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JAMA Internal Medicine
118 followers -
Science, Medicine, Public Health, Peer-review, Medical Journal
Science, Medicine, Public Health, Peer-review, Medical Journal

118 followers
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JAMA Internal Medicine's posts

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A man in his 50s w a history of a lung tumor has hypertension, diarrhea, skin changes as shown. What's the diagnosis?

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Did You Hear? The White House administration has abruptly dismissed U.S. @Surgeon_General Vivek Murthy. Read his Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health http://ja.ma/2ozJYgC

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Which genes on hereditary cancer multigene testing panels are associated with higher risks of breast cancer among patients qualifying for clinical genetic testing?

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Long-term Effect of Acupuncture for Migraine Prophylaxis

In this 24-week, randomized clinical trial that included 249 patients with migraine without aura, we found that true acupuncture significantly reduced the frequency of migraine attacks, compared with sham acupuncture and being placed on a waiting list for treatment. http://ja.ma/2meDC5C

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Lack of Statistical Support and Corroboration of Subgroup Claims in RCTs

Our empirical evaluation of subgroup claims from the abstracts of RCTs revealed that most claims (71 [60.7%] of 117) failed to have underlying evidence of statistical significance based on a test for interaction. Formal testing for interactions is not done (or reported) routinely. In addition, most subgroup findings reported in the abstracts of RCTs fail to meet other best practices for subgroup tests, including prespecification, stratified randomization, and adjustment for multiple testing. http://ja.ma/2lJhEbo

β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies http://ja.ma/2pBLhfJ

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Midlife Approaches to Prevention of Ill Health in Later Life http://ja.ma/2kbl1cr
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Quality at Veterans Affairs vs Non-Veterans Affairs Hospitals

Veterans Affairs hospitals had better outcomes than non-VA hospitals for 6 of 9 PSIs. There were no significant differences for the other 3 PSIs. In addition, VA hospitals had better outcomes for all the mortality and readmissions metrics. However, on the patient experience measures, non-VA hospitals scored better overall than VA hospitals for nursing and physician communication, responsiveness, quietness, pain management, and on whether the patient would recommend the hospital to others. http://ja.ma/2ohEXdq
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