Advancing Health Policy and Outcomes for People With Intellectual or Developmental Disabilities

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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.

Prescription Fills for Semaglutide Products

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, AUGUST 2, 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: The number of prescriptions filled for semaglutide has increased substantially, reaching 2.6 million prescriptions filled at retail pharmacies by December 2023. While Ozempic persistently accounted for most semaglutide fills, increases were considerably greater for Wegovy since its approval for weight loss in June 2021. These increases, which primarily occurred following increased awareness of weight-loss benefits in late 2022, are likely contributing to the FDA-reported shortage of Ozempic and Wegovy first issued in March 2022. Despite the disproportionate burden of obesity in Medicaid and Medicare Part D populations, and recent increases in public spending on weight-loss medications, most Wegovy fills were for the commercially insured.

Corresponding Author: To contact the corresponding author, Dima M. Qato, PharmD, MPH, PhD, email qato@usc.edu.

 

(doi:10.1001/jamahealthforum.2024.2026)

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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Glycated Hemoglobin A1c Time in Range and Dementia in Older Adults With Diabetes

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, AUGUST 2, 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 for older adults with diabetes, maintaining hemoglobin A1c (HbA1c) stability in individualized target ranges over time is associated with a lower risk of Alzheimer disease and related dementias. Lower HbA1c time in range may identify patients at increased risk of Alzheimer disease and related dementias.

Corresponding Author: To contact the corresponding author, Paul R. Conlin, MD, email paul.conlin@va.gov.

 

(doi:10.1001/jamanetworkopen.2024.25354)

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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Safety and Risk Assessment of No-Prescription Online Semaglutide Purchases

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, FRIDAY, AUGUST 2, 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: This qualitative study found that semaglutide products are actively being sold without prescription by illegal online pharmacies, with vendors shipping unregistered and falsified products. Two websites evaluated were sent FDA warning letters for unlawful sale of unapproved and misbranded semaglutide. U.S. poison centers have reported a 1500% increase in calls related to semaglutide, highlighting the need for enhanced pharmacovigilance including for online sourcing harms.

Corresponding Author: To contact the corresponding author, Tim K. Mackey, MAS, PhD, email tkmackey@ucsd.edu.

 

(doi:10.1001/jamanetworkopen.2024.28280)

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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Predictors of Response to Cognitive Behavioral Therapy in Patients With Tinnitus

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Aspirin Use and Incidence of Colorectal Cancer According to Lifestyle Risk

JAMA Oncology

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, AUGUST 1, 2024

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

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About The Study: Aspirin use was associated with a greater absolute reduction in risk of colorectal cancer among individuals with less healthy lifestyles in this cohort study. The findings of the study suggest that lifestyle risk factors may be useful to identify individuals who may have a more favorable risk-benefit profile for cancer prevention with aspirin. 

Corresponding Authors: To contact the corresponding authors, email Andrew T. Chan, MD, MPH (achan@mgh.harvard.edu) and Long H. Nguyen, MD, MS (lnguyen24@mgh.harvard.edu).

 

(doi:10.1001/jamaoncol.2024.2503)

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State Abortion Policy and Moral Distress Among Clinicians Providing Abortion After the Dobbs Decision

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, AUGUST 1, 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 purposive national survey study of clinicians providing abortion, moral distress was elevated among all clinicians and more than twice as high among those practicing in states that restrict abortion compared with those in states that protect abortion. The findings suggest that structural changes addressing bans on necessary health care, such as federal protections for abortion, are needed at institutional, state, and federal policy levels to combat widespread moral distress. 

Corresponding Author: To contact the corresponding author, Katherine Rivlin, M.D., M.Sc., email krivlin@bsd.uchicago.edu.

 

(doi:10.1001/jamanetworkopen.2024.26248)

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Universal Background Checks, Permit Requirements, and Firearm Homicide Rates

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, AUGUST 1, 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: This cross-sectional study found that universal background checks alone were not associated with firearm homicide rates, but a permit requirement for the purchase and possession of firearms was associated with substantially reduced rates of firearm homicide. The findings suggest that combining universal background checks and permit-to-purchase requirements is an effective strategy for firearm-related fatality reduction. 

Corresponding Author: To contact the corresponding author, Michael Siegel, MD, MPH, email mike.siegel@tufts.edu.

 

(doi:10.1001/jamanetworkopen.2024.25025)

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Diagnostic Accuracy of an Integrated AI Tool to Estimate Gestational Age From Blind Ultrasound Sweeps

JAMA

EMBARGOED FOR RELEASE: 11 A.M. ET, THURSDAY, AUGUST 1, 2024

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

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About The Study: Between 14 and 27 weeks’ gestation, novice users with no prior training in ultrasonography estimated gestational age as accurately with the low-cost, point-of-care artificial intelligence (AI) tool as credentialed sonographers performing standard biometry on high-specification machines. These findings have immediate implications for obstetrical care in low-resource settings, advancing the World Health Organization goal of ultrasonography estimation of gestational age for all pregnant people.

 

Quote from corresponding author Jeffrey S. A. Stringer, MD:

“Our study demonstrates that an AI-enabled, portable ultrasound device can estimate gestational age as accurately as an expert sonographer using an expensive, high-specification machine. This high degree of accuracy was obtained even though the users of the device had no formal training in sonography.

“The most important takeaway is the potential democratization of a critical prenatal diagnostic tool. By enabling accurate gestational age estimation without the need for expensive equipment or specialized training, this technology could significantly expand access to quality prenatal care in resource-limited settings worldwide.

“This research could transform prenatal care delivery globally. In areas where ultrasound was previously unavailable, patients can now receive timely, accurate gestational age estimates, crucial for identifying high-risk pregnancies and guiding appropriate care. Health care providers in remote or underserved areas can offer expert-level diagnostics without extensive training, potentially leading to improved maternal and neonatal outcomes on a large scale.”

 

Contact information for Jeffrey S. A. Stringer, MD: email jeffrey_stringer@med.unc.edu.

 

(doi:10.1001/jama.2024.10770)

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 Determinants of Health and Surgical Desirability of Outcome Ranking in Older Veterans

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Immune-Mediated and Psychiatric Comorbidities Among Patients Newly Diagnosed With Alopecia Areata

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Factors Underlying Reduced Hospitalizations for Myocardial Infarction During the COVID-19 Pandemic

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State Policies Regulating Firearms and Changes in Firearm Mortality

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 31, 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 comparative effectiveness study of state firearm policies, the joint effect estimates of combinations of firearm laws were calculated, showing that restrictive firearm policies were associated with substantial reductions in firearm mortality. Although policymakers would benefit from knowing the effects of individual policies, the estimated changes in firearm mortality following implementation of individual policies were often small and uncertain. 

Corresponding Author: To contact the corresponding author, Terry L. Schell, PhD, email tschell@rand.org.

 

(doi:10.1001/jamanetworkopen.2024.22948)

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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Trust in Physicians and Hospitals During the COVID-19 Pandemic in a 50-State Survey of US Adults

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 31, 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 results of this survey study of U.S. adults suggest that trust in physicians and hospitals decreased during the COVID-19 pandemic. As lower levels of trust were associated with lesser likelihood of pursuing vaccination, restoring trust may represent a public health imperative. 

Corresponding Author: To contact the corresponding author, Roy H. Perlis, MD, MSc, email rperlis@mgh.harvard.edu.

 

(doi:10.1001/jamanetworkopen.2024.24984)

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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City-Level Sugar-Sweetened Beverage Taxes and Youth Body Mass Index Percentile

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. ET, WEDNESDAY, JULY 31, 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: Sugar-sweetened beverage excise taxes were associated with lower body mass index percentile among youth in this cohort study. Policymakers should consider implementing sugar-sweetened beverage excise taxes to prevent or reduce youth overweight and obesity and, ultimately, chronic disease, particularly among children younger than 12 years. 

Corresponding Author: To contact the corresponding author, Deborah Rohm Young, PhD, email deborah.r.young@kp.org.

 

(doi:10.1001/jamanetworkopen.2024.24822)

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Blood Biomarkers to Detect Alzheimer Disease in Primary Care and Secondary Care

JAMA

EMBARGOED FOR RELEASE: 7 A.M. ET, SUNDAY, JULY 28, 2024

Media advisory: The full study and editorial are 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 amyloid probability score 2 (APS2) blood test and percentage of p-tau217 alone had high diagnostic accuracy for identifying Alzheimer disease among individuals with cognitive symptoms in primary and secondary care using predefined cutoff values. Future studies should evaluate how the use of blood tests for these biomarkers influences clinical care. 

Corresponding Authors: To contact the corresponding authors, email Sebastian Palmqvist, M.D., Ph.D. (sebastian.palmqvist@med.lu.se) and Oskar Hansson, M.D., Ph.D. (oskar.hansson@med.lu.se).

 

(doi:10.1001/jama.2024.13855)

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Changes in Alzheimer Disease Blood Biomarkers and Associations With Incident All-Cause Dementia

JAMA

EMBARGOED FOR RELEASE: 7 A.M. ET, SUNDAY, JULY 28, 2024

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

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About The Study: Plasma biomarkers of Alzheimer disease (AD) neuropathology, neuronal injury, and astrogliosis increase with age and are associated with known dementia risk factors. AD-specific biomarkers’ association with dementia starts in midlife whereas late-life measures of AD, neuronal injury, and astrogliosis biomarkers are all associated with dementia. 

Corresponding Author: To contact the corresponding author, Priya Palta, Ph.D., M.H.S., email priya_palta@med.unc.edu.

 

(doi:10.1001/jama.2024.6619)

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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)

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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)

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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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.

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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 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)

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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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)

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.

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.

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/jamaneurology/fullarticle/10.1001/jamaneurol.2024.2713?guestAccessKey=0ecbd970-2757-4eb1-b99e-01ed620e7d6c&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=072824

 

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)

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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Advancing Health Disparities Science Through Social Epigenomics Research

JAMA Network Open

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

Media advisory: The full article 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 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)

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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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)

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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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.

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.2024.2006?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.

 

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.

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.2024.1917?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.

 

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.

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/fullarticle/10.1001/jama.2024.12537?guestAccessKey=bc203014-3534-4006-b15b-ca8f6b58f713&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=072924

 

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)

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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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.

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.2024.21010?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=072524

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)

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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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

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/jamaophthalmology/fullarticle/10.1001/jamaophthalmol.2024.2385?guestAccessKey=8d45d54e-5654-4c3a-b22d-bd2f63aa1b51&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=072524

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.

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/jamaoncology/fullarticle/10.1001/jamaoncol.2024.2212?guestAccessKey=bf61e8ab-0bc8-48e7-baa5-b4fa1120681b&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=072524

 

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)

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

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)

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

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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.

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)

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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.

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.2024.23563?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=071924

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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