Opinion

EDITORIAL

JAMA —The Year in Review, 2020 Rita F. Redberg, MD, MSc

We welcome the promise of 2021—to start to get control of Table. JAMA Internal Medicine Statistics for 2020 the global pandemic via vaccinations against SARS-CoV-2 and effective public health measures and hopefully let the Characteristica Result country get back to the hard work of promoting high-value Manuscript data health care that is affordable and available to all Americans. All manuscripts received 6636 As a new US administration with significant health care Research manuscripts receivedb 4523 expertise begins work, we are hopeful to see progress on COVID-19–related manuscripts received, April 29-December 31 2285 complex issues, such as Acceptance rate, % value-based payment, drug Relatedarticle Overall 8 pricing, and transparency Research 5 issues, to name a few.1 We are interested to learn what the impact of sharply reduced elec- Receipt to first decision without , median, d 1 tive health care visits and reduced cancer screenings will be Receipt to first decision with peer review, median, d 33 as we track rates of breast cancer, lung cancer, heart disease, Peer reviewer turnaround, median, d 8 and many others in the coming decade. We are now in the Acceptance to publication, median, d 68 10th year of the JAMA Internal Medicine Less is More series Receipt to publication, median, d 106 and are pleased to see international attention to the harms of 2019 Journal 18.7 overdiagnosis and overtreatment and on programs to in- Information dissemination data crease high-value care. Of course, our work is far from done, Recipients of electronic table of contents per week 272 560 as health care costs continue to rise much faster than the Views/downloads per year 14.7 million gross domestic product and approach one-fifth of the US Media impressions >27 000 economy. 2020 was a year for the record books in many ways, and Twitter and Facebook followers >172 000 JAMA Internal Medicine saw submissions per month triple in Top 3 articles by views/downloads the summer months and finished the year at nearly twice 1. Weinberger et al,2 Estimation of Excess Deaths Associated 702 886 2-9 With the COVID-19 Pandemic in the United States, the number of submissions ever (Table). It is always a joy March to May 2020 to be able to read authors’ submitted manuscripts, and we 2. Faust and Del Rio,3 Assessment of Deaths From COVID-19 525 084 tried to balance the increased submissions and the pressures and From Seasonal Influenza of trying to help inform and thus stem a worldwide pan- 3. Wu et al,4 Risk Factors Associated With Acute Respiratory 413 142 Distress Syndrome and Death in Patients With Coronavirus demic with timely publications of COVID-19–related Disease 2019 Pneumonia in Wuhan, China 2-9 articles while continuing to publish important articles not Top 3 articles by Altmetric score related to the pandemic. Thanks to a lot of hard work from 1. Lee et al,5 Clinical Course and Molecular Viral Shedding 6635 an incredible editorial team, we managed to reduce our turn- Among Asymptomatic and Symptomatic Patients With SARS-CoV-2 in a Community Treatment Center in around times both for days from receipt to first decision the Republic of Korea without peer review as well as with peer review and even 2. Shen et al,6 Community Outbreak Investigation of 4672 shorter times from manuscript acceptance to publication SARS-CoV-2 Transmission Among Bus Riders in Eastern China and receipt to publication (Table). We love talking with 3. Cunningham et al,7 Clinical Outcomes in Young US Adults 4671 Hospitalized With COVID-19 authors (even virtually) at conferences and hearing stories Top 3 articles by citations about how publishing articles in JAMA Internal Medicine 1. Wu et al,4 Risk Factors Associated With Acute Respiratory 1385 boosted careers, helped get grants or important committee Distress Syndrome and Death in Patients With Coronavirus assignments, and helped in clinical practice. Articles pub- Disease 2019 Pneumonia in Wuhan, China lished in JAMA Internal Medicine have wide readership, as 2. Galea et al,8 The Mental Health Consequences of COVID-19 221 and Physical Distancing: The Need for Prevention and Early there were 14.7 million views and downloads of journal Intervention articles last year. We strive to publish articles that will help 3. Liang et al,9 Development and Validation of a Clinical Risk 95 guide and inform the practice of medicine, including for the Score to Predict the Occurrence of Critical Illness in Hospitalized Patients With COVID-19 care of patients with SARS-CoV-2 infection—either teaching a something new to improve outcomes or identifying a prac- Data based on all manuscripts submitted, including research, review and education, opinion, and letters. tice to avoid for lack of benefit. We will continue to publish b Includes Original Investigations and Research Letters. articles on the daily challenges in health care and medicine

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and focus on ways to improve the experience for clinicians by Michael Incze, MD, MSEd, with topics such as how to and patients as well as approaches to improve health care handle advance care planning,10 medical cannabis,11 and low systems and public health. testosterone,12 and to name just a few. Our team of Editorial Fellows and an international team In fall 2020, we also started creating Visual Abstracts for of Teachable Moments Editorial Fellows led by Deborah clinical trials.13 We hope these help in understanding and Grady, MD, MPH, continue to curate a fascinating and educa- sharing the key points via social media, an increasingly tional collection of patient issues we can all learn from. We important platform for dissemination of medical informa- enjoy hearing how readers are using the Teachable Moments tion. And we hope you enjoy our author podcasts; please series and other articles in caring for patients. We encourage send us suggestions for topics you would like to hear cov- authors to include a figure or table in Teachable Moment ered and any feedback, and please subscribe to JAMA Inter- submissions as many of these articles are the basis of journal nal Medicine podcasts here. club discussions. We will be accepting applications for the We could not do this without our wonderful peer 2021-2022 Teachable Moments Editorial Fellow position, reviewers.14 We rely on their expertise and input to help guide which is open to internal medicine chief residents across our decisions to help select high-quality science that makes a North America in April 2021. Do also check out our Patient difference. I thank these reviewers, authors, and the readers Pages, a great new section for practical patient advice, led of JAMA Internal Medicine.

ARTICLE INFORMATION in patients with coronavirus disease 2019 to predict the occurrence of critical illness in Author Affiliations: Editor, JAMA Internal Medicine; pneumonia in Wuhan, China. JAMA Intern Med. hospitalized patients with COVID-19. JAMA Intern Department of Medicine, University of California, 2020;180(7):934-943. doi:10.1001/jamainternmed. Med. 2020;180(8):1081-1089. doi:10.1001/ San Francisco. 2020.0994 jamainternmed.2020.2033 Corresponding Author: Rita F. Redberg, MD, MSc, 5. Lee S, Kim T, Lee E, et al. Clinical course and 10. Landefeld J, Incze MA. Advanced care Department of Medicine, University of California, molecular viral shedding among asymptomatic and planning—what should I know? JAMA Intern Med. San Francisco, 505 Parnassus Ave M1180, symptomatic patients with SARS-CoV-2 infection in 2020;180(1):172. doi:10.1001/jamainternmed.2019. San Francisco, CA 94143 ([email protected]). a community treatment center in the Republic of 0005 Korea. JAMA Intern Med. 2020;180(11):1447-1452. 11. Incze MA, Slawek D, Cunningham CO. What Published Online: March 22, 2021. doi:10.1001/jamainternmed.2020.3862 doi:10.1001/jamainternmed.2021.0351 should I know about medical cannabis? JAMA Intern 6. Shen Y, Li C, Dong H, et al. Community outbreak Med. 2020;180(4):624. doi:10.1001/ Conflict of Interest Disclosures: None reported. investigation of SARS-CoV-2 transmission among jamainternmed.2020.0018 bus riders in Eastern China. JAMA Intern Med.2020; 12. Incze MA, Kompala T. I’m worried about low REFERENCES 180(12):1665-1671. doi:10.1001/jamainternmed.2020. testosterone—what should I know? JAMA Intern Med. 1. Steinbrook R, Katz MH, Redberg RF. Moving 5225 2020;180(6):920. doi:10.1001/jamainternmed. patient care forward in the Biden era. JAMA Intern 7. Cunningham JW, Vaduganathan M, Claggett BL, 2020.0787 Med. Published online January 19, 2021. doi:10. et al. Clinical outcomes in young US adults 13. Hermine O, Mariette X, Tharaux PL, 1001/jamainternmed.2021.0050 hospitalized with COVID-19. JAMA Intern Med. Resche-Rigon M, Porcher R, Ravaud P; 2. Weinberger DM, Chen J, Cohen T, et al. Published online September 9, 2020. doi:10.1001/ CORIMUNO-19 Collaborative Group. Effect of Estimation of excess deaths associated with the jamainternmed.2020.5313 tocilizumab vs usual care in adults hospitalized with COVID-19 pandemic in the United States, March to 8. Galea S, Merchant RM, Lurie N. The mental COVID-19 and moderate or severe pneumonia: May 2020. JAMA Intern Med. 2020;180(10): health consequences of COVID-19 and physical a randomized clinical trial. JAMA Intern Med. 1336-1344. doi:10.1001/jamainternmed.2020.3391 distancing: the need for prevention and early Published online October 20, 2020. doi:10.1001/ 3. Faust JS, Del Rio C. Assessment of deaths from intervention. JAMA Intern Med. 2020;180(6): jamainternmed.2020.6820 COVID-19 and from seasonal influenza. JAMA Intern 817-818. doi:10.1001/jamainternmed.2020.1562 14. JAMA Internal Medicine peer reviewers in 2020. Med. 2020;180(8):1045-1046. doi:10.1001/ 9. Liang W, Liang H, Ou L, et al; China Medical JAMA Intern Med. Published online March 22, 2021. jamainternmed.2020.2306 Treatment Expert Group for COVID-19. doi:10.1001/jamainternmed.2021.0185 4. Wu C, Chen X, Cai Y, et al. Risk factors associated Development and validation of a clinical risk score with acute respiratory distress syndrome and death

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