JAMA

This Research Letter describes the incidence and quality of active surveillance use for prostate cancer in the national Veterans Affairs Healthcare System.

In this narrative medicine essay, a rural family primary care physician finds clarity in writing about moments in clinical encounters that asked for further consideration.

Importance The treatment of prostate cancer with radiotherapy is evolving. How quickly radiotherapy can be delivered, and the relative risks and benefits of such a treatment, is of significant public interest. Objective To determine whether stereotactic body radiotherapy (SBRT) was superior to moderately hypofractionated intensity-modulated radiation therapy (MH-IMRT) in terms of patient-reported…

JAMA+ AI Editor in Chief Roy Perlis, MD, MSc, spoke with Joseph Geraci, PhD, a professor of molecular medicine and pathology at Queen’s University, about applying machine learning methods to plan more efficient clinical trials for the JAMA+ AI Conversations podcast.

This Viewpoint discusses the role of artificial intelligence (AI) in ensuring that patients eligible for highly effective interventions are identified and receive them.

This retrospective study uses data from the National Cancer Database to examine patterns and temporal trends in use of focal therapy for prostate cancer in US cancer centers; characterize inappropriate use in low-, high-, or very–high-risk disease; and describe intermediate-risk use.

Importance Older adults undergoing major noncardiac surgery experience substantial postoperative morbidity and health care use. The comparative effectiveness of total intravenous anesthesia (TIVA) vs volatile-based inhalational anesthesia on recovery and safety remains uncertain. Objectives To determine whether TIVA improves days alive and at home at 30 days compared with inhalational anesthesia …

This Insights discusses the diagnosis of celiac disease, including biopsy confirmation vs serology-based diagnosis, in children and adults.

This JAMA Patient Page describes common symptoms, risk factors, screening tests, diagnosis, and treatment of celiac disease.

This study estimates the share of US-born and non–US-born US medical graduates (USMGs) and international medical graduates (IMGs) in the US internal medicine workforce, as well as the share of underserved patients cared for by these physicians.

This Viewpoint discusses how leadership and structural changes at the US Preventive Services Task Force could affect clinicians’ access to evidence-based recommendations and therefore the health of US patients.