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Year

Day

August 16, 2019
Viewpoint

Physicians Talking With Their Partners About Patients

Abstract Full Text
free access
JAMA. Published online August 16, 2019. doi:10.1001/jama.2019.12293

This Viewpoint discusses the phenomenon of physicians talking about patients with their partners and spouses, and the tensions between balancing patient privacy with having a personal outlet and support for processing challenging clinical experiences.

The Law and Ethics of Fetal Burial Requirements for Reproductive Health Care

Abstract Full Text
free access
JAMA. Published online August 16, 2019. doi:10.1001/jama.2019.12713

This Viewpoint discusses the 2019 Box v Planned Parenthood US Supreme Court ruling that upheld an Indiana provision mandating that abortion facilities bury or cremate fetal remains, characterizing the law as a “targeted restriction” law intended to place undue burden on abortion providers and patients and incrementally reduce access to abortion and related reproductive health services.

August 15, 2019
Viewpoint

Communication Strategies for Sharing Prognostic Information With Patients: Beyond Survival Statistics

Abstract Full Text
free access has audio
JAMA. Published online August 15, 2019. doi:10.1001/jama.2019.11533

This Viewpoint discusses the challenges of communicating uncertain prognosis to patients and offers a framework and language that go past mortality statistics—addressing range of time left, loss of independence, and the unpredictability of outcomes—that embraces uncertainty and might help empower patients to plan for their quality-of-life goals.

Will Increasing Primary Care Spending Alone Save Money?

Abstract Full Text
free access
JAMA. Published online August 15, 2019. doi:10.1001/jama.2019.12016

This Viewpoint uses recent US state legislation mandating investments in primary care to discuss the lack of evidence supporting assumptions that primary care spending will save downstream health care costs, the reasons why that might be, and implications for policy, payment, and practice reforms.

August 14, 2019
Medical News & Perspectives

With Neuroimaging, Large NIH Study Could Shine a Light on the Adolescent Brain

Abstract Full Text
free access has audio
JAMA. Published online August 14, 2019. doi:10.1001/jama.2019.9981

This Medical News article discusses the Adolescent Brain Cognitive Development study with its director, Gaya Dowling, PhD.

Quick Uptakes

Vacationing More Often May Reduce Metabolic Syndrome Risk

Abstract Full Text
free access
JAMA. Published online August 14, 2019. doi:10.1001/jama.2019.11134

This Medical News article examines how vacationing might affect the risk of developing metabolic syndrome, which increases the risk of heart disease, stroke, and diabetes.

August 12, 2019
Viewpoint

Improving the Quality of Dietary Research

Abstract Full Text
free access
JAMA. Published online August 12, 2019. doi:10.1001/jama.2019.11169

This Viewpoint discusses methodological challenges to conducting reliable dietary research relative to processes and standards in place for drug discovery and development, and proposes modifications to the conduct of dietary research to improve its transparency, quality, and reliability.

A Professional Standard for Informed Consent for Stem Cell Therapies

Abstract Full Text
free access
JAMA. Published online August 12, 2019. doi:10.1001/jama.2019.11290

This Viewpoint summarizes recommendations from an International Society for Stem Cell Research task force charged with developing professional standards of patient consent for stem cell–based interventions offered outside a clinical trial given the spread of unregulated stem cell clinics offering unproven therapies.

August 9, 2019
Viewpoint

Big Data, Big Tech, and Protecting Patient Privacy

Abstract Full Text
free access
JAMA. Published online August 9, 2019. doi:10.1001/jama.2019.11365

This Viewpoint uses Dinerstein v Google, a class action complaint in Illinois alleging that an academic medical center violated patient privacy by giving timestamped electronic health record (EHR) data to Google for development of their novel EHR system, to review the ways privacy laws like HIPAA are based on outdated technologies and data transfer standards and to call for a rethinking of data sharing governance appropriate to contemporary infrastructure and expectations of interoperability.

JAMA Insights

Medical Use of Cannabis in 2019

Abstract Full Text
JAMA. Published online August 9, 2019. doi:10.1001/jama.2019.11868

This JAMA Insights Clinical Update reviews what is known and not known about the efficacy and safety of cannabis and cannabinoids for managing medical conditions, distinguishing between FDA-approved indications, nonapproved indications supported by high-quality emerging evidence, and current claims and uses for which there is inadequate evidence.

August 8, 2019
Viewpoint

Success of Opt-In Organ Donation Policy in the United States

Abstract Full Text
free access has audio
JAMA. Published online August 8, 2019. doi:10.1001/jama.2019.9187

This Viewpoint discusses the how changing opt-in to opt-out policies for organ donors may impede US donation and recommends to increase efforts in recruiting individuals to become donors to meet the need of helping people who need transplants.

Scientific Discovery and the Future of Medicine

Accelerating the Science of SCD Therapies—Is a Cure Possible?

Abstract Full Text
free access has audio
JAMA. Published online August 8, 2019. doi:10.1001/jama.2019.11419

This Viewpoint reviews the molecular basis of sickle cell disease (SCD), the history of treatments for the disease, and recent progress toward curative therapies including HSCT and gene therapy and editing, emphasizing that research and innovation needs to take into account patient priorities and perspectives given the history of research mistreatment of minority groups most affected by SCD.

Making Machine Learning Models Clinically Useful

Abstract Full Text
free access
JAMA. Published online August 8, 2019. doi:10.1001/jama.2019.10306

This Viewpoint reviews conventional ways of assessing performance of machine learning models to diagnose or predict outcomes, but emphasizes that if machine learning is to improve patient care the models must be evaluated for their utility in improving clinical decisions taking into account the range of decisions clinicians can take, the cost and efficacy of those options, and the likelihood that patients will follow the recommended decisions.

August 7, 2019
Medical News & Perspectives

Quick Uptakes

Among Women Seeking Abortion, Continuing Pregnancy Linked to Worse Physical Health

Abstract Full Text
free access
JAMA. Published online August 7, 2019. doi:10.1001/jama.2019.10313

This Quick Uptakes discusses a recent study that compared the long-term physical health effects of childbirth vs abortion among women with unwanted pregnancies.

Increasing Cases of Shingles in the Eye Raise Key Questions

Abstract Full Text
free access
JAMA. Published online August 7, 2019. doi:10.1001/jama.2019.10743

This Medical News article examines the increasing incidence of herpes zoster ophthalmicus—shingles of the eye—and the need for more widespread vaccination against shingles.

August 5, 2019
Viewpoint

Lessons Learned From the Opioid Epidemic

Abstract Full Text
free access
JAMA. Published online August 5, 2019. doi:10.1001/jama.2019.9794

This Viewpoint argues that to redeem the loss of life from the opioid epidemic the health care community should move forward clearly recognizing the perils of applying simple solutions to complex problems, of accepting unproven therapies into practice, of not teaching physicians addiction science, and of the potential deadliness of financial conflicts of interest.

Relative Value Units and the Measurement of Physician Performance

Abstract Full Text
free access has audio
JAMA. Published online August 5, 2019. doi:10.1001/jama.2019.11163

This Viewpoint argues for separation of physician performance measurement from RVU production as a means to refocus physicians away from billing toward patient-centered values that could improve patients’ experience, reduce potential harms from the overtreatment that RVUs incentivize, and improve physicians’ work life and satisfaction.

August 2, 2019
Viewpoint

Psychiatric Practice Patterns and Barriers to the Adoption of Esketamine

Abstract Full Text
free access
JAMA. Published online August 2, 2019. doi:10.1001/jama.2019.10728

In 2019, the US Food and Drug Administration approved esketamine for treatment of major depressive disorder unresponsive to other therapies when given in a health care facility because of its transient effects on vital signs and feelings of dissociation it can produce acutely. This Viewpoint discusses likely barriers to use of the new treatment option given that the drug is expensive, many psychiatrists work in solo or small group settings, do not accept commercial insurance, and may be reluctant to invest in the costly infrastructure necessary to provide it and monitor patients as required after its administration.

Reducing Pollution From the Health Care Industry

Abstract Full Text
free access
JAMA. Published online August 2, 2019. doi:10.1001/jama.2019.10823

This Viewpoint summarizes what is known about greenhouse gas emissions and pollution generated by health care activities in high-income countries, calls for cooperation between stakeholders (physicians, hospital administrators, regulatory bodies, specialty societies, policy makers, industry) to reduce the environmental footprint of their collective activities, and calls for funding of environmental sustainability science to inform the effort and optimize resource and waste management.

August 1, 2019
Viewpoint

Opioid Injection in Rural Areas of the United States: A Potential Obstacle to Ending the HIV Epidemic

Abstract Full Text
free access
JAMA. Published online August 1, 2019. doi:10.1001/jama.2019.10657

In this Viewpoint, Drs Anthony Fauci and Andrea Lerner discuss the rise of injection of opioids in the rural US as an emerging risk factor for HIV infection among traditionally low-risk communities, and calls for interventions to prevent IDU-related HIV transmission—needle-exchange programs, opioid use disorder treatment programs, and increased availability of preexposure prophylaxis (PrEP)—as a means to end the HIV epidemic in the US.

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