JAMA Network Open

Black men with newly diagnosed prostate cancer were less likely to receive confirmatory testing, indicating poorer care, but also less likely to be overtreated, according to this cross-sectional study. ja.ma/3GZCvFK @4rnav

Enrollee-level integration of #Medicaid long-term care and behavioral health services with Medicare Advantage plans was most prevalent among FIDE-SNPs at 84%, while other plan types showed lower integration rates. ja.ma/46VOu1F

Specialty palliative care for #Medicare beneficiaries with poor-prognosis cancers rose by 24% from 2018 to 2023, but was less accessible for older, lower-income, and nonmetropolitan decedents. ja.ma/4kODxlT

In adults with type 2 diabetes at moderate cardiovascular risk, second-line glipizide was associated with a higher risk of major adverse cardiovascular events. ja.ma/3IGDeMG

In this modeling study, biennial screening from ages 50 to 60, then annually, was estimated to maintain 96% of the deaths prevented by lung cancer screening while decreasing CT scans by 21%. ja.ma/456Oaed

Fecal microbiota transplantation was well tolerated in long-term acute care hospital patients with intestinal multidrug-resistant organism colonization. ja.ma/3GEiO6v

RCT: Modified target delineation with intensity-modulated radiotherapy in newly diagnosed high-grade glioma yielded similar survival rates to standard approaches. ja.ma/4f6c263

The @US_FDA's Oncologic Drugs Advisory Committee found limited instances of difficulty in binary voting on drug approval questions ja.ma/415yJS1 @HollyLynchez @ProfGenKanter

Oncologic surgery offers a chance for smoking cessation due to high patient motivation, but without tailored approaches in cancer care, relapse rates remain high. ja.ma/4f3Xxj2

Syringe services programs operated in only 13% of US counties in 2022, with substantial gaps in coverage in areas of high need for hepatitis C, HIV, and overdose prevention. ja.ma/46ReWJM @sheilavpatel @RNBluthenthal

Germline genetic testing uptake was higher among younger, non-Hispanic White patients, while patients with pancreatic or prostate cancer and racial minorities were less likely to receive germline testing. ja.ma/3TO22Vt

Systematic review: Most #AI applications in ICUs were in early development stages, while reporting standards were low and over half presented a high risk of bias. ja.ma/46VqFXK

Maternal vaccination was cost-effective compared to no intervention for infants born early in the RSV season, while nirsevimab was cost-effective compared to maternal vaccination only in October and November. ja.ma/4kSk1Vy

The entry of satellite freestanding emergency departments was associated with a $98 increase in median medical debt in collections and a 2-percentage point rise in the population share with medical debt. ja.ma/3H2Mg65

Restricted normalized isotropic values were associated with age and bidirectional links to weight gain. ja.ma/418HGdg

Omitting alcohol measures did not substantially change the performance of hepatocellular carcinoma risk scores in this diagnostic study. ja.ma/3ICbngv

Individuals with eating disorders reported cannabis and psychedelics as beneficial for ED symptoms, unlike prescribed psychotropics which were mainly perceived to improve overall mental health. ja.ma/46TlTKp

When using #AI-assisted ambient documentation, patient consent varied in comfort based on trust and understanding. ja.ma/3GXIDOU

Preterm individuals had higher early life medical risk and faced increased mental health disorders, cardiometabolic issues, and body composition differences compared to full-term peers. ja.ma/4lFJkeY @jparentphd

In this cohort study, suicide thoughts and behaviors (STBD) were common and recurrent among children aged 8 to 12 presenting to US emergency departments. ja.ma/4kRxLQz