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October 2021 - January 1908

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Issue

November 2020, Vol 180, No. 11, Pages 1412-1560

Viewpoint

Health Care Policy and Law

Tobacco Dependence Treatment Is Critical to Excellence in Health Care

Abstract Full Text
JAMA Intern Med. 2020;180(11):1413-1414. doi:10.1001/jamainternmed.2020.3972

This Viewpoint discusses the importance of including tobacco dependence treatment as a measure of excellence in the provision of health care.

Health Care Policy and Law

A Further Weakening of Contraceptive Coverage Under the Affordable Care Act

Abstract Full Text
JAMA Intern Med. 2020;180(11):1415-1416. doi:10.1001/jamainternmed.2020.5533

This Viewpoint discusses how a recent US Supreme Court decision raises questions about whether an employer-based health care system can continue to best serve employees and the public at large.

Perspective

The Disappearance of the Primary Care Physical Examination—Losing Touch

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1417-1418. doi:10.1001/jamainternmed.2020.3546

This article assesses the loss of the physical examination amid telehealth visits during the coronavirus disease 2019 pandemic.

The Suffocating State of Physician Workforce Diversity: Why “I Can’t Breathe”

Abstract Full Text
JAMA Intern Med. 2020;180(11):1418-1419. doi:10.1001/jamainternmed.2020.3815

This essay discusses the need for more diversity in the physician workforce to benefit patients and society.

Original Investigation

Assessment of Data Sources That Support US Food and Drug Administration Medical Devices Safety Communications

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1420-1426. doi:10.1001/jamainternmed.2020.3514

This cross-sectional study assesses the sources of initial safety signals that trigger publication of Medical Device Safety Communications and the potential associations among Medical Device Safety Communication data source, type of safety issue, and subsequent action by the US Food and Drug Administration.

Changes in Hospital Income, Use, and Quality Associated With Private Equity Acquisition

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1428-1435. doi:10.1001/jamainternmed.2020.3552

This difference-in-differences analysis assesses whether an association exists between hospitals being acquired by private equity firms and hospital income, use, and quality in the United States.

Factors Associated With Death in Critically Ill Patients With Coronavirus Disease 2019 in the US

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2020;180(11):1436-1447. doi:10.1001/jamainternmed.2020.3596

This cohort study of adults with COVID-19 examines factors associated with death and interhospital variation in treatment and outcomes in the US.

Clinical Course and Molecular Viral Shedding Among Asymptomatic and Symptomatic Patients With SARS-CoV-2 Infection in a Community Treatment Center in the Republic of Korea

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2020;180(11):1447-1452. doi:10.1001/jamainternmed.2020.3862

This cohort study quantitatively describes molecular viral shedding in asymptomatic and symptomatic patients with SARS-CoV-2 infection.

Experiences of Home Health Care Workers in New York City During the Coronavirus Disease 2019 Pandemic: A Qualitative Analysis

Abstract Full Text
free access has active quiz has audio
JAMA Intern Med. 2020;180(11):1453-1459. doi:10.1001/jamainternmed.2020.3930

This qualitative analysis using grounded theory describes the experiences of home health care workers caring for older adults and for patients with chronic illnesses in New York City during the coronavirus disease 2019 pandemic.

Accuracy of Physicians’ Electrocardiogram Interpretations: A Systematic Review and Meta-analysis

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2020;180(11):1461-1471. doi:10.1001/jamainternmed.2020.3989

This systematic review and meta-analysis identifies and summarizes published research on the accuracy of physicians’ interpretations of electrocardiograms.

Efficacy of Smartphone Applications for Smoking Cessation: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1472-1480. doi:10.1001/jamainternmed.2020.4055

This randomized clinical trial examines the efficacy of a smartphone application for smoking cessation based on acceptance and commitment therapy vs a National Cancer Institute smoking cessation application based on US clinical practice guidelines.

Effects of Counseling by Peer Human Advisors vs Computers to Increase Walking in Underserved Populations: The COMPASS Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1481-1490. doi:10.1001/jamainternmed.2020.4143

This randomized clinical trial examines changes in physical activity with virtual vs human advisors in Latino participants.

Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity: The TREAT Randomized Clinical Trial

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2020;180(11):1491-1499. doi:10.1001/jamainternmed.2020.4153

This randomized clinical trial examines the effect of 16:8-hour time-restricted eating on weight loss and metabolic risk markers.

Invited Commentary

Identification and Market Removal of Risky Medical Devices

Abstract Full Text
JAMA Intern Med. 2020;180(11):1426-1427. doi:10.1001/jamainternmed.2020.3512

Extreme Vulnerability of Home Care Workers During the COVID-19 Pandemic—A Call to Action

Abstract Full Text
free access has active quiz has audio
JAMA Intern Med. 2020;180(11):1459-1460. doi:10.1001/jamainternmed.2020.3937

Less Is More

A Solution for Guideline Overkill—More Guidelines or Shared Understanding?

Abstract Full Text
JAMA Intern Med. 2020;180(11):1508-1509. doi:10.1001/jamainternmed.2020.3969

Prone Positioning in Awake, Nonintubated Patients With COVID-19: Necessity Is the Mother of Invention

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2020;180(11):1539-1540. doi:10.1001/jamainternmed.2020.3027

Private Equity, Women’s Health, and the Corporate Transformation of American Medicine

Abstract Full Text
JAMA Intern Med. 2020;180(11):1545-1546. doi:10.1001/jamainternmed.2020.3564
Editor's Note

Inclusion Across the Lifespan in Cardiovascular Trials—A Long Road Ahead

Abstract Full Text
JAMA Intern Med. 2020;180(11):1533-1534. doi:10.1001/jamainternmed.2020.2735

Less Is More

Two Remedies for Inappropriate Percutaneous Coronary Intervention—Closing the Gap Between Evidence and Practice

Abstract Full Text
JAMA Intern Med. 2020;180(11):1536-1537. doi:10.1001/jamainternmed.2020.2801
Special Communication

Health Care Policy and Law

Drug Reimbursement Regulation in 6 Peer Countries

Abstract Full Text
JAMA Intern Med. 2020;180(11):1510-1517. doi:10.1001/jamainternmed.2020.4793

This study delineates drug coverage, price, and reimbursement regulations in 6 countries, emphasizing the relevance for US policy making.

Review

Less Is More

Identifying Recommendations for Stopping or Scaling Back Unnecessary Routine Services in Primary Care

Abstract Full Text
JAMA Intern Med. 2020;180(11):1500-1508. doi:10.1001/jamainternmed.2020.4001

This systematic review describes recommendations made by an expert panel across internal medicine disciplines on decreasing the frequency of or discontinuing testing and therapy not deemed to be necessary.

Research Letter

Health Care Policy and Law

Cognition and Take-up of the Medicare Savings Programs

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1529-1531. doi:10.1001/jamainternmed.2020.2783

This cross-sectional study examines the association between cognition and Medicare Savings Program enrollment among qualified elderly Medicare beneficiaries.

Representation of Older Adults in Cardiovascular Disease Trials Since the Inclusion Across the Lifespan Policy

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1531-1533. doi:10.1001/jamainternmed.2020.2750

This review compares representation of older adults in interventional cardiovascular disease studies in the US before and after implementation of the National Institutes of Health’s Inclusion Across the Lifespan Policy.

Less Is More

US False Claims Act Investigations of Unnecessary Percutaneous Coronary Interventions

Abstract Full Text
free access has audio
JAMA Intern Med. 2020;180(11):1534-1536. doi:10.1001/jamainternmed.2020.2812

This case-control study assess the association of US False Claims Act investigations of the overuse of PCIs with PCI volumes.

Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure

Abstract Full Text
open access has active quiz
JAMA Intern Med. 2020;180(11):1537-1539. doi:10.1001/jamainternmed.2020.3030

This cohort study investigates whether the prone position is associated with improved oxygenation and decreased risk for intubation in spontaneously breathing patients with severe COVID-19 hypoxemic respiratory failure.

Less Is More

Potential Association of the ISCHEMIA Trial With the Appropriate Use Criteria Ratings for Percutaneous Coronary Intervention in Stable Ischemic Heart Disease

Abstract Full Text
free access has audio
JAMA Intern Med. 2020;180(11):1540-1542. doi:10.1001/jamainternmed.2020.3181

This cohort study examines the potential implications of the ISCHEMIA trial on the appropriateness of percutaneous coronary intervention in patients with stable ischemic heart disease.

Expansion of Private Equity Involvement in Women’s Health Care

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1542-1545. doi:10.1001/jamainternmed.2020.3567

This cross-sectional study examines the clinical and societal implications of the exansion of private equity in women’s health care.

The Exclusion of Older Persons From Vaccine and Treatment Trials for Coronavirus Disease 2019—Missing the Target

Abstract Full Text
free access has audio
JAMA Intern Med. 2020;180(11):1546-1549. doi:10.1001/jamainternmed.2020.5084

This cross-sectional study evaluates the risk of exclusion for older adults in randomized clinical trials for treatment and vaccine interventions in coronavirus disease 2019.

Challenges in Clinical Electrocardiography

An Atypical Case of Vasovagal Cardioinhibitory Syncope in a Young Male Soldier—Stand Up, Be Counted

Abstract Full Text
JAMA Intern Med. 2020;180(11):1518-1520. doi:10.1001/jamainternmed.2020.3023

This case report presents the electrocardiographic findings of a male soldier who experienced syncope while deployed overseas.

Influence of Prone Positioning on Electrocardiogram in a Patient With COVID-19

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1521-1523. doi:10.1001/jamainternmed.2020.3818

This case report presents the electrocardiographic findings a woman in her 50s with COVID-19, fever, and shortness of breath, with comorbidities including morbid obesity and obstructive sleep apnea.

Troubleshooting a Transcutaneous Pacemaker

Abstract Full Text
JAMA Intern Med. 2020;180(11):1524-1525. doi:10.1001/jamainternmed.2020.3828

This case report presents the electrocardiographic findings of an older adult woman with altered mental status, weakness, slurred speech, emesis, and headache.

Looking Back to Find the Missing P Wave and Diagnose a Narrow Complex Tachycardia

Abstract Full Text
JAMA Intern Med. 2020;180(11):1526-1528. doi:10.1001/jamainternmed.2020.4744

This case report presents the electrocardiographic findings of a woman in her 80s who presented with a challenging arrhythmia.

JAMA Internal Medicine Patient Page

What Should I Know About Medication Storage and Disposal?

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1560. doi:10.1001/jamainternmed.2020.3316

This Patient Page discusses safe at-home storage and disposal of medications.

Comment & Response

Estimating Glomerular Filtration Rate in African American Individuals

Abstract Full Text
JAMA Intern Med. 2020;180(11):1549. doi:10.1001/jamainternmed.2020.2352

Estimating Glomerular Filtration Rate in African American Individuals—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(11):1549-1550. doi:10.1001/jamainternmed.2020.2377

Changed Primary Outcome Between Trial Registration and Publication

Abstract Full Text
JAMA Intern Med. 2020;180(11):1550-1551. doi:10.1001/jamainternmed.2020.2183

Changed Primary Outcome Between Trial Registration and Publication—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(11):1551-1552. doi:10.1001/jamainternmed.2020.2173

Breast Cancer Screening and Health Care Costs

Abstract Full Text
JAMA Intern Med. 2020;180(11):1552. doi:10.1001/jamainternmed.2020.2358

Breast Cancer Screening and Health Care Costs

Abstract Full Text
JAMA Intern Med. 2020;180(11):1552-1553. doi:10.1001/jamainternmed.2020.2374

Breast Cancer Screening and Health Care Costs—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(11):1553-1554. doi:10.1001/jamainternmed.2020.2355

The Fragility Index and Trial Significance

Abstract Full Text
JAMA Intern Med. 2020;180(11):1554. doi:10.1001/jamainternmed.2020.4787

The Fragility Index and Trial Significance—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(11):1554-1555. doi:10.1001/jamainternmed.2020.4790
Correction

Error in Key Points and Omission of Collaborators in Article Information

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1555. doi:10.1001/jamainternmed.2020.4568

Error in Text

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1555. doi:10.1001/jamainternmed.2020.5834

Error in Figure 2

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1555. doi:10.1001/jamainternmed.2020.6728

Errors in Wording and a Percentage

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1555. doi:10.1001/jamainternmed.2020.6856
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2020;180(11):1412. doi:10.1001/jamainternmed.2019.4397
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