JAMA Network Open

Mobile health units conducting community outreach in Detroit identified higher prevalence of stage 3 or greater #ChronicKidneyDisease among older adults, Black patients, and those with #Diabetes, supporting the value of population-wide screening. ja.ma/4lD1UoO

Receiving care from a women's health primary care practitioner was associated with significantly reduced attrition among new women veteran patients in the Veterans Health Administration. ja.ma/4siKctj

Among adults in California, factual #vaccination social media posts from trusted public health organizations and health care workers were preferred over humorous or unsourced content, and artwork style did not alter preferences. ja.ma/3PfYyvW

Survey: Female physicians had higher burnout and lower professional fulfillment than male physicians, with differences in burnout fully mediated by self-valuation, leadership support, values alignment, control over schedule, and EHR helpfulness. ja.ma/4sPF93b

High #Chikungunya virus seroprevalence was found among adults and schoolchildren in French Polynesia, but modeling indicates the risk of sustained transmission could increase after 2025 if social mixing patterns and population immunity change. ja.ma/4skjkcl

For #biologic drugs nearing biosimilar competition, use of manufacturer coupons for new product line extensions increased and offset a greater share of patient costs than earlier products, indicating coupon programs may facilitate product hopping. ja.ma/3NwIUf1

Liver stiffness identified by elastography was linked to a greater risk of death among adults with #diabetes, suggesting elastography may help identify high-risk individuals. ja.ma/4sPR7K2

#AI-assisted tissue-of-origin prediction models improved diagnostic accuracy in challenging cases of #LungCancer, but require cautious clinical integration and cross-disciplinary review to mitigate diagnostic errors. ja.ma/4shVtd8

In a national survey, 3.3% of US adults reported serious thoughts of shooting another person in the past year, with higher rates among younger, male, Black, and urban populations. ja.ma/4sOkcpp

Hospitalizations with #kratom mentioned in clinical notes increased significantly from 2017 to 2024, indicating rising clinical encounters related to kratom despite lack of FDA-approved indications. ja.ma/3PcKNhq

Among women who inject drugs in Australia, 82% experienced at least one assault and 38% experienced sexual assault, with health care seeking after violence uncommon due to stigma and structural barriers. ja.ma/41bpZcK

A bayesian reanalysis indicated prehospital tranexamic acid was associated with 84%-99% probability of reduced 30-day mortality in trauma, suggesting benefit in #Hemorrhage management even when frequentist analysis was inconclusive. ja.ma/4drs1Nh

#ColorectalCancer liver metastasis detection timing—synchronous vs early or late metachronous—was not independently associated with overall survival after adjustment, supporting treatment planning guided by tumor burden and treatment feasibility. ja.ma/4sODvyM

Candidemia occurred in 1.67% of solid organ transplant recipients and was associated with high 30-day mortality, with lung transplant recipients at the highest risk for #Candidemia after transplantation. ja.ma/4lSvoiJ

Survey data indicate youths are more likely to share intimate images after coercive requests from dating partners, with worse mental health outcomes among those who share. ja.ma/4beAfHb

Lifestyle changes after #hypertension diagnosis were associated with reduced risk of #cardiovascular disease and type 2 #diabetes, suggesting persistent benefits beyond blood pressure control. ja.ma/4sQz9HE

Among older adults with polypharmacy, pharmacist-led hospital discharge care did not reduce 30-day unplanned health care utilization, but benefit was observed for patients with low medication adherence and literacy. ja.ma/4rEtlA2

Among patients with early-onset #ColorectalCancer, treatment delays >90 days were most common in urban settings, particularly among male and racially or ethnically minoritized patients. ja.ma/4uxWPlE

Combat crewmen reported increased somatic, cognitive, vestibular, sleepiness, and headache symptoms compared with special operators, suggesting higher symptom burden related to occupational exposures. ja.ma/4uwdiXl

In adults with peripherally inserted central catheters (#PICC), infection nearly always triggered unplanned removal before therapy completion, while mechanical complications were the most frequent cause of removal. ja.ma/4sOcjAi