JAMA Internal Medicine




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Holding Medical Professional Society Scientific Meetings Only in States That Protect Abortion Rights—Clinical and Ethical Considerations

Cary P. Gross, MD1; Katherine L. Kraschel, JD2; Ezekiel J. Emanuel, MD, PhD3

doi : 10.1001/jamainternmed.2022.7073

April 2023, Vol 183, No. 4, Pages 282-394

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Assessment of FDA-Approved Drugs Not Recommended for Use or Reimbursement in Other Countries, 2017-2020

Catherine Pham, PharmD, MPH1; Kim Le, PharmD2; Maisha Draves, MD, MPH3; Enrique Seoane-Vazquez, PhD4

doi : 10.1001/jamainternmed.2022.6787

Importance  Drug expenditures in the US are higher than in any other country and are projected to continue increasing, so US health systems may benefit from evaluating international regulatory and reimbursement decision-making of new drugs.

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Prevalence of Chronic Kidney Disease in ChinaResults From the Sixth China Chronic Disease and Risk Factor Surveillance

Limin Wang, MPH1; Xin Xu, MD2; Mei Zhang, PhD1; Caihong Hu, MPH1,3; Xiao Zhang, PhD1; Chun Li, MSc1; Sheng Nie, MD2; Zhengjing Huang, BS1; Zhenping Zhao, MPH1; Fan Fan Hou, MD2; Maigeng Zhou, PhD1

doi : 10.1001/jamainternmed.2022.6817

Importance  To our knowledge, there has been no update on the prevalence of chronic kidney disease (CKD) in China since 2012.

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Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences

Rebecca Anhang Price, PhD1; Layla Parast, PhD2; Marc N. Elliott, PhD3; Anagha A. Tolpadi, MS3; Melissa A. Bradley, BA1; Danielle Schlang, MS4; Joan M. Teno, MD, MSc1

doi : 10.1001/jamainternmed.2022.7076

Importance  Expansive growth in the US hospice market has been driven almost exclusively by an increase in for-profit hospices. Prior research found that, in contrast to not-for-profit hospices, for-profit hospices focus on delivering care to patients in nursing homes, provide fewer nursing visits, and use less skilled staff. However, prior studies have not reported on the associations of these differences in care patterns with hospice care quality. Patient- and family-centeredness is a core element of hospice care quality that is measured through surveys of care experiences.

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Integrating Alcohol-Related Prevention and Treatment Into Primary CareA Cluster Randomized Implementation Trial

Amy K. Lee, MPH1,2; Jennifer F. Bobb, PhD1; Julie E. Richards, PhD, MPH1,3; Carol E. Achtmeyer, ARNP, MN4; Evette Ludman, PhD1; Malia Oliver, BA1; Ryan M. Caldeiro, MD2; Rebecca Parrish, LICSW, MSW2; Paula M. Lozano, MD, MPH1; Gwen T. Lapham, PhD, MSW, MPH1,3; Emily C. Williams, PhD, MPH1,3,4; Joseph E. Glass, PhD, MSW1,3,5; Katharine A. Bradley, MD, MPH1,3,6

doi : 10.1001/jamainternmed.2022.7083

Importance  Unhealthy alcohol use is common and affects morbidity and mortality but is often neglected in medical settings, despite guidelines for both prevention and treatment.

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The Effects of Opt-out vs Opt-in Tobacco Treatment on Engagement, Cessation, and CostsA Randomized Clinical Trial

Kimber P. Richter, PhD, MPH1; Delwyn Catley, PhD2; Byron J. Gajewski, PhD3; Babalola Faseru, MD, MPH1; Theresa I. Shireman, PhD, RPh4; Chuanwu Zhang, PhD5; Taneisha S. Scheuermann, PhD1; Laura M. Mussulman, MPH1; Niaman Nazir, MBBS, MPH1; Tresza Hutcheson, PhD1; Elena Shergina, MS3; Edward F. Ellerbeck, MD, MPH1

doi : 10.1001/jamainternmed.2022.7170

Importance  Tobacco use causes 7 million deaths per year; most national guidelines require people who use tobacco to opt in to care by affirming they are willing to quit. Use of medications and counseling is low even in advanced economy countries.

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Association of Cardiovascular Health With Life Expectancy Free of Cardiovascular Disease, Diabetes, Cancer, and Dementia in UK Adults

Xuan Wang, MD, PhD1; Hao Ma, MD, PhD1; Xiang Li, MD, PhD1; Yoriko Heianza, RD, PhD1; JoAnn E. Manson, MD, DrPH2,3,4; Oscar H. Franco, MD, PhD5; Lu Qi, MD, PhD1,6

doi : 10.1001/jamainternmed.2023.0015

Importance  The average life expectancy has increased substantially in the past few decades in most industrialized countries; however, not all of the increased life expectancy is being spent in optimal health, especially among individuals with low socioeconomic status.

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Performance on Patient Experience Measures of Former Chief Medical Residents as Physician Exemplars Chosen by the Profession

Lucy Chen, BA, BS1,2,3; J. Michael McWilliams, MD, PhD3,4,5

doi : 10.1001/jamainternmed.2023.0025

Importance  Physicians’ knowledge about each other’s quality is central to clinical decision-making, but such information is not well understood and is rarely harnessed to identify exemplars for disseminating best practices or quality improvement. One exception is chief medical resident selection, which is typically based on interpersonal, teaching, and clinical skills.

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Coronary Heart Disease Testing Before Kidney Transplant—A Call for Revised Guidance

Rohini V. Kopparam, MD1; Deborah Grady, MD, MPH1,2; Rita F. Redberg, MD, MSc3,4

doi : 10.1001/jamainternmed.2022.6841

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Direct-to-Consumer Low-Testosterone Clinics—Where Is the Federation of State Medical Boards?

Steven Woloshin, MD, MS1,2; Lisa L. Gill, BA2,3

doi : 10.1001/jamainternmed.2022.7008

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Medical Society Responses to State Abortion Bans—No Role for Boycotts

Lisa H. Harris, MD, PhD1; Jamila Perritt, MD, MPH2; Bhavik Kumar, MD, MPH3

doi : 10.1001/jamainternmed.2022.7070

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Improving Screening and Counseling for Unhealthy Alcohol Use—Lessons From the Field

Alex H. Krist, MD, MPH1,2; Gabriella Villalobos, MSW1; Michelle Rockwell, PhD, RD3

doi : 10.1001/jamainternmed.2022.7053

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Bringing Prostate Cancer Polygenic Risk Scores to the Clinic

Robert J. Klein, PhD1

doi : 10.1001/jamainternmed.2022.6782

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Time-Limited Trials of Intensive Care Unit Care

John J. Popovich, MD1; Isadore Budnick, MD2; Thanh H. Neville, MD, MSHS3

doi : 10.1001/jamainternmed.2022.6792

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Safely Prescribing Nirmatrelvir and Ritonavir—Avoiding Drug-Drug Interactions

Roshni Culas, MD1; Sridesh Nath, MD2; Sarath Nath, MD3

doi : 10.1001/jamainternmed.2022.6834

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Excess Mortality Among US Physicians During the COVID-19 Pandemic

Mathew V. Kiang, ScD, MPH1; Lindsey E. Carlasare, MBA2; Sonoo Thadaney Israni, MBA3; John J. Norcini, PhD3; Junaid A. B. Zaman, MA, BMBCh, MRCP, PhD4; Kirsten Bibbins-Domingo, MD, PhD, MAS5

doi : 10.1001/jamainternmed.2022.6308

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US Food and Drug Administration Approval of Drugs Not Meeting Pivotal Trial Primary End Points, 2018-2021

James L. Johnston, MD1; Joseph S. Ross, MD, MHS2,3,4,5; Reshma Ramachandran, MD, MPP, MHS2,4,5

doi : 10.1001/jamainternmed.2022.6444

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Health Status and Health Care Access Among Lesbian, Gay, and Bisexual Adults in the US, 2013 to 2018

Michael Liu, MPhil1; Sahil Sandhu, MSc1; Sari L. Reisner, ScD1,2,3; Gilbert Gonzales, PhD, MHA4; Alex S. Keuroghlian, MD, MPH1,2,5

doi : 10.1001/jamainternmed.2022.6523

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Association of Comprehensive Menthol Flavor Ban With Current Cigarette Smoking in Massachusetts From 2017 to 2021

Samuel Asare, PhD1; Anuja Majmundar, PhD1; Zheng Xue, MSPH1; Ahmedin Jemal, PhD2; Nigar Nargis, PhD1

doi : 10.1001/jamainternmed.2022.6743

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A Polygenic Risk Score for Prostate Cancer Risk Prediction

Kerry R. Schaffer, MD, MSCI1,2; Mingjian Shi, MD, PhD3; John P. Shelley, BS3; Jeffrey J. Tosoian, MD, MPH2,4; Linda Kachuri, PhD5; John S. Witte, PhD5,6; Jonathan D. Mosley, MD, PhD1,3

doi : 10.1001/jamainternmed.2022.6795

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Palpitations and Shortness of Breath—Just a “Bump in the Road� or Something More?

Nikita Jhawar, MD1; Fred Kusumoto, MD2; Nora Goldschlager, MD3,4

doi : 10.1001/jamainternmed.2022.6359

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Uncommon Culprit Vessel of de Winter Electrocardiogram Pattern

Chia-Chen Chen, MD, MSc1; Bin-Yu Cai, MD2; Xue-Wei Qi, MSc1

doi : 10.1001/jamainternmed.2022.6447

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An Uncommon Cause of Acute Chest Pain

Yanmei Song, BS1; Xiaowei Zhang, MD, PhD1; Tong Liu, MD, PhD1

doi : 10.1001/jamainternmed.2022.6451

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Pseudotachycardia in a Teenager With Recurrent Syncope

Jinzhu Hu, MD, PhD1; Kui Hong, MD, PhD1; Gan-Xin Yan, MD, PhD2,3

doi : 10.1001/jamainternmed.2022.6455

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Wide QRS Complex Transient Pattern in a Patient With Severe COVID-19

Richard Pham, MD1,2; Takahiro Tsushima, MD1,2; Jayakumar Sahadevan, MD2

doi : 10.1001/jamainternmed.2022.6462

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Flecainide-Associated QRS Complex Widening—What Really Matters

Zhenyu Dong, MD1,2; Yanmei Lu, MD, PhD1,2; Baopeng Tang, MD, PhD1,2

doi : 10.1001/jamainternmed.2022.6466

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Melanoma Incidence by Sex, Indoor Tanning, and Body Site

Mengyang He, MD1; Jinchang Huang, PhD2

doi : 10.1001/jamainternmed.2022.6737

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Melanoma Incidence by Sex, Indoor Tanning, and Body Site—Reply

Adewole S. Adamson, MD, MPP1; Heather Welch, MSc2; H. Gilbert Welch, MD, MPH3

doi : 10.1001/jamainternmed.2022.6734

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Lead aVR Should Not Be Neglected

Zhenyu Dong, MD1,2; Yanmei Lu, MD, PhD1,2; Baopeng Tang, MD, PhD1,2

doi : 10.1001/jamainternmed.2022.6932

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Lead aVR Should Not Be Neglected—Reply

Fabrizio Vallelonga, MD1,2; Francesco A. Diella, MD1; Stephen W. Smith, MD3

doi : 10.1001/jamainternmed.2022.6935

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This Could Mean a True Tetrafascicular Intraventricular Block

Kjell Nikus, MD1,2; Juan Manzzardo, MD3; Andrés Ricardo Pérez-Riera, MD4,5

doi : 10.1001/jamainternmed.2022.6938

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This Could Mean a True Tetrafascicular Intraventricular Block—Reply

Matheus Kiszka Scheffer, MD1; Mariana Fuziy Nogueira De Marchi, MD1

doi : 10.1001/jamainternmed.2022.6941

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