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April 2024, Vol 184, No. 4, Pages 340-453

Viewpoint

Health Care Policy and Law

Body Composition in Anti-Obesity Medication Trials—Beyond Scales

Abstract Full Text
JAMA Intern Med. 2024;184(4):341-342. doi:10.1001/jamainternmed.2023.7733

This Viewpoint contends that focusing only on weight loss as the primary weight medication end point is an inaccurate measure of medication efficacy for both patients and clinicians.

Using Artificial Intelligence to Improve Primary Care for Patients and Clinicians

Abstract Full Text
JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965

This Viewpoint discusses how artificial intelligence can be used to increase efficiency of primary care processes for clinicians and patients.

Communicating With Patients With Hearing Loss or Deafness—Can You Hear Me?

Abstract Full Text
JAMA Intern Med. 2024;184(4):345-346. doi:10.1001/jamainternmed.2023.8563

This Viewpoint explores the ideal safeguards to improve communication with patients who are deaf or hearing impaired.

Inside Story

Why Wonder Why?

Abstract Full Text
JAMA Intern Med. 2024;184(4):347-348. doi:10.1001/jamainternmed.2023.8246

This essay describes how a physician’s encounter with a patient with repeated intensive care unit admissions illuminated the value of wonder in clinical care and medical education.

Physician Work Environment and Well-Being

When the Boards Fail Us—Structural Bias in Certification Examinations

Abstract Full Text
JAMA Intern Med. 2024;184(4):349-350. doi:10.1001/jamainternmed.2023.8181

This essay shines a light on structural bias inherent to the board certification examination process, sharing the author's experience preparing and sitting for the examination while contending with co-occurring challenging life events.

Original Investigation

Effect of Testosterone on Progression From Prediabetes to Diabetes in Men With Hypogonadism: A Substudy of the TRAVERSE Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2024;184(4):353-362. doi:10.1001/jamainternmed.2023.7862

This randomized clinical trial evaluates whether testosterone replacement therapy prevents progression from prediabetes to diabetes or induces glycemic remission in middle-aged and older men with hypogonadism.

Officer-Involved Killings of Unarmed Black People and Racial Disparities in Sleep Health

Abstract Full Text
has audio
JAMA Intern Med. 2024;184(4):363-373. doi:10.1001/jamainternmed.2023.8003

This repeated cross-sectional study using difference-in-differences analyses assesses sleep duration changes in Black individuals after officer-involved killings of unarmed Black people.

Outcomes of Various Classes of Oral Antidiabetic Drugs on Nonalcoholic Fatty Liver Disease

Abstract Full Text
JAMA Intern Med. 2024;184(4):375-383. doi:10.1001/jamainternmed.2023.8029

This cohort study investigates which oral antidiabetic drug was associated with the most advantageous outcomes in patients with nonalcoholic fatty liver disease and type 2 diabetes.

Patient Navigator Intervention to Improve Palliative Care Outcomes for Hispanic Patients With Serious Noncancer Illness: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2024;184(4):384-393. doi:10.1001/jamainternmed.2023.8145

This randomized clinical trial aims to determine the effectiveness of a lay patient navigator intervention in improving palliative care outcomes among Hispanic patients.

Age-Related Risk of Serious Fall Events and Opioid Analgesic Use

Abstract Full Text
JAMA Intern Med. 2024;184(4):394-401. doi:10.1001/jamainternmed.2023.8154

This cohort study examines the age-related risk of serious fall events among Australian adults prescribed opioids by opioid exposure, time from initiation, and daily dose.

Neighborhood Segregation and Access to Live Donor Kidney Transplantation

Abstract Full Text
JAMA Intern Med. 2024;184(4):402-413. doi:10.1001/jamainternmed.2023.8184

This cohort study assesses how neighborhood segregation is associated with racial disparities in access to live donor kidney transplantation, examining both the candidates’ residential and transplant center neighborhoods.

COVID-19−Associated Acute Kidney Injury and Longitudinal Kidney Outcomes

Abstract Full Text
free access
JAMA Intern Med. 2024;184(4):414-423. doi:10.1001/jamainternmed.2023.8225

This cohort study assesses long-term kidney outcomes among hospitalized patients with COVID-19−associated acute kidney injury.

Racial Differences in Shared Decision-Making About Critical Illness

Abstract Full Text
JAMA Intern Med. 2024;184(4):424-432. doi:10.1001/jamainternmed.2023.8433

This thematic analysis describes critical care clinicians' approaches to shared decision-making with caregivers and whether these approaches vary by caregiver race.

Editorial

Health Care Reform

The Perils of Artificial Intelligence in a Clinical Landscape

Abstract Full Text
JAMA Intern Med. 2024;184(4):351-352. doi:10.1001/jamainternmed.2023.7962
Editor's Note

Testosterone Replacement Therapy and Diabetes in Men With Hypogonadism

Abstract Full Text
JAMA Intern Med. 2024;184(4):362. doi:10.1001/jamainternmed.2023.8079

Communities Reverberate From the Harm by Law Enforcement to Unarmed Black Persons

Abstract Full Text
JAMA Intern Med. 2024;184(4):373-374. doi:10.1001/jamainternmed.2023.8002

Quantifying Use of Emergency Services by Transgender and Gender-Diverse Individuals

Abstract Full Text
JAMA Intern Med. 2024;184(4):445-446. doi:10.1001/jamainternmed.2023.8214
Research Letter

Health Care Policy and Law

Association of a Medicare Mandate for Shared Decision-Making With Cardiac Device Utilization

Abstract Full Text
JAMA Intern Med. 2024;184(4):439-440. doi:10.1001/jamainternmed.2023.8532

This cohort study evaluates the association between a Medicare shared decision-making mandate for use of implantable cardioverter defibrillators with the rate of use for this device.

Injuries From Legal Interventions Involving Conducted Energy Devices

Abstract Full Text
has audio
JAMA Intern Med. 2024;184(4):440-443. doi:10.1001/jamainternmed.2023.8012

This cross-sectional study evaluates emergency department visits for physical injuries from use of conducted energy devices by police departments.

Emergency Department Use Disparities Among Transgender and Cisgender Medicare Beneficiaries, 2011-2020

Abstract Full Text
JAMA Intern Med. 2024;184(4):443-445. doi:10.1001/jamainternmed.2023.8209

This cross-sectional study compares emergency department use among transgender and gender-diverse as well as cisgender Medicare beneficiaries.

Clinical Insights

Management of Resistant Hypertension—An Update

Abstract Full Text
JAMA Intern Med. 2024;184(4):433-434. doi:10.1001/jamainternmed.2023.8555

This JAMA Internal Medicine Clinical Insights review provides an update on the current recommendations for resistant hypertension management.

Less Is More

Individualizing Care for Older Adults With Diabetes Amid the Revolution in Pharmacotherapy

Abstract Full Text
JAMA Intern Med. 2024;184(4):435-436. doi:10.1001/jamainternmed.2023.8559

This JAMA Network Insights reassesses the approach to caring for older adults with diabetes in the context of newly available pharmacologic agents.

Challenges in Clinical Electrocardiography

Unusual Tachycardia in a Patient With Chest Pain and Bradycardia

Abstract Full Text
has active quiz
JAMA Intern Med. 2024;184(4):437-438. doi:10.1001/jamainternmed.2023.7858

This case report describes a patient in their 50s who presented with squeezing chest pain for 4 hours and an initial electrocardiogram showing acute inferior wall and right ventricular infarction with third-degree atrioventricular block.

Comment & Response

Hypothetical Assessments of Trial Emulations

Abstract Full Text
JAMA Intern Med. 2024;184(4):446. doi:10.1001/jamainternmed.2023.7945

Hypothetical Assessments of Trial Emulations—Reply

Abstract Full Text
JAMA Intern Med. 2024;184(4):446-447. doi:10.1001/jamainternmed.2023.7948

Pitfalls of Cuff Size and Blood Pressure Measurement

Abstract Full Text
JAMA Intern Med. 2024;184(4):447-448. doi:10.1001/jamainternmed.2023.6334

Pitfalls of Cuff Size and Blood Pressure Measurement

Abstract Full Text
JAMA Intern Med. 2024;184(4):448. doi:10.1001/jamainternmed.2023.7119

Pitfalls of Cuff Size and Blood Pressure Measurement

Abstract Full Text
JAMA Intern Med. 2024;184(4):448-449. doi:10.1001/jamainternmed.2023.6337

Pitfalls of Cuff Size and Blood Pressure Measurement—Reply

Abstract Full Text
JAMA Intern Med. 2024;184(4):449-450. doi:10.1001/jamainternmed.2023.6340

Potential of Large Language Models as Tools Against Medical Disinformation

Abstract Full Text
JAMA Intern Med. 2024;184(4):450. doi:10.1001/jamainternmed.2024.0020

Potential of Large Language Models as Tools Against Medical Disinformation—Reply

Abstract Full Text
JAMA Intern Med. 2024;184(4):450-451. doi:10.1001/jamainternmed.2024.0023

Ethics and Terminology for Opting In and Out

Abstract Full Text
JAMA Intern Med. 2024;184(4):451-452. doi:10.1001/jamainternmed.2023.7060

Ethics and Terminology for Opting In and Out

Abstract Full Text
JAMA Intern Med. 2024;184(4):452. doi:10.1001/jamainternmed.2023.7481

Ethics and Terminology for Opting In and Out—In Reply

Abstract Full Text
JAMA Intern Med. 2024;184(4):452-453. doi:10.1001/jamainternmed.2023.7063
Correction

Errors in the Abstract and Results Section

Abstract Full Text
free access
JAMA Intern Med. 2024;184(4):453. doi:10.1001/jamainternmed.2024.0643

Error in Nonauthor Collaborator Supplement

Abstract Full Text
free access
JAMA Intern Med. 2024;184(4):453. doi:10.1001/jamainternmed.2023.8594
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2024;184(4):340. doi:10.1001/jamainternmed.2023.5560
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