Word: jama
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Sources: Good News--Nature (5/24/00), JAMA (5/23/00), New England Journal of Medicine (5/24/00). Bad News--American College of Obstetricians and Gynecologists meeting
Sources: Good News: JAMA (4/26/00), Clinical Cancer Research (4/00). Bad News: Neurology (4/25/00), New England Journal of Medicine (4/27/00...
...doctors who bend the insurance companies' rules, according to the JAMA report, do it because they disagree with an HMO policy or restriction on care. "It's not difficult to be sympathetic to that impulse," says TIME medical writer Christine Gorman. "Often, doctors are faced with a judgment call: If a patient is going to be sent home to an empty house, with no one to take care of them, a physician may very well feel justified keeping the patient for one more night." And in fact, says Gorman, even doctors who admit to thumbing their noses at HMO guidelines...
Another new drug, called Remicade, approved just a few weeks ago by the FDA, is also the focus of a JAMA report. A medication called methotrexate has long been the treatment of choice for rheumatoid arthritis. It is not an NSAID, so it doesn't cause ulcers--but for many patients it stops working after a while. More than half the people who took Remicade along with methotrexate had at least a 20% reduction in arthritis symptoms, according to the study...
Sources--Good News: FDA and New England Journal of Medicine (10/28/99); Archives of Internal Medicine (10/25/99). Bad News: JAMA (10/26/99); New England Journal of Medicine (10/28/99...