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June 2017, Vol 177, No. 6, Pages 753-896

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2017;177(6):753-755. doi:10.1001/jamainternmed.2016.6149
Viewpoint

Less Is More

Hiding in Plain Sight—Resurrecting the Power of Inspecting the Patient

Abstract Full Text
JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634

This Viewpoint reviews the importance of physical inspection on, or shortly after, initial contact with a patient.

Health Care Policy and Law

The Tension Between Promoting Mobility and Preventing Falls in the Hospital

Abstract Full Text
JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840

This Viewpoint explains the Hospital Elder Life Program (HELP), which enhances mobility for elderly patients while decreasing the risk of falls in the hospital setting, and how implementing programs like HELP can have several potentially beneficial effects.

Perspective

Less Is More

Early Palliative Care in Advanced IllnessDo Right by Mama

Abstract Full Text
JAMA Intern Med. 2017;177(6):761-762. doi:10.1001/jamainternmed.2017.0764
Editorial

Physician Adherence to Breast Cancer Screening Recommendations

Abstract Full Text
JAMA Intern Med. 2017;177(6):763-764. doi:10.1001/jamainternmed.2017.0458
Original Investigation

Interactive Voice Response–Based Self-management for Chronic Back PainThe COPES Noninferiority Randomized Trial

Abstract Full Text
JAMA Intern Med. 2017;177(6):765-773. doi:10.1001/jamainternmed.2017.0223

This noninferiority randomized trial assesses the efficacy of interactive voice response–based cognitive behavioral therapy compared with in-person cognitive behavioral therapy for chronic back pain.

Safety and Efficacy of Antiviral Therapy for Prevention of Cytomegalovirus Reactivation in Immunocompetent Critically Ill PatientsA Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(6):774-783. doi:10.1001/jamainternmed.2017.0895

This randomized clinical trial assesses whether antiviral therapy is safe and effective for preventing cytomegalovirus reactivation in a general population of critically ill patients.

Association of Gastric Acid Suppression With Recurrent Clostridium difficile InfectionA Systematic Review and Meta-analysis

Abstract Full Text
JAMA Intern Med. 2017;177(6):784-791. doi:10.1001/jamainternmed.2017.0212

This meta-analysis examines the association between recurrent Clostridium difficile infection and use of gastric acid suppressant medications.

Association of Intensive Blood Pressure Control and Kidney Disease Progression in Nondiabetic Patients With Chronic Kidney DiseaseA Systematic Review and Meta-analysis

Abstract Full Text
has active quiz
JAMA Intern Med. 2017;177(6):792-799. doi:10.1001/jamainternmed.2017.0197

This meta-analysis compares intensive blood pressure control (<130/80 mm Hg) with standard blood pressure control (<140/90 mm Hg) on major renal outcomes in patients with chronic kidney disease without diabetes.

Cost-effectiveness of Common Diagnostic Approaches for Evaluation of Asymptomatic Microscopic Hematuria

Abstract Full Text
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JAMA Intern Med. 2017;177(6):800-807. doi:10.1001/jamainternmed.2017.0739

This study analyzes cost-effectiveness strategies for the initial diagnostic evaluation of patients with asymptomatic microscopic hematuria.

Optimizing Radiation Doses for Computed Tomography Across InstitutionsDose Auditing and Best Practices

Abstract Full Text
JAMA Intern Med. 2017;177(6):810-817. doi:10.1001/jamainternmed.2017.0445

This study assesses changes in computed tomography radiation doses across 5 University of California medical centers after implementation of institutional-level audit and collaborative efforts to share best practices.

Emergency Department Query for Patient-Centered Approaches to Sexual Orientation and Gender Identity The EQUALITY Study

Abstract Full Text
JAMA Intern Med. 2017;177(6):819-828. doi:10.1001/jamainternmed.2017.0906

This study determines attitudes and beliefs of patients and health care professionals on patients’ willingness to provide information on sexual orientation in the emergency department setting.

Less Is More

Low-Value Medical Services in the Safety-Net Population

Abstract Full Text
JAMA Intern Med. 2017;177(6):829-837. doi:10.1001/jamainternmed.2017.0401

This cross-sectional study measure rates of low-value and high-value care received by patients without insurance or with Medicaid compared with privately insured patients, and provided by safety-net vs non–safety-net physicians.

Association of Primary Care Practice Location and Ownership With the Provision of Low-Value Care in the United States

Abstract Full Text
JAMA Intern Med. 2017;177(6):838-845. doi:10.1001/jamainternmed.2017.0410

This study of a nationally representative sample of primary care visits assesses the association of hospital location and hospital ownership with the provision of low-value health services.

Less Is More

Association of a Communication Training Program With Use of Antipsychotics in Nursing Homes

Abstract Full Text
JAMA Intern Med. 2017;177(6):846-853. doi:10.1001/jamainternmed.2017.0746

This quasi-experimental longitudinal study quantifies the influence of a large-scale communication training program on nursing home antipsychotic use.

Association of Donor Age and Sex With Survival of Patients Receiving Transfusions

Abstract Full Text
JAMA Intern Med. 2017;177(6):854-860. doi:10.1001/jamainternmed.2017.0890

This cohort study examines the association of donor age and sex with survival of patients receiving transfusions in Sweden and Denmark.

Health Care Reform

Association Between Hospitals’ Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program

Abstract Full Text
JAMA Intern Med. 2017;177(6):862-868. doi:10.1001/jamainternmed.2017.0518

This longitudinal study assessed whether US hospital participation in voluntary value-based reforms was associated with improvement under Medicare’s Hospital Readmission Reduction Program.

Invited Commentary

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Asymptomatic Microscopic Hematuria—Rethinking the Diagnostic Algorithm

Abstract Full Text
JAMA Intern Med. 2017;177(6):808-809. doi:10.1001/jamainternmed.2017.0758

Communicating Context in Quality Improvement Reports

Abstract Full Text
JAMA Intern Med. 2017;177(6):817-818. doi:10.1001/jamainternmed.2017.0461

Statistical Caution in Big Data Approaches to Transfusion Medicine Research

Abstract Full Text
JAMA Intern Med. 2017;177(6):860-861. doi:10.1001/jamainternmed.2017.0914
Editor's Note

Withholding Proton Pump Inhibitors to Prevent Recurrent Clostridium difficileTime for a Randomized Trial

Abstract Full Text
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JAMA Intern Med. 2017;177(6):791. doi:10.1001/jamainternmed.2017.0233

The Value of Using Registries to Evaluate Randomized Clinical Trial Study Populations

Abstract Full Text
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JAMA Intern Med. 2017;177(6):889. doi:10.1001/jamainternmed.2017.0761
Teachable Moment

Less Is More

Anticoagulation Reversal for Supratherapeutic International Normalized RatioA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(6):869-870. doi:10.1001/jamainternmed.2017.0557

This case report of a woman in her 80s is a reminder that fresh frozen plasma transfusions in certain patients with nonurgent conditions can lead to transfusion-associated circulatory overload.

Polypharmacy in the Elderly—When Good Drugs Lead to Bad OutcomesA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911

This case report of a woman in her 80s examines harm caused by not considering the entire context and individual circumstances for this patient, resulting in polypharmacy and multiple hospitalizations.

Challenges in Clinical Electrocardiography

Wide Complex Ventricular Rhythm in a Patient After Collapse

Abstract Full Text
JAMA Intern Med. 2017;177(6):872-873. doi:10.1001/jamainternmed.2017.0467

Recurrent Syncope in the Emergency DepartmentA Lethal Cause Not for the Faint Hearted

Abstract Full Text
JAMA Intern Med. 2017;177(6):874-876. doi:10.1001/jamainternmed.2017.0580
Research Letter

Physician Breast Cancer Screening Recommendations Following Guideline ChangesResults of a National Survey

Abstract Full Text
JAMA Intern Med. 2017;177(6):877-878. doi:10.1001/jamainternmed.2017.0453

This study used a survey to investigate physician recommendations for breast cancer screening in light of recent guideline changes.

Hospital Risk of Data Breaches

Abstract Full Text
JAMA Intern Med. 2017;177(6):878-880. doi:10.1001/jamainternmed.2017.0336

This analysis uses data from the Department of Health and Human Services to examine what type of hospitals face a higher risk of data breaches.

Experience and Outcomes of Hepatitis C Treatment in a Cohort of Homeless and Marginally Housed Adults

Abstract Full Text
JAMA Intern Med. 2017;177(6):880-882. doi:10.1001/jamainternmed.2017.0358

This study describes the experience and virologic outcomes in a cohort of hepatitis C virus–infected homeless and marginally housed adults who were provided access to community-based treatment programs.

Initial Public Reporting of Quality at Veterans Affairs vs Non–Veterans Affairs Hospitals

Abstract Full Text
JAMA Intern Med. 2017;177(6):882-885. doi:10.1001/jamainternmed.2017.0605

This data analysis compares available outcome, patient experience, and behavioral health measures between Veterans Affairs and non–Veterans Affairs hospitals.

β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies

Abstract Full Text
JAMA Intern Med. 2017;177(6):885-887. doi:10.1001/jamainternmed.2017.0608

This population-based cohort study examines the risk of fetal cardiac malformations associated with maternal β-blocker exposure.

Applicability of the IMPROVE-IT Trial to Current Patients With Acute Coronary SyndromeAn NCDR Research to Practice Project

Abstract Full Text
JAMA Intern Med. 2017;177(6):887-889. doi:10.1001/jamainternmed.2017.0754

This study examines the proportion of current patients with acute coronary syndrome in the American College of Cardiology practice innovation and clinical excellence ambulatory cardiology practice registry that would have qualified for the IMPROVE-IT trial, and how their characteristics compared with trial participants.

Comment & Response

More Rigorous Study Needed Before Claiming No Harm of Blood Glucose Test Strip Limits for Patients Using Insulin

Abstract Full Text
JAMA Intern Med. 2017;177(6):890. doi:10.1001/jamainternmed.2017.1065

More Rigorous Study Needed Before Claiming No Harm of Blood Glucose Test Strip Limits for Patients Using Insulin—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):890-891. doi:10.1001/jamainternmed.2017.1089

When to Adjust for Potentially Confounding Variables

Abstract Full Text
JAMA Intern Med. 2017;177(6):891-892. doi:10.1001/jamainternmed.2017.1071

Could the Adoption of Unleaded Gasoline in the 1970s Play a Role in the Precipitous Decline in Dementia Prevalence?

Abstract Full Text
JAMA Intern Med. 2017;177(6):892-893. doi:10.1001/jamainternmed.2017.1074

When to Adjust for Potentially Confounding Variables—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):892. doi:10.1001/jamainternmed.2017.1086

Could the Adoption of Unleaded Gasoline in the 1970s Play a Role in the Precipitous Decline in Dementia Prevalence?—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):893. doi:10.1001/jamainternmed.2017.1083

Glycemic Control and Functionality in Nursing Homes—More Than HbA1c

Abstract Full Text
JAMA Intern Med. 2017;177(6):893-894. doi:10.1001/jamainternmed.2017.1291

Glycemic Control and Functionality in Nursing Homes—More Than HbA1c—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):894. doi:10.1001/jamainternmed.2017.1316

Promoting Compliance to Practice Guidelines May Improve Primary Care for Thyroid Diseases

Abstract Full Text
JAMA Intern Med. 2017;177(6):894-895. doi:10.1001/jamainternmed.2017.1404

Promoting Compliance to Practice Guidelines May Improve Primary Care for Thyroid Diseases—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):895. doi:10.1001/jamainternmed.2017.1432

Patient and Public Safety Maximized by Rapid Opioid Taper

Abstract Full Text
JAMA Intern Med. 2017;177(6):895-896. doi:10.1001/jamainternmed.2017.1451

Patient and Public Safety Maximized by Rapid Opioid Taper—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(6):896. doi:10.1001/jamainternmed.2017.1454
Correction

Error in Data Presentation in Figure and Text

Abstract Full Text
free access
JAMA Intern Med. 2017;177(6):896. doi:10.1001/jamainternmed.2017.1697
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2017;177(6):756. doi:10.1001/jamainternmed.2016.6150
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