The Clinical Times
The Front Page of Medicine

Clinical & Research · page 17

New research and findings from open-access journals and the U.S. research agencies.

JAMA Network Open · Jul 22, 2026

Medicare Part B Discarded Drug Spending

This cohort study examines national trends in Medicare Part B discarded drug utilization and spending between 2017 and 2023, including changes before and after implementation of the Infrastructure Investment and Jobs Act.

MedCity News · Jul 21, 2026

You Can Now Bet on Clinical Trials Like Playoff Games, But Health Execs Say It Crosses a Line

Prediction market Kalshi launched betting markets tied to clinical trial results and FDA approvals. Healthcare leaders warn the model could invite insider trading and distort the integrity of the research outcomes it’s meant to forecast. The post You Can Now Bet on Clinical Trials Like Playoff Games, But Health Execs Say It Crosses a Line appeared first on MedCity News .

BMJ Open · Jul 21, 2026

Association between GLP-1 receptor agonists and alcohol-related hospitalisations among adults with alcohol use disorder: multi-target trial emulation study

Objective To evaluate the association between use of newer glucagon-like peptide-1 receptor agonists (GLP-1 RAs; semaglutide, tirzepatide) and alcohol-related hospitalisations among adults with alcohol use disorder (AUD) and type 2 diabetes (T2D) or obesity. Retrospective cohort study using target trial emulation. Setting Electronic health record data from a collective of US healthcare systems. Participants Adults with AUD and T2D or obesity who started a newer GLP-1 RA (semaglutide or tirzepatide) or a relevant active comparator between 1 January 2018 and 31 December 2024. Interventions…

MedCity News · Jul 21, 2026

Agios Pharma Drops Sickle Cell Disease Drug After Phase 2 Data Disappoint

Agios Pharmaceuticals said tebapivat fell short of expectations in a Phase 2 test in sickle cell disease. It’s the latest in a series of disappointing industry developments in sickle cell disease. The post Agios Pharma Drops Sickle Cell Disease Drug After Phase 2 Data Disappoint appeared first on MedCity News .

PLOS Medicine · Jul 21, 2026

Brain aging patterns among nine neurological disorders: A case-control study

by Chuang Liang, Godfrey Pearlson, Juan Bustillo, Peter Kochunov, Jiayu Chen, Xiangrong Zhang, Rongtao Jiang, Kent E. Hutchison, Jing Sui, Zening Fu, Xiao Yang, Yuhui Du, Daoqiang Zhang, Shile Qi, Vince D. Calhoun Background The difference between neuroimaging-predicted brain age and chronological age, the predicted age difference (PAD), has been studied as a potential biomarker reflecting individual brain health. Although previous large-scale studies have shown that brain age deviations occur across multiple disorders, cross-disorder comparisons of PAD within a unified framework, together…

PLOS Medicine · Jul 21, 2026

Adverse pregnancy outcomes and long-term risk of peripheral artery disease: A cohort study

by Casey Crump, Jingkai Wei, Jan Sundquist, Kristina Sundquist Background Women with adverse pregnancy outcomes have higher subsequent cardiovascular risks, but their long-term risks of peripheral artery disease (PAD) and potential causality are unclear. A better understanding of such risks is needed to improve early risk stratification, clinical care, and long-term cardiovascular health. We sought to determine long-term risks of PAD associated with 5 major adverse pregnancy outcomes in a large population-based cohort, and to assess for familial confounding using co-sibling analyses. Methods…

PLOS Medicine · Jul 21, 2026

Optimising scale-up of injectable lenacapavir for HIV pre-exposure prophylaxis in South Africa: A modelling study and economic evaluation

by Lise Jamieson, Leigh F. Johnson, Jeffrey W. Imai-Eaton, Hasina Subedar, Linda-Gail Bekker, Gesine Meyer-Rath Background South Africa accounts for 20% of global HIV infections. Six-monthly injectable lenacapavir (LEN) for HIV pre-exposure prophylaxis (PrEP) has superior efficacy to oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC), and similar efficacy to 2-monthly injectable cabotegravir (CAB). With LEN’s regulatory approval, South Africa faces critical implementation decisions amid constrained domestic resources and reduced international funding. We evaluated the epidemiological…

BMJ Open · Jul 21, 2026

Association of iron status during early pregnancy and the risk of gestational diabetes: a retrospective cohort study in Shanghai

Background The association between maternal iron status and the risk of gestational diabetes mellitus (GDM) remains elusive. Clearer evidence is needed to inform appropriate ferritin thresholds and iron supplementation guidelines during pregnancy. Objectives To investigate whether first-trimester serum ferritin (SF) concentration is associated with subsequent GDM risk. Design Retrospective cohort study. Setting A tertiary obstetrics and gynaecology hospital in Shanghai, China. Participants A total of 6429 low-risk pregnant women at fewer than 14 weeks of gestation were finally included…

BMJ Open · Jul 21, 2026

Impact of different degrees of social engagement interventions (DDSEIs) on cognitive performance and brain activity in community-dwelling adults with subjective cognitive decline in Nanjing, China: a randomised controlled trial protocol

Introduction Social isolation may have adverse effects on incidence and severity of cognitive impairment including subjective cognitive decline (SCD). An increase of environmental variety and social interactions may furthermore reduce progression from SCD to dementia. Research evaluating respective interventions is limited, particularly as regards studies comparing different degrees of social engagement interventions. We thus developed a clinical trial protocol to determine the efficacy of social interventions with different intensities in protecting cognitive function and white matter…

BMJ Open · Jul 21, 2026

Lived experiences of hysterectomy and its effects on the physical, psychological, social and marital life of women under 40 years of age: a qualitative phenomenological study conducted in Lahore, Pakistan

Objectives The focus of the present study is to highlight and understand the effect of hysterectomy on physical, psychological, social and marital status among women aged under 40 years of age, in the cultural context of Pakistan Design The study used a qualitative phenomenological approach to explore the lived experiences of the women. Settings The present study was conducted at Sheikh Zayed Hospital, a tertiary care public sector hospital located in Lahore, Pakistan. Participants The participants of the study were women under 40 years of age who have undergone hysterectomy in the last 2…

BMJ Open · Jul 21, 2026

Health behaviour abilities profiles in patients with haematological malignancies and its influencing factors: a cross-sectional survey

Objectives To identify the latent profiles of health behaviour abilities among patients with haematological malignancies and to explore the underlying population heterogeneity and influencing factors. Design A cross-sectional study conducted between October and December 2024. Setting Data were collected from three provincial hospitals in China. Participants A total of 486 hospitalised patients were recruited. Outcome measures Data were collected using a demographic questionnaire, the Sense of Coherence Scale-13, the Perceived Social Support Scale and the Self-rated Abilities for Health…

BMJ Open · Jul 21, 2026

Interventional, multicentre investigation of a novel lumbar total joint replacement: propensity matched study design and protocol

Introduction The study aims to demonstrate non-inferior clinical success (safety and efficacy) of the MOTUS Total Joint Replacement device relative to posterior or transforaminal lumbar interbody fusion with respect to a composite endpoint. The primary hypothesis for this study is that the probability of achieving 24-month composite clinical success (CCS) for subjects receiving the investigational device is not clinically inferior to the probability of achieving 24-month CCS for subjects receiving lumbar interbody fusion collected in a separate real-world evidence (RWE) study. Methods and…

BMJ Open · Jul 21, 2026

Incidence of respiratory syncytial virus in adults >=50 years during and following the COVID-19 pandemic in upper midwest USA: a community-based prospective cohort study

Objective Respiratory syncytial virus (RSV) is an important viral pathogen in children, older adults and adults with certain high-risk conditions. In our prospective community-based cohort study of adults 50 years and older before the COVID-19 pandemic, the incidence of RSV acute respiratory infection (ARI) was 48.6 cases/1000 person-years (PY), which decreased to near zero during the COVID-19 pandemic. Our objective was to determine the incidence of RSV-ARI during the 2 years following the initial phase of the pandemic (2021–2022 and 2022–2023). Design This is a community-based prospective…

BMJ Open · Jul 21, 2026

Individual and community-level determinants of womens healthcare decision-making autonomy in extremely high and very high maternal mortality sub-Saharan African countries: a multilevel mixed effect analysis

Objective This study was conducted to identify the individual and community level determinants of women’s autonomy of healthcare decision-making in extremely high and very high maternal mortality sub-Saharan African countries. Design The study utilised secondary data from the recent Demographic and Health Surveys conducted between 2014 and 2024. A multilevel mixed-effect logistic regression model was fitted. Adjusted OR (AOR) with a 95% CI was used to assess the strength and direction of association and statistical significance was considered at p value <0.05. Setting The study focused on…

BMJ Open · Jul 21, 2026

Clinical similarity in cost-comparison evaluations: a systematic review of current methods in NICE appraisals and the development of a framework for the formal assessment of clinical similarity

Objectives To review how statistically non-significant indirect treatment comparison (ITC) results are interpreted within National Institute for Health and Care Excellence (NICE) cost-comparison evaluations (CCEs) and develop a framework to support interpretations of these results from Bayesian network meta-analyses (NMAs). Design A systematic review of CCEs between 2017 (first introduced) and April 2025. A framework (point-and-density plots) was developed to better interpret statistically non-significant NMA results for CCEs. Data sources CCEs were identified through NICE website searches…

BMJ Open · Jul 21, 2026

Finding your way to normal life: experiences of young and middle-aged adults with multimorbidity and complex chronic conditions - a qualitative study

Objectives This study aimed to explore how young and middle-aged adults (aged 18–65 years) with multimorbidity and complex chronic conditions experience hospitalisation and the transition home. Design In this qualitative study, semi-structured interviews were conducted. Data from the interviews were analysed using reflexive thematic analysis following Braun and Clarke (2022). Setting Two university hospitals in Switzerland (March to July 2024). Participants 16 young and middle-aged adults with multimorbidity and complex chronic conditions from two university hospitals in Switzerland were…

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