USPSTF Recommendation on Screening for Depression and Suicide Risk in Adults

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 20, 2023

Media advisory: To contact the U.S. Preventive Services Task Force, email the Media Coordinator at Newsroom@USPSTF.net or call 301-951-9203. The full report and related articles are linked to this news release.

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Bottom Line: The U.S. Preventive Services Task Force (USPSTF) recommends screening for depression in the adult population, including pregnant and postpartum persons and older adults. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in the adult population, including pregnant and postpartum persons and older adults. Major depressive disorder (MDD), a common mental disorder in the U.S., may have substantial impact on the lives of affected individuals. If left untreated, MDD can interfere with daily functioning and can also be associated with an increased risk of cardiovascular events, exacerbation of comorbid conditions, or increased mortality. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this recommendation will replace the 2014 recommendation statement on screening for suicide risk in adults and the 2016 recommendation statement on screening for MDD in adults.

 

(doi:10.1001/jama.2023.9297)

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

Note: More information about the U.S. Preventive Services Task Force, its process, and its recommendations can be found on the newsroom page of its website.

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USPSTF Recommendation on Screening for Anxiety Disorders in Adults

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 20, 2023

Media advisory: To contact the U.S. Preventive Services Task Force, email the Media Coordinator at Newsroom@USPSTF.net or call 301-951-9203. The full report and related articles 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 and all USPSTF articles remain free indefinitely https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2023.9301?guestAccessKey=86b2bfe6-b947-4bfc-aea9-c22ca5d1da15&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=062023

 

Bottom Line: The U.S. Preventive Services Task Force (USPSTF) recommends screening for anxiety disorders in adults, including pregnant and postpartum persons. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for anxiety disorders in older adults. Anxiety disorders are commonly occurring mental health conditions. They are often unrecognized in primary care settings and substantial delays in treatment initiation occur. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this is a new USPSTF recommendation.

 

(doi:10.1001/jama.2023.9301)

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

Note: More information about the U.S. Preventive Services Task Force, its process, and its recommendations can be found on the newsroom page of its website.

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Reframing Value-Based Care Management

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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.

Trends in Use of Medication to Treat Opioid Use Disorder During Pandemic in 10 State Medicaid Programs

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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.

Estimated Changes in Insulin Prices and Discounts After Entry of New Insulin Products

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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.

Continuous vs Intermittent Meropenem Administration in Critically Ill Patients With Sepsis

JAMA

EMBARGOED FOR RELEASE: 9 A.M. (ET), FRIDAY, JUNE 16, 2023

Media advisory: The full study and editorial are linked to this news release. This study is being released to coincide with presentation at the 2023 Critical Care Reviews meeting.

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About The Study: In critically ill patients with sepsis, compared with intermittent administration, the continuous administration of the antibiotic meropenem did not improve the composite outcome of mortality and emergence of pandrug-resistant or extensively drug-resistant bacteria at day 28. 

Authors: Giovanni Landoni, M.D., of the IRCCS San Raffaele Scientific Institute in Milan, Italy, is the corresponding author.

 

(doi:10.1001/jama.2023.10598)

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Racial Disparities in Lung Cancer Screening Among Veterans

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 16, 2023

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 study suggest that Black veterans have lower rates of lung cancer screening that are not fully explained by demographic and socioeconomic variables, underscoring the need for further qualitative studies on barriers to lung cancer screening as well as evidence-based interventions targeted to Black veterans. 

Authors: Neelima Navuluri, M.D., M.P.H., of the Duke University School of Medicine in Durham, North Carolina, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18795)

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Experiences of Clinicians Contending With Health Care Resource Scarcity During COVID-19

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 16, 2023

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 qualitative study suggest that institutional plans to protect frontline clinicians from the responsibility for allocating scarce resources may be unworkable, especially in a state of chronic crisis. Efforts are needed to directly integrate frontline clinicians into institutional emergency responses and support them in ways that reflect the complex and dynamic realities of health care resource limitation. 

Authors: Catherine R. Butler, M.D., M.A., of the University of Washington in Seattle, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18810)

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Prevalence of Diabetic Retinopathy in the US

JAMA Ophthalmology

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 15, 2023

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

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About The Study: In 2021, it is estimated that 9.6 million people in the U.S. (26% of those with diabetes) had diabetic retinopathy and 1.84 million people (5% of those with diabetes) had vision-threatening diabetic retinopathy. There was marked variation in prevalence across states and the number of people living with diabetes-related eye disease grew substantially since prevalence was last estimated in 2004 and may grow in the coming decades due to the increasing burden of diabetes among youth and adults.

Authors: Elizabeth A. Lundeen, Ph.D., of the Centers for Disease Control and Prevention in Atlanta, is the corresponding author.

 

(doi:10.1001/jamaophthalmol.2023.2289)

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Use of Wearable Activity Trackers to Improve Patient Physical Activity, Other Outcomes in Adults Who Are Hospitalized

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 15, 2023

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 systematic review and meta-analysis of 15 studies and 1,900 participants, interventions that used wearable activity trackers with patients who are hospitalized were associated with higher physical activity levels, less sedentary behavior, and better physical functioning compared with usual care.  

Authors: Carol Maher, Ph.D., of the University of South Australia in Adelaide, South Australia, Australia, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18478)

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Analysis of Race and Ethnicity, Socioeconomic Factors, and Tooth Decay Among Children

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 15, 2023

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 retrospective cohort study, large proportions of disparities in time to first tooth decay associated with race and ethnicity were explained by insurance type and dental procedure types among children and adolescents. These findings can be applied to develop targeted strategies to reduce oral health disparities. 

Authors: Sung Eun Choi, S.M., Ph.D., of the Harvard School of Dental Medicine in Boston, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18425)

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Association of Intraoperative Opioid Administration With Postoperative Pain and Opioid Use

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Racial, Ethnic, and Socioeconomic Differences in Food Allergies

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JUNE 14, 2023

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 survey study of a nationally representative sample suggests that the prevalence of food allergies was highest among Asian, Hispanic, and non-Hispanic Black individuals compared with non-Hispanic white individuals in the U.S. Further assessment of socioeconomic factors and corresponding environmental exposures may better explain the causes of food allergy and inform targeted management and interventions to reduce the burden of food allergies and disparities in outcomes. 

Authors: Ruchi S. Gupta, M.D., M.P.H., of the Northwestern University Feinberg School of Medicine in Chicago, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18162)

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Physician, Biomedical Scientist Harassment on Social Media During Pandemic

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JUNE 14, 2023

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: Many physicians and scientists in this survey study reported being harassed on social media during the COVID-19 pandemic, often due to their advocacy and on the basis of gender, race, sexual orientation, or disability. Many reported sexual harassment and sharing of their private information.

Authors: Regina Royan, M.D., M.P.H., of the Northwestern University Feinberg School of Medicine in Chicago, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.18315)

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Evaluation of Oseltamivir Used to Prevent Hospitalization in Outpatients With Influenza

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Family-Based Behavioral Treatment for Childhood Obesity Implemented in Pediatric Primary Care

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 13, 2023

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

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About The Study: Family-based treatment for childhood overweight and obesity was successfully implemented in pediatric primary care settings and led to improved weight outcomes over 24 months for children and parents. Siblings who were not directly treated also had improved weight outcomes, suggesting that this treatment may offer a novel approach for families with multiple children. 

Authors: Leonard H. Epstein, Ph.D., of the University at Buffalo in Buffalo, New York, is the corresponding author.

 

(doi:10.1001/jama.2023.8061)

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Association of Adverse Childhood Experiences With Accelerated Epigenetic Aging in Midlife

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JUNE 12, 2023

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: Adverse childhood experiences were associated with epigenetic age acceleration, a biomarker associated with various health outcomes in middle-age adults, after controlling for demographics, behavior, and socioeconomic status. These findings of the associations between early life experience and the biological aging process in midlife may contribute to health promotion in a life course perspective. 

Authors: Lifang Hou, M.D., Ph.D., and Brian Joyce, Ph.D., of the Northwestern University Feinberg School of Medicine in Chicago, are the corresponding authors. 

 

(doi:10.1001/jamanetworkopen.2023.17987)

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Neighborhood Food Environment and Birth Weight Outcomes in New York City

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JUNE 12, 2023

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 study of 106,000 births in New York City, higher neighborhood density of healthy food retail establishments was associated with a reduced risk of delivering an infant classified as small for gestational age, while higher neighborhood density of unhealthy food retail establishments was associated with higher risk of having an infant born either small or large for gestational age. The findings support use of urban design and planning guidelines to improve food environments to support healthy pregnancies and birth weight. 

Authors: Eliza W. Kinsey, Ph.D., of the University of Pennsylvania in Philadelphia, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.17952)

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Treatments Used Among Adolescent Residential Addiction Treatment Facilities in the US

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 13, 2023

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

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About The Study: In contrast to the standard of care, only one in four U.S. adolescent residential addiction treatment facilities offered buprenorphine and one in eight offered buprenorphine for ongoing treatment for opioid use disorder. By comparison, nearly two-thirds of adult residential facilities offer buprenorphine. 

Authors: Caroline King, Ph.D., M.P.H., of the Oregon Health & Science University School of Medicine in Portland, is the corresponding author.

 

(doi:10.1001/jama.2023.6266)

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Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 13, 2023

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.2023.18045?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=061323

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 suggest that four state policies that were introduced during the COVID-19 pandemic were associated with marked expansion of telehealth availability for mental health care at mental health treatment facilities throughout the U.S. Despite these policies, telehealth services were less likely to be offered in counties with a greater proportion of Black residents and in facilities that accepted Medicaid and Children’s Health Insurance Program.

Authors: Ryan K. McBain, Ph.D., MPH, of the RAND Corporation in Boston, is the corresponding author.

 

(doi: 10.1001/jamanetworkopen.2023.18045)

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Content Analysis of Emoji and Emoticon Use in Clinical Texting Systems

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 13, 2023

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 study found that when clinicians use emoji and emoticons in secure clinical texting systems, these symbols function primarily to convey new and interactionally salient information. These results suggest that concerns about the professionalism of emoji and emoticon use may be unwarranted.

Authors: Colin M. E. Halverson, Ph.D., of the Indiana University School of Medicine in Indianapolis, is the corresponding author.

 

(doi: 10.1001/jamanetworkopen.2023.18140)

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Estimating Dementia Risk Using Multifactorial Prediction Models

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 13, 2023

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 current dementia risk scores have limited clinical utility for estimation of 10-year dementia risk. Further research is needed to develop more accurate algorithms for estimation of dementia risk.

Authors: Mika Kivimäki, Ph.D. of University College London, is the corresponding author.

 

(doi: 10.1001/jamanetworkopen.2023.18132)

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.

Estimated Reductions in Opioid Overdose Deaths With Public Health Interventions

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 9, 2023

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.2023.14925?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060923

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 decision analytical model study of the opioid epidemic in four U.S. states, sustained implementation of interventions, including increased delivery of medications for opioid use disorder and naloxone supply, was found to be needed to reduce opioid-related overdose deaths and prevent deaths from increasing again. 

Authors: Jagpreet Chhatwal, Ph.D., of Massachusetts General Hospital in Boston, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.14925)

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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Extending the Food and Drug Administration’s Postmarket Authorities

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.2023.1313?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060923

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.

Racial, Ethnic, Sex Differences in Methadone-Involved Overdose Deaths Before, After Federal Policy Change Expanding Take-home Methadone Doses

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 9, 2023

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.2023.1235?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060923

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: In this study of monthly methadone-involved overdose deaths, the take-home policy may have helped reduce deaths for Black and Hispanic men but had no association with deaths of Black or Hispanic women or white men or women. The urgency of the overdose crisis requires that national methadone policy debates and decisions address the heterogeneity of people in treatment; relaxing methadone restrictions may help some particularly at-risk groups. 

Authors: Rebecca Arden Harris, M.D., M.Sc., of the University of Pennsylvania in Philadelphia, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2023.1235)

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.

Accuracy of AI in Estimating Best-Corrected Visual Acuity From Fundus Photographs in Eyes With Diabetic Macular Edema

JAMA Ophthalmology

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 8, 2023

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/jamaophthalmology/fullarticle/10.1001/jamaophthalmol.2023.2271?guestAccessKey=de13b9b3-b969-491b-bd4e-61b1ddf6a4f0&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=060823

 

About The Study: The results of this investigation suggest artificial intelligence (AI) can estimate best-corrected visual acuity directly from fundus photographs in patients with diabetic macular edema, without refraction or subjective visual acuity measurements, often within one to two lines on an Early Treatment Diabetic Retinopathy Study chart, supporting this AI concept if additional improvements in estimates can be achieved.

Authors: Neil M. Bressler, M.D., of the Johns Hopkins University School of Medicine in Baltimore, and Editor, JAMA Ophthalmology, is the corresponding author.

 

(doi:10.1001/jamaophthalmol.2023.2271)

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 Health Outcomes Associated With Supreme Court Decisions in 2022 on COVID-19 Workplace Protections, Handgun-Carry Restrictions, and Abortion Rights

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 8, 2023

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.2023.15578?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060823

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 outcomes from Supreme Court decisions in 2022 that invalidated COVID-19 workplace protections, voided state laws on handgun-carry restrictions, and revoked the constitutional right to abortion could lead to substantial harms to public health, including nearly 3,000 excess deaths (and possibly many more) over a decade.

Authors: Adam Gaffney, M.D., M.P.H., of Harvard Medical School in Boston, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.15578)

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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Place of Death From Cancer in US States With vs Without Palliative Care Laws

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 8, 2023

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.2023.17247?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060823

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 suggest that state palliative care laws are associated with an increase in the likelihood of dying at home or in hospice among decedents from cancer. Passage of state palliative care legislation may be an effective policy intervention to increase the number of seriously ill patients who experience their death in such locations. 

Authors: May Hua, M.D, M.S., of the Columbia University College of Physicians and Surgeons in New York, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.17247)

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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Diagnostic and Prognostic Value of Stress Cardiovascular MRI in Patients With Known or Suspected Coronary Artery Disease

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Genetic Risk Factors Associated With Preeclampsia and Hypertensive Disorders of Pregnancy

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Automatic Surgical Skill Assessment Based on Surgical Field Development Using AI

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Letermovir vs Valganciclovir for Prophylaxis of Cytomegalovirus in High-Risk Kidney Transplant Recipients – This study is being released to coincide with presentation at the American Transplant Congress 2023.

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Internet-Delivered Cognitive Behavioral Therapy for Anxiety and Depression in University Students

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Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JUNE 7, 2023

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.2023.16634?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060723

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: Among individuals with or at risk for cardiovascular disease, fewer than 1 in 4 use wearable devices, with only half of those reporting consistent daily use, according to the results of this study based on a nationally representative sample of U.S. adults in 2019 and 2020. As wearable devices emerge as tools that can improve cardiovascular health, the current use patterns could exacerbate disparities unless there are strategies to ensure equitable adoption. 

Authors: Rohan Khera, M.D., M.S., of the Yale School of Medicine in New Haven, Connecticut, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16634)

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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Evaluating AI Responses to Public Health Questions

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JUNE 7, 2023

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.2023.17517?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060723

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 analysis of the quality of responses to public health questions found that ChatGPT consistently provided evidence-based answers, although it primarily offered advice rather than referrals. Given the same addiction questions, Amazon Alexa, Apple Siri, Google Assistant, Microsoft’s Cortana, and Samsung’s Bixby collectively recognized 5% of the questions and made one referral, compared with 91% recognition and two referrals with ChatGPT. 

Authors: John W. Ayers, Ph.D., M.A., of the University of California San Diego in La Jolla, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.17517)

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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Effect of Peer Health Coaching on Clinical Outcomes Among Veterans With Cardiovascular Disease Risks

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 6, 2023

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 randomized clinical trial found that, although the peer health coaching program did not significantly decrease systolic blood pressure, participants who received the intervention reported better mental health-related quality of life compared with the control group. The results suggest that a peer-support model that is integrated into primary care can create opportunities for well-being improvements beyond blood pressure control. 

Authors: Karin M. Nelson, M.D., M.S.H.S., of the Veterans Affairs Puget Sound Health Care System in Seattle, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.17046)

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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Outcomes of Different Quality of Life Assessment Modalities After Breast Cancer Therapy

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 6, 2023

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 network meta-analysis of 10 observational studies including 3,083 patients with breast cancer who received surgical treatment, expert panel–based and computer-based aesthetic outcome evaluation consistently scored lower than patient-perceived outcomes. Standardization and supplementation of expert panel and software aesthetic outcome tools with racially, ethnically, and culturally inclusive patient-reported outcome measures is needed to improve clinical evaluation of the journey of patients with breast cancer and to prioritize components of therapeutic outcomes. 

Authors: Stavroula Lila Kastora, Ph.D., of University College London, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16878)

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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Association of Sickle Cell Disease With Racial Disparities and Severe Maternal Morbidities in Black Individuals

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Tepotinib Treatment in Patients With MET Exon 14–Skipping Non–Small Cell Lung Cancer – This study is being released to coincide with a poster presentation at the 2023 ASCO Annual Meeting.

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.2023.1962?guestAccessKey=f1e713b4-75b1-44c3-a192-68d79f2b9d06&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=060423

Association of Immunotherapy Duration With Overall Survival in Advanced Non–Small Cell Lung Cancer – This study is being released to coincide with a poster presentation at the 2023 ASCO Annual Meeting.

JAMA Oncology

EMBARGOED FOR RELEASE: 9 A.M. (ET), SUNDAY, JUNE 4, 2023

Media advisory: The full study and editor’s note are linked to this news release. This study is being released to coincide with a poster presentation at the 2023 ASCO Annual Meeting.

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.2023.1891?guestAccessKey=b6d4fbbf-d578-4e83-b9f8-3f8ffd53b54b&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=060423

 

About The Study: The findings of this study provide reassurance that for patients with advanced non–small cell lung cancer whose disease is still responding to immune checkpoint inhibitor therapy at two years, stopping therapy and monitoring rather than continuing immunotherapy indefinitely is a reasonable strategy with sustained clinical benefit. 

Authors: Lova Sun, M.D., M.S.C.E., of the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, is the corresponding author. 

 

(doi:10.1001/jamaoncol.2023.1891)

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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Germline Genetic Testing After Cancer Diagnosis – This study is being released to coincide with presentation at the 2023 ASCO Annual Meeting.

JAMA

EMBARGOED FOR RELEASE: 4 P.M. (ET), MONDAY, JUNE 5, 2023

Media advisory: The full study and editorial are linked to this news release. This study is being released to coincide with presentation at the 2023 ASCO Annual Meeting.

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.2023.9526?guestAccessKey=25ebf227-5d6d-4d77-8b38-6dcfeef179d3&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=060523

 

About The Study: Among patients diagnosed with cancer in California and Georgia between 2013 and 2019, only 6.8% underwent germline genetic testing. Compared with non-Hispanic white patients, rates of testing were lower among Asian, Black, and Hispanic patients. 

Authors: Allison W. Kurian, M.D., M.Sc., of Stanford University in Stanford, California, is the corresponding author.

 

(doi:10.1001/jama.2023.9526)

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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Availability of LGBTQ Mental Health Services for Youth

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, JUNE 5, 2023

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

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About The Study: This survey study found that 28% of youth-serving U.S. mental health facilities offered LGBTQ-specific mental health services in 2020. Although some states had relatively high levels of LGBTQ service availability as a percentage of facilities, many of these states had few facilities available to children per capita. Public mental health facilities were less likely to offer LGBTQ-specific mental health services, a concern given that the cost of care is a barrier to services. The findings suggest a need to expand availability of LGBTQ services for youth in underserved geographic areas and in public mental health care. 

Authors: Kristen Choi, Ph.D., R.N., of the UCLA School of Nursing in Los Angeles, is the corresponding author.

 

(doi:10.1001/jamapediatrics.2023.1473)

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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Workplace Harassment, Cyber Incivility, and Climate in Academic Medicine

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, JUNE 6, 2023

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

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About The Study: In this survey of clinician-researchers who received career development grants from the National Institutes of Health, there were concerning rates of sexual harassment, cyber incivility, and negative perceptions of climate, disproportionately affecting minoritized groups and affecting mental health. Ongoing efforts to transform culture are necessary. 

Authors: Reshma Jagsi, M.D., D.Phil., of Emory University in Atlanta, is the corresponding author.

 

(doi:10.1001/jama.2023.7232)

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.

Direct Oral Anticoagulants vs Low-Molecular-Weight Heparin and Recurrent Venous Thromboembolism in Patients With Cancer – This study is being released to coincide with the 2023 ASCO Annual Meeting.

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Hospital Use, Mortality Among Decarcerated Individuals With Substance Use Disorder After a COVID-19 Prison Release Program

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.2023.1200?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060223

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.

Sensory Adaptations to Improve Physiological, Behavioral Distress During Dental Visits in Autistic Children

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 2, 2023

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 randomized crossover trial of autistic children, using a sensory-adapted dental environment was safe and efficacious in decreasing physiological and behavioral distress during dental care. This is important because enhancing oral care is critical for autistic children; this intervention may also be beneficial for populations beyond autism. 

Authors: Leah I. Stein Duker, Ph.D., O.T.R./L., of the University of Southern California in Los Angeles, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16346)

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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Awareness of Racial, Ethnic Bias and Potential Solutions to Address Bias With Use of Health Care Algorithms

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, JUNE 2, 2023

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 qualitative study found that participants perceived widespread and increasing use of algorithms in health care and lack of oversight, potentially exacerbating racial and ethnic inequities. Increasing awareness for clinicians and patients and standardized, transparent approaches for algorithm development and implementation may be needed to address racial and ethnic biases related to algorithms. 

Authors: Peter Treitler, M.S.W., of Rutgers University in New Brunswick, New Jersey, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2023.1197)

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Assessment of Demographic Changes of Workforce Diversity in Otolaryngology

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Efficacy, Safety of Atropine for the Treatment of Pediatric Nearsightedness Progression Over 3 Years

JAMA Ophthalmology

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 1, 2023

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

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About The Study: The efficacy and safety observed in this randomized clinical trial suggest that low-dose atropine may provide a treatment option for childhood myopia progression.

Authors: Karla Zadnik, O.D., Ph.D., of the Ohio State University College of Optometry in Columbus, is the corresponding author.

 

(doi:10.1001/jamaophthalmol.2023.2097)

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Global, Race-Neutral Reference Equations and Pulmonary Function Test Interpretation

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 1, 2023

Media advisory: The full study and commentaries 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.2023.16174?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060123

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 use of race-neutral reference equations to interpret pulmonary function tests resulted in a significant increase in the number of Black individuals with respiratory impairments along with a significant increase in the severity of the identified impairments. More work is needed to quantify the effect these reference equations would have on diagnosis, referral, and treatment patterns. 

Authors: Alexander T. Moffett, M.D., of the University of Pennsylvania in Philadelphia, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16174)

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Smart Thermometer–Based Participatory Surveillance to Discern the Role of Children in Household Viral Transmission During Pandemic

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, JUNE 1, 2023

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.2023.16190?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=060123

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 study using smart thermometers to measure within-household transmission at a national scale, researchers discerned an important role for children in the spread of viral infection within households during the COVID-19 pandemic, heightened when schools were in session, supporting a role for school attendance in COVID-19 spread. 

Authors: Kenneth D. Mandl, M.D., M.P.H., of Boston Children’s Hospital, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16190)

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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Neuroinflammation After COVID-19 With Persistent Depressive and Cognitive Symptoms

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Importance of Integrating Spiritual, Existential, Religious, and Theological Components in Psychedelic-Assisted Therapies

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Smoking Cessation and Changes in Anxiety, Depression in Adults With and Without Psychiatric Disorders

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MAY 31, 2023

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.2023.16111?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=053123

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 study of 4,260 adults with and without psychiatric disorders, smoking cessation, sustained for at least 15 weeks, was associated with improved mental health outcomes in observational analyses, but the instrumental variable analysis provided inconclusive evidence. Findings like these may reassure people who smoke and their clinicians that smoking cessation likely will not worsen and may improve mental health. 

Authors: Angela Difeng Wu, M.Sc., of the University of Oxford in Oxford, United Kingdom, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16111)

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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Late-onset Cognitive Impairment and Modifiable Risk Factors in Adult Childhood Cancer Survivors

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MAY 31, 2023

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.2023.16077?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=053123

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: Among 2,375 adult survivors of childhood cancer and their sibling controls, new-onset memory impairment emerged more often in survivors decades after cancer diagnosis and treatment. The increased risk was associated with cancer treatment, modifiable health behaviors, and chronic health conditions. 

Authors: Nicholas S. Phillips, M.D., Ph.D., of St. Jude Children’s Research Hospital in Memphis, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2023.16077)

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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Estimated Costs of Intervening in Health-Related Social Needs Detected in Primary Care

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Racial, Ethnic, and Language Disparities in Identifying and Mitigating Central Line–Associated Bloodstream Infections

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MAY 30, 2023

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

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About The Study: The results of this study of 8,269 pediatric patients show disparities in central line–associated bloodstream infection rates for Black patients and patients who speak a language other than English that persisted after adjusting for known risk factors, suggesting that systemic racism and bias may play a role in inequitable hospital care for hospital-acquired infections. Stratifying outcomes to assess for disparities prior to quality improvement efforts may inform targeted interventions to improve equity. 

Authors: Caitlin L. McGrath, M.D., of the University of Washington in Seattle, is the corresponding author.

 

(doi:10.1001/jamapediatrics.2023.1379)

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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