abstract Full Text
free access
JAMA. Published online December 6, 2018. doi:10.1001/jama.2018.18935

In this Viewpoint, Howard Koh and colleagues discuss the value the public places on corporations that actively promote community health and environmental responsibility, and innovative business strategies that some corporations have implemented to advance consumer, employee, community, and environmental health.

Evolving Issues in Oncology

Risk-Reducing Mastectomy in BRCA1 and BRCA2 Mutation Carriers: A Complex Discussion

Abstract Full Text
free access
JAMA. Published online December 6, 2018. doi:10.1001/jama.2018.18942

This Viewpoint reviews the benefits and risks of risk-reducing mastectomy in otherwise healthy women with BRCA1 and BRCA2 mutations to inform discussions about the proceeding with or foregoing the procedure, and it calls for continued research to understand how to better individualize risk and prevent disease nonsurgically.

December 5, 2018
Medical News & Perspectives

Whole-Fat or Nonfat Dairy? The Debate Continues

Abstract Full Text
free access
JAMA. Published online December 5, 2018. doi:10.1001/jama.2018.17692

This Medical News & Perspectives story examines the debate over whether opting for whole-fat dairy or nonfat dairy or avoiding dairy altogether is optimal for health.

Unraveling the Mysteries of the Human Placenta

Abstract Full Text
free access has audio
JAMA. Published online December 5, 2018. doi:10.1001/jama.2018.18200

This Medical News article is an interview with the director of the National Institute of Child Health and Human Development about its Human Placenta Project.

December 3, 2018
Viewpoint

The Ethics of Heritable Genome Editing: New Considerations in a Controversial Area

Abstract Full Text
free access
JAMA. Published online December 3, 2018. doi:10.1001/jama.2018.18270

This Viewpoint examines the 2018 Nuffield Council on Bioethics report on the social and ethical issues of heritable genome editing, and discusses the report’s rejection of the notion of genomic essentialism.

JAMA Diagnostic Test Interpretation

The Direct Antiglobulin Test for Evaluating Anemia

Abstract Full Text
free access
JAMA. Published online December 3, 2018. doi:10.1001/jama.2018.14317

A 68-year-old woman with chronic lymphocytic leukemia (CLL) presents with dyspnea on exertion, conjunctival pallor and scleral icterus, and moderate anemia with elevated reticulocytes and LDH and a 3+ anti-IgG direct antiglobulin test (DAT). How do you interpret the results?

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