Author | Lightnews

Journal of General Internal Medicine @journalgim.bsky.social · 19h

Tech-driven DM intervention (TIDES) showed early promise in ⬇️ A1c among African American adults w poorly controlled T2DM

📉 Initial ⬇️ at 3 mos, no sig diff at 12 mos vs usual care.
‼️ Need sustained support&stronger booster strategies.

Read in #JGIM:

Technology-Intensified Diabetes Education Study (TIDES) for African American Adults with Type 2 Diabetes: A Randomized Controlled Trial

rdcu.be

Journal of General Internal Medicine @journalgim.bsky.social · 1d

📈 Meta-analysis confirms: ⬆️ serum uric acid (SUA) levels are ➕ linked to ⬆️ risk of MAFLD.
🧪 SUA may serve as a biomarker — and even a therapeutic target — in MAFLD mgmt

#MAFLD #Hepat #EBM
Read in #JGIM: rdcu.be/eKohC

Journal of General Internal Medicine @journalgim.bsky.social · 2d

📊 FI-lab outperforms HALP in predicting in-hospital mortality.
🔍 HALP still effectively flags risk in older adults on Gen Med wards.
🧪 Automatically calculated lab scores could be powerful tools for managing diverse older inpatients.

Read in #JGIM: buff.ly/V9lItOE

Journal of General Internal Medicine @journalgim.bsky.social · 2d

#HPV self-collection is comparably accurate compared to clinician testing for #CervicalCancer screening—now FDA-approved and supported by #USPSTF draft guidelines. A game-changer for access and adherence. #EBM #WomensHealth #HPV #CancerPrevention @EricJNolanMD

Read in #JGIM: rdcu.be/eKnWD

EBM BLS: Self-collected Human Papillomavirus Cervical Cancer Screening Is Non-Inferior to Clinician-Collected Samples

rdcu.be

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Journal of General Internal Medicine @journalgim.bsky.social · 3d

How do consumer-grade wearables fit in the US’s largest learning health system? Providers see potential in using wearable data for better outcomes but worry about data overload and workflow strain. Investments in infrastructure are key. @DrGarrettAsh1
Read in #JGIM:

Integrating Consumer-Grade Wearable Devices and Patient-Generated Health Data into Clinical Care: Perspectives from Healthcare Professionals at a Learning Health System

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Journal of General Internal Medicine @journalgim.bsky.social · 3d

This nationwide cohort study showed that in T2D patients without CV disease, SGLT2 inhibitor use is associated with a lower risk of coronary ❤️ disease, stroke, heart failure and CV events in those with HTN.
@ChihChengHsu1and @yenfushun1

Read in #JGIM:

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Journal of General Internal Medicine @journalgim.bsky.social · 4d

Despite previous calls to increase GIM mentoring, new findings suggest it remains uncommon. When such relationships exist, physicians experience a stronger sense of autonomy, purpose, and wellbeing, with lower burnout risk. @sanjaysaint

Read in #JGIM: rdcu.be/eKooO

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Journal of General Internal Medicine @journalgim.bsky.social · 4d

Adherence to longitudinal #CancerScreening — for colorectal, cervical, and lung — drops off over time.

📉 As testing rounds increase, follow-through declines.
🏥 System-level solutions are essential to improve outcomes.

Read in #JGIM: rdcu.be/eKmFp

Journal of General Internal Medicine @journalgim.bsky.social · 5d

🤖 LLMs show variation in inpt care recs-across models & even w/in same one.
Clinicians shld treat LLMs as 1️⃣ perspective, not final answer.
🔍 Sampling multiple models + re-prompting may help.

Read in #JGIM: rdcu.be/eKonl

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Journal of General Internal Medicine @journalgim.bsky.social · 5d

📊 Based on 2024 insurer pricing data:
• Avg. commercial price for a level 3 primary care visit =
$145 (new pts) | $102 (established pts)
• Higher prices: corporate-owned, large practices, younger PCPs
• Lower prices: older PCPs, lower-income areas, less complex patients
Read in #JGIM: rdcu.be/eLykG

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Journal of General Internal Medicine @journalgim.bsky.social · 6d

Using 5 years of data from an urban Level I trauma center, our study found racial inequities in inpatient restraint use.
American Indian/Alaska Native & Hispanic/Latinx patients were more likely to be restrained; Hispanic/Latinx patients spent ~30 hrs longer restrained.
#JGIM rdcu.be/eJ3Zg

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Journal of General Internal Medicine @journalgim.bsky.social · 7d

Suicide risk screening alone isn’t enough—many veterans underreport suicidal thoughts, especially those with distress or barriers to care. Strong, trusting clinician relationships remain vital for accurate disclosure and prevention rdcu.be/eJlIp #SuicidePrevention #Veterans #MentalHealth

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Journal of General Internal Medicine @journalgim.bsky.social · 7d

Medicare Advantage = more Annual Wellness Visits—especially for vulnerable patients with ADRD, dual eligibility, or from racial & ethnic minority groups @zhang_zhang02 rdcu.be/eJ4nq

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Journal of General Internal Medicine @journalgim.bsky.social · 8d

A simple letter can change a courtroom.
This shows provider letters are a powerful, scalable way for clinicians to share critical medical & social context for criminal-legally involved patients. Learn how you can do the same: rdcu.be/eJ4cE #JGIM #HealthEquity #CriminalJusticeHealth

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Journal of General Internal Medicine @journalgim.bsky.social · 8d

Changing equations (PCEs to PREVENT) sharply reduces statin eligibility (−78%) in real-world primary care, especially among women, younger adults, & Black patients. Lowering thresholds increases eligibility but widens subgroup gaps. Read more rdcu.be/eJlNi #PrimaryCare #CVPrevention #PopHealth

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Journal of General Internal Medicine @journalgim.bsky.social · 9d

🤝 Shared Decision-Making isn’t about consensus—it’s about collaboration.
A new clinician primer offers concrete ways to make SDM real in practice. #PatientCenteredCare #MedEd rdcu.be/eJ4ot

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Journal of General Internal Medicine @journalgim.bsky.social · 9d

How do doctors and nurses prefer to communicate with each other? This study investigated different communication modalities and found the old fashioned phone call is still preferred by all parties rdcu.be/eJlRM

Journal of General Internal Medicine @journalgim.bsky.social · 9d

This nationwide cohort study showed that in T2D patients without cardiovascular disease, SGLT2 inhibitor use is associated with a lower risk of coronary ❤️ disease, stroke, heart failure and cardiovascular events in those with HTN.
@ChihChengHsu1and @yenfushun1

Read in #JGIM: rdcu.be/eLymP

Journal of General Internal Medicine @journalgim.bsky.social · 10d

Hispanic patients in community-based health care clinics had lower rates of tobacco cessation medication orders compared with non-Hispanic White patients, with lowest rates among those with indicators of lower acculturation. Learn more here: @bailstef rdcu.be/eJlCE

Journal of General Internal Medicine @journalgim.bsky.social · 11d

When starting hypertension treatment, don’t overlook weight effects. Lisinopril and amlodipine may be good first-line choices for patients where weight matters. @jasonpblock rdcu.be/eJlCE

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Journal of General Internal Medicine @journalgim.bsky.social · 13d

A multidisciplinary model integrating community-based case management, telemedicine, & social care showed strong engagement & improved mental health in #Medicaid patients with complex needs

#CalAIM
#CareManagement

Read this #JGIM #OriginalResearch article for 🆓⬇️:
rdcu.be/eJlx9

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Journal of General Internal Medicine @journalgim.bsky.social · 14d

This #JGIM #Perspective shares practical recommendations for how learning health systems can incorporate equity into implementation science

Full-text 🆓⬇️:
rdcu.be/eJlwD

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Journal of General Internal Medicine @journalgim.bsky.social · 14d

This #JGIM #ResearchAndReportingMethods paper identified 4️⃣ structures & 5️⃣ activities that leaders used to support a Geriatric Learning Health System (#LHS) — offering lessons to inform future LHS initiatives

Full-text 🆓⬇️:
rdcu.be/eJltq

Journal of General Internal Medicine @journalgim.bsky.social · 15d

Check out this #JGIM #Editorial applying a relationship-centered framework to assess relationship-building & perspective-taking for compassionate care!

Full-text link 🆓⬇️:
rdcu.be/eHeGq

Journal of General Internal Medicine @journalgim.bsky.social · 16d

Ever #ASPIRE to integrate evidence-based interventions, such as self‑measured blood pressure devices into routine clinical care in a sustainable way?

Read how in this 🆓 full-text #JGIM #Editorial ⬇️:
rdcu.be/eHeFp