Waste in the US Health Care System: Estimated Costs and Potential for Savings

This Special Communication uses a systematic literature review to update previous dollar estimates of waste in the US health care system attributable to failure of care delivery and coordination, low-value care, price inflation, fraud, and administrative complexity. | Continue reading


@jamanetwork.com | 5 years ago

Marijuana use was more common among adults with medical conditions than t (cont)

This survey study analyzes the prevalence and patterns of marijuana use among adults with and without medical conditions using data from the 2016 and 2017 Behavioral Risk Factor Surveillance System surveys. | Continue reading


@jamanetwork.com | 5 years ago

Association of C-section with autism spectrum and ADHD disorders in offspring

This systematic review and meta-analysis examines the association between birth by cesarean delivery and risk of neurodevelopmental and psychiatric disorders in the offspring compared with birth by vaginal delivery. | Continue reading


@jamanetwork.com | 5 years ago

Suicide Mortality Rates Increasing Among US Youth

This cross-sectional study examines time trends and sex differences in the suicide mortality rate among US youths adjusted for birth cohort and age. | Continue reading


@jamanetwork.com | 5 years ago

Younger Students and Diagnosis of Intellectual Disability, ADHD, & Depression

This cohort study examines incidence of intellectual disability, attention-deficit/hyperactivity disorder, depression, and health outcomes associated with relative age of children vs classmates. | Continue reading


@jamanetwork.com | 5 years ago

Courtesy Authorship in Academic Surgery Publications

This survey study assesses the practices related to courtesy authorship in surgical journals and academia. | Continue reading


@jamanetwork.com | 5 years ago

High doses of vitamin D do not strengthen bone

This randomized trial compares the effects of 400 vs 4000 vs 10 000 IU of vitamin D on total volumetric bone mineral density and bone strength of the radius and tibia. | Continue reading


@jamanetwork.com | 5 years ago

Association between both diet and sugar-sweetened soft drinks and mortality

This cohort study examines whether soft drink consumption is associated with all-cause and cause-specific mortality in a large cohort of European adults. | Continue reading


@jamanetwork.com | 5 years ago

Paternal Postnatal Depression Associated with Offspring Depression

This analysis of prospective data from the Avon Longitudinal Study of Parents and Children investigates the association between paternal depression in the postnatal period and offspring depression at age 18 years and identifies potential mediating and moderating factors for this … | Continue reading


@jamanetwork.com | 5 years ago

Cognitive Performance in First-Degree Relatives of People with Depression

This meta-analysis compares cognitive performance of individuals with major depressive disorder with that of their first-degree relatives. | Continue reading


@jamanetwork.com | 5 years ago

Association of Step Volume and Intensity with All-Cause Mortality in Older Women

This cohort study of 16 741 older women from the Women’s Health Study examines associations of number of steps per day and stepping intensity with all-cause mortality. | Continue reading


@jamanetwork.com | 5 years ago

Maternal fluoride exposure during pregnancy and IQ scores in offspring

This study examines the association between fluoride exposure during pregnancy and IQ scores in a prospective birth cohort. | Continue reading


@jamanetwork.com | 5 years ago

Association Between Maternal Fluoride Exposure During Pregnancy and IQ Scores

This study examines the association between fluoride exposure during pregnancy and IQ scores in a prospective birth cohort. | Continue reading


@jamanetwork.com | 5 years ago

Association Between Age at Puberty and Bone Accrual from 10 to 25 Years of Age

This cohort study of healthy individuals in England who underwent repeated bone density scans from ages 10 to 25 years describes the association between the timing of puberty and bone mineral density. | Continue reading


@jamanetwork.com | 5 years ago

Big Data, Big Tech, and Protecting Patient Privacy

This Viewpoint uses Dinerstein v Google, a class action complaint in Illinois alleging that an academic medical center violated patient privacy by giving timestamped electronic health record (EHR) data to Google for development of their novel EHR system, to review the ways privac … | Continue reading


@jamanetwork.com | 5 years ago

Barriers to the Adoption of Esketamine

In 2019, the US Food and Drug Administration approved esketamine for treatment of major depressive disorder unresponsive to other therapies when given in a health care facility because of its transient effects on vital signs and feelings of dissociation it can produce acutely. Th … | Continue reading


@jamanetwork.com | 5 years ago

Genres are by far the biggest risk factor for autism

This population-based cohort study uses national registry data from 5 countries to investigate additive genetic, maternal, and environmental effects on autism spectrum disorder diagnosis. | Continue reading


@jamanetwork.com | 5 years ago

Why commercial insurers pay more than public insurers for hospital services

This Viewpoint reviews the discrepancy in prices paid for hospital services by commercial insurers vs Medicare and Medicaid, and calls for greater hospital accountability, cost transparency, and data to guide pricing so that the cost of services are benchmarked to the value they … | Continue reading


@jamanetwork.com | 5 years ago

Neuroimaging U.S. Personnel:Possible exposure to directional phenomena in Havana

Between 2016 and 2018, US government personnel stationed in Havana, Cuba, reported exposure to unusual auditory and sensory phenomena followed by neurological signs and symptoms characterized clinically as cognitive, vestibular, and oculomotor dysfunction with sleep impairment an … | Continue reading


@jamanetwork.com | 5 years ago

The occurrence of autism in the population varies primarily based on genetics

This population-based cohort study uses national registry data from 5 countries to investigate additive genetic, maternal, and environmental effects on autism spectrum disorder diagnosis. | Continue reading


@jamanetwork.com | 5 years ago

Anticholinergic Drug Exposure and the Risk of Dementia

This nested case-control study including 58 769 patients diagnosed with dementia and 225 574 matched controls 55 years or older evaluates whether, and to what extent, anticholinergic drug exposure was associated with dementia risk. | Continue reading


@jamanetwork.com | 5 years ago

Increasing Suicide Rates Among Adolescents and Young Adults in the US, 2000-2017

This study uses Centers for Disease Control and Prevention (CDC) data to characterize trends in suicide rates among adolescents and young adults aged 15 to 24 years in the United States and to determine if the increase in suicide rates observed in years 2000-2016 is continuing. | Continue reading


@jamanetwork.com | 5 years ago

Meta-Analysis of Vitamin D Supp. and Cardiovascular Disease Risks of 83k People

This meta-analysis of 21 randomized clinical trials examines the role of vitamin D supplementation in reducing cardiovascular events and all-cause mortality. | Continue reading


@jamanetwork.com | 5 years ago

Youth suicide rates have risen 5% over the last 5 years

This study uses Centers for Disease Control and Prevention (CDC) data to characterize trends in suicide rates among adolescents and young adults aged 15 to 24 years in the United States and to determine if the increase in suicide rates observed in years 2000-2016 is continuing. | Continue reading


@jamanetwork.com | 5 years ago

Single-Payer Reform–“Medicare for All”

In this Viewpoint, Woolhandler and Himmelstein review the potential benefits of single-payer health care reform, including savings on administrative costs and lower drug prices, and argue against partial solutions that might expand coverage without reducing costs and waste. | Continue reading


@jamanetwork.com | 5 years ago

Sleeping in Doesn’t Mitigate Metabolic Changes Linked to Sleep Deficit

This Medical News story discusses a recent study that suggests sleeping late on the weekend cannot mitigate the metabolic dysregulation associated with recurrent insufficient sleep during the week. | Continue reading


@jamanetwork.com | 5 years ago

Evaluation of Antibiotic Rx for Infection Prophylaxis Before Dental Procedures

This cohort study assesses the appropriateness of antibiotic prophylaxis prescriptions for infection prophylaxis before dental procedures using Truven, a US national integrated health claims database. | Continue reading


@jamanetwork.com | 5 years ago

Association of Step Volume and Intensity with All-Cause Mortality in Older Women

This cohort study of 16 741 older women from the Women’s Health Study examines associations of number of steps per day and stepping intensity with all-cause mortality. | Continue reading


@jamanetwork.com | 5 years ago

Buprenorphine Treatment Divide by Race/Ethnicity and Payment

This study reports the seeming disparity in access to buprenorphine prescriptions among racial/ethnic minorities and individuals with lower income. | Continue reading


@jamanetwork.com | 5 years ago

Low-dose aspirin associated with increased risk of intracranial hemorrhage

This systematic review and meta-analysis assesses the risk of intracranial hemorrhage associated with low-dose aspirin among individuals without symptomatic cardiovascular disease. | Continue reading


@jamanetwork.com | 5 years ago

Does Employment-Based Insurance Make US Medical Care Unfair and Inefficient?

In this Viewpoint, Victor Fuchs reviews the evolution of the US employer-based health insurance toward a system favoring higher-income individuals, and proposes reforms in health care financing and in accessibility of lower-cost care as a way to make the system more fair and effi … | Continue reading


@jamanetwork.com | 5 years ago

Effect of Sunscreen Application on Plasma Concentration of Active Ingredients

This randomized clinical trial recruited healthy volunteers to assess whether the active ingredients of commercially available sunscreen products (avobenzone, oxybenzone, octocrylene, and ecamsule) are absorbed into systemic circulation under maximal use conditions. | Continue reading


@jamanetwork.com | 5 years ago

Health, Faith, and Science on a Warming Planet

In this Viewpoint, authors from the Vatican, academic medicine, and climate sciences highlight areas of consensus about climate change in their respective health, science, and faith communities and call for global collaboration to mitigate its effects, reduce health disparities, … | Continue reading


@jamanetwork.com | 5 years ago

Long-Lasting Consequences of Gun Violence and Mass Shootings

In the wake of the suicides of 2 students who survived the 2018 Parkland, Florida, mass shooting, this Viewpoint reviews evidence about the long-term adverse psychological effects of mass shootings on survivors and their families and communities, and proposes that changes in ment … | Continue reading


@jamanetwork.com | 5 years ago

Effectiveness of Cognitive Behavior Therapy in Adults with Depression

This network meta-analysis examines and compares different methods of delivering cognitive behavior therapy to adult patients with depression. | Continue reading


@jamanetwork.com | 5 years ago

Effect of a Workplace Wellness Program on Employee Health and Economic Outcomes

This cluster randomized clinical trial evaluates the effects of a workplace wellness program comprising nutrition, physical activity, and stress reduction modules on self-reported lifestyle outcomes (exercise, diet, smoking, alcohol use), clinical measures (eg, cholesterol, blood … | Continue reading


@jamanetwork.com | 5 years ago

US Nationwide Disclosure of Industry Payments and Public Trust in Physicians

This survey study uses difference-in-difference analysis of national longitudinal survey data to examine the association between nationwide public disclosure of industry payments and Americans’ trust in their physicians and in the medical profession. | Continue reading


@jamanetwork.com | 5 years ago

Retrospective Self-Reports: Accurate or Existential Recollections?

Continue reading


@jamanetwork.com | 5 years ago

Associations of Dietary Cholesterol with Incident Cardiovascular Disease

This pooled cohort study reports that consumption of an additional 300 mg of dietary cholesterol per day or an additional half egg per day is significantly associated with higher risk of incident cardiovascular disease (CVD) events and all-cause mortality. | Continue reading


@jamanetwork.com | 5 years ago

E-Cigarette Use Associates with Subsequent Initiation of Tobacco Cigarettes

This cohort study evaluates whether prior use of electronic cigarettes (e-cigarettes) and other tobacco products by US youths is associated with subsequent initation of cigarette smoking. | Continue reading


@jamanetwork.com | 6 years ago

Exploring Comorbidity Within Mental Disorders Among a Danish National Population

This population-based cohort study examines comorbidity within mental disorders, provides temporally ordered age- and sex-specific pairwise estimates between the major groups of mental disorders, and develops an interactive website to visualize all results and guide future resear … | Continue reading


@jamanetwork.com | 6 years ago

Suicide Rates After Discharge from Psychiatric Facilities (2017)

This meta-analysis quantifies the rates of suicide after discharge from psychiatric facilities and examines what moderates those rates. | Continue reading


@jamanetwork.com | 6 years ago

Association of Behavior Incentive Programs with Smoking Cessation, Weight Loss

This cohort study evaluates the association between the introduction of Medicaid Healthy Behavior Incentive Programs and the rates of smoking cessation, weight loss, and annual preventive health visits. | Continue reading


@jamanetwork.com | 6 years ago

Comparison of Nicotine, Toxicant Exposure in Users of E-Cigarettes, Cigarettes

This population-based cohort study compares the concentrations of biomarkers of nicotine and other toxicants of cigarettes and electronic cigarettes (e-cigarettes) in smokers who used one or both products vs individuals who have never used tobacco products. | Continue reading


@jamanetwork.com | 6 years ago

Association Between Atopic Dermatitis and Suicidality

This systematic review and meta-analysis synthesizes the available literature to evaluate the association between atopic dermatitis and suicidality. | Continue reading


@jamanetwork.com | 6 years ago

High-Resolution Direct Ophthalmoscopy with an Unmodified iPhone X

This study describes using an unmodified iPhone X to conduct direct ophthalmoscopy. | Continue reading


@jamanetwork.com | 6 years ago

Association of Exposure to Police Violence with Mental Health Symptoms

This general population survey study evaluates the association between past 12-month exposure to police violence and concurrent mental health symptoms among urban residents in 2 US cities. | Continue reading


@jamanetwork.com | 6 years ago

Differences in Temporal Synchrony Between Brain Regions in Autism and Controls

This cohort study investigates the differences in temporal synchrony between brain regions in individuals with autism and those with typical development. | Continue reading


@jamanetwork.com | 6 years ago