[JAMA Netw Open发表论文]:外科医生机器人手术量与普外科择期和急诊机器人手术的临床预后已关闭评论
Original Investigation
Surgery
Surgeon Volume and Clinical Outcomes After Robotic Elective and Emergency General Surgery
Natasha Houshmand, I-Fan Shih, Alistair J. Kent, et al
JAMA Netw Open 2026;9;(5):e2611774. doi:10.1001/jamanetworkopen.2026.11774
Key Points
Question Is annual surgeon robotic case volume associated with outcomes for both elective and emergency robotic general surgery procedures?
F...
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[JAMA发表述评]:达格列净降低心脏择期手术围手术期急性肾损伤的风险已关闭评论
Editorial
Dapagliflozin to Reduce the Risk of Perioperative Acute Kidney Injury in Elective Cardiac Surgery
Wolfgang C. Winkelmayer, Glenn M. Chertow
JAMA Published Online: July 30, 2026
doi: 10.1001/jama.2026.7477
Sodium-glucose cotransporter 2 (SGLT2) inhibitors have constituted a major advancement for the treatment of patients with chronic kidney disease and/or heart failure, with sizeable benefits in reducing progression of kidney disease and in r...
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[JAMA发表述评]:顾问的代价:运营顾问真的能给非赢利医院带来价值吗?已关闭评论
Editorial
The Price of Advice—Do Management Consultants Deliver Value to Nonprofit Hospitals?
Thomas C. Buchmueller, Helen G. Levy
JAMA Published Online: May 4, 2026
doi: 10.1001/jama.2026.4362
In a well-publicized case that stoked public outrage, Providence, a nonprofit health system headquartered in the state of Washington, implemented a program in 2018 called Rev Up to increase revenue collection from patients.1 Following enforcement action by the ...
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[JAMA发表论文]:达格列净与心脏手术后的急性肾损伤已关闭评论
Original Investigation
Dapagliflozin and Acute Kidney Injury Following Cardiac Surgery: A Randomized Clinical Trial
Maartina J. P. Oosterom-Eijmael, Abraham H. Hulst, Nelson P. Monteiro de Oliveira, et al
JAMA Published Online: July 30, 2026
doi: 10.1001/jama.2026.9268
Key Points
Question Among patients undergoing elective cardiac surgery, does dapagliflozin, initiated 1 day prior to surgery, reduce acute kidney injury at 7 days after su...
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[ICU Management & Practice]: R2D2-ICU: 限制与自由身体约束策略已关闭评论
R2D2-ICU: Restrictive vs Liberal Physical Restraint Strategies
In ICU
Tue, 17 Mar 2026
Findings from the Restrictive Use of Restraints and Delirium Duration in ICU (R2D2-ICU) trial were presented at the 45th ISICEM in Brussels.
The trial investigated whether a restrictive (low-use) versus liberal (high-use) wrist-strap physical restraint strategy improves outcomes in critically ill adults receiving invasive mechanical ventilation. Physical restraint...
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[JAMA发表论文]:洋地黄糖甙治疗心衰的疗效与安全性已关闭评论
Original Investigation
Efficacy and Safety of Digitalis Glycosides in Heart Failure: A Meta-Analysis
Kevin Damman, Dirk J. van Veldhuisen, Johann Bauersachs, et al
JAMA Published Online: May 10, 2026
doi: 10.1001/jama.2026.7886
Key Points
Question What are the effects of digitalis glycoside treatment on cardiovascular death and worsening heart failure (HF) events in patients with HF with mildl...
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[JAMA Netw Open发表述评]:大语言模型在临床诊断推理中的局限性已关闭评论
Invited Commentary
Health Informatics
Limitations of Large Language Models in Clinical Diagnostic Reasoning
Mickael Tordjman, Xueyan Mei
JAMA Netw Open 2026;9;(4):e264014. doi:10.1001/jamanetworkopen.2026.4014
Large language models (LLMs) have rapidly gained an important role in multiple fields, including medicine. These widely available tools can enhance patient understanding, improve physician productivity, and provide encyclopedic knowledge on seve...
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[JAMA发表论文]:地高辛治疗症状性风湿性心脏病已关闭评论
Original Investigation
Digoxin in Patients With Symptomatic Rheumatic Heart Disease: A Randomized Clinical Trial
Ganesan Karthikeyan, Niveditha Devasenapathy, Arpita Ghosh, et al
JAMA Published Online: May 10, 2026
doi: 10.1001/jama.2026.7335
Key Points
Question Does digoxin, compared with placebo, reduce the composite of all-cause death or new-onset or worsening heart failure in symptomatic r...
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[NEJM发表论文]:储血袋打双结减少细菌污染已关闭评论
CORRESPONDENCE
Reducing Bacterial Contamination of Blood Bags with a Double Knot
Kathleen Selleng, Halima Ismail, Christian Kohler, et al
N Engl J Med 2026;394:1865-1866
DOI: 10.1056/NEJMc2600589
TO THE EDITOR:
Bacterial contamination of blood for transfusions poses a serious risk to patients, particularly in resource-limited settings.1 Blood centers in high-income nations use heat-sealed tubing to close blood bags after donation; however, these too...
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[JAMA发表述评]:病毒性支气管炎的俯卧位已关闭评论
2026年08月04日
⁄ 研究点评
Editorial
Prone Positioning in Viral Bronchiolitis—Back to the Back?
Joseph G. Kohne, Susan R. Conway, Steven L. Shein
JAMA 2026;336;(4):290-292. doi:10.1001/jama.2026.11742
Acute viral bronchiolitis is the most common diagnosis in US children’s hospitals, and respiratory failure is the costliest diagnosis across all pediatric acute care.1 Despite the prevalence of this condition and its impact on children, families, and health systems, evidence-based tr...
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