The current issue of JAMA Internal Medicine (2024)

Table of Contents
Journals Too Much Dentistry The Promise and Challenge of Value-Based Payment Time- vs Step-Based Physical Activity Metrics for Health Jinlida for Diabetes Prevention in Impaired Glucose Tolerance and Multiple Metabolic Abnormalities: The FOCUS Randomized Clinical Trial Electronic Health Record Population Health Management for Chronic Kidney Disease Care: A Cluster Randomized Clinical Trial Mobile Mindfulness Intervention for Psychological Distress Among Intensive Care Unit Survivors: A Randomized Clinical Trial Behavioral Interventions to Improve Breast Cancer Screening Outreach: Two Randomized Clinical Trials Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime Thick Liquids and Clinical Outcomes in Hospitalized Patients With Alzheimer Disease and Related Dementias and Dysphagia Household Water Lead and Hematologic Toxic Effects in Chronic Kidney Disease Clinical Outcomes After Admission of Patients With COVID-19 to Skilled Nursing Facilities Patent Portfolios Protecting 10 Top-Selling Prescription Drugs Reflections on Clinical Decision-Making in Contemporary Dental Practice Integrating Specialist and Primary Care in Chronic Disease Management Thinning Evidence for Thickened Liquid Diets in Dementia and Dysphagia Drinking Water of Patients With Chronic Kidney Disease—Get the Lead Out COVID-19 in Nursing Homes—Learning the Hard Way Tracking Physical Activity One Step at a Time Traditional Chinese Medicine to Prevent Type 2 Diabetes—A Difficult Path Forward Value in Optimizing the Components of App Interventions Before Final Testing Endocrine Adverse Effects of Long-Term Opioid Use Adverse Consequences of Legalization of Edible Cannabis in Older Adults Health Care Expenses and Household Resources for Families With Low Income Approach to Obesity Treatment in Primary Care: A Review Opioid-Induced Adrenal Insufficiency A Case for Regularly Obtaining Nutrition History: Food for Thought Anti-Asian Hate and the Health of Older Asian Individuals Edible Cannabis Legalization and Cannabis Poisonings in Older Adults Financial Burden of Health Care in the Privately Insured US Population Doubly Robust Causal Modeling to Evaluate Device Implantation A Small Wave Missed in Wide Complex Tachycardia What Should I Know About Injectable Weight-Loss Medications? Examining Safer Opioid Supply Policies Examining Safer Opioid Supply Policies Examining Safer Opioid Supply Policies Examining Safer Opioid Supply Policies—Reply Is Screening for Primary Aldosteronism Always the Best Option? Is Screening for Primary Aldosteronism Always the Best Option?—Reply Health Technology Assessment in the US—A Word of Caution Health Technology Assessment in the US—A Word of Caution—Reply Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice—Reply JAMA Internal Medicine New Online

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    Viewpoint

    Too Much Dentistry

    PauloNadanovsky,DDS, PhD; Ana PaulaPires dos Santos,DDS, PhD; DavidNunan,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):713-714. doi:10.1001/jamainternmed.2024.0222

    This Viewpoint explores whether all dental procedures are clinically necessary given their expense and the disparate access to treatment among some socioeconomic and racial and ethnic groups.

    Health Care Reform

    The Promise and Challenge of Value-Based Payment

    Daniel K.Shenfeld,PhD; Amol S.Navathe,MD, PhD; Ezekiel J.Emanuel,MD, PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):716-717. doi:10.1001/jamainternmed.2024.1343

    This Viewpoint discusses the benefits and challenges of transitioning to a value-based payment design for health care rather than a fee-for-service system.

    Original Investigation

    Time- vs Step-Based Physical Activity Metrics for Health

    RikutaHamaya,MD, PhD, MS; Eric J.ShiromaJr,ScD, MEd; Christopher C.Moore,MS; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):718-725. doi:10.1001/jamainternmed.2024.0892

    This cohort study compares the association of duration and intensity of physical activity with mortality and cardiovascular disease outcomes in female individuals older than 60 years.

    • Editor's Note

      Tracking Physical Activity One Step at a Time

      Cary P.Gross,MD; Raegan W.Durant,MD, MPH

      JAMA Intern Med

    Jinlida for Diabetes Prevention in Impaired Glucose Tolerance and Multiple Metabolic Abnormalities: The FOCUS Randomized Clinical Trial

    HangyuJi,MD; XuefeiZhao,BS; XinyanChen,MD; et al.

    Abstract Full Text

    open access

    JAMA Intern Med. 2024;184(7):727-735. doi:10.1001/jamainternmed.2024.1190

    This randomized clinical trial investigates whether long-term use of Jinlida granules decreases the incidence of diabetes in participants with impaired glucose tolerance and multiple metabolic abnormalities.

    • Editor's Note

      Traditional Chinese Medicine to Prevent Type 2 Diabetes—A Difficult Path Forward

      Mitchell H.Katz,MD

      JAMA Intern Med

    Electronic Health Record Population Health Management for Chronic Kidney Disease Care: A Cluster Randomized Clinical Trial

    ManishaJhamb,MD, MPH; Melanie R.Weltman,PharmD; Susan M.Devaraj,PhD, MS, RD; et al.

    Abstract Full Text

    open access

    JAMA Intern Med. 2024;184(7):737-747. doi:10.1001/jamainternmed.2024.0708

    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.

    Mobile Mindfulness Intervention for Psychological Distress Among Intensive Care Unit Survivors: A Randomized Clinical Trial

    Christopher E.Cox,MD, MPH; John A.Gallis,ScM; Maren K.Olsen,PhD; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):749-759. doi:10.1001/jamainternmed.2024.0823

    This randomized clinical trial evaluates the most effective method for delivering a mindfulness program via mobile app to improve depression symptoms among intensive care unit (ICU) survivors.

    • Editor's Note

      Value in Optimizing the Components of App Interventions Before Final Testing

      Heather GwynnAllore,PhD; Mitchell H.Katz,MD

      JAMA Intern Med

    Women's Health

    Behavioral Interventions to Improve Breast Cancer Screening Outreach: Two Randomized Clinical Trials

    Shivan J.Mehta,MD, MBA, MSHP; CorinneRhodes,MD, MPH; Kristin A.Linn,PhD; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):761-768. doi:10.1001/jamainternmed.2024.0495

    This report of 2 randomized clinical trials evaluates whether bulk ordering, text messaging, and clinician endorsem*nt increase breast cancer screening rates.

    Less Is More

    Mortality of Patients With Sepsis Administered Piperacillin-Tazobactam vs Cefepime

    RishiChanderraj,MD, MSc; Andrew J.Admon,MD, MSc, MPH; YingHe,PhD; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):769-777. doi:10.1001/jamainternmed.2024.0581

    This cohort study compares 90-day mortality in patients with sepsis who received piperacillin-tazobactam vs cefepime for treatment of sepsis.

    Thick Liquids and Clinical Outcomes in Hospitalized Patients With Alzheimer Disease and Related Dementias and Dysphagia

    AlexanderMakhnevich,MD; AlexandraPerrin,BA; DristiTalukder,BS; et al.

    JAMA Intern Med. 2024;184(7):778-785. doi:10.1001/jamainternmed.2024.0736

    This cohort study assesses whether thick liquids are associated with better clinical outcomes than thin liquids in hospitalized patients with Alzheimer disease and related dementias (ADRD) and oropharyngeal dysphagia.

    Household Water Lead and Hematologic Toxic Effects in Chronic Kidney Disease

    JohnDanziger,MD, MPhil; JoannaWilletts,MS; JohnLarkin,PhD; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):788-796. doi:10.1001/jamainternmed.2024.0904

    This cross-sectional study examines the levels of lead in household drinking water of individuals with kidney failure.

    Clinical Outcomes After Admission of Patients With COVID-19 to Skilled Nursing Facilities

    Brian E.McGarry,PT, PhD; Ashvin D.Gandhi,PhD; Mah AfrozeChughtai,MS; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):799-808. doi:10.1001/jamainternmed.2024.1079

    This cohort study evaluates the changes in COVID-19 case counts and death rates among residents of skilled nursing facilities (SNFs) weeks before and weeks after their facility accepted hospital-discharged patients who still had COVID-19.

    Patent Portfolios Protecting 10 Top-Selling Prescription Drugs

    CarolineHorrow,JD; Sarah M.E.Gabriele,JD, LLM, MBE; S. SeanTu,PhD, JD; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):810-817. doi:10.1001/jamainternmed.2024.0836

    This cross-sectional study examines the composition of the patents protecting the 10 top-selling prescription drugs in the US.

    Invited Commentary

    Reflections on Clinical Decision-Making in Contemporary Dental Practice

    YehudaZadik,DMD, MHA

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):714-715. doi:10.1001/jamainternmed.2024.0291

    Integrating Specialist and Primary Care in Chronic Disease Management

    YasamanYazdani,MD; Amit X.Garg,MD, PhD; MerrickZwarenstein,MBBCH, PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):747-748. doi:10.1001/jamainternmed.2024.0873

    Less Is More

    Thinning Evidence for Thickened Liquid Diets in Dementia and Dysphagia

    EricWidera,MD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):786-787. doi:10.1001/jamainternmed.2024.0733

    Drinking Water of Patients With Chronic Kidney Disease—Get the Lead Out

    Alexandra L.Polasko,PhD, MSc; Chi-yuanHsu,MD, MSc; MayChien,MD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):797-798. doi:10.1001/jamainternmed.2024.0901

    COVID-19 in Nursing Homes—Learning the Hard Way

    James S.Goodwin,MD; HuiwenXu,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):808-809. doi:10.1001/jamainternmed.2024.1087

    Editor's Note

    Tracking Physical Activity One Step at a Time

    Cary P.Gross,MD; Raegan W.Durant,MD, MPH

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):726. doi:10.1001/jamainternmed.2024.0898

    Traditional Chinese Medicine to Prevent Type 2 Diabetes—A Difficult Path Forward

    Mitchell H.Katz,MD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):736. doi:10.1001/jamainternmed.2024.1208

    Value in Optimizing the Components of App Interventions Before Final Testing

    Heather GwynnAllore,PhD; Mitchell H.Katz,MD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):760. doi:10.1001/jamainternmed.2024.0833

    Endocrine Adverse Effects of Long-Term Opioid Use

    OrlyBogler,MD; Michael A.Incze,MD, MSEd

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):831-832. doi:10.1001/jamainternmed.2024.0863

    Adverse Consequences of Legalization of Edible Cannabis in Older Adults

    LonaMody,MD, MSc; Sharon K.Inouye,MD, MPH

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):842-843. doi:10.1001/jamainternmed.2024.1337

    Health Care Expenses and Household Resources for Families With Low Income

    Mitchell H.Katz,MD; Raegan W.Durant,MD, MPH; DeborahGrady,MD, MPH

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):845-846. doi:10.1001/jamainternmed.2024.1473

    Review

    Approach to Obesity Treatment in Primary Care: A Review

    Susan Z.Yanovski,MD; Jack A.Yanovski,MD, PhD

    Abstract Full Text

    has active quiz has audio

    JAMA Intern Med. 2024;184(7):818-829. doi:10.1001/jamainternmed.2023.8526

    This review provides guidance on the treatment of obesity in adults, including lifestyle interventions, antiobesity medications, and surgical approaches.

    • Audio: Pragmatic Implementation of Online Obesity Treatment and Maintenance Interventions in Primary Care

    Teachable Moment

    Opioid-Induced Adrenal Insufficiency

    DouglasRice,MD, PhD; HirofumiYoshida,MD

    Abstract Full Text

    has active quiz

    JAMA Intern Med. 2024;184(7):830-831. doi:10.1001/jamainternmed.2024.0687

    This case report describes a woman in her 40s with opioid use disorder receiving methadone who was admitted for extended antibiotic treatment for methicillin-resistant Staphylococcus aureus bacteremia and was subesequently diagnosed with opioid-induced adrenal insufficiency.

    • Editor's Note

      Endocrine Adverse Effects of Long-Term Opioid Use

      OrlyBogler,MD; Michael A.Incze,MD, MSEd

      JAMA Intern Med

    Less Is More

    A Case for Regularly Obtaining Nutrition History: Food for Thought

    MargaretShyu,MD; AnnaPfenniger,MD, PhD; Neil J.Stone,MD

    Abstract Full Text

    has active quiz

    JAMA Intern Med. 2024;184(7):832-833. doi:10.1001/jamainternmed.2024.1363

    This Teachable Moment discusses providing patients with an opportunity to initiate dietary change before prescribing statin therapy for even severely high low-density lipoprotein cholesterol levels.

    Research Letter

    Anti-Asian Hate and the Health of Older Asian Individuals

    LingshengLi,MD, MHS; JasmineKang,MPH; MaxwellHo,BA; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):838-840. doi:10.1001/jamainternmed.2024.1090

    This qualitative study assesses the association of anti-Asian hate with older Asian individuals’ health and the clinician’s role in addressing hate incidents.

    Edible Cannabis Legalization and Cannabis Poisonings in Older Adults

    Nathan M.Stall,MD, PhD; ShengliShi,MD, MSc, MPH, PhD; KamilMalikov,MD, MSc, MBA; et al.

    Abstract Full Text

    open access

    JAMA Intern Med. 2024;184(7):840-842. doi:10.1001/jamainternmed.2024.1331

    This cross-sectional study examines the association between edible cannabis legalization and emergency department visits for cannabis poisonings in older adults.

    • Editor's Note

      Adverse Consequences of Legalization of Edible Cannabis in Older Adults

      LonaMody,MD, MSc; Sharon K.Inouye,MD, MPH

      JAMA Intern Med

    Health and the 2024 US Election

    Financial Burden of Health Care in the Privately Insured US Population

    Sukruth A.Shashikumar,MD; ZhaoNianZheng,MSc; Karen E.Joynt Maddox,MD, MPH; et al.

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):843-845. doi:10.1001/jamainternmed.2024.1464

    This cross-sectional study examines how changes in privately insured families’ contributions to insurance premiums and out-of-pocket spending have affected the financial burden of health care in recent decades.

    • Editor's Note

      Health Care Expenses and Household Resources for Families With Low Income

      Mitchell H.Katz,MD; Raegan W.Durant,MD, MPH; DeborahGrady,MD, MPH

      JAMA Intern Med

    Guide to Statistics and Methods

    Doubly Robust Causal Modeling to Evaluate Device Implantation

    MichelleShardell,PhD; ChixiangChen,PhD; Rozalina G.McCoy,MD, MS

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):834-835. doi:10.1001/jamainternmed.2024.1181

    This Guide to Statistics and Methods explains doubly robust causal modeling, which offers 2 opportunities to correctly model confounders, when to use it, and discusses its limitations.

    Challenges in Clinical Electrocardiography

    A Small Wave Missed in Wide Complex Tachycardia

    YiLi,MD; TongLiu,MD, PhD; ZhibingLu,MD, PhD

    Abstract Full Text

    has active quiz

    JAMA Intern Med. 2024;184(7):836-837. doi:10.1001/jamainternmed.2023.7883

    This case report describes a patient in their 60s with intermittent palpitation, weakness, and irregular cardiac rhythm.

    JAMA Internal Medicine Patient Page

    What Should I Know About Injectable Weight-Loss Medications?

    AndrewKraftson,MD; DinaGriauzde,MD

    Abstract Full Text

    free access

    JAMA Intern Med. 2024;184(7):854. doi:10.1001/jamainternmed.2023.7268

    This JAMA Internal Medicine Patient Page describes how to use injectable weight-loss medications as well as their risks and benefits.

    Comment & Response

    Examining Safer Opioid Supply Policies

    BohdanNosyk,PhD; AmandaSlaunwhite,PhD; KarenUrbanoski,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):846. doi:10.1001/jamainternmed.2024.1211

    Examining Safer Opioid Supply Policies

    Owen J.Chen,MSc; XiZhang,MSc; Julia X. X.Luo,MSc

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):846-847. doi:10.1001/jamainternmed.2024.1214

    Examining Safer Opioid Supply Policies

    HudsonReddon,PhD; PaxtonBach,MD; M-J.Milloy,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):847-848. doi:10.1001/jamainternmed.2024.1217

    Examining Safer Opioid Supply Policies—Reply

    Hai V.Nguyen,PhD; ShwetaMital,PhD; EmmaMcGinty,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):848. doi:10.1001/jamainternmed.2024.1220

    Is Screening for Primary Aldosteronism Always the Best Option?

    RomainBoulestreau,MD; ThierryCouffinhal,MD, PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):849. doi:10.1001/jamainternmed.2024.1452

    Is Screening for Primary Aldosteronism Always the Best Option?—Reply

    Adina F.Turcu,MD, MS; SuranutCharoensri,MD; LindaBashaw,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):849-850. doi:10.1001/jamainternmed.2024.1455

    Health Technology Assessment in the US—A Word of Caution

    FranciscoOlivença,MPharm; Alexander I. G.Moore,MSc; Sreeram V.Ramagopalan,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):850-851. doi:10.1001/jamainternmed.2024.1458

    Health Technology Assessment in the US—A Word of Caution—Reply

    Olivier J.Wouters,PhD; HuseyinNaci,PhD; IrenePapanicolas,PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):851. doi:10.1001/jamainternmed.2024.1461

    Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice

    Po-RenHsiao,MD; James Cheng-ChungWei,MD, PhD

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):851-852. doi:10.1001/jamainternmed.2024.1738

    Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Nephrolithiasis in Clinical Practice—Reply

    Julie M.Paik,MD, ScD, MPH; ElisabettaPatorno,MD, DrPH

    Abstract Full Text

    JAMA Intern Med. 2024;184(7):852-853. doi:10.1001/jamainternmed.2024.1741

    JAMA Internal Medicine Masthead

    JAMA Internal Medicine

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    JAMA Intern Med. 2024;184(7):712. doi:10.1001/jamainternmed.2023.5572

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    New Online

    Essential Care for Women Experiencing Intimate Partner Violence

    Viewpoint | July 8, 2024

    Semaglutide vs Tirzepatide for Weight Loss in Adults With Overweight or Obesity

    Original Investigation | July 8, 2024

    Alternative Payment Models and Performance in Federally Qualified Health Centers

    Original Investigation | July 8, 2024

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