LAURA H. CYPHERS

This Medical News article discusses a new consensus study report on the state of nursing homes from the National Academies of Sciences, Engineering, and Medicine.
Source: JAMA Online First

This Viewpoint discusses the COVID-19 pandemic, community–law enforcement tensions, and social and structural factors that have potentially contributed to increased risks for homicide and suicide in the US.
Source: JAMA Online First

In the Reply Letter titled “Minimally Invasive Surfactant Therapy vs Sham Treatment and Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome—Reply,” published in the April 26, 2022, issue of JAMA, a sentence was incorrectly worded. In the second to last paragraph, the last sentence should have been “Beyond the surfactant received as part of the minimally invasive surfactant therapy intervention, in both groups any other surfactant therapy given followed accepted guidelines in relation to dosage, timing, and Fio2 threshold.” This article was corrected online.
Source: JAMA Online First

This Viewpoint reviews the strategic plan of the Center for Medicare and Medicaid Innovation and explores the key takeaways of the plan.
Source: JAMA Online First

In the Editorial titled “Should Patients Take Aspirin for Primary Cardiovascular Prevention? Updated Recommendations From the US Preventive Services Task Force” published in the April 26, 2022, issue of JAMA, a data point appeared incorrectly. In the paragraph beginning “The basis for these new recommendations is an updated review,” the range of absolute differences for composite and individual major bleeding events, reported as 0.07 fewer events to 1.0 more events per 100, should have read 0.2 fewer events to 1.0 more events per 100. This article was corrected online.
Source: JAMA Online First

This JAMA Insights discusses long-acting reversible contraception, including implants and IUDs, and special considerations that clinicians should take into account when approaching contraceptive counseling.
Source: JAMA Online First

This Viewpoint highlights some of the ways in which common practices in health care perpetuate inequitable treatment of marginalized populations and summarizes ways in which systems thinking could reduce these gaps.
Source: JAMA Online First

Restoring reperfusion to the brain as quickly as possible during acute ischemic stroke is important to reduce long-term disability and optimize clinical outcomes for patients, although hospital and resource availability are frequently not well matched with patient location. Accordingly, many patients who may have large-vessel occlusion (LVO) lack rapid access to endovascular thrombectomy (EVT), a highly efficacious procedure with a number needed to treat of approximately 3 to 7 for regaining independence among carefully selected patients. Therefore, accurate out-of-hospital diagnosis and ensuring that the patient and the neuroendovascular physician speedily arrive at the same location are paramount. In this issue of JAMA, 2 new studies report interventions designed to address this mismatch between patient location and time-critical access to stroke expert resources.
Source: JAMA Online First

This randomized trial assesses the effect of transportation to a local stroke center vs directly to a thrombectomy-capable referral center on 90-day disability among patients with acute large-vessel occlusion stroke attended by emergency medical services in areas where the closest local stroke center was not capable of performing thrombectomy.
Source: JAMA Online First

This nonrandomized controlled intervention study compares the use of a flying intervention team with interhospital transfer of patients receiving endovascular thrombectomy in regard to time delay, feasibility of procedure, adverse events, and clinical outcome.
Source: JAMA Online First