Self-Managed Abortion Attempts Before vs After Changes in Federal Abortion Protections in the US

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JULY 30, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

About The Study: In this serial nationally representative survey study, increased self-managed abortion (SMA) was observed following the loss of federal abortion protections. The findings revealed increased SMA use among marginalized groups, most often with ineffective methods. These findings suggest the need to expand access to alternative models of safe and effective abortion care and ensure those seeking health care post-SMA do not face legal risks.

Corresponding author: To contact the corresponding author, Lauren Ralph, Ph.D., email lauren.ralph@ucsf.edu.

 

(doi: 10.1001/jamanetworkopen.2024.24310)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Youth Suicide and Preceding Mental Health Diagnosis

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JULY 30, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

About The Study: In this cross-sectional study, 3 of 5 youth suicide decedents did not have a documented preceding mental health diagnosis; the odds of having a mental health diagnosis were lower among racially and ethnically minoritized youths than white youths and among firearm suicides compared with other mechanisms. These findings underscore the need for equitable identification of mental health needs and universal lethal means counseling as strategies to prevent youth suicide.

Corresponding author: To contact the corresponding author, Sofia Chaudhary, M.D., email sofia.s.chaudhary@emory.edu.

 

(doi: 10.1001/jamanetworkopen.2024.23996)

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Suicide in US Preteens Ages 8 to 12, 2001 to 2022

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JULY 30, 2024

Media advisory: The full study is linked to this news release.

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2024.24664?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=073024

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

About The Study: The findings of this study revealed a significant increase in the suicide rate among U.S. preteens between the 2001-2007 and 2008-2022 periods. Results showing a disproportionate increase in female suicide rates relative to male expand on existing evidence depicting a narrowing of the historically large gap in youth suicide rates between sexes. Suicide was the 11th leading cause of death in female preteens between 2001 and 2007 and the 5th leading cause of death between 2008 and 2022, while suicide in male preteens ranked consistently as the 5th leading cause of death.

Corresponding author: To contact the corresponding author, Donna A. Ruch, Ph.D., email donna.ruch@nationwidechildrens.org.

 

(doi: 10.1001/jamanetworkopen.2024.24664)

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Plasma Phosphorylated Tau 217 and Aβ42/40 to Predict Early Brain Aβ Accumulation in People Without Cognitive Impairment

JAMA Neurology

EMBARGOED FOR RELEASE: 2:10 P.M. (ET), SUNDAY, JULY 28, 2024

Media advisory: The full study is linked to this news release. This study is being presented at the Alzheimer’s Association International Conference.

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About The Study: The results of this cohort study suggest that combining plasma p-tau217 and Aβ42/40 levels could be useful for predicting development of Aβ pathology in people with early stages of subthreshold Aβ accumulation. These biomarkers might thus facilitate screening of participants for future primary prevention trials.

Corresponding Authors: To contact the corresponding authors, email Oskar Hansson, M.D, Ph.D. (Oskar.Hansson@med.lu.se) and Shorena Janelidze, Ph.D. (shorena.janelidze@med.lu.se).

 

(doi:10.1001/jamaneurol.2024.2619)

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MRI Signature of α-Synuclein Pathology in Asymptomatic Stages and a Memory Clinic Population

JAMA Neurology

EMBARGOED FOR RELEASE: 2:50 P.M. (ET), SUNDAY, JULY 28, 2024

Media advisory: The full study is linked to this news release. This study is being presented at the Alzheimer’s Association International Conference.

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About The Study: In this cohort study, seed amplification assays (SAA) α-syn+ was consistently associated with nucleus basalis of Meynert (NBM) atrophy already during asymptomatic stages. Further, in memory clinic cognitively impaired populations, SAA α-syn+ was associated with NBM atrophy, which partially mediated α-syn–induced attention/executive impairment. 

Corresponding Authors: To contact the corresponding authors, email Laura E.M. Wisse, Ph.D. (laura.wisse@med.lu.se) and Oskar Hansson, M.D., Ph.D. (oskar.hansson@med.lu.se).

 

(doi:10.1001/jamaneurol.2024.2713)

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Advancing Health Disparities Science Through Social Epigenomics Research

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, MONDAY, JULY 29, 2024

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Article: The studies highlighted in this special issue of JAMA Network Open demonstrate important scientific progress in the complex integration of social determinants of health and health disparities with biological pathways and health outcomes to improve understanding of the mechanisms underlying health disparities among various underserved populations. Continued progress remains important in integrating different disciplines to transform the field of health disparities research.

Corresponding Author: To contact the corresponding author, Arielle S. Gillman, Ph.D., M.P.H., email arielle.gillman@nih.gov.

 

(doi:10.1001/jamanetworkopen.2024.28992)

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Fecal Microbiota Transplantation for Treatment of Parkinson Disease

JAMA Neurology

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 29, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: Fecal microbiota transplantation (FMT) was safe but did not offer clinically meaningful improvements. Further studies—for example, through modified FMT approaches or bowel cleansing—are warranted regarding the specific impact of donor microbiota composition and dysbiosis conversion on motor and nonmotor outcomes as well as medication needs in Parkinson disease.

Corresponding Author: To contact the corresponding author, Filip Scheperjans, M.D., Ph.D., email filip.scheperjans@hus.fi.

 

(doi:10.1001/jamaneurol.2024.2305)

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Maternal Obesity and Risk of Sudden Unexpected Infant Death

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 29, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: The findings of this study suggest that infants born to mothers with obesity are at increased risk of sudden unexpected infant death (SUID), with a dose-dependent association between increasing maternal body mass index and SUID risk. Maternal obesity should be added to the list of known risk factors for SUID. With maternal obesity rates increasing, research should identify potential causal mechanisms for this association.

Corresponding Author: To contact the corresponding author, Darren Tanner, Ph.D., email darren.tanner@microsoft.com.

 

(doi:10.1001/jamapediatrics.2024.2455)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Posttraumatic Stress Disorder Among Adults in Communities With Mass Violence Incidents

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, JULY 26, 2024

Media advisory: The full study and commentary are linked to this news release.

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2024.23539?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=072624

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

  

About The Study: In this survey study of 5,991 participants, presumptive posttraumatic stress disorder (PTSD) was quite prevalent long after the mass violence incident (MVI) among adults in communities that have experienced an MVI, suggesting that MVIs have persistent and pervasive public health impacts on communities, particularly among those with prior exposure to physical or sexual assault and other potentially traumatic events. Focusing exclusively on direct exposure to MVIs is not sufficient. Incorporating these findings into screening should improve efforts to identify the individuals most in need of prevention or mental health service after MVIs. 

Corresponding Author: To contact the corresponding author, Angela D. Moreland, Ph.D., email moreland@musc.edu.

 

(doi:10.1001/jamanetworkopen.2024.23539)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Naloxone Availability and Cost After Transition to an Over-the-Counter Product

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time https://jamanetwork.com/journals/jama-health-forum/fullarticle/10.1001/jamahealthforum.2024.1920?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=072624

About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

US State Restrictions and Excess COVID-19 Pandemic Deaths

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JULY 26, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: This cross-sectional study indicates that stringent COVID-19 restrictions, as a group, were associated with substantial decreases in pandemic mortality, with behavior changes plausibly serving as an important explanatory mechanism. These findings do not support the views that COVID-19 restrictions were ineffective. However, not all restrictions were equally effective; some, such as school closings, likely provided minimal benefit while imposing substantial cost. 

Corresponding Author: To contact the corresponding author, Christopher J. Ruhm, Ph.D., email ruhm@virginia.edu.

 

(doi:10.1001/jamahealthforum.2024.2006)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Medical and Educational Indebtedness Among Health Care Workers

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JULY 26, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: U.S. health care workers are more likely than other workers to carry medical and educational debt, collectively owing more than $150 billion. This study found that medical debt was more prevalent among women, home health and nursing home personnel, uninsured individuals, and those with recent hospitalization. Educational debts disproportionately burdened Black workers and younger workers and those with higher education.

Corresponding Author: To contact the corresponding author, Kathryn E.W. Himmelstein, M.D., M.S.Ed., email khimmelstein@mgb.org.

 

(doi:10.1001/jamahealthforum.2024.1917)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Projected Changes in Statin and Antihypertensive Therapy Eligibility With the AHA PREVENT Cardiovascular Risk Equations

JAMA

EMBARGOED FOR RELEASE: 11 A.M. ET, MONDAY, JULY 29, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: By assigning lower atherosclerotic cardiovascular disease risk predictions, application of the Predicting Risk of cardiovascular disease EVENTs (PREVENT) equations to existing treatment thresholds could reduce eligibility for statin and antihypertensive therapy among 15.8 million U.S. adults. 

Corresponding Author: To contact the corresponding author, Arjun K. Manrai, Ph.D., email Arjun_Manrai@hms.harvard.edu.

 

(doi:10.1001/jama.2024.12537)

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Provision of Stroke Care Services by Community Disadvantage Status

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, JULY 25, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Hospitals in communities with the greatest level of socioeconomic disadvantage had the lowest likelihood of becoming stroke certified while hospitals in the most advantaged communities had the highest likelihood in this cohort study. These findings suggest that there is a need to support hospitals in disadvantaged communities to obtain stroke certification as a way to reduce stroke disparities.

Corresponding Author: To contact the corresponding author, Renee Y. Hsia, M.D., M.Sc., email renee.hsia@ucsf.edu.

 

(doi:10.1001/jamanetworkopen.2024.21010)

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Population-Based Incidence of Cervical Intraepithelial Neoplasia Across 14 Years of HPV Vaccination

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Severe Spaceflight-Associated Neuro-Ocular Syndrome in an Astronaut With 2 Predisposing Factors

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Bilateral Mastectomy and Breast Cancer Mortality

JAMA Oncology

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JULY 25, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: This cohort study indicates that the risk of dying of breast cancer increases substantially after experiencing a contralateral breast cancer. Women with breast cancer treated with bilateral mastectomy had a greatly diminished risk of contralateral breast cancer; however, they experienced similar mortality rates as patients treated with lumpectomy or unilateral mastectomy. 

Corresponding Author: To contact the corresponding author, Steven A. Narod, M.D., email steven.narod@wchospital.ca.

  

(doi:10.1001/jamaoncol.2024.2212)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Social Vulnerability and Prevalence and Treatment for Mental Health and Substance Use Disorders

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Gender-Based Variations in Medicare Reimbursements Among Different Surgical Subspecialties

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Insurance Type and Withdrawal of Life-Sustaining Therapy in Critically Injured Trauma Patients

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 24, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this cohort study of U.S. adult trauma patients who were critically injured, patients who were uninsured underwent earlier withdrawal of life-sustaining therapy compared with those with private or Medicaid insurance. Based on the findings of this study, a patient’s ability to pay was likely associated with a shift in decision-making for withdrawal of life-sustaining therapy, suggesting the influence of socioeconomics on patient outcomes.  

Corresponding Author: To contact the corresponding author, Graeme Hoit, M.D., email graeme.hoit@mail.utoronto.ca.

 

(doi:10.1001/jamanetworkopen.2024.23316)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Physician Posttraumatic Stress Disorder During COVID-19

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 24, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this study suggest that physicians were more likely to experience posttraumatic stress disorder (PTSD) during the COVID-19 pandemic. Targeted interventions to support physician well-being during traumatic events like pandemics are required.

Corresponding Author: To contact the corresponding author, Manish M. Sood, M.D., email Msood@toh.on.ca.

 

(doi:10.1001/jamanetworkopen.2024.23316)

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Social Isolation Changes and Long-Term Outcomes Among Older Adults

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 24, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Increased isolation was associated with elevated risks of mortality, disability, and dementia, irrespective of baseline isolation status in this cohort study. These results underscore the importance of interventions targeting the prevention of increased isolation among older adults to mitigate its adverse effects on mortality, as well as physical and cognitive function decline. 

Corresponding Author: To contact the corresponding author, Judy Zhong, Ph.D., email judy.zhong@nyumc.org.

 

(doi:10.1001/jamanetworkopen.2024.24519)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or email media relations.

Gender Differences in Electronic Health Record Usage Among Surgeons

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, TUESDAY, JULY 23, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: This cross-sectional study of electronic health record (EHR) data found that female surgeons spent more time documenting patient encounters, wrote longer notes, and spent more time in the EHR system compared with male surgeons. These findings have important implications for understanding the differential burdens faced by female surgeons, including potential contributions to burnout and payment disparities.

Corresponding Author: To contact the corresponding author, Corinna Zygourakis, M.D., email corinnaz@stanford.edu.

 

(doi:10.1001/jamanetworkopen.2024.21717)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Injuries With Electric vs Conventional Scooters and Bicycles

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, TUESDAY, JULY 23, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this cross-sectional study of micromobility vehicles, an increased number of injuries and hospitalizations was observed with electric vehicles compared with conventional vehicles from 2017 to 2022. These findings suggest the need for change in educational policies, infrastructure, and law to recenter on safety with the use of micromobility vehicles. 

Corresponding Author: To contact the corresponding author, Benjamin N. Breyer, M.D., M.A.S., email benjamin.breyer@ucsf.edu.

 

(doi:10.1001/jamanetworkopen.2024.24131)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Adolescent Use, Diversion Sources, and Perceived Procurement Difficulty of Prescription Medications

JAMA

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 24, 2024

Media advisory: The full study is linked to this news release.

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About The Study: Between 2009 and 2022, U.S. adolescents reported declines in medical use and nonmedical use of prescription medications, concurring with other research. This study expands these findings by showing declines in peer-to-peer and multiple sources of diversion and increased perceived difficulty of obtaining prescription medications for nonmedical use. These changes may be partially attributed to prescribing guideline changes and COVID-related school closures, which limited social interaction with peers. 

Corresponding Author: To contact the corresponding author, Phil Veliz, Ph.D., email ptveliz@umich.edu.

 

(doi:10.1001/jama.2024.12030)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Improving Cardiac Rehabilitation Adherence in Patients With Lower Socioeconomic Status

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Accelerated Chest Pain Treatment With Artificial Intelligence–Informed, Risk-Driven Triage

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Itching Frequency and Neuroanatomic Correlates in Frontotemporal Lobar Degeneration

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Health Care Needs and Costs for Children Exposed to Prenatal Substance Use to Adulthood

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Ultraprocessed Foods at Home and Children’s Attentional Bias Toward Those Foods

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Overground Gait Training With a Wearable Robot in Children With Cerebral Palsy

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, MONDAY, JULY 22, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this randomized clinical trial, overground robot-assisted gait training using a wearable robot significantly improved gross motor function and gait pattern. This new torque-assisted wearable exoskeletal robot, based on assist-as-needed control, may complement standard rehabilitation by providing adequate assistance and therapeutic support to children with cerebral palsy.

Corresponding Author: To contact the corresponding author, Min-Keun Song, M.D., Ph.D., email drsongmk@chonnam.ac.kr.

 

(doi:10.1001/jamanetworkopen.2024.22625)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Prevalence of Epilepsy in People of Sexual and Gender Minoritized Groups

JAMA Neurology

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 22, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The findings of this study suggest that sexual and gender minority adults in the U.S. have a disproportionate prevalence of epilepsy. The reasons for this disparity are likely complex and may be associated with biological and psychosocial determinants of health unique to this population; as such, these individuals are in need of protected access to medical care.

Corresponding Author: To contact the corresponding author, Emily L. Johnson, M.D., M.P.H., email ejohns92@jhmi.edu.

 

(doi:10.1001/jamaneurol.2024.2243)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Prenatal Cannabis Use and Maternal Pregnancy Outcomes

JAMA Internal Medicine

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 22, 2024

Media advisory: The full study and commentary are linked to this news release.  

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About The Study: The results of this cohort study suggest that prenatal cannabis use was associated with several adverse maternal health outcomes during pregnancy. Continued research is needed to understand whether characteristics of prenatal cannabis use (e.g., dose, mode, and timing) moderate these associations. 

Corresponding Author: To contact the corresponding author, Kelly C. Young-Wolff, Ph.D., M.P.H., email kelly.c.young-wolff@kp.org.

 

(doi:10.1001/jamainternmed.2024.3270)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Medicare-Covered Services Near the End of Life in Medicare Advantage vs Traditional Medicare

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time https://jamanetwork.com/journals/jama-health-forum/fullarticle/10.1001/jamahealthforum.2024.1777?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=071924

About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

Effect of Cash Benefits on Health Care Utilization and Health

JAMA

EMBARGOED FOR RELEASE: 12 P.M. ET, MONDAY, JULY 22, 2024

Media advisory: The full study is linked to this news release.

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About The Study: In this randomized study, individuals who received a cash benefit had significantly fewer emergency department visits, including those related to behavioral health and substance use, fewer admissions to the hospital from the emergency department, and increased use of outpatient subspecialty care. Study results suggest that policies that seek to alleviate poverty by providing income support may have important benefits for health and access to care. 

Corresponding Author: To contact the corresponding author, Sumit D. Agarwal, M.D., M.P.H., Ph.D., email sagarwal14@bwh.harvard.edu.

 

(doi:10.1001/jama.2024.13004)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Diagnosing Solid Lesions in the Pancreas With Multimodal AI

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, JULY 19, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this randomized crossover trial of diagnosing solid lesions in the pancreas with or without artificial intelligence (AI) assistance, the joint-AI model demonstrated positive human-AI interaction, which suggested its potential to facilitate a clinical diagnosis. Nevertheless, future randomized clinical trials are warranted.

Corresponding Authors: To contact the corresponding authors, email Aiming Yang, M.D. (yangaiming@medmail.com.cn) and Bin Cheng, M.D. (b.cheng@tjh.tjmu.edu.cn).

 

(doi:10.1001/jamanetworkopen.2024.22454)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Long-Term Use of Oral Corticosteroids and Safety Outcomes for Patients With Atopic Dermatitis

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, JULY 19, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Oral corticosteroid use of more than 90 days per year among individuals with atopic dermatitis was associated with a small increased risk of composite adverse outcomes in this large population-based case-control study. Future investigations are warranted to confirm this potential risk of adverse events (AEs) associated with long-term use of oral corticosteroids for patients with exacerbations of atopic dermatitis, and health care professionals should thoroughly weigh the benefits associated with oral corticosteroids against the observed small risk of AEs, while continuously monitoring for AEs. 

Corresponding Authors: To contact the corresponding authors, email Ju-Young Shin, Ph.D. (shin.jy@skku.edu) and Yang Won Lee, M.D., Ph.D. (20050078@kuh.ac.kr).

 

(doi:10.1001/jamanetworkopen.2024.23563)

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Fecal Immunochemical Test Screening and Risk of Colorectal Cancer Death

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, JULY 19, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this nested case-control study, completing fecal immunochemical test was associated with a lower risk of overall death from colorectal cancer, particularly in the left colon, and the associations were observed across racial and ethnic groups. These findings support the use of fecal immunochemical test in population-based screening strategies. 

Corresponding Author: To contact the corresponding author, Chyke A. Doubeni, M.D., M.P.H., email chyke.doubeni@osumc.edu.

 

(doi:10.1001/jamanetworkopen.2024.23671)

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Comparative Effectiveness of Three Digital Interventions for Adults Seeking Psychiatric Services

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, JULY 18, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this study suggest that different digital interventions can be used as supplemental or adjunctive tools within health care systems and may support patients during waiting list–related delays in care.

Corresponding Author: To contact the corresponding author, Adam G. Horwitz, Ph.D., email ahor@umich.edu.

 

(doi:10.1001/jamanetworkopen.2024.22115)

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Healthy Prenatal Dietary Pattern and Offspring Autism

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, JULY 18, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this cohort study of mother-child dyads, adherence to a healthy prenatal dietary pattern was associated with a lower odds of autism diagnosis and social communication difficulties but not restrictive and repetitive behaviors. 

Corresponding Author: To contact the corresponding author, Ruth Dundas, M.Sc., email ruth.dundas@glasgow.ac.uk.

 

(doi:10.1001/jamanetworkopen.2024.22815)

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Changes in Registered Nurse Employment Plans and Workplace Assessments

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, JULY 18, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

  

About The Study: The results of this study showed that nurses reported improved workplace conditions in the 2023 vs the 2022 survey; however, planned departure rates, abusive or violent events, and unsafe conditions remained high, and understaffing remained a primary concern for most nurses. Health system leaders and policymakers should prioritize initiatives that support nurse retention and reduce potential workforce instability. 

Corresponding Author: To contact the corresponding author, Christopher R. Friese, Ph.D., R.N., A.O.C.N., email cfriese@umich.edu.

 

(doi:10.1001/jamanetworkopen.2024.21680)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Social Distancing During the COVID-19 Pandemic and Neonatal Mortality in the US

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, JULY 18, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this population-level study of National Center for Health Statistics databases, neonatal, early neonatal, and infant mortality rates did not increase during the initial COVID-19 pandemic period. However, associations were observed between the pandemic period social distancing measures and higher rates of neonatal and early neonatal mortality, as well as preterm birth rate with a lag period, suggesting the importance of monitoring infant health outcomes following pandemic-related population behavior changes. 

Corresponding Author: To contact the corresponding author, Vivek V. Shukla, M.D., email vshukla@uabmc.edu.

 

(doi:10.1001/jamanetworkopen.2024.22995)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Sexual Orientation and Lifetime Prevalence of Skin Cancer Across Racial and Ethnic Groups

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Classification of Suicide Attempt Risk Using Environmental and Lifestyle Factors in 3 Large Youth Cohorts

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Electronic Health Record–Based Nudge Intervention and Axillary Surgery in Older Women With Breast Cancer

JAMA Surgery

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JULY 17, 2024

Media advisory: The full study and commentary are linked to this news release.

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About The Study: This study showed that a nudge intervention in the electronic health record (EHR) significantly decreased low-value axillary surgery in older women with early-stage, clinically node-negative, HR+/HER2− breast cancer. This user-friendly and easily implementable EHR-based intervention could be a beneficial approach for decreasing low-value care in other practice settings or patient populations. 

Corresponding Author: To contact the corresponding author, Priscilla F. McAuliffe, M.D., Ph.D., email mcauliffepf@upmc.edu.

 

(doi:10.1001/jamasurg.2024.2407)

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Medical Debt and the Mental Health Treatment Gap Among US Adults

JAMA Psychiatry

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JULY 17, 2024

Media advisory: The full study is linked to this news release.

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About The Study: Medical debt is prevalent among adults with depression and anxiety and may contribute to the mental health treatment gap. In the absence of structural reform, new policies are warranted to protect against this financial barrier to mental health care. 

Corresponding Author: To contact the corresponding author, Kyle J. Moon, B.S., email kmoon19@jh.edu.

 

(10.1001/jamapsychiatry.2024.1861)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Changing Neighborhood Income Deprivation Over Time, Moving in Childhood, and Adult Risk of Depression

JAMA Psychiatry

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JULY 17, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The findings of this study suggest that, rather than just high or changing neighborhood income deprivation trajectories in childhood being associated with adulthood depression, a settled home environment in childhood may have a protective association against depression. Policies that enable and support settled childhoods should be promoted. 

Corresponding Author: To contact the corresponding author, Clive E. Sabel, Ph.D., email ces@ph.au.dk.

 

(10.1001/jamapsychiatry.2024.1382)

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Efficacy of a Pain Self-Management Intervention Tailored to People With HIV

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Industry Payments to Cardiology Fellows and Early-Career Cardiologists

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Newborn Screening and Birth Prevalence for Spinal Muscular Atrophy in the US

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Mental Health of Transgender Youth Following Gender Identity Milestones by Level of Family Support

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 15, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The results of this study demonstrate that without a supportive family environment, gender identity development increases the risk of transgender youth attempting suicide or running away from home. Social services and community resources to establish supportive relationships between transgender children and their parents are essential.

Corresponding Author: To contact the corresponding author, Travis Campbell, Ph.D., email campbelt1@sou.edu.

 

(doi:10.1001/jamapediatrics.2024.2035)

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Use of Massage Therapy for Pain

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, MONDAY, JULY 15, 2024

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: This study found that despite a large number of randomized clinical trials, systematic reviews of massage therapy for painful adult health conditions rated a minority of conclusions as moderate-certainty evidence and that conclusions with moderate- or high-certainty evidence that massage therapy was superior to other active therapies were rare. 

Corresponding Author: To contact the corresponding author, Selene Mak, Ph.D., M.P.H., email selene.mak@va.gov.

 

(doi:10.1001/jamanetworkopen.2024.22259)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Substantia Nigra Pathology, Contact Sports Play, and Parkinsonism in Chronic Traumatic Encephalopathy

JAMA Neurology

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JULY 15, 2024

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About The Study: In this cross-sectional study of contact sports athletes with chronic traumatic encephalopathy (CTE), years of contact sports participation were associated with substantia nigra tau pathology and neuronal loss, and these pathologies were associated with parkinsonism. Repetitive head impacts may incite neuropathologic processes that lead to symptoms of parkinsonism in individuals with CTE.

Corresponding Authors: To contact the corresponding authors, email Ann C. McKee, M.D. (amckee@bu.edu) and Thor D. Stein, M.D., Ph.D. (tdstein@bu.edu).

 

(doi:10.1001/jamaneurol.2024.2166)

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Mortality Disparities Among Arrestees by Race, Sentencing Disposition, and Place

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

Use of Medications for Opioid Use Disorder and Child Welfare Outcomes

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

Endometriosis Typology and Ovarian Cancer Risk

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JULY 17, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: Ovarian cancer risk was markedly increased among women with ovarian endometriomas and/or deep infiltrating endometriosis. This population may benefit from counseling regarding ovarian cancer risk and prevention and could be an important population for targeted screening and prevention studies.

 

Quote from corresponding author Karen C. Schliep, Ph.D.:

Please note: An earlier version of this quote had the incorrect number of cases per number of women. This figure has been corrected and is per 10,000 women.

 

“Our study, among nearly a half million women followed over 20 years, found that endometriosis was linked with a 4-fold higher risk of ovarian cancer overall. This association jumped to a 19-fold higher risk when looking specifically at ovarian endometriomas or deep infiltrating endometriosis and type I ovarian cancer including endometrioid, clear cell, mucinous, and low-grade serous cancer.

“Given the rarity of ovarian cancer the excess risk was relatively small, with 10–20 additional cases per 10,000 women. Nevertheless, women with endometriosis, notably the more severe subtypes, may be an important population for targeted cancer screening and prevention studies.

“Precision medicine is more than just genetics. Clinical features, including a woman’s history of endometriosis and type of endometriosis, may inform ovarian cancer risk prediction models.”

 

Contact information for Karen C. Schliep, Ph.D.: email karen.schliep@utah.edu.

 

(doi: 10.1001/jama.2024.9210)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Progression From Pre-symptomatic to Clinical Type 1 Diabetes After COVID-19 Infection

JAMA

EMBARGOED FOR RELEASE: 11 A.M. ET, MONDAY, JULY 15, 2024

Media advisory: The full study is linked to this news release.

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About The Study: Follow-up of youth with pre-symptomatic type 1 diabetes demonstrated that the COVID-19 pandemic was associated with an accelerated progression to clinical disease and that this acceleration was confined to those with COVID-19. Further studies are required to determine whether COVID-19 also accelerates progression to type 1 diabetes in adults and whether vaccination and monitoring for COVID-19 symptoms should be considered for individuals with pre-symptomatic type 1 diabetes. 

Corresponding Author: To contact the corresponding author, Anette-Gabriele Ziegler, M.D., email anettegabriele.ziegler@helmholtz-munich.de.

 

(doi:10.1001/jama.2024.11174)

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