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May 2024 - July 1883

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October 17, 2023, Vol 330, No. 15, Pages 1409-1499

In This Issue of JAMA

Audio Highlights

Abstract Full Text
free access online only has audio
JAMA. 2023;330(15):e2216088. doi:10.1001/jama.2022.16088
Original Investigation

Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial

Abstract Full Text
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JAMA. 2023;330(15):1437-1447. doi:10.1001/jama.2023.19597

This cluster-randomized clinical trial examines the effects of the Million Hearts Model on first-time myocardial infarctions and strokes and Medicare spending over a period up to 5 years.

Eplontersen for Hereditary Transthyretin Amyloidosis With Polyneuropathy

Abstract Full Text
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JAMA. 2023;330(15):1448-1458. doi:10.1001/jama.2023.18688

This open-label, single-group, phase 3 trial evaluates eplontersen, an investigational ligand-conjugated antisense oligonucleotide, in adults with hereditary amyloid transthyretin (ATTRv) polyneuropathy at 40 sites in 15 countries, compared with historical controls.

Orthostatic Hypotension, Hypertension Treatment, and Cardiovascular Disease: An Individual Participant Meta-Analysis

Abstract Full Text
free access has active quiz
JAMA. 2023;330(15):1459-1471. doi:10.1001/jama.2023.18497

This individual participant data meta-analysis assesses the effect of a lower blood pressure (BP) treatment goal or active therapy vs a standard BP treatment goal or placebo on cardiovascular disease or all-cause mortality among adults with orthostatic hypotension or standing hypotension.

Research Letter

Reported Risky Alcohol Use Among US Adults Prescribed 3 Classes of Chronic Alcohol–Interactive Medications

Abstract Full Text
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JAMA. 2023;330(15):1488-1490. doi:10.1001/jama.2023.16641

This study uses data from the 2013–March 2020 National Health and Nutrition Examination Survey to assess contemporary patterns of risky alcohol use among adults taking high-risk alcohol-interactive medications (benzodiazepine receptor agonists, opioids, and antiepileptics).

Viewpoint

Adventures With Parasites, Metabolism, Inborn Errors, and Cancer: The 2023 Lasker-Koshland Special Achievement Award in Medical Science

Abstract Full Text
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JAMA. 2023;330(15):1423-1424. doi:10.1001/jama.2023.15784

In this Viewpoint, Lasker Award winner Piet Borst looks back over a 50-year career in scientific research, including work with trypanosomatids, mechanisms of drug resistance in cancer cells, and inborn errors of metabolism.

The Protein Structure Prediction Revolution and Its Implications for Medicine: 2023 Albert Lasker Basic Medical Research Award

Abstract Full Text
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JAMA. 2023;330(15):1425-1426. doi:10.1001/jama.2023.17095

In this Viewpoint, 2023 Lasker award winners John Jumper and Demis Hassabis describe their invention, the artificial intelligence–based system AlphaFold, which is able to predict protein structure with great accuracy.

Optical Coherence Tomography—History, Evolution, and Future Prospects: 2023 Lasker-DeBakey Clinical Medical Research Award

Abstract Full Text
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JAMA. 2023;330(15):1427-1428. doi:10.1001/jama.2023.16942

In this Viewpoint, 2023 Lasker-DeBakey Clinical Medical Research Award winners James G. Fujimoto, David Huang, and Eric A. Swanson discuss their invention—optical coherence tomography, which allows rapid detection of diseases of the retina that impair vision.

A Piece of My Mind

A Commitment to Making Health Care Personal

Abstract Full Text
JAMA. 2023;330(15):1429. doi:10.1001/jama.2023.18037

In this narrative medicine essay, an emergency medicine pediatrician describes the care his mother received in her last days and calls on the health care profession to aim for providing a personal touch when caring for patients.

Editorial

Million Hearts Cardiovascular Disease Risk Reduction Model

Abstract Full Text
JAMA. 2023;330(15):1430-1432. doi:10.1001/jama.2023.16096

Novel Treatments for Hereditary ATTRv Amyloidosis

Abstract Full Text
JAMA. 2023;330(15):1433-1434. doi:10.1001/jama.2023.15087

Treating Hypertension in Patients With Orthostatic Hypotension: Benefits vs Harms in the Era of Aggressive Blood Pressure Lowering

Abstract Full Text
JAMA. 2023;330(15):1435-1436. doi:10.1001/jama.2023.19096
Review

Hyperthyroidism: A Review

Abstract Full Text
has active quiz has audio
JAMA. 2023;330(15):1472-1483. doi:10.1001/jama.2023.19052

This review summarizes current evidence regarding the pathophysiology, clinical presentation, and treatment of hyperthyroidism, focusing on the management of Graves disease and toxic nodular disease.

JAMA Guide to Statistics and Methods

The Use of Historical Controls in Clinical Trials

Abstract Full Text
has active quiz
JAMA. 2023;330(15):1484-1485. doi:10.1001/jama.2023.16182

This JAMA Guide to Statistics and Methods explains the use of historical controls—persons who had received a specific control treatment in a previous study—when randomizing participants to that control treatment in a subsequent trial may not be practical or ethical.

JAMA Insights

Women's Health

Uterine Prolapse

Abstract Full Text
has active quiz
JAMA. 2023;330(15):1486-1487. doi:10.1001/jama.2023.16277

This JAMA Insights in the Women’s Health series discusses diagnosis of uterine prolapse and available surgical and nonsurgical treatment options.

Medical News & Perspectives

Who Should—and Can—Get Lecanemab, the New Alzheimer Disease Drug?

Abstract Full Text
has audio
JAMA. 2023;330(15):1411-1415. doi:10.1001/jama.2023.14443

This Medical News story examines the complexity of determining who to treat with lecanemab, the new Alzheimer disease drug.

AI in Medicine

The Promise and Pitfalls of AI in the Complex World of Diagnosis, Treatment, and Disease Management

Abstract Full Text
has multimedia has audio
JAMA. 2023;330(15):1416-1419. doi:10.1001/jama.2023.19180

In this Medical News article, Ida Sim, MD, PhD, a primary care physician and computational precision health expert at the University of California, San Francisco, discusses the ramifications of using AI technologies in patient care.

Updated COVID-19 Vaccine Now Available in US, Recommended for Everyone Older Than 6 Months

Abstract Full Text
JAMA. 2023;330(15):1420. doi:10.1001/jama.2023.19759

This Medical News article discusses the new COVID-19 vaccine and recommendations for fall 2023.

Medical News in Brief

Exercise Programs Might Improve Long COVID

Abstract Full Text
JAMA. 2023;330(15):1421. doi:10.1001/jama.2023.18739

C difficile Cross-Transmission in US ICUs May Be Rare, Study Suggests

Abstract Full Text
JAMA. 2023;330(15):1421. doi:10.1001/jama.2023.18740

NIH Launches Phase 1 Trial of Broader “Universal” Flu Vaccine

Abstract Full Text
JAMA. 2023;330(15):1421. doi:10.1001/jama.2023.18741

Systematic Review Finds the Most Effective Smoking Cessation Aids

Abstract Full Text
JAMA. 2023;330(15):1421-1422. doi:10.1001/jama.2023.18742

Wastewater Surveillance Predicts Large-Scale Flu, RSV Trends

Abstract Full Text
JAMA. 2023;330(15):1422. doi:10.1001/jama.2023.18743

Most People With GERD Don’t Have Increased Esophageal Cancer Risk

Abstract Full Text
JAMA. 2023;330(15):1422. doi:10.1001/jama.2023.18744

Air Pollution Tied With Increased Chance of Breast Cancer

Abstract Full Text
JAMA. 2023;330(15):1422. doi:10.1001/jama.2023.18745

ADHD Medication Incidents on the Rise Since 2000

Abstract Full Text
JAMA. 2023;330(15):1422. doi:10.1001/jama.2023.18746

4.5 Billion People Lack Coverage for Essential Health Services

Abstract Full Text
JAMA. 2023;330(15):1422. doi:10.1001/jama.2023.18747
Poetry and Medicine

Images of the Week

Abstract Full Text
JAMA. 2023;330(15):1495. doi:10.1001/jama.2023.16240
JAMA Revisited

SLEEP

Abstract Full Text
JAMA. 2023;330(15):1496. doi:10.1001/jama.2022.16089
JAMA Patient Page

Nonprescription Heartburn Medications for Adults

Abstract Full Text
free access
JAMA. 2023;330(15):1499. doi:10.1001/jama.2023.16280

This JAMA Patient Page describes the types of nonprescription heartburn medications: antacids, histamine 2 blockers, and proton pump inhibitors.

Comment & Response

Vitamin K Antagonists and Intracranial Hemorrhage After Endovascular Thrombectomy

Abstract Full Text
JAMA. 2023;330(15):1490. doi:10.1001/jama.2023.15434

Vitamin K Antagonists and Intracranial Hemorrhage After Endovascular Thrombectomy—Reply

Abstract Full Text
JAMA. 2023;330(15):1490-1491. doi:10.1001/jama.2023.15437

Postacute Sequelae of SARS-CoV-2 Infection

Abstract Full Text
JAMA. 2023;330(15):1491-1492. doi:10.1001/jama.2023.15709

Postacute Sequelae of SARS-CoV-2 Infection—Reply

Abstract Full Text
JAMA. 2023;330(15):1492. doi:10.1001/jama.2023.15712

Ethical Concerns for Amnioinfusions

Abstract Full Text
JAMA. 2023;330(15):1492-1493. doi:10.1001/jama.2023.15927

Ethical Concerns for Amnioinfusions—Reply

Abstract Full Text
JAMA. 2023;330(15):1493-1494. doi:10.1001/jama.2023.15930
Correction

Omission of Data Sources in Acknowledgment

Abstract Full Text
free access
JAMA. 2023;330(15):1494. doi:10.1001/jama.2023.20099
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2023;330(15):1409-1410. doi:10.1001/jama.2022.16087
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