Editor's Audio Summary by J. Michael Gaziano, MD, MPH, Associate Editor, the Journal of the American Medical Association, for the July 10, 2013 issue
To investigate how different financial incentives between Medicare Advantage and Medicare fee-for-service reimbursement structures influence cardiovascular procedure use, Matlock and coauthors studied rates of coronary angiography, percutaneous coronary intervention, and bypass surgery in nearly 6 million Medicare beneficiaries. Krumholz provides comment in the related Editorial.
To examine whether varying rates of cardiac catheterization in New York State and Ontario,
Canada, are related to burden of coronary artery disease (CAD) or to patient selection, Ko and
coauthors analyzed registry data from 18 114 New York and 54 933 Ontario patients who underwent
elective cardiac catheterization. An accompanying editorial elaborates on the study results.
To determine whether soy protein supplementation reduces or delays biochemical recurrence of
prostate cancer after radical prostatectomy, Bosland and coauthors conducted a randomized trial at 7
US centers comparing daily consumption of soy vs placebo in 177 men at high risk of recurrence.
Robinson-Cohen and coauthors examine the association of serum 25-hydroxyvitamin D concentration with risk of coronary heart disease in a multiethnic population. In an Editorial, Norris discusses important insights for further research into the complex relationships among race/ethnicity, vitamin D, and coronary heart disease.
In a review of the literature on optimal medical therapy after percutaneous coronary intervention
(PCI), Brilakis and coauthors determined that dual antiplatelet therapy remains the standard of
care, with adjustments as needed for patients at high risk for bleeding and those who have coronary