JAMA

Dialysis for Chronic Kidney Failure – A Review

Importance  More than 3.5 million people worldwide and 540 000 individuals in the US receive maintenance hemodialysis or peritoneal dialysis for the treatment of chronic kidney failure. The 5-year survival rate is approximately 40% after initiation of maintenance dialysis. Observations  Hemodialysis and peritoneal…

Over-the-Counter Oral Contraceptives

This JAMA Insights in the Women’s Health series discusses the first over-the-counter progestin-only oral contraceptive available in the US, including its effectiveness, mechanism of action, and accessibility.

Preexposure Prophylaxis (PrEP) for HIV

This JAMA Insights discusses the expanding PrEP options for preventing HIV, including the considerations for initiation and follow-up and implementation challenges of these medications.

Antibiotics for Pediatric Acute Bacterial Sinusitis

This JAMA Insights examines antibiotic selection for the treatment of acute bacterial rhinosinusitis in US pediatric patients, specifically amoxicillin vs amoxicillin-clavulanate.

Buprenorphine/Naloxone vs Methadone for the Treatment of Opioid Use Disorder

Importance  Previous studies on the comparative effectiveness between buprenorphine and methadone provided limited evidence on differences in treatment effects across key subgroups and were drawn from populations who use primarily heroin or prescription opioids, although fentanyl use is increasing across North…

Making the Ethical Oversight of All Clinical Trials Fit for Purpose

Importance  With the increase in trials assessing comparative effectiveness of approved products and alternative care strategies, guidance is needed to ensure ethical oversight is fit for purpose for the risks, burdens, and constraints on choice this research presents. Observations  US regulations governing…

Strategies to Help Patients Navigate High Prescription Drug Costs

Importance  In the US, many patients struggle to afford prescription drugs, leading to adverse health outcomes. To improve cost-related medication nonadherence, prescribers and clinical staff must understand how to assist patients in overcoming high prescription drug costs. Observations  We reviewed the benefits…