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June 2017 - January 1908

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Issue

July 2017, Vol 177, No. 7, Pages 901-1062

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2017;177(7):901-903. doi:10.1001/jamainternmed.2016.6154
Viewpoint

Physician Work Environment and Well-Being

Mother’s Day for Women in Medicine—Better Than Roses

Abstract Full Text
JAMA Intern Med. 2017;177(7):905-906. doi:10.1001/jamainternmed.2017.1243

This Viewpoint by a physician mother-daughter team discusses the different experiences of 2 generations of women physicians who trained and now practice in the United States.

Health Care Policy and Law

Early Experience With the California End of Life Option ActBalancing Institutional Participation and Physician Conscientious Objection

Abstract Full Text
JAMA Intern Med. 2017;177(7):907-908. doi:10.1001/jamainternmed.2017.1485

This Viewpoint examines some of the challenges of formal implementation of the California End of Life Option Act.

The Agency for Healthcare Research and Quality and the Development of a Learning Health Care System

Abstract Full Text
JAMA Intern Med. 2017;177(7):909-910. doi:10.1001/jamainternmed.2017.2589

This Viewpoint discusses the role of Agency for Healthcare Research and Quality in long-range planning and investment in the rapidly changing US health care system.

Perspective

A Year at the Bedside With Osler

Abstract Full Text
JAMA Intern Med. 2017;177(7):911-912. doi:10.1001/jamainternmed.2017.1080

Modern Death, How Medicine Changed the End of Life—A Book Review

Abstract Full Text
JAMA Intern Med. 2017;177(7):913-914. doi:10.1001/jamainternmed.2017.1494
Editorial

Cancer Screening, Overdiagnosis, and Regulatory Capture

Abstract Full Text
JAMA Intern Med. 2017;177(7):915-916. doi:10.1001/jamainternmed.2017.1198

This Editorial reviews the history of thyroid cancer diagnosis and mortality in light of the latest USPSTF recommendation against screening for the disease.

Preeclampsia and HypertensionCourting a Long While: Time to Make It Official

Abstract Full Text
JAMA Intern Med. 2017;177(7):917-918. doi:10.1001/jamainternmed.2017.1422

This editorial evaluates the most recent USPSTF recommendations on screening pregnant women for preeclampsia and especially the importance of blood pressure measurement.

Disclosing the Conflicts of Interest of US Food and Drug Administration Advisory Committee Members

Abstract Full Text
JAMA Intern Med. 2017;177(7):919. doi:10.1001/jamainternmed.2017.2093
Original Investigation

Glucose Self-monitoring in Non–Insulin-Treated Patients With Type 2 Diabetes in Primary Care SettingsA Randomized Trial

Abstract Full Text
has active quiz has multimedia
JAMA Intern Med. 2017;177(7):920-929. doi:10.1001/jamainternmed.2017.1233

This randomized trial compares 3 approaches of self-monitoring of blood glucose levels for effects on hemoglobin A1c levels and health-related quality of life among patients with non–insulin-treated type 2 diabetes in primary care practice.

Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese AdultsA Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(7):930-938. doi:10.1001/jamainternmed.2017.0936

This randomized clinical trial compares the effects of alternate-day fasting vs daily calorie restriction on weight loss, weight maintenance, and risk indicators for cardiovascular disease.

Less Is More

Effect of a Price Transparency Intervention in the Electronic Health Record on Clinician Ordering of Inpatient Laboratory TestsThe PRICE Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(7):939-945. doi:10.1001/jamainternmed.2017.1144

This randomized clinical trial investigated the effect of displaying Medicare allowable fees for inpatient laboratory tests on clinician ordering behavior over 1 year.

Effect of a Community Health Worker Intervention Among Latinos With Poorly Controlled Type 2 DiabetesThe Miami Healthy Heart Initiative Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(7):948-954. doi:10.1001/jamainternmed.2017.0926

This randomized clinical trial of Latino adults with poorly controlled type 2 diabetes compares the effect of a community health worker intervention vs enhanced usual care on blood pressure, LDL cholesterol, and hemoglobin A1c levels.

Effect of Statin Treatment vs Usual Care on Primary Cardiovascular Prevention Among Older AdultsThe ALLHAT-LLT Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(7):955-965. doi:10.1001/jamainternmed.2017.1442

This post hoc secondary analysis of older adults in the randomized clinical trial ALLHAT-LLT compares statin treatment vs usual care for primary cardiovascular prevention.

Effect of Combined Patient Decision Aid and Patient Navigation vs Usual Care for Colorectal Cancer Screening in a Vulnerable Patient PopulationA Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2017;177(7):967-974. doi:10.1001/jamainternmed.2017.1294

This randomized clinical trial evaluates the combined effect of a colorectal cancer screening aid patient navigation compared with usual care on screening completion.

Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital ReadmissionA Systematic Review and Meta-analysis

Abstract Full Text
JAMA Intern Med. 2017;177(7):975-985. doi:10.1001/jamainternmed.2017.1136

This systematic review and meta-analysis evaluates economic evaluations of quality improvement interventions designed to reduce readmission.

Sodium Reduction in US Households’ Packaged Food and Beverage Purchases, 2000 to 2014

Abstract Full Text
JAMA Intern Med. 2017;177(7):986-994. doi:10.1001/jamainternmed.2017.1407

This longitudinal study of the Nielsen Homescan Consumer Panel assessed 15-year changes in the amount of sodium in goods purchased by US households and the proportion that have purchases with optimal sodium density.

Association of Changes in Neighborhood-Level Racial Residential Segregation With Changes in Blood Pressure Among Black AdultsThe CARDIA Study

Abstract Full Text
JAMA Intern Med. 2017;177(7):996-1002. doi:10.1001/jamainternmed.2017.1226

This cohort study examines 25-year data of black participants in the CARDIA study to determine the association of racial residential segregation with blood pressure among this patient population.

Health Care Policy and Law

Inequalities in Life Expectancy Among US Counties, 1980 to 2014Temporal Trends and Key Drivers

Abstract Full Text
has active quiz
JAMA Intern Med. 2017;177(7):1003-1011. doi:10.1001/jamainternmed.2017.0918

This data analysis estimates trends in geographic inequalities in life expectancy and age-specific risk of death by US county from 1980 to 2014.

Health Care Policy and Law

Association of Cost Sharing With Use of Home Health Services Among Medicare Advantage Enrollees

Abstract Full Text
JAMA Intern Med. 2017;177(7):1012-1018. doi:10.1001/jamainternmed.2017.1058

This case-control study examines the association of home health copayments with use of home health service among Medicare Advantage enrollees.

Invited Commentary

Achieving the Promise of Price Transparency

Abstract Full Text
JAMA Intern Med. 2017;177(7):946-947. doi:10.1001/jamainternmed.2017.1676

Cost Sharing and Home Health Care

Abstract Full Text
JAMA Intern Med. 2017;177(7):1018-1019. doi:10.1001/jamainternmed.2017.1077
Editor's Note

The Need to Test Strategies Based on Common Sense

Abstract Full Text
free access
JAMA Intern Med. 2017;177(7):929. doi:10.1001/jamainternmed.2017.1251

Risks of Statin Therapy in Older Adults

Abstract Full Text
free access
JAMA Intern Med. 2017;177(7):966. doi:10.1001/jamainternmed.2017.1457

Progress on Decreasing Salt Consumption

Abstract Full Text
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JAMA Intern Med. 2017;177(7):995. doi:10.1001/jamainternmed.2017.1416

No Smoke—Just Cancer-Causing Chemicals

Abstract Full Text
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JAMA Intern Med. 2017;177(7):1052. doi:10.1001/jamainternmed.2017.1425
Special Communication

Guidance for Modifying the Definition of DiseasesA Checklist

Abstract Full Text
JAMA Intern Med. 2017;177(7):1020-1025. doi:10.1001/jamainternmed.2017.1302

This Special Comunication from the Guidelines International Network Preventing Overdiagnosis Working Group proposes a checklist for considering changes to disease definitions.

Teachable Moment

Treating the Symptom but Not the Underlying Disease in Infective EndocarditisA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(7):1026-1027. doi:10.1001/jamainternmed.2017.1489

This Teachable Moment shows that the current model of neglecting an underlying illness, in this case, opioid use disorder that led to an expensive and recurrent hospitalizations, should no longer be the standard of care.

Less Is More

Missed Opportunities for DeprescriptionA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(7):1028-1029. doi:10.1001/jamainternmed.2017.1435

This Teachable Moment highlights the value of deprescribing when possible.

Challenges in Clinical Electrocardiography

An Uncommon Electrocardiogram Demonstrating a Common Cardiac Problem

Abstract Full Text
JAMA Intern Med. 2017;177(7):1030-1031. doi:10.1001/jamainternmed.2017.1428

An obese diabetic woman in her 60s presented to the emergency department with 24 hours of stuttering chest pain at rest and with exertion. What is your diagnosis?

Research Letter

Physician Work Environment and Well-Being

Perceived Discrimination Experienced by Physician Mothers and Desired Workplace ChangesA Cross-sectional Survey

Abstract Full Text
JAMA Intern Med. 2017;177(7):1033-1036. doi:10.1001/jamainternmed.2017.1394

This cross-sectional survey study evaluates perceived discrimination experienced by physician mothers and desired workplace changes.

Physician Work Environment and Well-Being

Workplace Factors Associated With Burnout of Family Physicians

Abstract Full Text
JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391

This study examines physician burnout using data from American Board of Family Medicine application questionaires.

Association of Appearance of Conflicts of Interest With Voting Behavior at FDA Advisory Committee Meetings—A Cross-sectional Study

Abstract Full Text
JAMA Intern Med. 2017;177(7):1038-1040. doi:10.1001/jamainternmed.2017.1917

This cross-sectional study evaluates the association of appearance of conflicts of interest with voting behavior at FDA advisory committee meetings.

Recent Patterns of Prostate-Specific Antigen Testing for Prostate Cancer Screening in the United States

Abstract Full Text
JAMA Intern Med. 2017;177(7):1040-1042. doi:10.1001/jamainternmed.2017.0340

This study of National Health Interview Survey data evaluates recent patterns of prostate-specific antigen testing for prostate cancer screening in the United States

Clinical Quality and the Patient-Centered Medical Home

Abstract Full Text
JAMA Intern Med. 2017;177(7):1042-1044. doi:10.1001/jamainternmed.2017.0963

This study assess the association between the elements of the patient-centered medical home model and clinical quality in the Veterans Health Administration’s Patient Aligned Care Team program.

Association of Statin Use With Risk of Back Disorder Diagnoses

Abstract Full Text
JAMA Intern Med. 2017;177(7):1044-1046. doi:10.1001/jamainternmed.2017.1068

This study analyzes data of patients enrolled in the US Department of Defense’s TRICARE insurance to determine the association of statin use with risk of back disorder diagnoses.

Pulmonary Embolism and Deep Venous Thrombosis in Patients Hospitalized With SyncopeA Multicenter Cross-sectional Study in Toronto, Ontario, Canada

Abstract Full Text
JAMA Intern Med. 2017;177(7):1046-1048. doi:10.1001/jamainternmed.2017.1246

This cross-sectional study examines how commonly patients hospitalized with syncope are investigated for pulmonary embolism or deep venous thrombosis in routine practice.

Patient Dismissal by Primary Care Practices

Abstract Full Text
JAMA Intern Med. 2017;177(7):1048-1050. doi:10.1001/jamainternmed.2017.1309

This survey study examines the prevalence of and reasons for patient dismissal among primary care practices participating in the Comprehensive Primary Care initiative and a matched sample of comparison practices.

Heat-Not-Burn Tobacco CigarettesSmoke by Any Other Name

Abstract Full Text
JAMA Intern Med. 2017;177(7):1050-1052. doi:10.1001/jamainternmed.2017.1419

This study analyzed the content of smoke from heat-not-burn tobacco cigarettes compared with that of conventional cigarettes to determine whether similar toxic compounds are released in heat-not-burn cigarette smoke.

Comment & Response

Neuroleptics for Delirium: More Research Is Needed

Abstract Full Text
JAMA Intern Med. 2017;177(7):1052-1053. doi:10.1001/jamainternmed.2017.1783

Neuroleptics for Delirium: More Research Is Needed

Abstract Full Text
JAMA Intern Med. 2017;177(7):1053. doi:10.1001/jamainternmed.2017.1786

Neuroleptics for Delirium: More Research Is Needed

Abstract Full Text
JAMA Intern Med. 2017;177(7):1053-1054. doi:10.1001/jamainternmed.2017.1789

Neuroleptics for Delirium: More Research Is Needed

Abstract Full Text
JAMA Intern Med. 2017;177(7):1054-1055. doi:10.1001/jamainternmed.2017.1798

Neuroleptics for Delirium: More Research is Needed—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(7):1055-1056. doi:10.1001/jamainternmed.2017.1801

Limitations Concerning the Association of Physician Sex and Patient Outcomes

Abstract Full Text
JAMA Intern Med. 2017;177(7):1056. doi:10.1001/jamainternmed.2017.2124

Limitations Concerning the Association of Physician Sex and Patient Outcomes

Abstract Full Text
JAMA Intern Med. 2017;177(7):1056-1057. doi:10.1001/jamainternmed.2017.2127

Limitations Concerning the Association of Physician Sex and Patient Outcomes

Abstract Full Text
JAMA Intern Med. 2017;177(7):1057. doi:10.1001/jamainternmed.2017.2130

Limitations Concerning the Association of Physician Sex and Patient Outcomes

Abstract Full Text
JAMA Intern Med. 2017;177(7):1057-1058. doi:10.1001/jamainternmed.2017.2139

Limitations Concerning the Association of Physician Sex and Patient Outcomes

Abstract Full Text
JAMA Intern Med. 2017;177(7):1058. doi:10.1001/jamainternmed.2017.2142

Limitations Concerning the Association of Physician Sex and Patient Outcomes—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(7):1058-1059. doi:10.1001/jamainternmed.2017.2148

Conflicts of Interest Reported in an Abbreviated Time Frame

Abstract Full Text
JAMA Intern Med. 2017;177(7):1059-1060. doi:10.1001/jamainternmed.2017.2244

Conflicts of Interest Reported in an Abbreviated Time Frame—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(7):1060. doi:10.1001/jamainternmed.2017.2257

Rates and Consequences of False Penicillin Allergies in Australia

Abstract Full Text
JAMA Intern Med. 2017;177(7):1061. doi:10.1001/jamainternmed.2017.1836

Residency Training in Long-Acting Reversible Contraceptive Methods

Abstract Full Text
JAMA Intern Med. 2017;177(7):1061-1062. doi:10.1001/jamainternmed.2017.2101
Correction

Errors in Figure and Funding/Support Paragraph

Abstract Full Text
free access
JAMA Intern Med. 2017;177(7):1062. doi:10.1001/jamainternmed.2017.3162
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2017;177(7):904. doi:10.1001/jamainternmed.2016.6155
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