Administrative Bloat in Neurology and Academic Medicine
https://jamanetwork.com/journals/jamaneurology/fullarticle/2854115
This Viewpoint describes the growth of administrative work across universities, health care, and research and suggests 5 questions a neurology department should ask about any administrative process.
https://jamanetwork.com/journals/jamaneurology/fullarticle/2854115
This Viewpoint describes the growth of administrative work across universities, health care, and research and suggests 5 questions a neurology department should ask about any administrative process.
Caring Collectively Through Palliative Care Partnerships
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2853900
End-of-life cancer care represents a pivotal period for patients, families, and care providers. Palliative care consultation can enhance the quality of end-of-life care for patients with cancer, which has been demonstrated to be beneficial. The palliative care workforce, while growing, is still inadequate to meet patient care needs. Furthermore, the effectiveness of palliative care programs has been inconsistent in prior research, with some programs improving quality of life but not health care utilization. Specifically, hospice utilization varies widely despite the consistent presence of palliative care services in many oncology settings.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2853900
End-of-life cancer care represents a pivotal period for patients, families, and care providers. Palliative care consultation can enhance the quality of end-of-life care for patients with cancer, which has been demonstrated to be beneficial. The palliative care workforce, while growing, is still inadequate to meet patient care needs. Furthermore, the effectiveness of palliative care programs has been inconsistent in prior research, with some programs improving quality of life but not health care utilization. Specifically, hospice utilization varies widely despite the consistent presence of palliative care services in many oncology settings.
The Maternal Mental Health Crisis
https://jamanetwork.com/journals/jama/fullarticle/2854311
This Viewpoint discusses the maternal mental health crisis in the US, outlining gaps in care and assessing the preparedness of the system to handle severe acute perinatal psychiatric crises.
https://jamanetwork.com/journals/jama/fullarticle/2854311
This Viewpoint discusses the maternal mental health crisis in the US, outlining gaps in care and assessing the preparedness of the system to handle severe acute perinatal psychiatric crises.
Revascularization in Asymptomatic Carotid Artery Stenosis With Hemodynamic Impairment and Cognitive Outcomes Research Summary
https://jamanetwork.com/journals/jama/fullarticle/2854192
This study tested whether cognitive benefit from revascularization in asymptomatic high-grade internal carotid artery stenosis varied by baseline cerebral hemodynamic impairment.
https://jamanetwork.com/journals/jama/fullarticle/2854192
This study tested whether cognitive benefit from revascularization in asymptomatic high-grade internal carotid artery stenosis varied by baseline cerebral hemodynamic impairment.
Asymptomatic Carotid Revascularization May Be Justified, But Not to Improve Cognition
https://jamanetwork.com/journals/jama/fullarticle/2854200
Stroke is a feared complication of atherosclerotic carotid artery stenosis. After years of debate regarding the value of revascularizing asymptomatic carotid stenosis in the modern era of intensive medical prevention with antiplatelet therapy and high-intensity statins, the CREST-2 trial revisited this question in a pair of randomized clinical trials: one trial comparing carotid endarterectomy plus best medical management vs medical therapy alone and the other comparing carotid artery stenting plus best medical management vs medial therapy alone. The topline findings showed that carotid artery stenting, but not carotid endarterectomy, significantly reduced the risk of the primary outcome of a composite of stroke or death within 44 days or ipsilateral stroke within up to 4 years compared with medical therapy alone among patients without contralateral stenosis who were good procedural candidates.
https://jamanetwork.com/journals/jama/fullarticle/2854200
Stroke is a feared complication of atherosclerotic carotid artery stenosis. After years of debate regarding the value of revascularizing asymptomatic carotid stenosis in the modern era of intensive medical prevention with antiplatelet therapy and high-intensity statins, the CREST-2 trial revisited this question in a pair of randomized clinical trials: one trial comparing carotid endarterectomy plus best medical management vs medical therapy alone and the other comparing carotid artery stenting plus best medical management vs medial therapy alone. The topline findings showed that carotid artery stenting, but not carotid endarterectomy, significantly reduced the risk of the primary outcome of a composite of stroke or death within 44 days or ipsilateral stroke within up to 4 years compared with medical therapy alone among patients without contralateral stenosis who were good procedural candidates.
Diagnosis and Treatment of Patients With Primary Aldosteronism
https://jamanetwork.com/journals/jama/fullarticle/2854199
This JAMA Insights discusses various aspects of primary aldosteronism, such as its epidemiology, diagnosis and screening, and treatment, including effective medication management.
https://jamanetwork.com/journals/jama/fullarticle/2854199
This JAMA Insights discusses various aspects of primary aldosteronism, such as its epidemiology, diagnosis and screening, and treatment, including effective medication management.
Screening for Early-Stage Type 1 Diabetes in Children
https://jamanetwork.com/journals/jama/fullarticle/2854198
To the Editor A recent article provided the first long-term evidence on presymptomatic type 1 diabetes prevalence and progression in the general pediatric population in Germany. Notably, the progression to clinical type 1 diabetes did not differ significantly based on first-degree family history. Based on their findings, the authors concluded that screening should be expanded “beyond genetically selected populations.” As an editorial in JAMA noted, these findings call for a broader screening approach than the latest American Diabetes Association guidelines, which recommend screening based on family history or genetic risk.
https://jamanetwork.com/journals/jama/fullarticle/2854198
To the Editor A recent article provided the first long-term evidence on presymptomatic type 1 diabetes prevalence and progression in the general pediatric population in Germany. Notably, the progression to clinical type 1 diabetes did not differ significantly based on first-degree family history. Based on their findings, the authors concluded that screening should be expanded “beyond genetically selected populations.” As an editorial in JAMA noted, these findings call for a broader screening approach than the latest American Diabetes Association guidelines, which recommend screening based on family history or genetic risk.
An Axillary Mass in Pulmonary Embolism
https://jamanetwork.com/journals/jamacardiology/fullarticle/2854292
A 54-year-old woman presents with subacute exertional dyspnea after heavy lifting and a history of chronic repetitive upper-limb strain from caregiving. What would you do next?
https://jamanetwork.com/journals/jamacardiology/fullarticle/2854292
A 54-year-old woman presents with subacute exertional dyspnea after heavy lifting and a history of chronic repetitive upper-limb strain from caregiving. What would you do next?
Remote Detection of Cardiac Implantable Electrical Devices
https://jamanetwork.com/journals/jamacardiology/fullarticle/2854291
This report describes efforts to define the technical characteristics of Bluetooth Low Energy–enabled pacemakers regarding signal detection and the ability to identify specific devices at remote distances.
https://jamanetwork.com/journals/jamacardiology/fullarticle/2854291
This report describes efforts to define the technical characteristics of Bluetooth Low Energy–enabled pacemakers regarding signal detection and the ability to identify specific devices at remote distances.
The Dangers of Perverted Appetite
https://jamanetwork.com/journals/jama/fullarticle/2854261
Abnormalities of appetite involve a considerable variety of peculiarities in food intake. Aversion to food may range in intensity from the ordinary anorexia, or loss of appetite, that is familiar to physicians, to an extreme loathing for food. A recent writer has remarked that bulimia, or increase of appetite, is certainly not abnormal so long as it is a simple demand for increased food, as in convalescence; although it might be described as perverted at the court of the emperor Nero, where decadent diners retired for emesis between courses. The “craving sensation” common in catarrhal gastritis and temporarily relieved by eating, and the similar sensation observed in worm infections in children, we are further reminded, are commonly attributed to irritation of the intestinal tract, without further attempt to relate clinically observed effect with physiologic cause.
https://jamanetwork.com/journals/jama/fullarticle/2854261
Abnormalities of appetite involve a considerable variety of peculiarities in food intake. Aversion to food may range in intensity from the ordinary anorexia, or loss of appetite, that is familiar to physicians, to an extreme loathing for food. A recent writer has remarked that bulimia, or increase of appetite, is certainly not abnormal so long as it is a simple demand for increased food, as in convalescence; although it might be described as perverted at the court of the emperor Nero, where decadent diners retired for emesis between courses. The “craving sensation” common in catarrhal gastritis and temporarily relieved by eating, and the similar sensation observed in worm infections in children, we are further reminded, are commonly attributed to irritation of the intestinal tract, without further attempt to relate clinically observed effect with physiologic cause.
Management Consultant Use by Nonprofit Hospitals
https://jamanetwork.com/journals/jama/fullarticle/2854259
To the Editor Dr Bruch and colleagues provided an important analysis of management consulting use in nonprofit hospitals, but a critical methodological limitation warrants consideration before their null finding is interpreted as evidence that consultants add no value.
https://jamanetwork.com/journals/jama/fullarticle/2854259
To the Editor Dr Bruch and colleagues provided an important analysis of management consulting use in nonprofit hospitals, but a critical methodological limitation warrants consideration before their null finding is interpreted as evidence that consultants add no value.
JAMA Editors' Summary Podcast September 18, 2026
https://jamanetwork.com/journals/jama/fullarticle/2854455
Listen to the JAMA Editor’s Summary for an overview and discussion of the important articles appearing in JAMA.
https://jamanetwork.com/journals/jama/fullarticle/2854455
Listen to the JAMA Editor’s Summary for an overview and discussion of the important articles appearing in JAMA.
FDA Approves New Treatment for Advanced Pancreatic Cancer
https://jamanetwork.com/journals/jama/fullarticle/2854429
The US Food and Drug Administration (FDA) approved a first-in-class therapy for patients with metastatic pancreatic cancer.
https://jamanetwork.com/journals/jama/fullarticle/2854429
The US Food and Drug Administration (FDA) approved a first-in-class therapy for patients with metastatic pancreatic cancer.
Mpox Virus Transitions Toward Endemicity
https://jamanetwork.com/journals/jama/fullarticle/2854428
Surveillance data from the US Centers for Disease Control and Prevention (CDC) suggest that the clade IIb mpox virus is transitioning toward endemic circulation.
https://jamanetwork.com/journals/jama/fullarticle/2854428
Surveillance data from the US Centers for Disease Control and Prevention (CDC) suggest that the clade IIb mpox virus is transitioning toward endemic circulation.
FDA Approves 2 New Alzheimer Disease Blood Tests
https://jamanetwork.com/journals/jama/fullarticle/2854427
The US Food and Drug Administration (FDA) approved 2 new blood tests to detect Alzheimer disease in adults with cognitive symptoms, including 1 for those as young as 40 years old.
https://jamanetwork.com/journals/jama/fullarticle/2854427
The US Food and Drug Administration (FDA) approved 2 new blood tests to detect Alzheimer disease in adults with cognitive symptoms, including 1 for those as young as 40 years old.