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.
What The Study Did: Changes in the completion of and expressed preferences on an online advanced directive platform during the COVID-19 pandemic are examined in this observational study.
Authors: Catherine L. Auriemma, M.D., of the University of Pennsylvania in Philadelphia, is the corresponding author.
(doi:10.1001/jamanetworkopen.2020.15762)
Editor’s Note: The article includes funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts of interest and financial disclosures, and funding and support.
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What The Viewpoint Says: This article advocates for expanded usage of tenecteplase in patients with stroke as a means of avoiding COVID-19 spread and easing potential shortages of alteplase.
Authors: Steven J. Warach, M.D., Ph.D., of the University of Texas at Austin, is the corresponding author.
(doi:10.1001/jamaneurol.2020.2396)
Editor’s Note: The article includes conflicts of interest disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts of interest and financial disclosures, and funding and support.
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What The Study Did: This analysis compares reported deaths from COVID-19 (February 23 to April 4) and total mortality in Italy from January 12 through April 4 from 2015 through 2020.
Authors: Nicola Montano, M.D., Ph.D., of the University of Milan in Italy, is the corresponding author.
(doi:10.1001/jamainternmed.2020.2543)
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What The Study Did: Researchers looked at how frequently cartoon images were used to market and promote e-cigarette products on Instagram, a social media platform popular with adolescents.
Authors: Jon-Patrick Allem, Ph.D., M.A., of the University of Southern California in Los Angeles, is the corresponding author.
(doi:10.1001/jamapediatrics.2020.1987)
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What The Viewpoint Says: Some techniques to overcome barriers to care that people with hearing loss encounter during the COVID-19 pandemic are highlighted in this Viewpoint.
Authors: Michael M. McKee, M.D., M.P.H., of the University of Michigan Medical School in Ann Arbor, is the corresponding author.
(doi:10.1001/jamaoto.2020.1705)
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What The Viewpoint Says: The loosening of Medicare and Medicaid restrictions regarding telemedicine during the COVID-19 pandemic are discussed in this Viewpoint.
Authors: Trevor J. Royce, M.D., M.S., M.P.H., of the University of North Carolina at Chapel Hill, is the corresponding author.
(doi:10.1001/jamaoncol.2020.2684)
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CHICAGO (July 14, 2020) – Over the weekend a close friend asked if anyone was going to defend Dr. Anthony Fauci. My initial response was that Tony does not need my help, he is quite good about staying on message and surviving the political ups and downs. But on reflection I was wrong.
The whisperings, innuendos, and attacks from the White House and others about Tony – on and off the record – are not only unseemly and unfair, but reveal a lack of commitment to the health and well-being of all Americans, and ultimately will be counterproductive and potentially destructive.
As we have learned the coronavirus does not respect states lines – Maine or Alabama, or political parties – Republican or Democrat. The undermining of science – and the unprecedented attacks on scientists and public health officials – risk lives in every corner of our country.
Tony has dedicated more than 40 years of his life to public service – he has been steadfast in his commitment to improve and preserve the health and public health of this country using science and evidence as his guide. He has one goal – to restore America to some semblance of health so that it can once again be a functioning society – with schools open, unrestricted travel, social engagement, and businesses thriving. He deserves our deepest gratitude and support.
So to all who are reading this – wherever you live and whatever your political affiliation – please wash your hands, keep your distance from others when appropriate, wear your masks, and please join me in showing respect for Dr. Anthony Fauci and his many colleagues at the NIH, CDC, and throughout the country who are our best hope in these challenging times.
What The Viewpoint Says: Current mental health concerns for pregnant and postpartum women in light of the COVID-19 pandemic are discussed in this article.
Authors: Alison Hermann, M.D., of New York-Presbyterian/ Weill Cornell Medical Center is New York, is the corresponding author.
(doi:10.1001/jamapsychiatry.2020.1947)
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What The Study Did: This case series describes the appearance of enanthem (oral cavity lesions) in patients with COVID-19.
Authors: Juan Jimenez-Cauhe, M.D., of the Hospital Universitario Ramon y Cajal in Madrid, is the corresponding author.
(doi:10.1001/jamadermatol.2020.2550)
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What The Study Did: Changes in the rates of self-payment for outpatient psychiatric care compared with primary care were looked at in this study using survey data.
Authors: Ivy Benjenk, B.S.N., M.P.H., of the University of Maryland School of Public Health in College Park, is the corresponding author.
(doi:10.1001/jamapsychiatry.2020.2072)
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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.
What The Study Did: Current randomized clinical trials of therapeutic agents to treat COVID-19 are examined in this review.
Authors: Ethan B. Ludmir, M.D., and Cullen M. Taniguchi, M.D., Ph.D., of the University of Texas MD Anderson Cancer Center in Houston, are the corresponding authors.
(doi:10.1001/jamanetworkopen.2020.15100)
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What The Viewpoint Says: The challenges faced by older adults with diabetes and ways to care for them during the COVID-19 pandemic are discussed in this Viewpoint.
Authors: Medha N. Munshi, M.D., of the Joslin Diabetes Center in Boston, is the corresponding author.
(doi:10.1001/jamainternmed.2020.2492)
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What The Study Did: The outcomes of universal COVID-19 testing following the discovery of new cases in 11 long-term care facilities in the U.S. are evaluated in this observational study.
Authors: Morgan J. Katz, M.D,, M.H.S., of the Johns Hopkins University School of Medicine in Baltimore, is the corresponding author.
(doi:10.1001/jamainternmed.2020.3738)
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What The Article Says: How the COVID-19 pandemic is forcing health care systems to implement new adaptations in delivering services is described in this essay.
Authors: Stephan D. Fihn M.D., M.P.H, of the University of Washington, Harborview Medical Center in Seattle is the corresponding author.
(doi:10.1001/jamainternmed.2020.2498)
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What The Study Did: This study describes losses in hospital-based obstetric services in rural U.S. counties between 2014 and 2018.
Authors: Katy B. Kozhimannil, Ph.D., M.P.A., of the University of Minnesota in Minneapolis, is the corresponding author.
(doi:10.1001/jama.2020.5662)
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What The Study Did: Researchers compared the rate of opioid poisonings in children and teens before and after implementation of state-level policies intended to decrease the amount of opioid medications prescribed and distributed.
Authors: Michael S. Toce, M.D., M.S., of Boston Children’s Hospital, is the corresponding author.
(doi:10.1001/jamapediatrics.2020.1980)
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What The Study Did: The results of 23 studies were combined to examine whether an episode of delirium is a risk factor for long-term cognitive decline.
Authors: Terry E. Goldberg, Ph.D., of the Columbia University Irving Medical Center in New York, is the corresponding author.
(doi:10.1001/jamaneurol.2020.2273)
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What The Study Did: Dietary information from more than 400,000 U.S. adults was used to look at the association between consuming plant and animal protein and the risk of death over 16 years.
Authors: Jiaqi Huang, Ph.D., and Demetrius Albanes, M.D., of the National Cancer Institute in Bethesda, Maryland, are the corresponding authors.
(doi:10.1001/jamainternmed.2020.2790)
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What The Study Did: Various health outcomes were compared among high- and low-income adults age 55 to 64 in the U.S. and England in this observational study.
Authors: HwaJung Choi, Ph.D., of the University of Michigan in Ann Arbor, is the corresponding author.
(doi:10.1001/jamainternmed.2020.2802)
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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.
What The Study Did: Changes in self-reported health from 2016 to 2017 among enrollees in Michigan’s Medicaid expansion were looked at in this survey study.
Authors: Minal R. Patel, Ph.D., M.P.H., of the University of Michigan in Ann Arbor, is the corresponding author.
(doi:10.1001/jamanetworkopen.2020.8776)
Editor’s Note: The article includes conflicts of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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.
What The Study Did: Patients with acute coronary syndrome presenting during the COVID-19 pandemic were compared with patients presenting at times prior to the pandemic to investigate the incidence of stress cardiomyopathy during the pandemic in this observational study.
Authors: Ankur Kalra, M.D., of the Cleveland Clinic in Ohio, is the corresponding author.
(doi:10.1001/jamanetworkopen.2020.14780)
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What The Viewpoint Says: How COVID-19 surgical precautions taken in medical centers might be reflected in resident education are detailed in this Viewpoint.
Authors: Hillary A. Newsome, M.D., of the Medical College of Wisconsin in Milwaukee, is the corresponding author.
(doi:10.1001/jamaoto.2020.1587)
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What The Study Says: The mental state and ocular surface state of ophthalmologists and ophthalmic nurses during the COVID-19 outbreak in China in Wuhan and Jiangxi are analyzed in this survey study.
Authors: Wei Zhang, M.D., of the First Affiliated Hospital of Nanchang University, Jiangxi Province Clinical Ophthalmology Institute in Jiangxi, China, is the corresponding author.
(doi:10.1001/jamaophthalmol.2020.2289)
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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.
What The Study Did: This study combined the results of 13 studies with nearly 50,000 participants to look at the association of major food sources of fructose-containing sugars, such as sucrose and high-fructose corn syrup, with the risk of metabolic syndrome.
Authors: John L. Sievenpiper, M.D., Ph.D., of the University of Toronto, is the corresponding author
(doi:10.1001/jamanetworkopen.2020.9993)
Editor’s Note: The article includes conflicts of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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.
What The Study Did: Clinical characteristics and symptoms of patients with COVID-19 in Seattle and greater King County, Washington, who required 911 emergency medical services response are described in this study.
Authors: Thomas Rea, M.D., M.P.H., of the University of Washington in Seattle, is the corresponding authors
(doi:10.1001/jamanetworkopen.2020.14549)
Editor’s Note: The article includes conflicts of interest disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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 emailmedia relations.
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.
What The Study Did: This survey study examined whether a nationwide COVID-19 public health campaign in the Netherlands about personal hygiene and physical distancing was associated with improvement in these behaviors.
Authors: Leonard Hofstra, M.D., Ph.D., of the Amsterdam University Medical Center in Amsterdam, and Jan-Willem Lindemans, Ph.D., of Duke University in Durham, North Carolina, are the corresponding authors.
(doi:10.1001/jamanetworkopen.2020.14323)
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What The Article Says: This case report describes a patient with COVID-19 who developed late drug-eluting stent thrombosis.
Authors: Fernando Alfonso, M.D., Ph.D., of the Hospital Universitario de La Princesa in Madrid, Spain, is the corresponding author.
(doi:10.1001/jamacardio.2020.2459)
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What The Article Says: A New York hospital’s restructuring of general surgery resident teams and educational infrastructure in response to the COVID-19 pandemic is detailed in this article.
Authors: Heather L. Yeo, M.D., M.H.S., M.B.A., M.S., of NewYork-Presbyterian Hospital/Weill Cornell Medicine in New York, is the corresponding author.
(doi:10.1001/jamasurg.2020.3107)
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What The Article Says: The response of a physician to the fear and despair associated with COVID-19 is described in this article.
Author: Siu-Hin Wan, M.D., of the Mayo Clinic in Rochester, Minnesota, is the author.
(doi:10.1001/jamacardio.2020.2420)
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What The Study Did: How the prescription of hydroxychloroquine and chloroquine to outpatients has changed in the United States during the COVID-19 pandemic is examined in this study.
Authors: Daniel S. Budnitz, M.D., M.P.H., of the Centers for Disease Control and Prevention COVID-19 Response Team in Atlanta, is the corresponding author.
(doi:10.1001/jamainternmed.2020.2594)
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What The Study Did: This observational study compares the rate of ischemic stroke among patients with COVID-19 compared with influenza in two New York hospitals.
Authors: Babak B. Navi, M.D., M.S., of Weill Cornell Medicine in New York, is the corresponding author.
(doi:10.1001/jamaneurol.2020.2730)
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What The Viewpoint Says: How the COVID-19 pandemic can reshape care in patients with cancer to focus on discouraging unnecessary in-person visits, testing and low-value treatments is discussed in this article.
Authors: Bishal Gyawali, M.D., Ph.D., of Queen’s University in Kingston, Ontario, Canada, is the corresponding author.
(doi:10.1001/jamaoncol.2020.2404)
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What The Study Did: This survey-based study examines the clinical course of the loss of sense of smell and taste in a case series of mildly symptomatic patients with SARS-CoV-2 infection.
Authors: Daniele Borsetto, M.D., of Guy’s and St Thomas’ Hospitals in London, is the corresponding author.
(doi:10.1001/jamaoto.2020.1379)
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What The Article Says: Studies describing various methods of decontamination to allow safe reuse of N95 respirators are summarized in this article.
Authors: Brooke M. Su-Velez, M.D., M.P.H., of the University of California, Los Angeles, is the corresponding author.
(doi:10.1001/jamaoto.2020.1423)
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What The Viewpoint Says: How surgical global health programs are affected by the COVID pandemic and why global surgical outreach models may need to be rehashed are discussed in this article.
Authors: Parsa P. Salehi, M.D., of the Yale University School of Medicine in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamaoto.2020.1520)
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What The Study Did: The clinical findings of four children who experienced neurological symptoms associated with COVID-19 are presented in this case series.
Authors: Yael Hacohen, M.D., Ph.D., of University College London, is the corresponding author.
(doi:10.1001/jamaneurol.2020.2687)
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What The Study Did: Weekly changes in U.S. deaths from March 1 through May 30, 2020, due to any cause and deaths due to pneumonia, influenza or COVID-19 are investigated in this observational study.
Authors: Daniel M. Weinberger, Ph.D., of the Yale School of Public Health in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamainternmed.2020.3391)
Editor’s Note: The article includes conflict of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts of interest and financial disclosures, and funding and support.
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What The Editorial Says: The term “cytokine storm” and its relevance to COVID-19 are examined in this editorial.
Authors: Pratik Sinha, M.B., Ch.B., of the University of California, San Francisco, is the corresponding author.
(doi:10.1001/jamainternmed.2020.3313)
Editor’s Note: The article includes conflict of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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.
What The Study Did: This online survey study investigated how common were symptoms of depression, anxiety, insomnia and acute stress and potential risk factors in the general population in China during the COVID-19 pandemic.
Authors: Yan-Ping Bao, Ph.D., and Lin Lu, M.D., Ph.D., of Peking University in Beijing, are the corresponding authors.
(doi:10.1001/jamanetworkopen.2020.14053)
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What The Viewpoint Says: The need for and implementation of telemedicine for patients with substance use disorder in the era of COVID-19 is discussed in this Viewpoint.
Authors: Lewei (Allison) Lin, M.D., M.S., of the University of Michigan in Ann Arbor, is the corresponding author.
(doi:10.1001/jamapsychiatry.2020.1698)
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What The Study Did: Researchers investigated the association between the stage of breast cancer at diagnosis and the insurance status, age and race/ethnicity of patients before and after the expansion of Medicaid under the Affordable Care Act.
Authors: Tristen S. Park, M.D., of the Yale University School of Medicine in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamasurg.2020.1495)
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What The Study Did: This observational study looked at changes from 2007 to 2016 in the proportion of U.S. adults who screened positive for depression and received treatment.
Authors: Taeho Greg Rhee, Ph.D., M.S.W., of the University of Connecticut in Farmington, is the corresponding author.
(doi:10.1001/jamapsychiatry.2020.1818)
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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.
What The Study Did: The association between low to moderate alcohol drinking and the rate of age-related decline in cognitive function from middle to older age was investigated in a nationally representative sample of U.S. adults.
Authors: Changwei Li, M.D., Ph.D., M.P.H., of the University of Georgia College of Public Health in Athens, is the corresponding author.
(doi:10.1001/jamanetworkopen.2020.7922)
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What The Study Did: Data from the Centers for Disease Control and Prevention were used to assess racial differences in rates of autopsy of decedents older than age 18 from 2008 to 2017.
Authors: Fumiko Chino, M.D., of Memorial Sloan Kettering Cancer Center in New York, is the corresponding author.
(doi:10.1001/jamainternmed.2020.2239)
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What The Study Did: The clinical characteristics and outcomes in patients with multiple sclerosis who contract COVID-19 are described in this observational study, which identifies factors associated with COVID-19 severity.
Authors: Celine Louapre, M.D., of the Sorbonne Universite in Paris, is the corresponding author.
(doi:10.1001/jamaneurol.2020.2581)
Editor’s Note: The article includes conflicts of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts of interest and financial disclosures, and funding and support.
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What The Study Did: This case series describes 20 children and adolescents who presented with new-onset acral inflammatory lesions during the COVID-19 pandemic.
Authors: Ignacio Torres-Navarro, of the Hospital Universitario y Politécnico la Fe in Valencia, Spain, is the corresponding author.
(doi:10.1001/jamadermatol.2020.2340)
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What The Study Did: The possible association between chilblains and COVID-19 was investigated in this case series that included 31 patients.
Authors: Anne Herman, M.D., of the Université Catholique de Louvain in Brussels, is the corresponding author.
(doi:10.1001/jamadermatol.2020.2368)
Editor’s Note: The article includes conflicts of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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 emailmedia relations.
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.
What The Study Did: This study examined the worldwide trends of thyroid cancer from 1990 to 2017 according to geographic location, sex, age and socioeconomic factors.
Authors: Jun Lyu, Ph.D., of the First Affiliated Hospital of Jinan University in Guangzhou, China, and ZhiJun Dai, Ph.D., of Zhejiang University in Hangzhou, China, are the corresponding authors.
(doi:10.1001/jamanetworkopen.2020.8759)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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 emailmedia relations.
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.
What The Study Did: This observational study looked at the risk of complications after an outpatient colonoscopy among patients age 75 and older compared to younger patients.
Authors: David Armstrong, M.D., of McMaster University in Hamilton, Ontario, Canada, is the corresponding author.
(doi:10.1001/jamanetworkopen.2020.8958)
Editor’s Note: The article includes conflicts of interest disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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 emailmedia relations.
What The Article Says: This essay describes observations of the qualities developed by hospital staff members during the COVID-19 pandemic.
Author: Megha Prasad, M.D. M.S., of the Columbia University Irving Medical Center in New York, is the corresponding author.
(doi:10.1001/jamacardio.2020.2240)
Editor’s Note: Please see the articles for additional information, including other authors, author contributions and affiliations, conflicts of interest and financial disclosures, and funding and support.
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What The Article Says: The particular risks the COVID-19 pandemic presents for patients with a laryngectomy and how best to mitigate risk are described in this Patient Page.
(doi:10.1001/jamaoto.2020.1523)
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What The Article Says: A man in his 60s presented with numerous pseudovesicular papules on the trunk 12 hours after the initiation of treatment for COVID-19.
Authors: Laurence Toutous Trellu, M.D., of the Geneva University Hospitals in Switzerland, is the corresponding author.
(doi:10.1001/jamadermatol.2020.1966)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflicts 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 emailmedia relations.
