Caring for Hospitalized Adults With Opioid Use Disorder in the Era of Fentanyl
This review examines treatment of opioid use disorder in the era of fentanyl use. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
The Day the Electronic Medical Records System Went Down
This essay describes the author ’s experience of improved patient care and collaboration the day the the electronic medical records system went down. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
National Breast, Cervical, and Colorectal Cancer Screening Use in Federally Qualified Health Centers
This cross-sectional study describes national- and state-level breast, cervical, and colorectal cancer screening use of more than 16 million adults served by federally qualified health centers and estimates the percentages of underscreened individuals in the US general population served by these centers. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
Concerns With Analysis in Study of Tecovirimat for Mpox Among People With HIV —Reply
In Reply We appreciate the Letter to the Editor by Ting et al in response to our matched cohort study. Although propensity score methods to account for confounding in observational cohorts are well recognized, we acknowledge that there are several ways (each with pros and cons) that the scores can be utilized for data analysis. We opted for 1:1 propensity score matching due in part to the transparency it affords when communicating the ultimate result via the McNemar test. Standardized mortality ratios rely on comparison of a study population with the known generalized rate of the outcome of interest. This would be impracti...
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
Concerns With Analysis in Study of Tecovirimat for Mpox Among People With HIV
To the Editor In a recent cohort study, Aldred et al found that early tecovirimat treatment within 7 days of symptoms was associated with reduced progression of mpox disease in people with HIV. The authors recommend initiating early tecovirimat treatment for all patients with HIV and immunocompromised status or mucosal site involvement. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
Cancer Screening Through Federally Qualified Health Centers
Although much progress has been made in delivering cancer screening in the US, particularly for breast, cervical, and colorectal cancer, implementation remains suboptimal, particularly for populations experiencing systemic marginalization and economic disadvantage. Efforts to improve cancer screening implementation and reduce inequities are critical for achieving the goals of a just, high-performing health care system in the US. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
Message From an Automated External Defibrillator
This case report describes a man in his 80s who received shock from an automated external defibrillator that registered 3 types of tachycardia. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 29, 2024 Category: Internal Medicine Source Type: research
Antihypertensive Medication and Fracture Risk in Older VA Nursing Home Residents
This cohort study using a target trial emulation approach assesses whether initiating antihypertensive medication is associated with increased fracture risk among older long-term Veterans Health Administration nursing home residents. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 22, 2024 Category: Internal Medicine Source Type: research
Blood Pressure Management and Falls in Nursing Home Residents
In this study, Dave et al harness national Veterans Health Administration (VHA) clinical data to examine the association between initiation of a new antihypertensive agent with the incidence of fall-related fractures in residents at VHA nursing homes, or community living centers. In this carefully designed study, residents who received a new antihypertensive agent had more than 2-fold greater risk of fractures compared with those who did not (adjusted hazard ratio [aHR], 2.42 [95% CI, 1.43-4.08]). This practice was also associated with 1.8-fold greater risk of serious falls (HR, 1.80 [95% CI, 1.52-2.13]) and 1.7-fold great...
Source: JAMA Internal Medicine - April 22, 2024 Category: Internal Medicine Source Type: research
Errors in Results and Discussion
This article was corrected online. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 22, 2024 Category: Internal Medicine Source Type: research
Electronic Health Record Population Health Management for Chronic Kidney Disease Care
This cluster randomized clinical trial examines the effectiveness of an electronic health record –based population health management intervention vs usual care for reducing chronic kidney disease progression. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research
SGLT2i vs Sulfonylureas for Gout Prevention Among Patients With Type 2 Diabetes Receiving Metformin
This cohort study uses target trial emulation to evaluate risk of incident gout and rate of recurrent gout flares in patients with type 2 diabetes initiating sodium-glucose cotransporter-2 inhibitors (SGLT2i) vs sulfonylurea. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research
Adverse Pregnancy Outcomes and Long-Term Mortality in Women
This cohort study aims to determine long-term mortality risks associated with 5 major adverse pregnancy outcomes in a large population-based cohort of women. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research
Acute Cardiac Events Among Hospitalized Older Adults With RSV Infection
This cross-sectional study examines the frequency and severity of acute cardiac events in hospitalized adults aged 50 years or older with respiratory syncytial virus infection. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research
Stigmatizing Language, Patient Demographics, and Errors in the Diagnostic Process
This cohort study assesses the association between stigmatizing language, demographic characteristics, and errors in the diagnostic process among hospitalized adults. (Source: JAMA Internal Medicine)
Source: JAMA Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research
