Tips for cancer

This review examines treatment of opioid use disorder in the era of fentanyl use. from JAMA Internal Medicine Online First https://ift.tt/fAB1cbd

This cost-effectiveness analysis examines screening strategies and their predicted association with reducing COVID-19 mortality in nursing homes. from JAMA Health Forum New Online https://ift.tt/QTnyPMr

This JAMA Forum discusses the ways that policymakers can use different metrics that are more meaningful to patients when measuring patient access to treatment in the Medicaid program. from JAMA Health Forum New Online https://ift.tt/WrygJK2

In the Original Investigation titled “Clinical Outcomes of Rapid Respiratory Virus Testing in Emergency Departments: a Systematic Review and Meta-analysis,” published online on March 4, 2024, there were text errors in the Results and Discussion. In the Results section, “Antibiotic use in the virus-negative RV testing group was correspondingly higher compared with the virus-positive group the corresponding control group” should be “Antibiotic use in the virus-negative RV testing group was correspondingly higher compared with the virus-positive group and also compared with the corresponding control group.” In the Discussion section, “suggesting that a rapid positive result for influenza was more likely to be followed by antibiotic prescribing” should be “suggesting that a rapid positive result for influenza was more likely to influence antibiotic prescribing.” This article was corrected online. from JAMA Internal Medicine Online First https://ift.tt/aVAYKNz

In this study, Dave et al harness national Veterans Health Administration (VHA) clinical data to examine the association between initiation of a new antihypertensive agent with the incidence of fall-related fractures in residents at VHA nursing homes, or community living centers. In this carefully designed study, residents who received a new antihypertensive agent had more than 2-fold greater risk of fractures compared with those who did not (adjusted hazard ratio [aHR], 2.42 [95% CI, 1.43-4.08]). This practice was also associated with 1.8-fold greater risk of serious falls (HR, 1.80 [95% CI, 1.52-2.13]) and 1.7-fold greater risk of syncope (HR, 1.69 [95% CI, 1.30-2.19]). Subgroup analysis revealed an even higher risk of fractures in nursing home residents with dementia (HR, 3.28 [95% CI, 1.76-6.10]), elevated systolic (HR, 3.12 [95% CI, 1.71-5.69]) or diastolic (HR, 4.41 [95% CI, 1.67-11.68]) blood pressure, and those who had not used antihypertensives (HR, 4.77 [95% CI, 1.49-15.32])....

This cohort study using a target trial emulation approach assesses whether initiating antihypertensive medication is associated with increased fracture risk among older long-term Veterans Health Administration nursing home residents. from JAMA Internal Medicine Online First https://ift.tt/2EfelnJ

This case-control study examines the extent to which caregivers with Medicaid coverage whose children were referred to child protective services as at risk of maltreatment receive mental health or substance use disorder treatment. from JAMA Health Forum New Online https://ift.tt/KUYifWX

This economic evaluation creates and evaluates a machine learning algorithm for use in large datasets that can automate development of risk adjustment models. from JAMA Health Forum New Online https://ift.tt/aDNsIqL

This Viewpoint explores the unique attributes of dentistry that could leverage artificial intelligence for many improvements including greater health equity. from JAMA Health Forum New Online https://ift.tt/DjXGBtH

This JAMA Forum discusses the promise and pitfalls of using large language models and artificial intelligence (AI) in the diagnosis of patients. from JAMA Health Forum New Online https://ift.tt/A1DT80m

This cluster randomized clinical trial examines the effectiveness of an electronic health record–based population health management intervention vs usual care for reducing chronic kidney disease progression. from JAMA Internal Medicine Online First https://ift.tt/B2z9WpM

This Viewpoint describes strategies for payers to improve health outcomes among sexual and gender minority people. from JAMA Health Forum New Online https://ift.tt/1sYrWjZ

This JAMA Forum discusses the US Food and Drug Administration’s efforts to implement the 2009 Family Smoking Prevention and Tobacco Control Act through approval of products that demonstrate evidence to help smokers quit and to reduce their risk of relapse. from JAMA Health Forum New Online https://ift.tt/v0B9oxn

This Viewpoint discusses the potential for the National Institutes of Health (NIH), the premier research entity in the world, to significantly strengthen its investment in preventing and reducing firearm-related harms. from JAMA Internal Medicine Online First https://ift.tt/mZI421A

This stepped-wedge, pragmatic randomized clinical trial examines whether a telehealth model in which guideline-directed medical therapy is initiated and titrated over the phone with remote telemonitoring using a home blood pressure cuff improves guideline-directed medical therapy use in patients with heart failure with reduced ejection fraction in Navajo Nation. from JAMA Internal Medicine Online First https://ift.tt/Qs5wunp

This cross-sectional study assesses national and state changes in survey-based Medicaid, private insurance, and uninsured rates between 2019 and 2022, as well as how these changes compare with administrative Medicaid enrollment totals. from JAMA Health Forum New Online https://ift.tt/XP2WGBo

Health Policy from JAMA Health Forum New Online https://ift.tt/k9W7yQ1

Health Policy from JAMA Health Forum New Online https://ift.tt/tRkcxV2

This Viewpoint discusses an upcoming US Supreme Court case that could result in the termination of the US Consumer Financial Protection Bureau, which protects the financial well-being of consumers. from JAMA Health Forum New Online https://ift.tt/fkBMu3x

This JAMA Forum discusses systemic racism and racialized violence, promising approaches to address inequities in firearm violence, and ways to treat the trauma of gun violence. from JAMA Health Forum New Online https://ift.tt/6ZazydJ

This cross-sectional study assesses the ability of a large language model to process medical data and display clinical reasoning compared with the ability of attending physicians and residents. from JAMA Internal Medicine Online First https://ift.tt/QWcMm9D

To the Editor Medical care is typically a private matter; however, when we care for individuals who are incarcerated, a third actor is forcibly introduced into the space between patient and clinician—a state agent tasked with maintaining custody of the patient, and beholden to correctional not medical standards. The care of incarcerated individuals in community medical centers tends to illuminate this complex medical−correctional interface. from JAMA Internal Medicine Online First https://ift.tt/QM9s1UG

This interrupted time series analysis assesses the association of reduced hours of alcohol sales at bars/taverns with violent crime rates in Baltimore. from JAMA Internal Medicine Online First https://ift.tt/AcJp6Qx

This essay by a researcher who developed a widely used medication adherence measure explores his experience with being labeled “nonadherent.” from JAMA Internal Medicine Online First https://ift.tt/BfDtqYm