Canadian Medical Association Journal

The Canadian Medical Association Journal is a peer-reviewed general medical journal released by the Canadian Medical Association (CMA). It features original clinical studies, analytical articles, reviews, news updates, practice insights, and editorials.

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English, French

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#193444

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#15601

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#256

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Doxycycline postexposure prophylaxis to prevent bacterial sexually transmitted infections

1 month ago | cmaj.ca | Victor Leung |Junine Toy |Peter Phillips |Julio Montaner

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Menstrual equity in Canada

2 months ago | cmaj.ca | Ann Lee |Megan Harrison |Serena M. Topshee

Menstrual inequity, or “period poverty,” refers to inadequate access to menstrual products, education about menstruation, clean facilities, and safe waste management1In Canada, at least 17% of people who menstruate have experienced menstrual inequity.2 Free menstrual products in clinic or hospital washrooms and community resources (Appendix 1, available at www.cmaj.ca/lookup/doi/10.1503/cmaj.241513/tab-related-content) should be offered to patients.
Outcomes for people experiencing homelessness with COVID-19 presenting to emergency departments in Canada, compared with housed patients

Mar 10, 2025 | cmaj.ca | Siying S. Li |Kimberlyn McGrail |Rhonda J. Rosychuk |Michael Law

Concerns have been raised about a disproportionate impact of COVID-19 on people experiencing homelessness (PEH).1–3 Congregate living conditions frequently encountered by PEH were associated with increased transmission of SARS-CoV-2 and incidence of COVID-19;4,5 however, it remained unclear whether PEH were more susceptible to severe illness than housed patients.
An afternoon on the hospice piano

Mar 3, 2025 | cmaj.ca | Shreya Jha |Temerty Faculty

As a composer, I have channelled emotions into art for as long as I can remember. When death was still only an abstract concept to me, I approached it with tentative curiosity. I allowed myself to feel hurt and heartbreak, even dark emptiness. I wrote, rewrote, and discarded, wondering if there was any beauty within the darkness of death. A month into my clerkship year, my friend passed away suddenly. She was 22 years old.
Sodium-glucose cotransporter 2 (SGLT2) inhibitors and risk of chronic kidney disease-mineral and bone disorders in patients with type 2 diabetes mellitus and stage 1-3 chronic kidney disease | CMAJ

Feb 24, 2025 | cmaj.ca | Daniel Tsai |Albert Tzu-Ming Chuang |Kuan-Hung Liu |Shih-Chieh Shao

Mineral and bone disorders (MBD) — characterized by hypocalcemia, hyperphosphatemia, and abnormalities in parathyroid hormone (PTH) and vitamin D metabolism — are observed in 50%–74% of patients with type 2 diabetes mellitus and chronic kidney disease (CKD).1,2 Regular monitoring of biochemical abnormalities and bone diseases in patients with CKD is suggested for early detection of developing CKD-MBD.3 The 2024 American Diabetes Association guideline recommends that adults with type 2...
Interoperability of health data: the importance of including physicians

Feb 24, 2025 | cmaj.ca | Ashley Miller |Kathleen Ross |Edward Brown |Chandi Chandrasena

In a recent article published in CMAJ, El Sabawy and colleagues highlight the critical importance of health data interoperability and the positive influence that Bill C-72 may have toward that goal.1 With a similar mandate of encouraging the implementation and use of interoperable digital health solutions, the Canadian Medical Association (CMA), Canada Health Infoway, The College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada recently created the...
Effect of emergency department opioid prescribing on health outcomes

Feb 10, 2025 | cmaj.ca | Jake Hayward |Rhonda J. Rosychuk |Andrew McRae |Aynharan Sinnarajah

Opioid prescriptions are a factor in some overdose-related deaths,1–4 and this awareness has driven substantial reductions in prescribing.5–7 Despite these reductions, mortality has increased, with more than 500 000 opioid-related deaths in North America since 2016.8–10 In Alberta, Canada, the proportion of people who filled an opioid prescription dropped 35% between 2016 and 2021, but opioid-related deaths tripled, from 554 to 1510 per year, largely because of potent opioids in the illegal...
Mortality and hospitalizations fully attributable to alcohol use before versus during the COVID-19 pandemic in Canada

Feb 3, 2025 | cmaj.ca | Margaret de Groh |Wendy Thompson |Yipu Shi |Kathryn Macrae

The COVID-19 pandemic period had a profound impact on the health of people in Canada.
Weekly injectable insulin icodec for adults with diabetes

Jan 20, 2025 | cmaj.ca | Catherine Yu |Sooyoun Shin

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Dengue and chikungunya in India

Nov 5, 2024 | cmaj.ca | Devesh V. Oberoi

Sanjit Bagchi recently highlighted the surge in cases of dengue in India. 1 It is worth noting that chikungunya, another disease borne by the Aedes egypti mosquito, also poses a major health threat to large populations. 2 The 2 diseases have similar symptoms, although hemorrhagic manifestations are relatively rare with chikungunya. Therefore, care should be taken when caring for patients suffering from either of these diseases as the diagnosis could be incorrect.