JAMA Internal Medicine

📣 Presented at #KidneyWk from @jama.com: Among women with postdonation #Pregnancy after living #KidneyDonation, infants were more likely to be born small for gestational age vs infants in matched pregnancies among nondonors. ja.ma/3WBISqb @asnkidney.bsky.social

As of July 2026, 2 in 3 US physicians lived in states that permit #NoncompeteAgreements, with broad variation in bans, restrictions, and exemptions across states. ja.ma/3TZXJtS

Among patients receiving medication abortion, exposure to the US Food and Drug Administration–required mifepristone patient agreement form was not associated with a clinically meaningful increase in #MedicationAbortion knowledge after standard counseling. ja.ma/4dKiHnd

Routine #HepatitisC screening in the #EmergencyDepartment with a nontargeted approach was cost-effective vs targeted screening or no screening and provided the best clinical outcomes in an economic evaluation using DETECT Hep C trial data. ja.ma/4zDkGSH

For hospitalized patients with #AlcoholWithdrawalSyndrome, phenobarbital vs diazepam was not associated with differences in hospital length of stay or invasive mechanical ventilation use. ja.ma/4rXCuFk

Among adults with disabilities, expiration of COVID-19 pandemic Supplemental Nutrition Assistance Program (#SNAP) emergency allotments was associated with a 9.3 percentage point increase in food insufficiency among SNAP participants. ja.ma/4sgP7vH

Among patients with inflammatory arthritis, holding biologic or Janus kinase inhibitor therapy for 2 weeks after a supplemental #COVID19 vaccine dose did not improve humoral immunogenicity and increased transient disease flare. ja.ma/3UniW0R

📑 JAMA Internal Medicine Review: This review provides an evidence-based update on the diagnosis and management of #ShoulderPain to support clinical decision-making and improve patient outcomes. ja.ma/4dqNgy3

Among patients due for annual #LungCancer screening, stepped reminders to primary care physicians to order and patients to schedule low-dose computed tomography increased guideline-concordant screening adherence vs usual care. ja.ma/4zcBboo

In US regions with higher prevalence of #AlphaGalSyndrome, patients with blood type O had more allergic transfusion reactions to group B or AB #platelet or #plasma units vs group O units. ja.ma/3VniCzr

Among adults with disabilities, expiration of COVID-19 pandemic Supplemental Nutrition Assistance Program (#SNAP) emergency allotments was associated with a 9.3 percentage point increase in food insufficiency among SNAP participants. ja.ma/3Tm3D8n

Among patients with inflammatory arthritis, holding biologic or Janus kinase inhibitor therapy for 2 weeks after a supplemental #COVID19 vaccine dose did not improve humoral immunogenicity and increased transient disease flare. ja.ma/4y3bNAE

Among patients with inflammatory arthritis, holding biologic or Janus kinase inhibitor therapy for 2 weeks after a supplemental #COVID19 vaccine dose did not improve humoral immunogenicity and increased transient disease flare. ja.ma/4dPSbIY

Among patients with inflammatory arthritis, holding biologic or Janus kinase inhibitor therapy for 2 weeks after a supplemental #COVID19 vaccine dose did not improve humoral immunogenicity and increased transient disease flare. ja.ma/4zcoTMY

Listen JAMA Internal Medicine authors Paul I. Musey Jr, MD, MS, and Jeffrey A. Kline, MD, discuss their recent articles with Ilana Richman, MD MHS. ja.ma/3TsvXpw

Among patients hospitalized with #OpioidUseDisorder in Philadelphia, dexmedetomidine use rose after medetomidine emerged in the illicit fentanyl supply, and nearly all such admissions involved the intensive care unit. ja.ma/4y1jQy4

For most routine laboratory tests, fasting duration was not associated with clinically meaningful differences. #Glucose, triglycerides, γ-glutamyl transferase, and lipase were the main exceptions. ja.ma/47qrdny

Among older dually enrolled veterans, #VeteransAffairs primary care was associated with lower #ProstateCancer screening and biopsy rates than fee-for-service #Medicare in men least likely to benefit. ja.ma/4ymgEhu

Among patients with low-risk chest pain and #Anxiety, peer-supported internet-based cognitive behavioral therapy reduced anxiety more than primary care referral over 12 months, with the greatest improvement among patients with severe anxiety. ja.ma/4dV1fw4

This JAMA Internal Medicine Patient Page describes use of continuous #glucose monitors, as well as their benefits and drawbacks. ja.ma/4xA7FYA

In the US Veterans Affairs system, female emergency physicians modestly increased testing and hospital admissions compared with male colleagues, with no difference in 30-day mortality or short admission rates. ja.ma/3Tkcfw6

This review examines the evidence for continuous #glucose monitoring use beyond type 1 #diabetes or #pregnancy, explores its usefulness as a behavior change aid, and critically assesses its expanding role in the care of people with dysglycemia. ja.ma/4yE2B6s

Among patients hospitalized for #HeartFailure, only 54% of new guideline-directed medications were filled in 7 days and just half of patients remained persistent at 6 months after discharge. ja.ma/3UW1MYd

Patients with end-stage kidney disease and #DevelopmentalDisabilities had lower rates of #KidneyTransplant evaluation and receipt than matched controls, and state antidiscrimination laws were not associated with more equitable access. ja.ma/47gbwiF

In more than 850 000 adults with #SteatoticLiverDisease, the steatosis-associated fibrosis estimator (SAFE) score provided the greatest net benefit for identifying 10-year cirrhosis risk and may help guide repeat surveillance. ja.ma/4xGTuBh

Medicare patients of general internists with higher Longitudinal Knowledge Assessment scores were significantly less likely to receive low-value services, underscoring the role of physician knowledge in reducing unnecessary care. ja.ma/4AecLMF

Among Medicare beneficiaries with newly diagnosed cancer, #MedicareAdvantage was associated with similarly timely and optimal treatment as traditional Medicare, but with lower cancer drug costs. ja.ma/473ktMd

Cluster RCT: On-site #POC-RMPCR in nursing homes did not reduce outbreak size or frequency, but reduced ED transfers and enabled faster antiviral therapy compared to standard off-site testing. ja.ma/4j9zlzR

A large sibling-matched cohort study in Hong Kong found no evidence of an association between prenatal paracetamol (acetaminophen) exposure and risk of #Autism or #ADHD in offspring when accounting for unmeasured familial confounding. ja.ma/4A4cewX

An 8-week telehealth mindfulness group medical visit program for adults with #LowBackPain produced modest but sustained improvements in pain intensity and interference at 6 and 12 months vs usual care. ja.ma/4cviW4P

A randomized trial in rural #NavajoNation found that a culturally tailored meal program for adults with #HeartFailure reduced hospitalizations or emergency visits and improved food insecurity, quality of life, and blood pressure. ja.ma/4xp5IhE

Primary care physicians describe emotional distress, powerlessness, and changes to clinical care due to immigration enforcement, but report that advocacy and flexible, supportive health systems can reduce #MoralInjury. ja.ma/4gDCSFe

💬 Editorial: Female physicians in VA emergency departments ordered more diagnostic tests and admitted more patients than male physicians, but test appropriateness and outcomes were similar. ja.ma/4qTukO1

💬 Editorial: JAMA Internal Medicine now requires RCTs to rigorously define, systematically assess, and fully report all harms, ensuring a balanced evaluation of risks and benefits per CONSORT guidelines. ja.ma/4zOIOma

💬 Viewpoint: Clinicians should ask about #WorldTradeCenter exposure because it may still shape diagnosis, management, and eligibility for care through the federal World Trade Center Health Program 25 years after September 11, 2001. ja.ma/46DolDw

💡 This Clinical Insights article outlines a practical approach to screening and diagnosis, emphasizing morning measurement of potassium, aldosterone, and renin and careful interpretation of medication effects on laboratory results. ja.ma/4zXvzjg

📄 This case report describes a woman in her 70s whose initial electrocardiogram (ECG) suggested ventricular tachycardia but presented asymptomatically to the emergency department. ja.ma/4zTHUow

Among patients receiving #Methadone for #OpioidUseDisorder, take-home dosing after completed induction was associated with lower mortality vs no take-home dosing, with the greatest benefit when started within 5 to 12 weeks or 13 to 24 weeks. ja.ma/4cswSfX

💬 Editorial: Trust in medicine requires more than better communication in the examination room and may depend on structural change that addresses unequal access, uneven quality, and institutional histories of harm. ja.ma/4haiRWW

Among women with vasomotor symptoms, #MenopausalHormoneTherapy initiation was associated with lower #CardiovascularDisease risk vs noninitiation, with lower risk estimates among women who initiated therapy within 10 years of menopause. ja.ma/3UCm48V

Among nursing home residents aged ≥65 years in Medicare, #RespiratorySyncytialVirus vaccination was associated with lower risk of #RSV-associated hospitalization, death, severe outcomes, and thromboembolic events during the 2023-2024 season. ja.ma/465EzFn

Routine referral of patients with #ProstateCancer to a #Cardiovascular specialist improved cholesterol control and overall risk factor management, but did not reduce major cardiovascular events vs usual care. ja.ma/4czduOu

In a @jamainternalmed.com editorial, Solomon Center affiliated faculty @carygross.bsky.social and his co-authors underline that while the NIH’s 2024 Public Access Policy is an advance toward open science, it also introduces strain on the clinical research ecosystem. jamanetwork.com/journals/jam...

Drs. @kencovinsky.bsky.social, @kristalynharrison.bsky.social, Lauren Hunt & colleagues published a new @jamainternalmed.com study examining rural-urban disparities in the delivery and intensity of Medicare hospice care. geriatrics.ucsf.edu/news/covinsk...

The 2025 #NIH Public Access Policy may still leave NIH-funded investigators facing new article processing charges for immediate public access, with an estimated upper-bound annual cost of more than $100 million. ja.ma/3UHGVrq

Routine referral of patients with #ProstateCancer to a #Cardiovascular specialist improved cholesterol control and overall risk factor management, but did not reduce major cardiovascular events vs usual care. #ESCCongress ja.ma/46GGlwN

💡This Clinical Insights article summarizes cervical cancer screening recommendations for patients with average and higher than average risk, including recommendations for self-collected human papillomavirus (#HPV) testing. ja.ma/4cxDsSu

In US regions with higher prevalence of #AlphaGalSyndrome, patients with blood type O had more allergic transfusion reactions to group B or AB #platelet or #plasma units vs group O units. ja.ma/4cZDORU

💬 Editorial: Nonreporting of race and ethnicity in medical research can obscure health disparities and limit the generalizability and applicability of findings across patient populations. ja.ma/4xEBUhQ

💬 Editorial: The updated #NIH Public Access Policy supports immediate public access to funded manuscripts, but some publisher requirements may shift article processing charges onto investigators. ja.ma/3UF9g1x