JAMA is an international peer-reviewed general medical journal published weekly online and in print, and a member of the @JAMANetwork family of journals.
Chicago, IL
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In this podcast, JAMA Deputy Editors Linda Brubaker, MD, and Preeti Malani, MD, MSJ, discussed the latest science published in JAMA:
➡️ #Vaccines for #Cancer,
➡️ #KidneyTransplant in #Medicare Advantage Programs,
➡️ Tenecteplase Timing Before #Thrombectomy for Basilar Artery Occlusion, and more.
🎧 Listen now: ja.ma/3VzDUtz
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#OvarianCancer remains a leading cause of cancer death among women, and most cases are detected after spread because symptoms are often vague and effective screening is lacking.
🎙️ In this JAMA Medical News podcast, discussion of new guidance from @acog explains that opportunistic salpingectomy during planned surgeries may help prevent ovarian cancer in women at average risk who do not plan future pregnancy.
🎧 Listen now: ja.ma/4AQSEVp
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#MedNews: ✈️ Pilots and flight attendants may have a higher risk of death from #radiation-related #cancers than all other professions, a recent study suggests.
Learn more about in-flight radiation exposure and what could help address the risk.
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#MedNews: Updated clinical guidance from @acog supports the removal of both fallopian tubes during certain previously scheduled surgeries, reflecting growing evidence that it can help reduce #OvarianCancer in average-risk women.
Here's what to know about opportunistic bilateral #salpingectomy.
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When evaluating a child or adolescent for concussion, first screen for possible cervical spine injury by assessing for neck pain, worsening pain, numbness, tingling, weakness, and/or a concerning mechanism of injury. If any of these are present, maintain cervical spine stabilization and manage as a possible cervical spine injury. For children or adolescents without these concerning findings, assess active neck movement and observe for pain, stiffness, asymmetry, or limited motion.
📖 Read more: ja.ma/3TLG09e
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JAMA retweeted
Out today in @JAMA_current: "On Becoming a Gold Standard Scientist: The Importance of Pilot Clinical Trials." Honored to co-author with @pedsmedsafety, @AHuebschmann, and Dr. Glasgow. @jmnorton
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Older Americans are increasingly taking multiple prescription medications and dietary supplements, and more than 1 in 5 are potentially at risk for a major drug-drug interaction, according to a USC-led study published today in @JAMA_current.
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#AI is rapidly entering health care, but adding more technology does not necessarily improve care and may add to alarm fatigue in already crowded clinical environments.
🎙️ In this episode of JAMA+ AI Conversations, @JAMA_current and @JAMAplusAI Associate Editor Yulin Hswen, ScD, MPH, spoke with Bon Ku, MD, MPP, program manager at @ARPA_H about how simulation-based testing may help assess artificial intelligence systems before they are used in real-world care.
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📝 #JAMAPatientPage: #HodgkinLymphoma is a cancer that arises from B lymphocytes, a type of white blood cell.
This JAMA Patient Page describes risk factors, common symptoms such as painless lymph node swelling and B symptoms, and how classic Hodgkin lymphoma is diagnosed and staged.
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Among older adults in the US, use of prescription medications and dietary supplements remained common between 2015-2016 and 2021-2023, while polypharmacy involving both categories increased.
More than 1 in 5 older adults in 2021-2023 were potentially at risk of a major drug-drug interaction, a finding relevant to medication safety, deprescribing, and adverse drug event prevention.
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💬 Editorial by @JAMA_current and @JAMANetwork senior editorial staff:
#ResearchLetters can be an effective format for focused studies that address timely clinical, policy, and public health questions. The format is particularly well suited to straightforward analyses and concise interpretation, while maintaining the same rigorous peer and editorial review as full-length Original Investigations.
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📣 This #JAMAEditorial is featured in @JAMAplusAI, which highlights the role of artificial intelligence and digital medicine in health care, drawing on original research, editorials, and medical news from across the JAMA Network.
📭Learn more and subscribe to the newsletter: jamanetwork.com/channels/ai
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💬 Viewpoint by James A. Feinstein, MD, MPH, Amy Huebschmann, MD, MSCS, Russell Glasgow, PhD, and Lilia Cervantes, MD, MSC: The National Institutes of Health policy change barring K award funds from supporting pilot #ClinicalTrials may weaken a key mentored pathway for #clinician-#scientists to develop independence in #ClinicalResearch.
Leading a pilot clinical trial is distinct from participating in a mentor’s trial because it builds operational, regulatory, and #scientific decision-making skills needed for later principal investigator roles.
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💬 Perspective by George Vivek Koshy, DO, MPH, Ari B. Friedman, MD, PhD, Hao Yu, PhD, and Anish K. Agarwal, MD, MPH, MS:
#Rural emergency #hospitals were created to preserve emergency care in rural communities by allowing hospitals to forgo inpatient acute care beds in exchange for enhanced Medicare outpatient payments and a fixed monthly facility payment.
Uptake has remained limited, in part because current policy excludes key revenue sources such as swing beds and 340B drug pricing, which may reduce the financial viability of conversion.
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💡 JAMA Insights: #Asylum is a legal protection recognized in international and US law for people with a well-founded fear of persecution based on 1 of 5 protected grounds.
This JAMA Insights explains how medicolegal evaluations, guided by the Istanbul Protocol and submitted as signed affidavits, can strengthen clinical documentation used by adjudicators in asylum cases and may support more consistent review of claims.
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#HealthyDialogue: #LongCOVID affects millions of people worldwide and remains poorly understood, poorly defined, and poorly treated.
🎙️ In this episode of #HealthyDialogue, JAMA Senior Editor Derek C. Angus, MD, MPH, spoke with E. Wesley Ely, MD, MPH, about how long COVID came to be recognized as distinct from post-intensive care syndrome and why a broader working definition from the National Academies of Sciences, Engineering, and Medicine may help improve clinical recognition and research consistency.
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In #ChronicKidneyDisease, the urinary albumin creatinine ratio and urinary protein creatinine ratio provided clinically similar risk prediction for kidney and cardiovascular outcomes in a large cohort with established disease.
Although the urinary albumin-creatinine ratio was more strongly associated with kidney failure statistically, it did not provide meaningfully better discrimination, reclassification, or decision support than the urinary protein-creatinine ratio.
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📊 Research Summary: For late-window #Stroke due to #BasilarArteryOcclusion, adding intravenous tenecteplase before thrombectomy did not improve functional outcomes, and safety outcomes were similar between groups.
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Among patients with moderate to severe #BasilarArteryOcclusion presenting 4.5 to 24 hours after stroke onset, intravenous tenecteplase before #EndovascularThrombectomy did not improve 90-day functional independence vs endovascular thrombectomy alone.
Symptomatic intracranial hemorrhage and 90-day mortality were similar between groups.
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How many clinical trials that claim to be "pragmatic" are successful in providing useful evidence for real-world decision-making?
💭 Cast your vote in the latest @JAMAplusTrials poll and share your perspective.
📊 Take the poll: ja.ma/4yRPpLt
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