JAMA Internal Medicine

Viewpoint: Betel nut, linked to oral cancer and health risks, is available in the US without adequate regulation or warnings, necessitating stricter controls and public health measures. ja.ma/46wnDZU

Despite progress in national leadership positions and independent funding, women former K awardees still lag behind men in achieving top academic ranks and leadership roles in academic medicine. ja.ma/4lfE1lZ

Most viewed this week from @JAMAInternalMed: Patient Page covers #GLP1 weight-loss medications, focusing on food craving reduction, blood glucose control, dietary strategies, exercise for muscle retention, and lifestyle changes to prevent weight regain. ja.ma/4o4Qs5V

Vancomycin in midline catheters for outpatient therapy was associated with increased risks of bloodstream infections, venous thromboembolism, and device failure compared to other treatments. ja.ma/46UxAQZ

Implementing criteria-based testing for vitamin D in Ontario reduced testing initially, but the volume of tests returned to pre-policy levels over the following 14 years. ja.ma/4lP0UNE

Neighborhood incarceration rates were associated with lower life expectancy, with the most incarcerated neighborhoods experiencing the largest reductions in life expectancy. ja.ma/4fjQfrX

LLM-generated discharge summaries were of comparable quality to those generated by physicians, though they contained more errors, and both types had low overall harmfulness scores. ja.ma/3Ie93fD

Isotretinoin under Risk Evaluation and Mitigation Strategy reduced pregnancy incidence by 70% to 80% compared to topical retinoids. ja.ma/4lFaClH @mmahesri

Low-dose methotrexate did not significantly reduce knee pain or effusion-synovitis in patients with inflammatory knee osteoarthritis compared to placebo. ja.ma/4lmvluq

From @JAMA_current: Approximately 18.6 million people worldwide are affected by a diabetic foot ulcer each year. This Review summarizes the epidemiology, pathophysiology, diagnosis, treatment, and prevention of diabetic foot ulcers. 🔗 ja.ma/40yBg7f

This JAMA Internal Medicine patient page covers #GLP1 weight-loss medications, focusing on food craving reduction, blood glucose control, dietary strategies, exercise for muscle retention, and lifestyle changes to prevent weight regain. ja.ma/46SHwdO

The Patient Driven Payment Model was associated with increased coding intensity and Medicare expenditures in skilled nursing facilities without affecting rehospitalization or mortality rates. ja.ma/46gzwDh @mcgarrybe

Viewpoint: While the Inflation Reduction Act may initially lower anticancer drug costs, long-term spending could increase due to improved affordability and mandatory coverage. ja.ma/44VUHbf

A digital quality measure for advanced-stage cancer diagnoses was associated with higher rates of missed diagnostic opportunities. ja.ma/4lXtSum @HardeepSinghMD @AndrewZimolzak @Divvykant

Most viewed this week from @JAMAInternalMed: Patient Page covers #GLP1 weight-loss medications, focusing on food craving reduction, blood glucose control, dietary strategies, exercise for muscle retention, & lifestyle changes to prevent weight regain. ja.ma/4m5mGMT

Viewpoint: Most ICU patients survive but need careful transitioning to general wards, and the SIMPLER checklist helps ensure safe transfers by addressing vital signs, medication review, and contingency planning. ja.ma/4ldfy0H @WKSilverstein

Special Communication: Undocumented immigrants in the US have restricted access to health care due to federal limitations, with states providing differing levels of emergency-focused coverage subject to budget and political constraints. ja.ma/44Qovr1 @TrishaSantosMD

From @JAMA_current: Early-onset gastrointestinal cancers are among the largest subset of early-onset cancers globally. This JAMA Review summarizes current evidence on early-onset gastrointestinal cancers. ja.ma/3ITYaQc @KimmieNgMD @DanaFarber

Viewpoint: Primary care clinicians should be cautious with blood-based biomarkers for Alzheimer disease in asymptomatic or subjectively declining patients. ja.ma/44AGpwy @ewidera, @geri_doc

Implementing physician-delivered delirium screening via electronic health records improved the identification of delirium among older hospital patients. ja.ma/46wY6zH