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JAMA Internal Medicine @JAMAInternalMed

JAMA Internal Medicine is a member of the JAMA Network, a consortium of peer-reviewed, general medical and specialty publications.

Joined July 2009
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  • Followers 109,335
4,608 Photos and videos
#Arthritis is a leading cause of pain and disability that affects nearly one-third of older US adults, many have inflammatory arthritis. 💡 This Clinical Insights discusses inflammatory arthritis in older adults and offers practical guidance. ja.ma/4v0KBBU
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A community health worker-led, telehealth #diabetes intervention improved HbA1c, cholesterol, and ADA guideline adherence vs usual care in low-income Hispanic adults, addressing 87% of participant concerns via a structured feedback loop. ja.ma/4efyOsj
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Among older adults after surgery, postoperative delirium was independently associated with long-term cognitive decline; rehospitalization did not mediate this association. ja.ma/4g3Jrkj
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Older adults living alone with cognitive impairment are at elevated risk for medication-related harm due to barriers at multiple levels, including lack of reminders, regimen complexity, and unwitnessed adverse effects. ja.ma/4dRkkQm
Conceptual diagram of study findings on barriers to medication management. Concentric circles show individual, interpersonal, and system/policy barriers faced by older adults, along with potential solutions. \"Figure. Conceptual Diagram of Study Findings\"

ALT Conceptual diagram of study findings on barriers to medication management. Concentric circles show individual, interpersonal, and system/policy barriers faced by older adults, along with potential solutions. \"Figure. Conceptual Diagram of Study Findings\"

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From JAMA: In this study of adults in Stockholm, measured GFR (mGFR) values below 90 mL/min/1.73 m² were associated with progressively higher rates of #mortality, #kidney failure, #heart failure, acute kidney injury, and major #cardiovascular events. ja.ma/4xutKt1
JAMA article: 'Measured & Estimated Glomerular Filtration Rates & Risk of Adverse Health Outcomes.' Figure 1 displays density & box plots for GFR distribution using mGFR, eGFRcr, eGFRcys, & eGFRcr-cys. GFR range: 15-120 mL/min/1.73 m\u00B2. Published June 4, 2026.

ALT JAMA article: 'Measured & Estimated Glomerular Filtration Rates & Risk of Adverse Health Outcomes.' Figure 1 displays density & box plots for GFR distribution using mGFR, eGFRcr, eGFRcys, & eGFRcr-cys. GFR range: 15-120 mL/min/1.73 m\u00B2. Published June 4, 2026.

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From @JAMA_current: Among adults with advanced chronic #kidney #disease (#CKD) stage 4 or 5 or on #dialysis, low-dose rivaroxaban did not lower #cardiovascular risk but did raise major bleeding rates, supporting guideline caution in this group. ja.ma/4dOsngQ
JAMA study on rivaroxaban for advanced CKD. Question: Does low-dose rivaroxaban reduce cardiovascular events vs placebo? Conclusion: No reduction in events, but increased major bleeding. Findings: Rivaroxaban 22.6% (164/727) events vs Placebo 20.7% (151/731). Bleeding: 8.8% vs 6.0%.

ALT JAMA study on rivaroxaban for advanced CKD. Question: Does low-dose rivaroxaban reduce cardiovascular events vs placebo? Conclusion: No reduction in events, but increased major bleeding. Findings: Rivaroxaban 22.6% (164/727) events vs Placebo 20.7% (151/731). Bleeding: 8.8% vs 6.0%.
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In adults at risk for chronic low back pain, clinician-supported biopsychosocial self-management was more effective than #medical care at reducing LBP impact and chronicity, while #spinal manipulation showed no added benefit. ja.ma/3S7CCUZ
JAMA Internal Medicine RCT summary: Spinal Manipulation (SMT) and Clinician-Supported Self-Management (SSM) for chronic low back pain. 1000 patients randomized across 4 groups. SSM showed significantly lower LBP impact scores vs Medical Care (MC). SMT and MC did not differ.

ALT JAMA Internal Medicine RCT summary: Spinal Manipulation (SMT) and Clinician-Supported Self-Management (SSM) for chronic low back pain. 1000 patients randomized across 4 groups. SSM showed significantly lower LBP impact scores vs Medical Care (MC). SMT and MC did not differ.
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A financial incentive for hypertension control increased guideline-adherent blood pressure remeasurement but did not improve overall control or health outcomes, highlighting potential unintended harms among patients with borderline hypertension. ja.ma/4awfgP8
Figure 1: Dot graphs of blood pressure. A) Probability of remeasurement: After 140 mmHg initial systolic BP, 'Hypertension control financial incentive' (orange squares) shows higher probability than 'No hypertension control financial incentive' (blue circles). B) Lowest minus highest BP difference: After 140 mmHg, incentives show a greater negative difference.

ALT Figure 1: Dot graphs of blood pressure. A) Probability of remeasurement: After 140 mmHg initial systolic BP, 'Hypertension control financial incentive' (orange squares) shows higher probability than 'No hypertension control financial incentive' (blue circles). B) Lowest minus highest BP difference: After 140 mmHg, incentives show a greater negative difference.

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✨ Thinking about submitting your #ARM26 research to @JAMA_current, @JAMAHealthForum or one of our other JAMA Network journals? 🎥 This video explains what to expect from submission through peer review. ja.ma/3Q7rVBe

How to Submit Your Research Paper to the JAMA Network

Ever wonder what happens to your manuscript after you submit it? Fr...

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👋 Meet Ishani Ganguli, MD, MPH, Associate Editor of @JAMAInternalMed, today at #ARM26. 📅 May 31 | 3:15 – 3:45 PM 📍 Booth 703 ✨ Learn about publishing with the JAMA Network
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✅ Exhibits at #ARM26 are open! Find @JAMA_current, @JAMAHealthForum, @JAMAInternalMed, and @JAMANetworkOpen at booth 703. ➡️ Get recent articles, and ask us about publishing opportunities and submitting your work.
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Older adults living alone with cognitive impairment are at elevated risk for medication-related harm due to barriers at multiple levels, including lack of reminders, regimen complexity, and unwitnessed adverse effects. ja.ma/4nYT5Xj
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✈️ Heading to #ARM26? 👋 Meet the @JAMANetwork editors at booth 703 in the exhibit hall! 📅 Check the schedule in the image or stop by our booth.
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A cohort study of >1 million first-time handgun purchasers in California found no increased risk of homicide during the 10-day waiting period compared with matched individuals who had not purchased a handgun. ja.ma/42P1pPP
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This case report describes a woman in her 60s who had an inferior wall myocardial infarction 1 year prior and presented to the emergency department with worsening dyspnea and anasarca for the past 2 months. ja.ma/42KguSO
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Commercial payer–negotiated rates for outpatient #PhysicalTherapy services showed over fourfold variation between US hospitals and were lower in rural vs nonrural hospitals. ja.ma/4tQRpkb
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Older adults living alone with cognitive impairment are at elevated risk for medication-related harm due to barriers at multiple levels, including lack of reminders, regimen complexity, and unwitnessed adverse effects. ja.ma/4uqJnzq
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This case report describes a man in his 60s who presented with myxedema coma due to secondary hypothermia, which was revealed on electrocardiography. ja.ma/4uUqG7g
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In men who had radical prostatectomy for low-grade #ProstateCancer and hypogonadism, 12 weeks of testosterone therapy improved sexual activity, desire, well-being, and physical function without biochemical recurrence. ja.ma/4fFsxZ2
Box and whisker plots showing the effects of testosterone replacement therapy and placebo on lean mass, muscle strength, physical function, and aerobic performance. Graphs include whole body lean mass, appendicular lean mass and VO2 max.

ALT Box and whisker plots showing the effects of testosterone replacement therapy and placebo on lean mass, muscle strength, physical function, and aerobic performance. Graphs include whole body lean mass, appendicular lean mass and VO2 max.
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The Inflation Reduction Act’s 2024 drug provisions were associated with a 4.9–percentage point reduction in cost-related medication nonadherence among Medicare beneficiaries; health care–related financial strain was unchanged. @lucas_marinacci @rkwadhera ja.ma/3PtODDa
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