Sur le Web, ces 30 derniers jours

mardi 22 septembre 2020

  • CME Quality Measure Development—Reply
    In Reply In response to our study, Dr Duseja and colleagues assert that CMS value-based programs, which link quality measures to reimbursement, have led to declines in hospital-acquired conditions, readmissions, and “significant improvements and cost savings.” Although we agree that CMS’s focus (...)

  • Physicians and Social Determinants of Health
    To the Editor The perspective offered by Drs Maani and Galea regarding physicians’ role in social determinants of health highlights the limitations and potential unintended consequences of physicians’ attempts to interface with them. While their conclusion that “[p]hysicians’ most enduring effect (...)

  • Physicians and Social Determinants of Health
    To the Editor Drs Maani and Galea argued that physicians must engage more heavily in addressing the social determinants of health because these factors significantly drive patients’ health. The authors focused on 2 major areas: policy action and physician training. Of course, health and health (...)

  • Physicians and Social Determinants of Health
    To the Editor In their Viewpoint, Drs Maani and Galea considered how physicians can most effectively support societal efforts to alleviate adverse social determinants of health to improve the health of individuals in the United States. The authors suggested that physician-level interventions (...)

  • CMS Quality Measure Development
    To the Editor The study by Dr Wadhera and colleagues stated that the Centers for Medicare & Medicaid Services (CMS) has invested more than $1.3 billion in quality measure development of more than 2300 measures, of which 788 are being used in CMS quality, reporting, and payment programs, (...)

  • Geographic Distribution of US Cohorts Used to Train Deep Learning Algorithms
    This study describes the US geographic distribution of patient cohorts used to train deep learning algorithms in published radiology, ophthalmology, dermatology, pathology, gastroenterology, and cardiology machine learning articles published in (...)

  • Life as It Is
    In the symposium entitled “Man and Life,” Barzun, writing on “the quality of life,” notes that the term “life” is imprecise and susceptible of varied interpretation. He bases his discussion of its quality principally on the question, “Is life worth living?”—a question that can be answered only (...)

  • Safely Recognizing and Responding to Intimate Partner Violence
    This JAMA Insights Clinical Update reviews clinical indicators of intimate partner violence (IPV) and ways that clinicians can ask about and begin to assist individuals who experienced IPV in phased, sensitive approaches that do not encourage patients to act before they are ready or compromise (...)

  • Audio Highlights
    Listen to the JAMA Editor’s Audio Summary for an overview and discussion of the important articles appearing in this week’s issue of JAMA.

  • VA Partners With OnStar to Increase Access to Suicide Prevention Services
    OnStar, perhaps best known for providing emergency services for people involved in motor vehicle crashes, recently partnered with the US Department of Veterans Affairs (VA) to improve access to suicide prevention services.

  • Buprenorphine Implants, Injections Are Underused
    Injectable and implantable forms of buprenorphine to treat patients with opioid use disorder (OUD) are less likely to be diverted than oral formulations but they’re rarely prescribed, according to a recent US Government Accountability Office (GAO) (...)

  • Declines in Lung Cancer Deaths Linked to Treatment Advances
    Mortality from non–small cell lung cancer (NSCLC) in the US decreased between 2013 and 2016, a period corresponding with the approval of several targeted therapies for the disease, National Cancer Institute (NCI) researchers recently (...)

  • The COVID-19 Pandemic and the JAMA Network
    Journal editors sit at the crossroads of new ideas and findings, deciding which are worth refining and making public in their journals and which are best saved for another time and place. The global arrival of coronavirus disease 2019 (COVID-19) has brought an increase in manuscript submissions (...)

  • Medical Schools in the United States, 2019-2020
    This Appendix presents data from the 2019-2020 Liaison Committee on Medical Education (LCME) annual questionnaire detailing information on the number of students, student demographics, curriculum content, and enrollment at US medical (...)

  • Graduate Medical Education, 2019-2020
    This Appendix presents 2019 National GME Census data detailing the numbers and types of ACGME-accredited training programs and the residents and fellows in them.

  • COVID-19 and mRNA Vaccines—First Large Test for a New Approach
    This Medical News article discusses the leading vaccine candidates against the novel coronavirus.

  • Running on Fumes
    In this narrative medicine essay, a hospitalist charts his emotional journey from March comparing the elation in seeing the once brightly colored signs that declared hospital workers as heroes with the now faded signs reflecting how the protracted intense work makes COVID-19 feel (...)

  • Effect of Upper Airway Surgery vs Medical Management on Obstructive Sleep Apnea
    This randomized clinical trial compares the effect of multilevel airway surgery (combined palatal and tongue surgery) vs ongoing medical management on apnea-hypopnea index (AHI) measures and daytime sleepiness symptoms in patients with obstructive sleep apnea (OSA) whose condition did not (...)

  • Upper Airway Surgery for Obstructive Sleep Apnea
    Obstructive sleep apnea (OSA) is characterized by repetitive upper airway collapse, hypoxemia, and sleep disruption; is strongly associated with cardiovascular disease; and is an important cause of excessive daytime sleepiness. In the US, the estimated prevalence in 2013 of moderate to severe (...)

  • Trends in Blood Pressure Control Among US Adults With Hypertension, 1999-2000 to 2017-2018
    This study uses US National Health and Nutrition Examination Survey data to characterize changes in blood pressure control among adults with hypertension between 1999-2000 and 2017-2018 overall and by age, race, insurance type, and health care (...)

  • Obesity and Hypertension in the Time of COVID-19
    In this issue of JAMA, 2 reports present cross-sectional data on the prevalence and trends for obesity and controlled hypertension from 1999 through 2018 based on data from the National Health and Nutrition Examination Survey, a federal program of nationally representative surveys designed to (...)

  • Treatment and Control of Hypertension in 2020
    The global burden of hypertension and diseases causally linked to it is substantial. In 2015, among 30 environmental, behavioral, and metabolic risk factors for diseases resulting in the highest levels of disability-adjusted life-years, high blood pressure ranked No. 1. Further analyses (...)

  • Trends in Obesity Prevalence by Race and Hispanic Origin—1999-2000 to 2017-2018
    This study uses NHANES data to assess trends in obesity and severe obesity stratified by race and Hispanic origin among US residents from 1999 to 2018.

  • Ulcerative Colitis in Adults
    This JAMA Clinical Guidelines Synopsis summarizes the American College of Gastroenterology’s 2019 guideline on ulcerative colitis in adults.

  • A Patient With Back Pain and Morning Stiffness
    A 44-year-old White man had symptoms and radiographic signs of diffuse osteoarthritis, negative inflammatory markers and HLA-B27, and a brother with osteoarthritis, hypogonadism, and type 2 diabetes. What is the diagnosis and what would you do (...)

  • Association Between In-Person Health Care Visits and SARS-CoV-2 Infection in Obstetrical Patients
    This case-control study estimates the risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among pregnant women making antenatal visits to 4 Boston, Massachusetts, area hospitals during April-June 2020 vs uninfected controls matched on gestational (...)

vendredi 18 septembre 2020

jeudi 17 septembre 2020

mercredi 16 septembre 2020

mardi 15 septembre 2020

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