Patients with CKD whose PCPs were randomized to a computerized clinical decision support system experienced a statistically significant decrease in mean systolic blood pressure at 180 days compared with the usual care group. ja.ma/4a7o37o

Among self-reported Black individuals, male & female V142I transthyretin variant carriers faced similar & substantial risk for HF hospitalization, predominantly with reduced ejection fraction, & death, with steep age-dependent penetrance. ja.ma/44ySwdf #HeartFailure2024

Case report: a patient in their 70s presenting to the hospital with dyspnea and fatigue. ja.ma/44tGeTu

Approximately 3% of CVC placements were associated with major complications. Use of ultrasound guidance may reduce specific risks, including arterial puncture and pneumothorax. ja.ma/4b0po0S

Most viewed in the last 7 days from JAMA Internal Medicine:

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.

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This self-management intervention based on home blood pressure monitoring and self-titration of antihypertensive medication may allow for better control of blood pressure compared with usual care at 24 months. ja.ma/3yhk8aL

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. Paulo Nadanovsky Ana Paula Pires dos Santos David Nunan ja.ma/3Qxhzrk

This JAMA Insights article reviews Americans with Disabilities Act (ADA) rules for patients, visitors, and other members of the public bringing service animals into health care settings. ja.ma/3UynDRE

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. ja.ma/44vfzWe

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Essay describes one resident’s experience of improved patient care and collaboration the day the EHR system went down.

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In this randomized clinical trial, cytisinicline for 12 weeks, with behavioral support, demonstrated efficacy for cessation of e-cigarette use at end of treatment and was well tolerated by adults. ja.ma/3Upf63k

In hospitalized patients with Alzheimer disease and related dementias and oropharyngeal dysphagia, no difference seen in mortality rates between patients receiving thick vs thin liquids. ja.ma/3QwZbyK

Text messaging women after initial breast cancer screening outreach via either electronic portal or mailings, as well as bulk ordering with or without text messaging, can increase mammogram completion rates, findings show. @shivan_mehta @pennmedicine ja.ma/4a5Mhi9

Among newly trained hospitalists, certification examination score, but not residency milestone ratings, was associated with improved outcomes among hospitalized Medicare beneficiaries. ja.ma/3UstSGI

Most viewed in the last 7 days from JAMA Internal Medicine:

Essay describes one resident’s experience of improved patient care and collaboration the day the EHR system went down.

ja.ma/4bpieTx

The USPSTF's new breast cancer screening recommendation is more closely aligned with other US breast cancer screening guidelines than its previous statement. And yet, the USPSTF’s advice continues to spark debate.

Read the JAMA Medical News story. ja.ma/3UornoB

In this cross-sectional study of emergency department use, authors from Brown University find that transgender Medicare beneficiaries were 177% more likely to use the ED than cisgender beneficiaries. ja.ma/3U9yXEZ

Strep throat is an infection of the throat caused by Streptococcus pyogenes bacteria (Group A Streptococcus). This JAMA Patient Page describes strep throat, its signs and symptoms, diagnosis, treatment, and potential complications. ja.ma/49Xc8c8

Paul Cinciripini of MDAndersonNews's Department of Behavioral Science, joins JAMA Executive Editor Gregory Curfman to discuss guidance on the best strategies for smoking cessation following an initial quit attempt. ja.ma/4dgYmUJ

For individuals who smoked but did not achieve abstinence after TX w varenicline, increasing the dosage enhanced abstinence vs continuing; in nonabstainers initially TX'd w CNRT, dosage increase or switch to varenicline enhanced abstinence. ja.ma/3QrbY5M