About JAMA Network Open: JAMA Network Open is the new 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: Living in high-segregated Black communities in South Carolina was associated with racial and ethnic severe maternal morbidity disparities according to the results of this study including 166,000 women with childbirths from January 2018 to June 2021. During the COVID-19 pandemic, Black versus white disparities persisted with no signs of widening gaps, whereas Hispanic versus white disparities were exacerbated. Policy reforms on reducing residential segregation or combating the corresponding structural racism are warranted to help improve maternal health.
Authors: Peiyin Hung, Ph.D., M.S.P.H., of the University of South Carolina Arnold School of Public Health in Columbia, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.37711)
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About The Study: In this analysis of 1,193 major surgeries among community-living adults age 65 or older, the population-based estimate of 1-year mortality after major surgery was 13.4% but was 3-fold higher for non-elective than elective procedures. Mortality was considerably elevated among older persons who were frail or who had probable dementia, highlighting the potential prognostic value of geriatric conditions after major surgery.
Authors: Thomas M. Gill, M.D., of the Yale School of Medicine in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamasurg.2022.5155)
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About The Study: Researchers compared the volume of performed surgical procedures classified as essential, urgent, and nonurgent before and after elective surgeries were restricted during the COVID-19 pandemic in the United States.
Authors: Sherry M. Wren, M.D., of Stanford-Surgery Policy Improvement Research & Education Center in Stanford, California, is the corresponding author.
(doi:10.1001/jamasurg.2022.3944)
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About JAMA Network Open: JAMA Network Open is the new 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 symptoms reported after administration of the Pfizer-BioNTech COVID-19 vaccine were comparable overall to those for approved non–SARS-CoV-2 vaccines in this study including 7,800 children younger than age 5. The data may be used together with prospective licensure studies of BNT162b2 efficacy and safety and could help guide expert recommendations about BNT162b2 vaccinations in this age group.
Authors: Cho-Ming Chao, M.D., Ph.D., of the University of Rostock in Rostock, Germany, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.37140)
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About JAMA Network Open: JAMA Network Open is the new 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.
Visual Abstract
Authors: E. Jennifer Edelman, M.D., M.H.S., of the Yale School of Medicine in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.36904)
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About The Study: Spending on prescription drugs represented approximately 27% of total health care spending among fee-for-service Medicare beneficiaries enrolled in Part D in 2019, even after accounting for post-sale rebates.
Authors: Stacie B. Dusetzina, Ph.D., of the Vanderbilt University School of Medicine in Nashville, is the corresponding author.
(doi:10.1001/jama.2022.17825)
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About The Study: In this study that included 1,199 U.S. essential and frontline workers with SARS-CoV-2 infections, recent vaccination with 2 or 3 mRNA vaccine doses less than 150 days before infection with Delta or Omicron variants, compared with being unvaccinated, was associated with attenuated symptoms, duration of illness, medical care seeking, or viral load for some comparisons, although the precision and statistical significance of specific estimates varied.
Authors: Ashley L. Fowlkes, Sc.D., M.P.H., of the Centers for Disease Control and Prevention in Atlanta, is the corresponding author.
(doi:10.1001/jama.2022.18550)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Network Open: JAMA Network Open is the new 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: Researchers found in this study of residents from 65,000 U.S. Census tracts that neighborhood conditions and resources for children were significantly associated with life expectancy at birth, accounting for substantial variability in life expectancy at the Census tract level. These findings suggest that community resources and conditions are important targets for antipoverty interventions and policies to improve life expectancy and address health inequities.
Authors: Kristen H. Shanahan, M.D., M.P.H., of Massachusetts General Hospital in Boston, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35912)
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About JAMA Network Open: JAMA Network Open is the new 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 national survey study of 2,600 individuals suggest that a considerable portion of youth have experienced online child sexual abuse. Professionals planning prevention and intervention strategies for online sexual abuse should understand that dynamics include diverse episodes that are often extensions of dating abuse, sexual bullying, and sexual harassment, not only events perpetrated by adult internet predators.
Authors: David Finkelhor, Ph.D., of the University of New Hampshire in Durham, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.34471)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 findings of this cross-sectional survey of 138,000 patients who attended a postpartum visit suggest that inequities in postpartum care content were extensive and compounded for patients with multiple disadvantaged identities. Examining only one dimension of identity may understate the extent of disparities. Future studies should consider the content of postpartum care visits.
Authors: Julia D. Interrante, M.P.H., of the University of Minnesota School of Public Health in Minneapolis, is the corresponding author.
(doi:10.1001/jamahealthforum.2022.3292)
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About JAMA Network Open: JAMA Network Open is the new 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.
Visual Abstract
Authors: Teresa Liu-Ambrose, Ph.D., P.T., of the University of British Columbia in Vancouver, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.36510)
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About The Study: Invasive breast cancer rates in childhood cancer survivors have declined with time, especially in those younger than age 40. This appears largely associated with the reduced use of chest radiation therapy, but was tempered by concurrent changes in other therapies, according to the results of this study of 11,550 female survivors of childhood cancer diagnosed between 1970 and 1999.
Authors: Tara O. Henderson, M.D., M.P.H., of the University of Chicago Comer Children’s Hospital in Chicago, is the corresponding author.
(doi:10.1001/jamaoncol.2022.4649)
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About JAMA Network Open: JAMA Network Open is the new 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 vaping prevention advertisements focused on health harms and nicotine addiction led to lower susceptibility to vaping among youth in the United States and had beneficial effects on cigarette smoking outcomes.
Authors: Seth M. Noar, Ph.D., of the University of North Carolina at Chapel Hill, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.36370)
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About JAMA Network Open: JAMA Network Open is the new 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 randomized clinical trial of 5,000 parents of children age 5 and younger suggest that added sugar warnings and prohibitions of front-of-package claims and imagery may reduce parents’ purchases of high-added sugar beverages for their young children but that percentage juice disclosures may not change behavior.
Authors: Aviva A. Musicus, Sc.D., of the Harvard T.H. Chan School of Public Health in Boston, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.36384)
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Authors: Nicholas M. Pajewski, Ph.D., of the Wake Forest University School of Medicine in Winston-Salem, North Carolina, is the corresponding author.
(doi:10.1001/jamacardio.2022.3345)
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About JAMA Network Open: JAMA Network Open is the new 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 Veterans Health Administration patients who received buprenorphine for opioid use disorder during the year following COVID-19–related policy changes, many patients accessed buprenorphine via telephone and some were less likely to have any video visits. These findings suggest that discontinuing or reducing telephone access may disrupt treatment for many patients, particularly groups with access disparities such as Black patients and those experiencing homelessness. Telehealth was associated with increased retention for both new and continuing patients.
Authors: Lewei (Allison) Lin, M.D., M.S., of the University of Michigan in Ann Arbor, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.36298)
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About The Study: Black Medicare patients had lower odds of receiving a surgical consultation after being admitted from the emergency department with an emergency general surgery condition when compared with similar white Medicare patients in this study including 1.6 million patients. These disparities in consultation rates cannot be fully attributed to medical comorbidities, insurance status, socioeconomic factors, or individual hospital-level effects.
Authors: Sanford E. Roberts, M.D., of the University of Pennsylvania in Philadelphia, is the corresponding author.
(doi:10.1001/jamasurg.2022.4959)
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About The Study: In this modeling study with data for 1.2 million individuals (from 22 countries) who had symptomatic SARS-CoV-2 infection in 2020 and 2021 and survived the acute phase, an estimated 6.2% experienced at least one of the three Long COVID symptom clusters (persistent fatigue with bodily pain or mood swings; cognitive problems; or ongoing respiratory problems) three months after acute infection onset. The risk of Long COVID was greater in females and in those who needed hospitalization for the initial SARS-CoV-2 infection, particularly among those needing intensive care unit care.
Authors: Theo Vos, Ph.D., of the University of Washington, Seattle, is the corresponding author.
(doi:10.1001/jama.2022.18931)
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About JAMA Network Open: JAMA Network Open is the new 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 367 U.S. military service members who did not currently endorse safe firearm storage practices, several combinations of message components were associated with significant positive changes in openness to specific firearm storage practices. Positive change was most consistently seen for within-home storage options (for example, locking devices) rather than outside-of-home storage options (for example, at a firearm retailer). These findings suggest that safe firearm storage messaging is a scalable intervention that could promote life-saving behavior.
Authors: Michael D. Anestis, Ph.D., of Rutgers, the State University of New Jersey, in Piscataway, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35984)
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Authors: Gael Chetelat, Ph.D., of the Institut Blood and Brain@Caen-Normandie in Cyceron, France, is the corresponding authors.
(doi:10.1001/jamaneurol.2022.3185)
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About JAMA Network Open: JAMA Network Open is the new 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 national survey study of 1,733 U.S. adults, nearly half of participants reported misrepresentation and/or nonadherence regarding COVID-19 public health measures. The most common reasons included wanting life to feel normal and wanting to exercise personal freedom. Future work is needed to examine strategies for communicating the consequences of misrepresentation and nonadherence and to address contributing factors.
Authors: Andrea Gurmankin Levy, Ph.D., M.B.E., of Middlesex Community College in Middletown, Connecticut, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35837)
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EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, OCTOBER 11, 2022
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.
Bottom Line: The U.S. Preventive Services Task Force (USPSTF) recommends screening for major depressive disorder (MDD) in adolescents ages 12 to 18 and concludes that the current evidence is insufficient to make a recommendation about screening for MDD in children age 11 or younger and of screening for suicide risk in children and adolescents. Major depressive disorder in children and adolescents is strongly associated with recurrent depression in adulthood, other mental disorders, and increased risk for suicidal ideation, suicide attempts, and suicide completion. Suicide is the second-leading cause of death among youth ages 10 to 19. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this recommendation is consistent with its 2014 statement on screening for suicide risk in adolescents and 2016 statement on screening for MDD in children and adolescents.
(doi:10.1001/jama.2022.16946)
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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EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, OCTOBER 11, 2022
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.
Bottom Line: The U.S. Preventive Services Task Force (USPSTF) recommends screening for anxiety in children and adolescents ages 8 to 18 and concludes that the current evidence is insufficient to make a recommendation about screening children age 7 or younger. Anxiety disorder, a common mental health condition in the United States, comprises a group of related conditions characterized by excessive fear or worry that present as emotional and physical symptoms. A 2018-2019 survey found that 7.8% of children and adolescents ages 3 to 17 had a current anxiety disorder. Anxiety disorders in childhood and adolescence are associated with an increased likelihood of a future anxiety disorder or depression. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this is a new recommendation.
(doi:10.1001/jama.2022.16936)
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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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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.
Visual Abstract
Authors: Yunan Ji, Ph.D., of Georgetown University in Washington, D.C., is the corresponding author.
(doi:10.1001/jamahealthforum.2022.3503)
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About JAMA Network Open: JAMA Network Open is the new 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: Full vaccination status compared with controls was associated with lower mortality among critically ill patients who required invasive mechanical ventilation owing to COVID-19–related acute respiratory distress syndrome in this study including 265 patients. These results may inform discussions with families about prognosis.
Authors: Ilias I. Siempos, M.D., D.Sc., of the National and Kapodistrian University of Athens Medical School in Athens, Greece, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35219)
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About JAMA Network Open: JAMA Network Open is the new 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 the COVID-19 pandemic was associated with increased waiting list times among pediatric patients awaiting a heart transplant, while graft and recipient survival were maintained and waiting list mortality remained unchanged.
Authors: John Iguidbashian, M.D., of the University of Colorado School of Medicine in Aurora, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.34874)
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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About JAMA Network Open: JAMA Network Open is the new 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: A symptom-based screening tool was able to identify children at high risk of asthma as early as age 3. These findings suggest that this tool could be incorporated as a routine screening tool in primary care settings to trigger timely treatment initiatives and promote active disease monitoring.
Authors: Padmaja Subbarao, M.D., M.Sc., of the Hospital for Sick Children in Toronto, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.34714)
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About JAMA Network Open: JAMA Network Open is the new 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 1,270 youths, those who attended a high-performing public charter high school reported substantially lower rates of substance use disorder and delinquent behaviors through age 21. Attendance at such a school was also associated with substantially better physical health and lower obesity or overweight rates among male participants but substantially worse physical health outcomes among female participants. This study used the random school admissions lottery system of high-performing public charter high schools in low-income neighborhoods of Los Angeles to examine the health outcomes of students who applied to at least one of five of these high schools. Participants attended 147 different high schools and were randomly selected from those who won the admissions lottery (intervention group) and those who were placed on a waiting list (control group).
Authors: Mitchell D. Wong, M.D., Ph.D., of the David Geffen School of Medicine at UCLA in Los Angeles, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35083)
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About The Study: This secondary analysis of a randomized clinical trial found that positive patient beliefs about the likely success of antibiotics for appendicitis were associated with a lower risk of appendectomy and with resolution of signs and symptoms by 30 days. The mechanisms that underlie this observed association between patients’ beliefs and outcomes for appendicitis remain to be determined.
Authors: David R. Flum, M.D., M.P.H., of the University of Washington in Seattle, is the corresponding author.
(doi:10.1001/jamasurg.2022.4765)
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About The Study: Nonadherence with the opioid use disorder medication buprenorphine was associated with an increased risk of experiencing an opioid overdose and higher health care expenditures in this study that included 34,000 Medicare patients.
Authors: Jason B. Gibbons, Ph.D., of the Johns Hopkins University Bloomberg School of Public Health in Baltimore, is the corresponding author.
(10.1001/jamapsychiatry.2022.3118)
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About JAMA Network Open: JAMA Network Open is the new 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 and systematic review and meta-analysis, the use of antibiotic eye drops was associated with significantly shorter durations of symptoms in children with conjunctivitis, often called pink eye.
Authors: Minna Honkila, M.D., Ph.D., of Oulu University Hospital in Oulu, Finland, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.34459)
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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About JAMA Network Open: JAMA Network Open is the new 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: Participants in this study residing in states with higher complexity of COVID-19 vaccine guidelines during vaccine scarcity were less likely to correctly determine their vaccine eligibility than persons in states with lower complexity guidelines. The findings suggest potentially large public health implications for complex guidelines.
Authors: Aaron J. Siegler, M.H.S., Ph.D., of Emory University in Atlanta, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.34579)
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Authors: Keith S. Kaye, M.D., M.P.H., of the Robert Wood Johnson Medical School in New Brunswick, New Jersey, is the corresponding author.
(doi:10.1001/jama.2022.17034)
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Authors: Mary M. McDermott, M.D., of Northwestern University in Chicago, is the corresponding author.
(doi:10.1001/jama.2022.16797)
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Authors: Olufemi R. Ayeni, M.D., Ph.D., of McMaster University in Hamilton, Canada, is the corresponding author.
(doi:10.1001/jama.2022.16844)
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About The Study: Researchers found in this study including 145,000 pregnancies that antidepressant exposure during pregnancy was not associated with autism spectrum disorder, attention-deficit/hyperactivity disorder, specific learning disorders, developmental speech/language disorders, developmental coordination disorders, intellectual disabilities, or behavioral disorders after accounting for confounding through various design and analytic approaches.
Authors: Elizabeth A. Suarez, M.P.H., Ph.D., of Brigham and Women’s Hospital and Harvard Medical School in Boston, is the corresponding author.
(doi:10.1001/jamainternmed.2022.4268)
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About The Study: The results of this nationally representative study including 594,000 persons in England suggest that there was an increased risk of suicide associated with dementia in patients diagnosed before the age of 65, those with a recent dementia diagnosis (within 3 months), and those with existing diagnoses of psychiatric comorbidities. In particular, there was an association between increased suicide risk in patients who were diagnosed younger than 65 years in the 3-month post-diagnostic period. Diagnostic and management services for dementia, in both primary and secondary care settings, should target suicide risk assessment to the identified high-risk groups.
Authors: Danah Alothman, B.M.B.Ch., M.P.H., of the University of Nottingham in Nottingham, United Kingdom, is the corresponding authors.
(doi:10.1001/jamaneurol.2022.3094)
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About The Study: In this systematic review and meta-analysis, COVID-19 vaccination during pregnancy was not associated with increased risks of peripartum adverse outcomes, including preterm birth, small size for gestational age, cesarean delivery, and postpartum hemorrhage. COVID-19 vaccination during pregnancy was associated with lower risks of neonatal intensive care unit admission, intrauterine fetal death, and maternal SARS-CoV-2 infection. Therefore, COVID-19 vaccination should be encouraged for pregnant individuals.
Authors: Toshiki Kuno, M.D., Ph.D., of the Albert Einstein College of Medicine in New York, is the corresponding author.
(doi:10.1001/jamapediatrics.2022.3456)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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.
Visual Abstract
Authors: Adam Sacarny, Ph.D., of the Columbia University Mailman School of Public Health in New York, is the corresponding author.
(doi:10.1001/jamahealthforum.2022.3378)
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About JAMA Network Open: JAMA Network Open is the new 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: Researchers found that hospital occupancy greater than 85% was associated with increased emergency department (ED) boarding beyond the 4-hour standard. Boarding refers to holding admitted patients in the ED, often in hallways, while awaiting an inpatient bed. Throughout 2020 and 2021, ED boarding increased even when hospital occupancy did not increase above January 2020 levels.
Authors: Alexander T. Janke, M.D., of the University of Michigan in Ann Arbor. is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.33964)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to 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 analysis found that the COVID-19 pandemic was associated with shifts in the focus of payments from pharmaceutical and medical device companies to physicians and teaching hospitals for research and an immediate and sustained decline in payments for marketing. Research payments were stable during the pandemic despite widespread clinical trial suspensions, which may reflect clinical trial adaptations, including virtual study visits and remote outcome measurement.
Authors: Timothy S. Anderson, M.D., M.A.S., of Harvard Medical School in Boston, is the corresponding author.
(doi:10.1001/jamahealthforum.2022.3342)
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