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August 2019, Vol 179, No. 8, Pages 1013-1152

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(8):1013-1015. doi:10.1001/jamainternmed.2018.5506
Perspective

Educating Physicians About Marijuana

Abstract Full Text
JAMA Intern Med. 2019;179(8):1017-1018. doi:10.1001/jamainternmed.2019.1529

This Perspective addresses the growing use of marijuana among US residents and why physicians should expand their understanding of its health effects.

Miro’s Dots and Lines

Abstract Full Text
JAMA Intern Med. 2019;179(8):1019-1020. doi:10.1001/jamainternmed.2019.1922

This essay explores how diagnosing disease may be thought of in similar terms as interpreting modern art.

Less Is More

Ignorance of Nutrition Is No Longer Defensible

Abstract Full Text
JAMA Intern Med. 2019;179(8):1021-1022. doi:10.1001/jamainternmed.2019.2273

This article cites the case of a patient with diabetes who avoided potential foot amputation to discuss the importance of nutritional education for physicians and the importance of discussing beneficial nutritional practices with patients.

Original Investigation

Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age

Abstract Full Text
JAMA Intern Med. 2019;179(8):1025-1033. doi:10.1001/jamainternmed.2019.0631

This population-based cohort study assesses the risk of hospitalization or emergency department visit for adverse gastrointestinal events associated with sodium polystyrene sulfonate use in patients of advanced age.

Association of Radioactive Iodine Treatment With Cancer Mortality in Patients With Hyperthyroidism

Abstract Full Text
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JAMA Intern Med. 2019;179(8):1034-1042. doi:10.1001/jamainternmed.2019.0981

This cohort study evaluates the level of ionizing radiation exposure and risk of cancer death from a common treatment for hyperthyroidism in a large and longest-running cohort of patients with hyperthyroidism.

Comparison of Hospitals Affiliated With PPS-Exempt Cancer Centers, Other Hospitals Affiliated With NCI-Designated Cancer Centers, and Other Hospitals That Provide Cancer Care

Abstract Full Text
JAMA Intern Med. 2019;179(8):1043-1051. doi:10.1001/jamainternmed.2019.0914

This cohort study compares the characteristics and postoperative outcomes of hospitals affiliated with Prospective Payment System (PPS)-exempt cancer centers, other hospitals affiliated with National Cancer Institute (NCI)-designated cancer centers, and other hospitals that provide cancer care in the United States.

Effectiveness of a Bundled Intervention Including Adjunctive Corticosteroids on Outcomes of Hospitalized Patients With Community-Acquired Pneumonia: A Stepped-Wedge Randomized Clinical Trial

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(8):1052-1060. doi:10.1001/jamainternmed.2019.1438

This randomized clinical trial evaluates the effectiveness of a bundle of evidence-supported treatments under conditions of routine care in a representative population hospitalized for community-acquired pneumonia.

Association of Exposure to Artificial Light at Night While Sleeping With Risk of Obesity in Women

Abstract Full Text
JAMA Intern Med. 2019;179(8):1061-1071. doi:10.1001/jamainternmed.2019.0571

This cohort study assesses whether exposure to artificial light at night while sleeping is associated with the prevalence and risk of general and central obesity among women.

Decision Aids for Prostate Cancer Screening Choice: A Systematic Review and Meta-analysis

Abstract Full Text
open access has audio
JAMA Intern Med. 2019;179(8):1072-1082. doi:10.1001/jamainternmed.2019.0763

This systematic review and meta-analysis of 19 randomized clinical trials estimates the association of decision aids with decisional outcomes in prostate cancer screening.

Anticholinergic Drug Exposure and the Risk of Dementia: A Nested Case-Control Study

Abstract Full Text
open access has active quiz
JAMA Intern Med. 2019;179(8):1084-1093. doi:10.1001/jamainternmed.2019.0677

This nested case-control study including 58 769 patients diagnosed with dementia and 225 574 matched controls 55 years or older evaluates whether, and to what extent, anticholinergic drug exposure was associated with dementia risk.

Association of Disease Definition, Comorbidity Burden, and Prognosis With Hip Fracture Probability Among Late-Life Women

Abstract Full Text
JAMA Intern Med. 2019;179(8):1095-1103. doi:10.1001/jamainternmed.2019.0682

This cohort study of more than 1500 women 80 years and older evaluated whether differences in the definition of osteoporosis, the number of comorbidities, and the prognosis were associated with 5-year hip fracture probability.

Association of Step Volume and Intensity With All-Cause Mortality in Older Women

Abstract Full Text
JAMA Intern Med. 2019;179(8):1105-1112. doi:10.1001/jamainternmed.2019.0899

This cohort study of 16 741 older women from the Women’s Health Study examines associations of number of steps per day and stepping intensity with all-cause mortality.

Effect of a Self-management Support Intervention on Asthma Outcomes in Older Adults: The SAMBA Study Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2019;179(8):1113-1121. doi:10.1001/jamainternmed.2019.1201

This randomized clinical trial compares the effect of an intervention (Supporting Asthma Self-Management Behaviors in Older Adults, SAMBA) for older adults with asthma vs usual care.

Evaluation of the Incidence of New-Onset Atrial Fibrillation After Aortic Valve Replacement

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(8):1122-1130. doi:10.1001/jamainternmed.2019.0205

This population-based study evaluates the incidence of new-onset atrial fibrillation and assesses the incidence of in-hospital mortality associated with new-onset atrial fibrillation after transcatheter aortic valve implantation and surgical aortic valve replacement.

Editorial

Sodium Polystyrene Sulfonate for Hyperkalemia

Abstract Full Text
JAMA Intern Med. 2019;179(8):1023-1024. doi:10.1001/jamainternmed.2019.1291
Invited Commentary

Decision Aids for Prostate Cancer Screening—The True Potential Remains Unknown

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(8):1082-1083. doi:10.1001/jamainternmed.2019.0753

Preventing Alzheimer Disease by Deprescribing Anticholinergic Medications

Abstract Full Text
JAMA Intern Med. 2019;179(8):1093-1094. doi:10.1001/jamainternmed.2019.0676

Considering the Risks and Benefits of Osteoporosis Treatment in Older Adults

Abstract Full Text
JAMA Intern Med. 2019;179(8):1103-1104. doi:10.1001/jamainternmed.2019.0688
Editor's Note

Paying for Cancer Care

Abstract Full Text
JAMA Intern Med. 2019;179(8):1051. doi:10.1001/jamainternmed.2019.0892

Increasing Transparency at the US Food and Drug Administration

Abstract Full Text
JAMA Intern Med. 2019;179(8):1146-1147. doi:10.1001/jamainternmed.2019.1194
Teachable Moment

Overuse of Urine Eosinophils in the Diagnosis of Acute Interstitial Nephritis: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2019;179(8):1131-1132. doi:10.1001/jamainternmed.2019.1755

This Teachable Moment evaluates the measurement of urine eosinophils as an indicator for the diagnosis of acute interstitial nephritis.

Research Letter

Health Care Reform

Assessing the Quality of Public Reporting of US Physician Performance

Abstract Full Text
JAMA Intern Med. 2019;179(8):1133-1135. doi:10.1001/jamainternmed.2019.0398

This analysis of current data from the Physician Compare website assesses the volume of quality data submitted and whether the information is comprehensive enough to differentiate the performance of included physicians.

Center-Related Variation in Cardiac Stress Testing in the 18 Months Prior to Renal Transplantation

Abstract Full Text
JAMA Intern Med. 2019;179(8):1135-1136. doi:10.1001/jamainternmed.2019.0423

This analysis of data from US Renal Data System examined patient- and center-level variables for patients who did and did not undergo cardiac stress testing to determine which were associated with stress testing 18 months prior to renal transplantation.

A Comparison of Payments to a For-profit Dialysis Firm From Government and Commercial Insurers

Abstract Full Text
JAMA Intern Med. 2019;179(8):1136-1138. doi:10.1001/jamainternmed.2019.0431

This study assesses differences in payments from government and commercial insurers to dialysis clinics using data from a single for-profit organization.

Centers of Excellence Designations, Clinical Outcomes, and Characteristics of Hospitals Performing Percutaneous Coronary Interventions

Abstract Full Text
JAMA Intern Med. 2019;179(8):1138-1140. doi:10.1001/jamainternmed.2019.0567

This study evaluates the designation of center of excellence by insurance payers for hospitals performing percutaneous coronary intervention.

Rates of Advanced Imaging by Practice Peers After Malpractice Injury Reports in Florida, 2009-2013

Abstract Full Text
JAMA Intern Med. 2019;179(8):1140-1141. doi:10.1001/jamainternmed.2019.0163

This study uses Medicare claims data to identify the rate of advanced imaging tests among physicians whose peers had a malpractice injury report.

Findings From the Behavioral Risk Factor Surveillance System on Health-Related Quality of Life Among US Transgender Adults, 2014-2017

Abstract Full Text
JAMA Intern Med. 2019;179(8):1141-1144. doi:10.1001/jamainternmed.2018.7931

This study compares health-related quality of life between US transgender and cisgender adults using data from the largest nationwide health survey to date to address transgender health.

Public Disclosure of the Filing of New Drug and Therapeutic Biologics Applications With the US Food and Drug Administration

Abstract Full Text
JAMA Intern Med. 2019;179(8):1144-1146. doi:10.1001/jamainternmed.2019.1213

This cross-sectional study reviews New Drug Applications for new molecular entities and Biologics License Applications for new and biosimilar biological products submitted to the US Food and Drug Administration to assess how frequently applicants disclose applications in the media.

Comment & Response

In Low-Value Care, Less Is (Not Always) More

Abstract Full Text
JAMA Intern Med. 2019;179(8):1147. doi:10.1001/jamainternmed.2019.1881

Less Is More

In Low-Value Care, Less Is (Not Always) More—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(8):1148. doi:10.1001/jamainternmed.2019.1659

Evidence for the Full Potential of Daily Food Choices to Minimize Premature Mortality

Abstract Full Text
JAMA Intern Med. 2019;179(8):1148-1149. doi:10.1001/jamainternmed.2019.2205

Evidence for the Full Potential of Daily Food Choices to Minimize Premature Mortality—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(8):1149-1150. doi:10.1001/jamainternmed.2019.2208

Benefits of Supplemental Ultrasonography With Mammography

Abstract Full Text
JAMA Intern Med. 2019;179(8):1150. doi:10.1001/jamainternmed.2019.2379

Benefits of Supplemental Ultrasonography With Mammography—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(8):1150-1151. doi:10.1001/jamainternmed.2019.2376

Improved Communication in Home Health Care Could Reduce Hospital Readmission Rates

Abstract Full Text
JAMA Intern Med. 2019;179(8):1151-1152. doi:10.1001/jamainternmed.2019.2727
Correction

Errors in Table Headings

Abstract Full Text
free access
JAMA Intern Med. 2019;179(8):1152. doi:10.1001/jamainternmed.2019.1927

Error in Table 2

Abstract Full Text
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JAMA Intern Med. 2019;179(8):1152. doi:10.1001/jamainternmed.2019.2564

Trial Protocol and Data Sharing Statement Missing From Supplements

Abstract Full Text
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JAMA Intern Med. 2019;179(8):1152. doi:10.1001/jamainternmed.2019.2822

Error in Abstract

Abstract Full Text
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JAMA Intern Med. 2019;179(8):1152. doi:10.1001/jamainternmed.2019.3705
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2019;179(8):1016. doi:10.1001/jamainternmed.2018.5507
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