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NEJM ✓

@NEJM · Boston, MA · joined 23 Mar 2009

The New England Journal of Medicine is the world’s leading medical journal and website.

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432Following
38 340Posts total
2.1MViews on collected posts

โพสต์ล่าสุด

The authors of a new Perspective argue that to address drivers of poor child health, society should move from responding to health crises one symptom and one child at a time to reimagining ecosystems in ways that facilitate healthy development. Learn more: https://t.co/2qqFfCqDnX
A quote from a Perspective published in the New England Journal of Medicine reads as follows: “Decades of design choices have led to systems in which markets are the primary drivers of health, caregiving infrastructure is fragmented, and prevention is devalued and chronically underfunded.” The Perspective is titled “Declining Child Health in the United States — Addressing the Developmental Ecosystem” and the authors are Christopher B. Forrest, M.D., Ph.D., and Neal Halfon, M.D., M.P.H. To the right is an illustration of an iceberg representing factors driving declines in child health. The iceberg is separated into four sections: "Surface Level: Declines in physical, neurodevelopmental, and mental health"; "Proximal Drivers: Developmental processes altered by exposures throughout the life course"; "Structural Drivers: Degraded natural and social systems"; and "Foundational Drivers: Antiquated cultural narratives about children’s needs."
2.3K views · 3 likes · 0 reposts · 0 replies Open on X →
Case Record of the Massachusetts General Hospital (@MassGeneralNews): A 4-year-old boy presented with fatigue and frequent falls. After falling, he could not stand up using his legs and would instead push himself up with his hands. The aminotransferase levels were elevated. A htt
Two anteroposterior radiographs of the patient's legs from "Case Records of the Massachusetts General Hospital: A 4-Year-Old Boy with Fatigue, Imbalance, and Frequent Falls."
4.8K views · 5 likes · 0 reposts · 0 replies Open on X →
New in the September 24, 2026, issue of NEJM: Anticoagulation for Atrial Fibrillation (SINGLE-AF trial) https://t.co/fsN8QZhgYh Oveporexton for Narcolepsy Type 1 (phase 3 First Light and Radiant Light trials) https://t.co/knBM2X2piw Anito-cel for Refractory or Recurrent ht
Cover page of NEJM.org dated September 24, 2026. It includes sections like Specialties, Topics, Multimedia, Current Issue, and Learning/CME. Featured content includes "Narcolepsy Research Recognized through the Lasker Award" and an audio interview with Christopher Forrest on Developmental Ecosystems and Health. The page also highlights the Images in Clinical Medicine article 
"Cerebral Schistosomiasis," the Quick Take "Anticoagulation in Atrial Fibrillation with Intermediate Stroke Risk," and the editorial "Science behind the Study: CAR with Synthetic Antigen-Binding Domain for Myeloma."
6.2K views · 16 likes · 1 reposts · 1 replies Open on X →
Sometimes the most caring answer is no. Dr. Michelle Kittleson (@MKIttlesonMD) explains why in a new NEJM Voices blog post. Read the post and sign up for email alerts: https://t.co/DpISki5gmS https://t.co/WHf1O5pu0F
A quote from an NEJM Voices blog post reads as follows: “We must have the freedom, as physicians, to tell patients what they need to hear rather than what they want to hear.” The author is Michelle Kittleson, M.D. The background color is red and includes the NEJM Voices logo.
6.6K views · 15 likes · 6 reposts · 0 replies Open on X →
A new review focuses on recent developments in the epidemiologic characteristics, risk factors, prevention, and clinical management of esophageal cancer. Read the full review: https://t.co/SE0TK7sMMJ https://t.co/L1xBFE8r9s
A bullet list of key points from the Review Article "Esophageal Cancer" on a yellow background. The New England Journal of Medicine identity sits at the bottom.
5.3K views · 11 likes · 1 reposts · 0 replies Open on X →
After high-risk adenomas are removed at colonoscopy, guidelines recommend surveillance colonoscopies starting at 3 years, but this screening interval is based on limited evidence. Research findings from the EPoS II trial are summarized in a new Quick Take video. https://t.co/zTvb
A visual representation of the EPoS II trial, which compared different colonoscopy surveillance intervals for patients with high-risk adenomas removed at colonoscopy.
7K views · 16 likes · 5 reposts · 2 replies Open on X →
In a new NEJM Voices blog post, Don Dizon, MD, argues that artificial intelligence tools used in medicine will never replace clinicians. See why: https://t.co/NkKUYB4Z8k https://t.co/yHZFEXwfJG
This image is an illustration of two individuals sitting in a medical office. One is wearing a white coat with a stethoscope around his neck, and holding a tablet, representing a doctor, while the other is engaged in conversation. In the background, a computer monitor displays a document. The text reads: "NEJM Voices | Don Dizon, M.D. The Limits of AI in the Art of Medicine."
9.9K views · 19 likes · 4 reposts · 1 replies Open on X →
In a new NEJM Voices blog post, @PaulSaxMD, describes three recent randomized trials for long Covid, two of which show promising results. Read the latest from Dr. Sax and sign up for email alerts: https://t.co/hIZgjdGH2U https://t.co/rKeQyNfvG4
A silhouetted figure scales a stylized mountain, holding a large red virus symbol. The background features layered mountain ranges. A quote from Paul Sax, M.D.: "After decades of seeing people suffer with these postinfectious syndromes, with frustratingly little we can do to help them, I’m all for casting a wide net in the search for effective treatments."

The source is identified as NEJM Voices.
19K views · 28 likes · 4 reposts · 0 replies Open on X →
Perspective by Matthew Tobey, MD, and Allison Kelliher, MD: A New Approach for the Indian Health Service — Academic Physician Staffing https://t.co/XAXLgs9c5u #MedEd #MedicalEthics https://t.co/eoSZ7v454F
A table showing staffing partnerships between the Indian Health Service (IHS) Great Plains area and academic medical centers, academic year 2025–2026. The IHS sites are Rosebud Service Unit, Pine Ridge Service Unit, and Cheyenne River Health Center. Academic partners include institutions such as Massachusetts General Hospital and Icahn School of Medicine at Mount Sinai. Services cover multiple specialties like medicine, pediatrics, and obstetrics.
14K views · 9 likes · 0 reposts · 0 replies Open on X →
Correspondence: Colorectal Cancer Risk among Patients with Serrated Polyps (EPoS III trial) https://t.co/UJInJfgdZO Original Article: Colonoscopy Intervals and Colorectal Cancer Incidence after Adenoma Removal (EPoS II trial) https://t.co/oy3EMjt0ba Editorial: When More Is ht
A table showing colorectal cancer mortality, incidence of polyps, and 30-day adverse events at 5-year follow-up. Categories include colorectal cancer diagnosis, death from colorectal cancer, death from any cause, serrated polyp, advanced serrated polyp, adenoma, advanced adenoma, and adverse event. Data includes number of patients and cumulative incidence percentage with 95% confidence intervals.
18K views · 59 likes · 11 reposts · 1 replies Open on X →
Original Article: Trial of a Maternal Diet Rich in Eggs and Peanuts to Reduce Infant Allergy (PrEggNut trial) https://t.co/cLeLlnLiY4 Editorial: Maternal Allergen Consumption and Infant Food Allergy — Reassurance, Not Prescription https://t.co/OCPHFyOUQI #Pediatrics https://t
Chart depicting median eggs consumed per week during pregnancy and postnatal periods for two groups: "High egg–peanut group" and "Standard-diet group," and spans from 26 weeks of pregnancy to 4 months postnatal. Blue triangles represent the high egg–peanut group, while gray circles denote the standard-diet group. Each point is labeled with sample size (N).
Chart showing median weekly peanut intake values per week. The chart is divided into two groups, "High egg–peanut group" and "Standard-diet group," and spans from 26 weeks of pregnancy to 4 months postnatal. Blue triangles represent the high egg–peanut group, while gray circles denote the standard-diet group. Each point is labeled with sample size (N).
27.2K views · 33 likes · 5 reposts · 0 replies Open on X →
Among critically ill adults with metabolic acidosis receiving vasopressors in the ICU, sodium bicarbonate did not lead to a lower risk of major adverse kidney events within 30 days than placebo. Full SODa-BIC trial results and Research Summary: https://t.co/uTtuin6rig https://t.c
This image contains an excerpt from the Research Summary "Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis" published in the New England Journal of Medicine. It includes a diagram of a patient with highlighted kidneys and lungs, and an insert labeled "Metabolic Acidosis." Statistics are shown: 500 adults, median age 66 years, with a gender distribution of 57% male and 43% female. Two diagrams represent groups: "Sodium Bicarbonate" with 245 adults and "Placebo" with 255 adults. A prompt to read the full Research Summary at NEJM.org sits at the bottom.
25.1K views · 136 likes · 39 reposts · 0 replies Open on X →
Perspective by Dhruv Khullar, MD, MPP: Artificial Intelligence and the Future of the Clinical Workforce https://t.co/GY0mXBJ3Zx #HealthPolicy #AIinMedicine https://t.co/JdZXxdOVTB
A quote from a Perspective published in the New England Journal of Medicine reads as follows: "The automation of tasks won’t necessarily translate into the automation of jobs. In fact, if AI automates some clinical tasks, the value of nonautomated, human tasks may increase." The Perspective is titled "Artificial Intelligence and the Future of the Clinical Workforce" and the author is Dhruv Khullar, M.D., M.P.P. The text is displayed on a simple white background with a purple border. The NEJM identity sits at the bottom.
11.8K views · 15 likes · 4 reposts · 0 replies Open on X →
Original Article: Blinatumomab for Replacing Chemotherapy in Pediatric Acute Lymphoblastic Leukemia (phase 3 AIEOP-BFM ALL 2017 trial) https://t.co/91Ske7iFDl Editorial: Blinatumomab — A New Standard of Care in Acute Lymphoblastic Leukemia https://t.co/WM7m5PG3Cw #Hematology
The image consists of four graphs showing estimates of end-point events between randomization and year 4. Panel A shows event-free survival over the 4-year period. Panel B shows the cumulative incidence of relapse, Panel C the cumulative incidence of death during the first complete remission, and Panel D freedom from death from any cause.
16.5K views · 47 likes · 13 reposts · 0 replies Open on X →
Whether a maternal diet rich in eggs and peanuts during pregnancy and lactation can reduce the risk of infants developing food allergies is unclear. Research findings from the PrEggNut trial are summarized in a new Quick Take video. https://t.co/P06Ua0p73K https://t.co/7JFSsw1fNu
Illustration showing a silhouette of a pregnant person with a fetus visible inside, a bowl of peanuts and eggs, and an infant with red rash marks on the skin from a food allergy.
21.7K views · 53 likes · 9 reposts · 0 replies Open on X →
In this planned interim analysis of a randomized trial, first surveillance colonoscopy at 5 years after the removal of high-risk adenomas was noninferior to first colonoscopy at 3 years for the incidence of colorectal cancer. Full EPoS II trial results and Research Summary: https
This image contains an excerpt from the Research Summary "Colonoscopy Intervals and Colorectal Cancer after Adenoma Removal" published in the New England Journal of Medicine. It includes a diagram of the colon with adenoma removal highlighted. Text states there are 10,799 adult patients with a mean age of 62 years, 65% men and 35% women. Two groups are shown: a 5-year group with less frequent surveillance (5,398 individuals) and a 3-year group with more frequent surveillance (5,401 individuals). A prompt to read the full Research Summary at NEJM.org sits at the bottom.
24.7K views · 133 likes · 36 reposts · 4 replies Open on X →
Original Article: Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock (SODa-BIC trial) https://t.co/uTtuin6rig Editorial: Sodium Bicarbonate in Critical Illness — A New Chapter for the Book https://t.co/pywzzcAkVV #Nephrology #EmergencyMedicine htt
This image contains three panels of a clinical study graph and tables. Panel A displays a Kaplan-Meier survival curve comparing in-hospital survival by day 30 between sodium bicarbonate and placebo. Panel B shows a similar curve for renal-replacement therapy by day 30. Panel C contains a forest plot analyzing major adverse kidney events within 30 days across various subgroups, highlighting differences between sodium bicarbonate and placebo.
18.4K views · 141 likes · 38 reposts · 1 replies Open on X →
A randomized trial examined whether two cycles of blinatumomab could replace two cycles of chemotherapy in children with newly diagnosed high-risk B-cell acute lymphoblastic leukemia. Research findings from the phase 3 AIEOP-BFM ALL 2017 trial are summarized in a new Quick Take h
A visual representation of blinatumomab, a bispecific T-cell engager targeting CD19, for children with newly diagnosed high-risk B-cell acute lymphoblastic leukemia.
15.9K views · 26 likes · 5 reposts · 2 replies Open on X →
The authors of a new Perspective write that policymakers have so far failed to hold perpetrators in Jeffrey Epstein’s trafficking network accountable, but the medical and public health community should confront the resulting health crisis. Read the full Perspective: https://t.co/
A quote from a Perspective published in the New England Journal of Medicine reads as follows: "Prevention is the defining aim of the public health field. Yet trafficking has consistently put public health institutions and experts on the defensive, where they address most harms only after they have occurred." The Perspective is titled "The Epstein Files Transparency Act and the Health of Trafficked Children" and the authors are Nicholas Peoples, M.D., Preeti Panda, M.D., M.S.H.P., and Hanni Stoklosa, M.D., M.P.H. The background color is green and includes the NEJM logo.
12.1K views · 4 likes · 3 reposts · 0 replies Open on X →
A 72-year-old man with hypertension, hyperlipidemia, and a stable ascending aortic aneurysm presented with sudden-onset, severe chest pain. CTA of the chest, abdomen, and pelvis showed a celiac-artery dissection. Read the full case details in the Images in Clinical Medicine htt
One of three images showing computed tomographic angiography of the chest, abdomen, and pelvis. This one shows an axial view.
Two of three images showing computed tomographic angiography of the chest, abdomen, and pelvis. This one shows a coronal view.
Three of three images showing computed tomographic angiography of the chest, abdomen, and pelvis. This one shows a sagittal view.
19.3K views · 35 likes · 5 reposts · 1 replies Open on X →
A baby girl was noted to have severe swelling and discoloration of the left arm immediately after birth by cesarean section at 38 weeks’ gestation. Prenatal ultrasonography at 28 weeks had shown soft-tissue swelling of the left arm of undetermined cause. Examination showed https:
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15.9K views · 11 likes · 4 reposts · 1 replies Open on X →
Original Article: Colonoscopy Intervals and Colorectal Cancer Incidence after Adenoma Removal (EPoS II trial) https://t.co/oy3EMjt0ba Editorial: When More Is Not Better — Colonoscopy Surveillance after High-Risk Adenomas https://t.co/ourUELvedi Correspondence: Colorectal http
A graph showing the cumulative incidence of colorectal cancer in the two trial groups. The x-axis represents years since randomization, and the y-axis represents cumulative incidence percentage. Two lines are shown: a blue line labeled "3-yr Group, 0.82" and a gray line labeled "5-yr Group, 0.77".
A bar chart showing numbers of cases of early-stage cancer and of late-stage cancer per 1000 patients according to trial group. An inset shows the same data on an expanded y axis.
13.5K views · 22 likes · 3 reposts · 3 replies Open on X →
Metabolic acidosis is common in critically ill adults and is tied to adverse outcomes. Sodium bicarbonate is widely used to treat metabolic acidosis, but evidence supporting its use is unclear. Research findings are summarized in a new Quick Take video. https://t.co/bsrs0FMeeE ht
Illustration showing sodium bicarbonate for a patient with metabolic acidosis and a bottle labeled "Vasopressors."
18.5K views · 64 likes · 11 reposts · 1 replies Open on X →
In a new Perspective, Matthew Tobey, MD, and Allison Kelliher, MD, write that the Indian Health Service (@IHSgov) has limited options for recruiting physicians to its most understaffed sites. Partnerships with academic medical centers could help address long-standing physician ht
A quote from a Perspective published in the New England Journal of Medicine reads as follows: "Codesign of partnership models with Tribes and the grounding of services in local culture require listening and time." The Perspective is titled "A New Approach for the Indian Health Service — Academic Physician Staffing" and the authors are Matthew Tobey, M.D., and Allison Kelliher, M.D. The background color is brown and includes the NEJM logo.
9.5K views · 8 likes · 2 reposts · 0 replies Open on X →
What is the best oxygenation strategy for patients with acute hypoxemic respiratory failure? NEJM Editorial Fellow Katerina Lin, MD, shares the key results of a trial comparing high-flow to standard oxygen in respiratory failure. Read the full study at https://t.co/pIyGfwkwes htt
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14.1K views · 25 likes · 5 reposts · 0 replies Open on X →
Original Article: Short or Long Antibiotic Regimens in Orthopedics (SOLARIO trial) https://t.co/4uIUCFkH1r #InfectiousDisease #Orthopedics https://t.co/Ps7teIsBQ9
This image shows a forest plot showing the robustness of the primary analysis results. Subgroups include definite treatment failure, definite or probable treatment failure, and definite, probable, or possible treatment failure. Hazard ratios with 95% confidence intervals are displayed, indicating whether a short duration is better than a long duration. A red line indicates the noninferiority margin.
This image shows a forest plot showing the subgroup analyses. Subgroups include eligible population, recruitment center, sex, infection characteristic, gentamicin local therapy, and indication for surgery. Hazard ratios with 95% confidence intervals are displayed, indicating whether a short duration is better than a long duration. A red line indicates the noninferiority margin.
12.3K views · 22 likes · 5 reposts · 1 replies Open on X →
Clinical guidelines have long helped clinicians deliver evidence-based care. But as generative AI becomes increasingly capable of integrating medical literature and powering decision support, it's time to ask: what role should guidelines play in the future? At the next @NEJM_AI
Dark navy image with an illustration of a doctor using technology to evaluate diagnostic and imaging results. Below the illustration reads the following: 

Reinventing Clinical Guidelines in the AI Era 
October 21, 2026 
Free Virtual Event 

The NEJM AI logo is centered at bottom.
8.3K views · 18 likes · 7 reposts · 2 replies Open on X →
In a new NEJM Voices blog post, Dr. Kemi Doll explains how a modular approach to early-career research funding could strengthen scientific training and give faculty a real opportunity to discover whether a research career is right for them. Learn more and sign up for email https:
A quote from an NEJM Voices blog post reads as follows: “A slower, stepwise entry into full-time or near–full-time research work allows us  to fill the growing skill  gaps that the antiquated apprenticeship model can no longer fulfill.” The author is Kemi Doll, M.D. The background color is blue and includes the NEJM Voices logo.
6.9K views · 6 likes · 3 reposts · 0 replies Open on X →
A 54-year-old woman presented to the emergency department with progressive asthenia, falls, and dyspnea. Physical examination and muscle biopsy provided clues to the diagnosis. Read the full case details in the Images in Clinical Medicine article “Late-Onset Pompe Disease”: htt
Four medical images from the Images in Clinical Medicine article "Late-Onset Pompe Disease." Panel A: A photo of the patient's tongue. Panel B: MRI of the head and cervical spine. Panel C: Hematoxylin and eosin staining of skeletal muscle. Panel D: Acid phosphatase staining showing increased acid phosphatase activity suggestive of lysosomal dysfunction.
9.3K views · 9 likes · 2 reposts · 0 replies Open on X →
For patients with esophageal cancer, 5-year survival has improved in recent decades but rarely exceeds 20%. A new review summarizes risk factors, screening, and treatment for the two main histologic types. Read “Esophageal Cancer” by Shao-Hua Xie, MD, PhD, Elizabeth Smyth, MD,
7K views · 22 likes · 5 reposts · 0 replies Open on X →

เทียบกับบัญชีขนาดเดียวกัน

100 โพสต์จาก 90 วันที่ผ่านมา เทียบกับช่วง 1M–10M ผู้ติดตาม แสดงในวงกว้าง แต่มีผู้ชมตอบสนองน้อย.

ยอดดูมัธยฐาน9 692บัญชีนี้14 648ค่ามัธยฐานของ 1M–10M
การเข้าถึง, %0.93%บัญชีนี้0.74%ค่ามัธยฐานของ 1M–10M
การมีส่วนร่วม, %0.27%บัญชีนี้0.70%ค่ามัธยฐานของ 1M–10M
ตัวชี้วัดบัญชีนี้ค่ามัธยฐานของ 1M–10Mอัตราส่วน
ยอดดูมัธยฐานต่อโพสต์9 69214 6480.66×
การเข้าถึง (ยอดดู ÷ ผู้ติดตาม)0.93%0.74%1.26×
อัตราการมีส่วนร่วม0.27%0.70%0.38×

บัญชีอื่นในช่วงนี้ →   เปรียบเทียบกับบัญชีอื่น →   ค่าอ้างอิงเหล่านี้คำนวณอย่างไร →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

16.5K20 Sep
11.8K
25.1K21 Sep
27.2K
18K
14K
19K22 Sep
9.9K23 Sep
7K
5.3K
6.6K24 Sep
6.2K
4.8K
2.3K

Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.37%20 Sep
0.16%
0.70%21 Sep
0.15%
0.39%
0.06%
0.17%22 Sep
0.25%23 Sep
0.33%
0.23%
0.33%24 Sep
0.29%
0.11%
0.13%

Reactions — likes, reposts, replies and quotes — divided by views. Median for 1M–10M accounts is 0.70%.

What the audience does

Likes61.7%1 011 in total
Reposts14.4%236 in total
Replies1.3%21 in total
Quotes1.2%19 in total
Bookmarks21.4%351 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

Followers by day

21 Sep24 Sep

Daily snapshots since 21 Sep 2026; the dashed line is the starting count.

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