Tips for cancer

This JAMA Forum discusses vaccine distrust in the US, antivaccine messages from health officials in the Trump administration, and recent developments regarding vaccine mandates at the state level. from JAMA Health Forum New Online https://ift.tt/XEa75vo

Domestic abuse, including both intimate partner violence (IPV) and caregiver abuse of an older or vulnerable adult, is heartbreakingly common. Approximately 47% of women in the US report experiencing sexual violence, physical violence, or stalking by an intimate partner over their lifetime. More than 10% of persons older than 60 years report experiencing elder abuse or neglect over the past year. Violence and abuse have considerable impacts on health, contributing to acute injuries, chronic conditions, and increased health care utilization, and on mortality, including the approximately 1690 US women who are murdered by an intimate partner each year. However, in medical visits, rates of IPV screening are low—much lower than for other conditions such as depression or anxiety. Discussions of abuse may be limited by factors such as fear, shame, and stigma on the part of the patient, and by time pressure, worries about how to respond, and lack of follow-up resources on the part of the clini...

This Viewpoint draws comparisons between the recent Los Angelese wildfires and the military’s experience with burn pit exposures to offer insights into understanding and mitigating the health challenges that result from these fires. from JAMA Internal Medicine Online First https://ift.tt/m2Jaf1P

This Special Communication describes the history of laboratory-developed test regulation, the perspectives of different stakeholders on US Food and Drug Administration (FDA) reform, and the public health implications of recent litigation. from JAMA Health Forum New Online https://ift.tt/rcxZ9GR

This Viewpoint describes opportunities for health care organizations to close gaps between the development and implementation of artificial intelligence using third-party enablers for training, adherence monitoring, local governance, and evidence generation. from JAMA Health Forum New Online https://ift.tt/V1cmqwi

This economic evaluation documents the consolidation of dialysis facilities through chain ownership and vertical integration between dialysis facilities and physicians, as well as studies associations between consolidation and commercial prices for outpatient hemodialysis and medical director compensation. from JAMA Health Forum New Online https://ift.tt/7WmMZuo

This essay describes the author’s lived experience with balancing religious practices with practicing medicine. from JAMA Internal Medicine Online First https://ift.tt/jXiS4Ma

This survey study estimates the association of states newly implementing continuous Medicaid eligibility under the Families First Coronavirus Response Act with children’s health care access, health care use, and barriers to care. from JAMA Health Forum New Online https://ift.tt/XJWikjU

This Viewpoint explores the opportunities and risks posed by AI in the health care system through the lens of the National Academy of Medicine’s framework of health care waste. from JAMA Health Forum New Online https://ift.tt/UuQ1zm8

This JAMA Forum discusses the history of the states working as innovators for women’s suffrage and same-sex marriage and provides ideas and steps that states could take to help fix Medicaid spending. from JAMA Health Forum New Online https://ift.tt/YAgVX0S

This Viewpoint discusses the global challenge of defining diseases and the need to balance broader access to medical treatment with avoidance of harmful medicaliziation and inefficient resource use. from JAMA Internal Medicine Online First https://ift.tt/Kgszb0c

This cohort study examines associations of Medigap guaranteed issue protections that prohibit medical underwriting with Medicare Advantage disenrollment among beneficiaries newly diagnosed with cancer. from JAMA Health Forum New Online https://ift.tt/EMruN0W

This Viewpoint discusses the current state of federal funding for women’s health research in the US and explores options for expanding this funding more broadly. from JAMA Health Forum New Online https://ift.tt/Nb1weiJ

Despite the existence of effective screening tests, about 11 500 people in the US are diagnosed with cervical cancer each year. More than half of these individuals had never been screened or had only been screened infrequently. These concerning statistics reflect multifactorial barriers to office-based cervical cancer screening. For one, such screening historically has been performed via pelvic examination, which may provoke discomfort or shame, or may be culturally unacceptable for some individuals. The examination may be particularly distressing for those with a history of sexual trauma, who are less likely to be up to date in cervical cancer screening, or for people who identify as transgender or nonbinary. Beyond the pelvic examination, attending an office visit for screening may be difficult for some due to conflicting work or childcare responsibilities, cost of travel, limited access to care, or the lack of sufficient trained clinicians in many parts of the country. from JAMA I...

This randomized clinical trial compares the effectiveness of mailed self-collection kits, with and without patient navigation, to telephone reminders to increase cervical cancer screening in a safety-net health system. from JAMA Internal Medicine Online First https://ift.tt/zwlPng0

This JAMA Forum discusses the cost of health care in the US for individuals covered by commercial insurance and for those covered by Medicare and Medicaid. from JAMA Health Forum New Online https://ift.tt/chCkLSq

This prespecified secondary analysis of a randomized clinical trial evaluates whether a liberal transfusion strategy compared with a more restrictive transfusion strategy affects quality of life in patients with myocardial infarction and anemia. from JAMA Internal Medicine Online First https://ift.tt/MoHpfhV

This essay discusses using informal conversation with patients to provide insight into their wellness rather than relying on screening tools alone. from JAMA Internal Medicine Online First https://ift.tt/Run4gf3

This Viewpoint discusses the need for betel nut regulations in the US to mitigate the domestic health impacts of betel nut consumption. from JAMA Internal Medicine Online First https://ift.tt/8odtcBS