Le numekuku aɖe si wowɔ nyitsɔ laa si wota ɖe JAMA Network Open me la, numekula siwo tso United States of America (US) la ku nu me le kadodo si le dɔdamadɔlɔ̃ kple ameƒome ƒe lãmesẽnyawo dome le United States la ŋu. Wokpɔe be dɔdamadɔlɔ̃ do ƒome kple lãmesẽkuxiwo ƒe gbegblẽ kple dɔwuame kple ku si gbɔ eme le ameƒome me. Dɔdamadɔlɔ̃ sia do ƒome kple nu gbegblẽ siwo ate ŋu agblẽ nu le ame ŋu, abe dɔdamadɔlɔ̃ ƒe ɖoɖowo ƒe didime, dɔdamadɔlɔ̃ ƒe ɖoɖowo dzi dada, kple nuɖuɖu kple aƒe ƒe dediemanɔmanɔ ƒe dzidziɖedzi ene.