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Performance

· 17 checks — Lighthouse + waterfall + sustainability rolled into one auditable list.
SCORE
71
GRADE
C
FIX
6
REVIEW
1
PASS
8
INFO
2

Performance-focused optimization plan with CWV assessment, top offenders, and time estimates

29
Performance Overall performance score (0–100) based on Core Web Vitals and other metrics. 90+ is good.
86
Accessibility Measures how accessible the page is for users with disabilities. Checks color contrast, ARIA labels, and semantic HTML.
77
Best Practices Checks for modern web development best practices including HTTPS, no console errors, and secure JavaScript.
77
SEO Measures basic SEO optimizations: meta tags, crawlability, link text, and mobile friendliness.

First Contentful Paint First Contentful Paint — how long until the browser renders the first piece of content. Under 1.8s is good.

5.03 s

Largest Contentful Paint Largest Contentful Paint — how long until the largest visible element loads. Under 2.5s is good.

18.83 s

Total Blocking Time Total Blocking Time — total time the main thread was blocked, preventing user input. Under 200ms is good.

3.86 s

Cumulative Layout Shift Cumulative Layout Shift — measures visual stability. How much the page layout shifts during loading. Under 0.1 is good.

0.053

Speed Index Speed Index — how quickly content is visually displayed during load. Under 3.4s is good.

6.89 s

Time to Interactive Time to Interactive — how long until the page is fully interactive and responds to user input. Under 3.8s is good.

19.47 s

Page Load Progression

597 ms
1.2 s
1.8 s
2.4 s
3.0 s
3.6 s
4.2 s
4.8 s
Checks
17
8 PASS 1 REVIEW 6 FIX
D
Page Weight Budget
Action
2.5 MB transferred, 148 requests
FIX
2.5 MB transferred, 148 requests
Warning::
Page weighs 8.4 MB (2.5 MB transferred)
Warning::
JavaScript is 1.6 MB — consider code splitting or lazy loading
Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.
Got: 1.6 MB
Info::
Fonts are 358 KB — consider subsetting or using system fonts
Subset fonts to include only used characters, or switch to system font stacks.
Got: 358 KB
Warning::
148 HTTP requests — consider bundling or reducing
Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.
Info::
Estimated 0.53 g CO2 per page load
2.5 MB / 2.4 MB budget
2.5 MB transferred
148 requests
0.53 g CO2 per page load
JavaScript 1.6 MiB 63%
Fonts 358.0 KiB 14%
Images 321.1 KiB 12%
CSS 88.0 KiB 3%
Other 65.5 KiB 3%
Other 52.0 KiB 2%
HTML 37.8 KiB 1%
Other 26.1 KiB 1%
Other 704 B 0%
Other 0 B 0%
0 2.4 MB 4.9 MB
Over budget

Large JavaScript bundles delay interactivity. Split code by route or defer non-critical scripts.

Why this matters

JavaScript bundle is large — code-split routes and lazy-load off-screen components to defer.

Source: web.dev

Subset fonts to include only used characters, or switch to system font stacks.

Why this matters

Font payload is large — subset to used glyphs only, or fall back to system fonts (zero load time).

Source: web.dev font loading

Each request adds latency. Bundle small files, use sprites, or eliminate unnecessary requests.

Why this matters

High HTTP request count — bundling, sprite-ing, and HTTP/2 server push can reduce per-request overhead.

Source: web.dev

D
Third-Party Impact
Action
98% third-party, 0 ms blocking
FIX
98% third-party, 0 ms blocking
Warning::
Third-party code accounts for 98% of page weight (2.5 MiB of 2.5 MiB)
Info::
Third-party blocking time is low (0 ms)
98%
First-party Third-party
F
JS Execution Cost
Action
12047ms total JS execution
FIX
12047ms total JS execution
Warning::
https://jamanetwork.com/: 2150ms CPU time
Warning::
Unattributable: 1756ms CPU time
Warning::
https://cdn.quantummetric.com/qscripts/quantum-ama...: 1067ms CPU time
Warning::
https://securepubads.g.doubleclick.net/pagead/mana...: 837ms CPU time
Warning::
https://r451.jamanetwork.com/script.js: 799ms CPU time
Warning::
Third-party scripts: 9351ms (78% of total)

Main Thread Breakdown

Script Evaluation 59% Other 16% Style & Layout 9% Script Parsing & Compilation 7% Rendering 6%
ScriptTotalScriptingParse/CompileParty
https://jamanetwork.com/2150ms93ms11ms1st
Unattributable1756ms597ms0ms3rd
https://cdn.quantummetric.com/qscripts/quantum-ama.js1067ms949ms49ms3rd
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604200101/pubads_impl.js?cb=31097964837ms666ms87ms3rd
https://r451.jamanetwork.com/script.js799ms737ms18ms3rd
https://cdn.jamanetwork.com/UI/app/vendor/jquery-3.4.1.min.js?v=639102344110797911633ms459ms16ms3rd
https://www.googletagmanager.com/gtm.js?id=GTM-WNKSNP589ms469ms82ms3rd
https://jamanetwork.com/cdn-cgi/challenge-platform/scripts/jsd/main.js546ms523ms8ms1st
https://api.b2c.com/api/init-3133s13tyvo448eled2.js505ms473ms3ms3rd
https://api.b2c.com/api/init-384qixmcp2s94lcpe6l.js?journal=jamanetw433ms386ms2ms3rd

Showing top 10 of 23 scripts

F
JS Bundles
Action
34 scripts, 605 KB unused
FIX
34 scripts, 605 KB unused
Warning::
https://securepubads.g.doubleclick.net/pagead/mana...: 99 KB unused (53%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtag/js?id=G-NGYQ...: 68 KB unused (40%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtag/js?id=G-CXRF...: 65 KB unused (41%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://www.googletagmanager.com/gtag/js?id=G-B4FW...: 64 KB unused (41%)
Consider code splitting or tree shaking to reduce unused code.
Warning::
https://cdn.cookielaw.org/scripttemplates/202503.1...: 61 KB unused (53%)
Consider code splitting or tree shaking to reduce unused code.
Info::
Total unused JavaScript: 605 KB
605 KB unused JavaScript

Downloaded but never executed on this page.

ScriptSizeUnusedMinifiedParty
https://securepubads.g.doubleclick.net/pagead/managed/js/gpt/m202604200101/pubads_impl.js?cb=31097964188 KB99 KB (53%)3rd
https://www.googletagmanager.com/gtag/js?id=G-NGYQD9R7ZM&cx=c&gtm=4e64h1170 KB68 KB (40%)3rd
https://www.googletagmanager.com/gtag/js?id=G-CXRFQ9PGSH&cx=c&gtm=4e64h1158 KB65 KB (41%)3rd
https://www.googletagmanager.com/gtag/js?id=G-B4FWHWKMEB&cx=c&gtm=4e64h1158 KB64 KB (41%)3rd
https://cdn.cookielaw.org/scripttemplates/202503.1.0/otBannerSdk.js116 KB61 KB (53%)3rd
https://cdn.jamanetwork.com/UI/app/dist/app.min.js?v=63911619338219493884 KB56 KB (67%)3rd
https://www.googletagmanager.com/gtm.js?id=GTM-WNKSNP149 KB51 KB (34%)3rd
https://pagead2.googlesyndication.com/pagead/managed/js/activeview/current/ufs_web_display.js73 KB33 KB (46%)3rd
https://cdn.quantummetric.com/qscripts/quantum-ama.js110 KB32 KB (29%)3rd
https://r451.jamanetwork.com/plugin/library/a53ed3a366a92f652159978c3de3f6ef49 KB30 KB (61%)3rd

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

Consider code splitting or tree shaking to reduce unused code.

Why this matters

This bundle has high unused code — code-split or tree-shake to ship only what executes.

Source: web.dev / Lighthouse coverage

F
Page Weight Inventory
Action
148 resources · 2.5 MB · 605 KB savings available
FIX
148 resources · 2.5 MB · 605 KB savings available
Warning::
Page weight 1.5 MB over 1MB target
Got: 2.5 MB Expected: ≤ 1 MB
Info::
~605 KB of savings available
Warning::
135 third-party resources (98% of weight)
148 resources · 2.5 MiB · 135 third-party 1.5 MiB over 1MB target
JavaScript 63% · 1.6 MiB
Font 14% · 358.0 KiB
Image 13% · 324.6 KiB
Other 5% · 132.3 KiB
CSS 4% · 92.3 KiB
Document 2% · 42.0 KiB

~605.3 KiB of savings available

Remove unused JavaScript: 605.3 KiB
F
HTTP Caching
Action
No cache headers
FIX
No cache headers
Warning::
No Cache-Control header found
Browsers will use heuristic caching, which can be unpredictable. Set explicit cache headers.

No Cache-Control header

Adding a Cache-Control header can significantly improve repeat-visit performance.

C
Image Optimization
Action
20 images, 0 KB saveable
REVIEW
20 images, 0 KB saveable
Warning::
https://cdn.jamanetwork.com/UI/app/svg/jn-logo-rgb... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
Warning::
https://cdn.jamanetwork.com/ImageLibrary/Marketing... is missing width/height — may cause layout shift
Set explicit width and height to prevent CLS.
20 images 321 KB
0 oversized -0 KB
20 legacy format
2 missing dimensions CLS risk

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

Set explicit width and height to prevent CLS.

Why this matters

Image without explicit width/height — browser can't reserve space; CLS jumps when image loads.

Source: web.dev / Core Web Vitals

A+
Text Compression
All text resources are compressed
PASS
All text resources are compressed
Info::
All text resources are compressed
All text resources are properly compressed.
A+
Font Loading
14 fonts (358 KB)
PASS
14 fonts (358 KB)
Info::
14 font(s) use font-display: swap (FOUT risk but functional)

Web fonts

14

358 KB total

Render-blocking

0

of 14

Dominant font-display

swap

Most common across fonts

Font loading timeline
Transfer FOIT (block) FOUT (swap)
0 ms 2.0 s 4.0 s 6.0 s 8.0 s 10.0 s 12.0 s 14.0 s 16.0 s 18.0 s FCP 5.0 s LCP 18.8 shttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woffGuardianTextSans-Regula... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woff — 49.8 KiB — 17 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woffGuardianTextSans-Medium... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woff — 48.9 KiB — 20 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpzama_icons.ttf https://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpz — 35.5 KiB — 12 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woffGuardianTextSans-Bold-W... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woff — 52.7 KiB — 25 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woffGuardianTextSans-Regula... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woff — 55.4 KiB — 33 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woffGuardianTextSans-BoldIt... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woff — 61.4 KiB — 33 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woffGuardianTextSans-Medium... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woff — 54.3 KiB — 34 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpzama_icons.ttf https://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpz — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woffGuardianTextSans-Regula... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woff — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woffGuardianTextSans-Regula... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woff — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woffGuardianTextSans-Medium... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woff — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woffGuardianTextSans-Medium... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woff — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woffGuardianTextSans-Bold-W... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woff — 0 B — 0 ms — font-display: swaphttps://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woffGuardianTextSans-BoldIt... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woff — 0 B — 0 ms — font-display: swap
GuardianTextSans-Regula... woff swap
Size 50 KB
Load time 17 ms
Start 608 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Medium... woff swap
Size 49 KB
Load time 20 ms
Start 660 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
ama_icons.ttf ttf swap
Size 36 KB
Load time 12 ms
Start 660 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Bold-W... woff swap
Size 53 KB
Load time 25 ms
Start 660 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Regula... woff swap
Size 55 KB
Load time 33 ms
Start 661 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-BoldIt... woff swap
Size 61 KB
Load time 33 ms
Start 661 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Medium... woff swap
Size 54 KB
Load time 34 ms
Start 661 ms
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
ama_icons.ttf ttf swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Regula... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Regula... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Medium... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Medium... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-Bold-W... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
GuardianTextSans-BoldIt... woff swap
Size 0 KB
Load time 0 ms
Start 2.4 s
Risk FOUT — text flashes from fallback to web font
  • Convert to woff2 for ~30% smaller file size
Optimization checklist
  • Preload critical fonts (priority=high)
  • Use woff2 format for all fonts
  • Set font-display to swap, optional, or fallback
  • Subset large fonts (≤100 KB each)

Fixing the unchecked items could save ~107 KB and ~214 ms

A+
Resource Caching
All resources properly cached
PASS
All resources properly cached
Info::
No caching issues found
All static resources have appropriate caching headers.
A+
Critical Rendering Path
No render-blocking resources
PASS
No render-blocking resources
Info::
No render-blocking resources detected
A+
Resource Hints
No optimization needed
PASS
No optimization needed
Info::
No resource hint issues
A+
Render-Blocking Resources
No render-blocking resources detected
PASS
No render-blocking resources detected
Info::
No render-blocking resources detected in <head>
A+
Third-Party Resources
No third-party resources detected
PASS
No third-party resources detected
A+
Green Hosting
Whether the site is served from green-energy infrastructure
PASS

Green Hosting

This site is hosted on green energy infrastructure

Provider: Cloudflare

Network Waterfall
148 requests over 6205ms
INFO
0 ms 2.0 s 4.0 s 6.0 s 8.0 s 10.0 s 12.0 s 14.0 s 16.0 s 18.0 s FCP 5.0 s LCP 18.8 shttps://jamanetwork.com// https://jamanetwork.com/ — 200 — 27.6 KiB — 618 ms — h2https://cdn.jamanetwork.com/UI/app/dist/app.min.css?v=639116192498826604cdn.jamanetwork.com/UI/app/dist/app... https://cdn.jamanetwork.com/UI/app/dist/app.min.css?v=639116192498826604 — 200 — 82.5 KiB — 37 ms — h2https://cdn.jamanetwork.com/UI/app/dist/head.min.js?v=639116192958682418cdn.jamanetwork.com/UI/app/dist/hea... https://cdn.jamanetwork.com/UI/app/dist/head.min.js?v=639116192958682418 — 200 — 5.1 KiB — 30 ms — h2https://cdn.jamanetwork.com/UI/app/svg/journals/jamanetwork_brandingcolor.svgcdn.jamanetwork.com/UI/app/svg/jour... https://cdn.jamanetwork.com/UI/app/svg/journals/jamanetwork_brandingcolor.svg — 200 — 2.0 KiB — 32 ms — h2https://cdn.jamanetwork.com/UI/app/svg/jn-logo-rgb.svgcdn.jamanetwork.com/UI/app/svg/jn-l... https://cdn.jamanetwork.com/UI/app/svg/jn-logo-rgb.svg — 200 — 2.3 KiB — 33 ms — h2https://cdn.jamanetwork.com/data/CSSUploads/jamanetwork-ec-options-2026.css?versionId=88513cdn.jamanetwork.com/data/CSSUploads... https://cdn.jamanetwork.com/data/CSSUploads/jamanetwork-ec-options-2026.css?versionId=88513 — 200 — 1.8 KiB — 7 ms — h2https://r451.jamanetwork.com/script.jsr451.jamanetwork.com/script.js https://r451.jamanetwork.com/script.js — 200 — 41.8 KiB — 180 ms — h2https://cdn.jamanetwork.com/ImageLibrary/jama/2026/260418-jama-ec-7x10-900.jpg?versionId=88513cdn.jamanetwork.com/ImageLibrary/ja... https://cdn.jamanetwork.com/ImageLibrary/jama/2026/260418-jama-ec-7x10-900.jpg?versionId=88513 — 200 — 92.7 KiB — 7 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Regular-Web.woff — 200 — 49.8 KiB — 17 ms — h2https://securepubads.g.doubleclick.net/tag/js/gpt.jssecurepubads.g.doubleclick.net/tag/... https://securepubads.g.doubleclick.net/tag/js/gpt.js — 200 — 33.6 KiB — 138 ms — h3https://www.googletagmanager.com/gtm.js?id=GTM-WNKSNPwww.googletagmanager.com/gtm.js?id=... https://www.googletagmanager.com/gtm.js?id=GTM-WNKSNP — 200 — 148.7 KiB — 268 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Medium-Web.woff — 200 — 48.9 KiB — 20 ms — h2https://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpzcdn.jamanetwork.com/UI/app/icons/fo... https://cdn.jamanetwork.com/UI/app/icons/fonts/ama_icons.ttf?gw8tpz — 200 — 35.5 KiB — 12 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-Bold-Web.woff — 200 — 52.7 KiB — 25 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-RegularIt-Web.woff — 200 — 55.4 KiB — 33 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-BoldIt-Web.woff — 200 — 61.4 KiB — 33 ms — h2https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woffcdn.jamanetwork.com/UI/app/fonts/Gu... https://cdn.jamanetwork.com/UI/app/fonts/GuardianTextSans-MediumIt-Web.woff — 200 — 54.3 KiB — 34 ms — h2https://cdn.jamanetwork.com/ImageLibrary/channels/publications/250331-jama-feature-cover-9x10-900.jpg?versionId=88357cdn.jamanetwork.com/ImageLibrary/ch... https://cdn.jamanetwork.com/ImageLibrary/channels/publications/250331-jama-feature-cover-9x10-900.jpg?versionId=88357 — 200 — 142.3 KiB — 18 ms — 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h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892370&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=92f1d9c8d18a443a8eae36c66df0ff45&S=238609&b=185&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892370&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=92f1d9c8d18a443a8eae36c66df0ff45&S=238609&b=185&z=1 — 200 — 14 B — 202 ms — h3https://pagead2.googlesyndication.com/bg/jtP_XiYJVGkSVlMywOQWuZPksZRFmK02Z9iBbZJRvFI.jspagead2.googlesyndication.com/bg/jt... https://pagead2.googlesyndication.com/bg/jtP_XiYJVGkSVlMywOQWuZPksZRFmK02Z9iBbZJRvFI.js — 200 — 21.8 KiB — 67 ms — h3https://pagead2.googlesyndication.com/pagead/sodar?id=sodar2&v=254&li=gpt_m202604200101&jk=6572777072164893&rc=pagead2.googlesyndication.com/pagea... 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https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892781&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=552ad6a649714a15aa3b36ecabd8d414&S=242875&b=185&z=1 — 200 — 14 B — 188 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892979&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=f5b820860c5b43499a2d021b8a117d48&S=260356&b=968&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892979&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=f5b820860c5b43499a2d021b8a117d48&S=260356&b=968&z=1 — 200 — 14 B — 190 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892979&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=f5342b02967248c9a0bcd4d8eb36a8bd&S=260356&b=185&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892979&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=f5342b02967248c9a0bcd4d8eb36a8bd&S=260356&b=185&z=1 — 200 — 14 B — 192 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892994&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=a3881720c4224a5a914e3153075b4cc3&S=261002&b=174&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892994&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=a3881720c4224a5a914e3153075b4cc3&S=261002&b=174&z=1 — 200 — 14 B — 182 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892994&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=b9ef2c4a7c2e4a0bb03170715759e0f5&S=261002&b=189&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797892994&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=b9ef2c4a7c2e4a0bb03170715759e0f5&S=261002&b=189&z=1 — 200 — 14 B — 190 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797893047&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=9bb4b7fbc7024095a9686e27a75c238e&S=261002&b=208&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797893047&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=9bb4b7fbc7024095a9686e27a75c238e&S=261002&b=208&z=1 — 200 — 14 B — 187 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797893047&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=11ed3ee48319405fb2a413211d2691bf&S=261002&b=377&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797893047&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&Q=1&Y=1&X=11ed3ee48319405fb2a413211d2691bf&S=261002&b=377&z=1 — 200 — 14 B — 185 ms — h3https://ep1.adtrafficquality.google/pagead/sodar?id=sodar2&v=254&t=2&li=gpt_m202604200101&jk=6572777072164893&bg=!0tGl0bPNAAY2C5OeFgs7AEcBe5WfOMQ5HRepcgbqt6_RNcqQyTD5eUhq3Tg0M80bHLgYvXcXbw3wbVFe8Ls6YVbhG4veTw7iTjwO75rdv0ZZDFDIsLyprAIAAAB3UgAAAAhoAQd-ADYjo3WItOcHPFxd4ImbC_rYdtV1J5dTDBSW4_t4bk0YQSdYw8OMc9Kbsapf8RhUOojuaBZNCusKAHMpKZJrw8oc3Ue5vpbp4I080aeIv7irwtCHDF3XiIEMMGcxUxPKg7oHfgS3CdSV97WBF_lNgMP2nZWGSXExuLZ3UaOM5E04pl0tntzQpV9LsvYTBeDQUtWGl9hbwRGCStvZn3cIVrI45DKiOQgz38GzyOuvmQKk2lgnL7VGI03nILIXX9lyOyeerZOYbhHu6sCm5oodnbqvRveuQ4ARw_OMPy24xy3BIjAiyi265c1-rgM0pIHL8_9VHxWKjkY-wqyeASelVSfeRuI4hR16lCa4yU1HrcF9w_m8FbLXcXpFtYOPKS1BCbSh6Qrdazc_Z59VVXlV8XBIzGgokx0nDEZzRvyRiPWIcDr57BueRGAVAqKbfdm1CbwCzGpAXuovWI3jvfd3cb6tO4sJ2gIPDu4vc-01gKpH9x9FGDKnFboQQleKomEmnM25N7wTeBA1uRdQcUEnqy5W7jWEQ3sC8nZ4SnieTBPaRDIqkfIfcTetdEE5Nlg7lQVX_LL-nkHwdt9raDy5oFSQJh5jlcGUnGsr-2yJ6LbhyIcRY80RSTnWYOtWuJtt5F0d2Q4ar3-vPZB1yVskZMRMHAqPv9o0yB3DFD8z7ZhAxok795uTgY9mSjQ_zdFgoQqO6Ryf2JuqvzDotmZgfFS8Ecswskj83EgWZwLutSU8MiaZehR2cgg-JSekJ_Sbo8NQZROh5UpvmKNjZdqQ-qvmkprn3eGrwUV6xEj9rqYUHPmc-OIa3ZnfhyjS4oVArzsbbp_LMVMkmFUfGse07j3x8W-efowlOmFzQVyGwCOwj2mpp8BXq6FHyB8GoSWjJA2WMLJvx_x-6pwHkdiXIYwyFjCpQtfTyA8vKas3F9HSdRnMKl2UpOjgROqUONX8Gxx59tfv-xB8E9cJe9stfHxf7LIyk4uta8zKDcdHlJoM4_Pxb7L-PF31zNdK4U7SmEBHMye8LGhQ59B-KG30oNVsKQNmuzpGrof8sSteSkrlbyqbSh1OMyAQG6g57aV9YOiw3gJdIx4Atw6Pmla48daU1j5_8TlwNwb6r0OQzaIMaYBPfQep1.adtrafficquality.google/pagead/... https://ep1.adtrafficquality.google/pagead/sodar?id=sodar2&v=254&t=2&li=gpt_m202604200101&jk=6572777072164893&bg=!0tGl0bPNAAY2C5OeFgs7AEcBe5WfOMQ5HRepcgbqt6_RNcqQyTD5eUhq3Tg0M80bHLgYvXcXbw3wbVFe8Ls6YVbhG4veTw7iTjwO75rdv0ZZDFDIsLyprAIAAAB3UgAAAAhoAQd-ADYjo3WItOcHPFxd4ImbC_rYdtV1J5dTDBSW4_t4bk0YQSdYw8OMc9Kbsapf8RhUOojuaBZNCusKAHMpKZJrw8oc3Ue5vpbp4I080aeIv7irwtCHDF3XiIEMMGcxUxPKg7oHfgS3CdSV97WBF_lNgMP2nZWGSXExuLZ3UaOM5E04pl0tntzQpV9LsvYTBeDQUtWGl9hbwRGCStvZn3cIVrI45DKiOQgz38GzyOuvmQKk2lgnL7VGI03nILIXX9lyOyeerZOYbhHu6sCm5oodnbqvRveuQ4ARw_OMPy24xy3BIjAiyi265c1-rgM0pIHL8_9VHxWKjkY-wqyeASelVSfeRuI4hR16lCa4yU1HrcF9w_m8FbLXcXpFtYOPKS1BCbSh6Qrdazc_Z59VVXlV8XBIzGgokx0nDEZzRvyRiPWIcDr57BueRGAVAqKbfdm1CbwCzGpAXuovWI3jvfd3cb6tO4sJ2gIPDu4vc-01gKpH9x9FGDKnFboQQleKomEmnM25N7wTeBA1uRdQcUEnqy5W7jWEQ3sC8nZ4SnieTBPaRDIqkfIfcTetdEE5Nlg7lQVX_LL-nkHwdt9raDy5oFSQJh5jlcGUnGsr-2yJ6LbhyIcRY80RSTnWYOtWuJtt5F0d2Q4ar3-vPZB1yVskZMRMHAqPv9o0yB3DFD8z7ZhAxok795uTgY9mSjQ_zdFgoQqO6Ryf2JuqvzDotmZgfFS8Ecswskj83EgWZwLutSU8MiaZehR2cgg-JSekJ_Sbo8NQZROh5UpvmKNjZdqQ-qvmkprn3eGrwUV6xEj9rqYUHPmc-OIa3ZnfhyjS4oVArzsbbp_LMVMkmFUfGse07j3x8W-efowlOmFzQVyGwCOwj2mpp8BXq6FHyB8GoSWjJA2WMLJvx_x-6pwHkdiXIYwyFjCpQtfTyA8vKas3F9HSdRnMKl2UpOjgROqUONX8Gxx59tfv-xB8E9cJe9stfHxf7LIyk4uta8zKDcdHlJoM4_Pxb7L-PF31zNdK4U7SmEBHMye8LGhQ59B-KG30oNVsKQNmuzpGrof8sSteSkrlbyqbSh1OMyAQG6g57aV9YOiw3gJdIx4Atw6Pmla48daU1j5_8TlwNwb6r0OQzaIMaYBPfQ — 204 — 17 B — 111 ms — h3https://rl.quantummetric.com/ama/hash-checkrl.quantummetric.com/ama/hash-check https://rl.quantummetric.com/ama/hash-check — 204 — 0 B — 435 ms — h2https://rl.quantummetric.com/ama/hash-checkrl.quantummetric.com/ama/hash-check https://rl.quantummetric.com/ama/hash-check — 200 — 387 B — 141 ms — h2https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797895111&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&P=2&N=2&S=28523&b=16231&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797895111&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&P=2&N=2&S=28523&b=16231&z=1 — 200 — 14 B — 185 ms — h3https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797895112&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&N=1&Q=2&S=1315&b=1137&z=1ingest.quantummetric.com/horizon/am... https://ingest.quantummetric.com/horizon/ama?T=B&u=https%3A%2F%2Fjamanetwork.com%2F&t=1776797891354&v=1776797895112&H=c4c8e76931c9e7bafd1fb3b9&s=18e5313b399f3d77cab48b0e8304a707&N=1&Q=2&S=1315&b=1137&z=1 — 200 — 14 B — 176 ms — h3
HTML JavaScript CSS Images Fonts XHR/Fetch Other
Third-Party Script Cost
Per-script blocking time, transfer cost, and cache headers
INFO
78% of JavaScript execution is third-party
First-party Third-party 9351ms · 1396KB · $124/mo
Unattributable
Other
Costly
Execution 1756ms
Transfer 0 KB
Monthly Cost $23/mo
cdn.quantummetric.com
Other
Costly
Execution 1067ms
Transfer 110 KB
Unused 29%
Monthly Cost $14/mo
securepubads.g.doubleclick.net
Other
Costly
Execution 837ms
Transfer 188 KB
Unused 53%
Monthly Cost $11/mo
r451.jamanetwork.com
Other
Costly
Execution 799ms
Transfer 42 KB
Monthly Cost $11/mo
cdn.jamanetwork.com
Other
Costly
Execution 633ms
Transfer 31 KB
Monthly Cost $8/mo
Google Tag Manager
Tag Manager
Costly
Execution 589ms
Transfer 149 KB
Unused 34%
Monthly Cost $8/mo
api.b2c.com
Other
Costly
Execution 505ms
Transfer 7 KB
Monthly Cost $7/mo
api.b2c.com
Other
Costly
Execution 433ms
Transfer 7 KB
Monthly Cost $6/mo
OneTrust
Consent
Essential
Execution 357ms
Transfer 116 KB
Unused 53%
Monthly Cost $5/mo
Google Tag Manager
Tag Manager
Costly
Execution 354ms
Transfer 158 KB
Unused 41%
Monthly Cost $5/mo
pagead2.googlesyndication.com
Other
Costly
Execution 324ms
Transfer 73 KB
Unused 46%
Monthly Cost $4/mo
Google Tag Manager
Tag Manager
Costly
Execution 309ms
Transfer 158 KB
Unused 41%
Monthly Cost $4/mo
Google Tag Manager
Tag Manager
Costly
Execution 268ms
Transfer 170 KB
Unused 40%
Monthly Cost $4/mo
securepubads.g.doubleclick.net
Other
Costly
Execution 259ms
Transfer 17 KB
Monthly Cost $3/mo
securepubads.g.doubleclick.net
Other
Costly
Execution 207ms
Transfer 34 KB
Unused 72%
Monthly Cost $3/mo
cdn.jamanetwork.com
Other
Optional
Execution 196ms
Transfer 84 KB
Unused 67%
Monthly Cost $3/mo
cdn.jamanetwork.com
Other
Optional
Execution 130ms
Transfer 0 KB
Monthly Cost $2/mo
cdn.jamanetwork.com
Other
Optional
Execution 125ms
Transfer 5 KB
Monthly Cost $2/mo
OneTrust
Consent
Essential
Execution 82ms
Transfer 9 KB
Monthly Cost $1/mo
ep2.adtrafficquality.google
Other
Optional
Execution 67ms
Transfer 8 KB
Monthly Cost $1/mo
plugins.blueconic.net
Other
Optional
Execution 55ms
Transfer 30 KB
Unused 74%
Monthly Cost $1/mo

These scripts may cost more than they're worth

  • Unattributable adds 1756ms and costs ~$23/month
  • cdn.quantummetric.com adds 1067ms and costs ~$14/month
  • securepubads.g.doubleclick.net adds 837ms and costs ~$11/month
  • r451.jamanetwork.com adds 799ms and costs ~$11/month
  • cdn.jamanetwork.com adds 633ms and costs ~$8/month
  • Google Tag Manager adds 589ms and costs ~$8/month
  • api.b2c.com adds 505ms and costs ~$7/month
  • api.b2c.com adds 433ms and costs ~$6/month
  • Google Tag Manager adds 354ms and costs ~$5/month
  • pagead2.googlesyndication.com adds 324ms and costs ~$4/month
  • Google Tag Manager adds 309ms and costs ~$4/month
  • Google Tag Manager adds 268ms and costs ~$4/month
  • securepubads.g.doubleclick.net adds 259ms and costs ~$3/month
  • securepubads.g.doubleclick.net adds 207ms and costs ~$3/month

78% of JavaScript execution time is spent on third-party scripts. Consider auditing which scripts are essential.

Why this matters

When third-party JS execution time exceeds your own, performance gains from frontend work are capped by code you don't own.

Learn more

Every millisecond of third-party JS competes with your own for main-thread time. If their share is bigger than yours, optimization on your code base barely moves the needle. Audit, defer, or remove third-parties before further frontend optimization. Use Lighthouse's third-party audit to identify the worst offenders.

Source: web.dev

Unattributable takes 1756ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

cdn.quantummetric.com takes 1067ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

securepubads.g.doubleclick.net takes 837ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

53% of securepubads.g.doubleclick.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

r451.jamanetwork.com takes 799ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

cdn.jamanetwork.com takes 633ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Google Tag Manager takes 589ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

api.b2c.com takes 505ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

api.b2c.com takes 433ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

53% of OneTrust's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

Google Tag Manager takes 354ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

pagead2.googlesyndication.com takes 324ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Google Tag Manager takes 309ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

Google Tag Manager takes 268ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

securepubads.g.doubleclick.net takes 259ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

securepubads.g.doubleclick.net takes 207ms of CPU time. Consider loading it asynchronously or replacing it with a lighter alternative.

Why this matters

This script has high main-thread execution time — optimize hot paths or defer.

Source: web.dev

72% of securepubads.g.doubleclick.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

67% of cdn.jamanetwork.com's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

74% of plugins.blueconic.net's code is unused. The script may be loading features you don't use.

Why this matters

Bundle has high unused-code ratio — tree-shaking and route-splitting recover the wasted bytes.

Source: web.dev

How third-party costs are calculated

All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.

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