@cbarbermd hey, thanks for drawing attention to this. :D
Small nitpick: would you mind editing the link to the full link of the publication? Shortened URLs obscure the target and include another party that'll likely track people. For this reason, at least for mastodon, URLs always cost you a flat 25 characters off the maximum post length by default, regardless of their length ^^
The full link without tracking parameters:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2842305