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January 2018 - January 1908

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Issue

February 2018, Vol 178, No. 2, Pages 171-300

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(2):171-173. doi:10.1001/jamainternmed.2017.5194
Viewpoint

Will You Be My Mentor?—Four Archetypes to Help Mentees Succeed in Academic Medicine

Abstract Full Text
JAMA Intern Med. 2018;178(2):175-176. doi:10.1001/jamainternmed.2017.6537

This Viewpoint defines 4 mentorship models in academic medicine and discusses how mentees can maximize the yield of each.

Less Is More

Reform of the National Screening Mammography Program in France

Abstract Full Text
JAMA Intern Med. 2018;178(2):177-178. doi:10.1001/jamainternmed.2017.5836

This Viewpoint reviews the reasons and process for a recent national civil dialogue in France to reform the national screening mammography program.

Selling Patents to Indian Tribes to Delay the Market Entry of Generic Drugs

Abstract Full Text
JAMA Intern Med. 2018;178(2):179-180. doi:10.1001/jamainternmed.2017.7463

This Viewpoint explores the drug company practice of selling patents to Indian tribes—sovereign legal entities—to delay the market entry of generic drugs.

A Clear-eyed View of Restasis and Chronic Dry Eye Disease

Abstract Full Text
JAMA Intern Med. 2018;178(2):181-182. doi:10.1001/jamainternmed.2017.7904

This Viewpoint examines the cost and efficacy of Restasis (cyclosporine ophthalmic emulsion, 0.05%) for the treatment of dry eye disease.

Perspective

Less Is More

Dying at Home—Our Grandfather’s Great Escape

Abstract Full Text
JAMA Intern Med. 2018;178(2):183-184. doi:10.1001/jamainternmed.2017.7295

In this Perspective, the authors reflect on their grandfather’s journey home from the hospital for a “good death” and lessons for end-of-life care.

Editorial

Evidence for Postmenopausal Hormone Therapy to Prevent Chronic ConditionsSuccess, Failure, and Lessons Learned

Abstract Full Text
JAMA Intern Med. 2018;178(2):185-186. doi:10.1001/jamainternmed.2017.7861

Quality Improvement for Quality Improvement Studies

Abstract Full Text
free access
JAMA Intern Med. 2018;178(2):187. doi:10.1001/jamainternmed.2017.6875
Original Investigation

Association of Emergency-Only vs Standard Hemodialysis With Mortality and Health Care Use Among Undocumented Immigrants With End-stage Renal Disease

Abstract Full Text
has audio
JAMA Intern Med. 2018;178(2):188-195. doi:10.1001/jamainternmed.2017.7039

This cohort study examines whether mortality and health care use differs among undocumented immigrants who receive standard hemodialysis (3 times weekly at a health care center) vs emergency-only hemodialysis.

Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population

Abstract Full Text
has active quiz
JAMA Intern Med. 2018;178(2):196-203. doi:10.1001/jamainternmed.2017.7049

This cohort study of Medicare data describes the association of hospitalist years of experience with 30-day mortality and hospital mortality of their patients.

Outcomes Associated With Left Ventricular Assist Devices Among Recipients With and Without End-stage Renal Disease

Abstract Full Text
JAMA Intern Med. 2018;178(2):204-209. doi:10.1001/jamainternmed.2017.4831

This cohort study uses data from the United States Renal Data System to determine the utilization of and outcomes associated with left ventricular assist devices in nationally representative cohorts of patients with and without end-stage renal disease.

Less Is More

Noninvasive Cardiac Testing vs Clinical Evaluation Alone in Acute Chest PainA Secondary Analysis of the ROMICAT-II Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2018;178(2):212-219. doi:10.1001/jamainternmed.2017.7360

This secondary analysis of data from a randomized clinical trial examines differences in outcomes with clinical evaluation and noninvasive testing vs clinical evaluation alone.

Regional Variation of Computed Tomographic Imaging in the United States and the Risk of Nephrectomy

Abstract Full Text
has active quiz
JAMA Intern Med. 2018;178(2):221-227. doi:10.1001/jamainternmed.2017.7508

This cross-sectional analysis of 15 million fee-for-service Medicare beneficiaries age 65 to 85 years examines the geographic variation in use of computed tomography imaging and its association with risk of nephrectomy.

Association of Cardiovascular Risk With Inhaled Long-Acting Bronchodilators in Patients With Chronic Obstructive Pulmonary DiseaseA Nested Case-Control Study

Abstract Full Text
JAMA Intern Med. 2018;178(2):229-238. doi:10.1001/jamainternmed.2017.7720

This nested case-control study investigates the risk of cardiovascular disease associated with long-acting β2-agonists and long-acting antimuscarinic antagonists, focusing on the initiation and duration of both therapies.

Comparison of Physician Visual Assessment With Quantitative Coronary Angiography in Assessment of Stenosis Severity in China

Abstract Full Text
JAMA Intern Med. 2018;178(2):239-247. doi:10.1001/jamainternmed.2017.7821

This cross-sectional study examines the accuracy of physician visual assessment vs quantitative coronary angiography in the interpretation of coronary stenosis severity among adults undergoing percutaneous coronary intervention in China.

Cost-effectiveness of the Adjuvanted Herpes Zoster Subunit Vaccine in Older Adults

Abstract Full Text
JAMA Intern Med. 2018;178(2):248-258. doi:10.1001/jamainternmed.2017.7431

This modeling study based on randomized clinical trial data assesses the cost-effectiveness of the adjuvanted herpes zoster subunit vaccine.

Health Care Reform

Changes in Health Care Use Associated With the Introduction of Hospital Global Budgets in Maryland

Abstract Full Text
JAMA Intern Med. 2018;178(2):260-268. doi:10.1001/jamainternmed.2017.7455

This study evaluates Maryland’s hospital global budget program during its first 2 years by comparing changes in hospital and primary care use among fee-for-service Medicare beneficiaries in 8 Maryland counties vs 27 matched control non-Maryland counties.

Invited Commentary

The Renal Challenge With Left Ventricular Assist Device Therapy—When Enough Is Enough

Abstract Full Text
JAMA Intern Med. 2018;178(2):210-211. doi:10.1001/jamainternmed.2017.5109

Use of Advanced Imaging Tests and the Not-So-Incidental Harms of Incidental Findings

Abstract Full Text
JAMA Intern Med. 2018;178(2):227-228. doi:10.1001/jamainternmed.2017.7557

Evolution of Herpes Zoster Vaccines and Their Economic Value

Abstract Full Text
JAMA Intern Med. 2018;178(2):258-259. doi:10.1001/jamainternmed.2017.7442

Maryland’s All-Payer Health Reform—A Promising Work in Progress

Abstract Full Text
JAMA Intern Med. 2018;178(2):269-270. doi:10.1001/jamainternmed.2017.7709
Editor's Note

Acute Chest Pain in the Emergency Department

Abstract Full Text
JAMA Intern Med. 2018;178(2):220. doi:10.1001/jamainternmed.2017.7519

Overuse of Percutaneous Coronary Interventions

Abstract Full Text
JAMA Intern Med. 2018;178(2):247. doi:10.1001/jamainternmed.2017.7828
Special Communication

Less Is More

An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria

Abstract Full Text
JAMA Intern Med. 2018;178(2):271-276. doi:10.1001/jamainternmed.2017.7290

This article proposes an evidence-based implementation guide to aid clinicians in reducing inappropriate treatment of asymptomatic bacteriuria.

Evidence to Practice

Modifiable Risk Factors and Prevention of DementiaWhat Is the Latest Evidence?

Abstract Full Text
JAMA Intern Med. 2018;178(2):281-282. doi:10.1001/jamainternmed.2017.7299

This Evidence to Practice review provides a summary and commentary on 2 recent commissioned reports on strategies for preventing and treating dementia.

Teachable Moment

Edema and Ulceration of the Lower Extremities—All That’s Red Is Not InfectionA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(2):277-278. doi:10.1001/jamainternmed.2017.7194

This Teachable Moment describes the case of a 65-year-old man who presented with symptoms of infection but was found to have a misdiagnosed case of stasis dermatitis.

Less Is More

Blind Obedience and an Unnecessary Workup for HypoglycemiaA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104

This Teachable Moment examines the danger in overvaluing laboratory test results that contradict clinical findings.

Challenges in Clinical Electrocardiography

Not Your Typical ST-Elevation Myocardial Infarction

Abstract Full Text
JAMA Intern Med. 2018;178(2):283-285. doi:10.1001/jamainternmed.2017.6318

A man in his 80s with unknown medical history was brought to the emergency department after a cardiac arrest.

Profound Electrocardiogram Changes in a Patient With Liver Cirrhosis

Abstract Full Text
JAMA Intern Med. 2018;178(2):286-288. doi:10.1001/jamainternmed.2017.7059
Research Letter

Association of Coded Severity With Readmission Reduction After the Hospital Readmissions Reduction Program

Abstract Full Text
JAMA Intern Med. 2018;178(2):290-292. doi:10.1001/jamainternmed.2017.6148

This study uses the Medicare Provider Analysis and Review file to examine whether coded severity of illness is associated with reduced rates of readmission after implementation of the Hospital Readmissions Reduction Program.

Less Is More

Gabapentinoid Use in the United States 2002 Through 2015

Abstract Full Text
JAMA Intern Med. 2018;178(2):292-294. doi:10.1001/jamainternmed.2017.7856

This cohort study uses 2002-2015 Medical Expenditure Panel Survey data to characterize the use of gabapentinoids among the US adult population.

Comment & Response

Further Limitations of a Model-Based Study of People Living With HIV and Lung Cancer Mortality

Abstract Full Text
JAMA Intern Med. 2018;178(2):294. doi:10.1001/jamainternmed.2017.7938

Further Limitations of a Model-Based Study of People Living With HIV and Lung Cancer Mortality—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(2):294-295. doi:10.1001/jamainternmed.2017.7941

Immortal Time Bias in Assessing Evidence-Based Care Processes for Staphylococcus aureus Bacteremia

Abstract Full Text
JAMA Intern Med. 2018;178(2):295-296. doi:10.1001/jamainternmed.2017.7947

Immortal Time Bias in Assessing Evidence-Based Care Processes for Staphylococcus aureus Bacteremia—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(2):296. doi:10.1001/jamainternmed.2017.7950

Services Provided by Internal Medicine Physicians Compared With Emergency Physicians: Flawed Data

Abstract Full Text
JAMA Intern Med. 2018;178(2):296-297. doi:10.1001/jamainternmed.2017.7958

Services Provided By Internal Medicine Physicians Compared With Emergency Physicians: Flawed Data—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(2):297. doi:10.1001/jamainternmed.2017.7966

Inconsistent Hypertension Guidelines: We Need a Little Help Here

Abstract Full Text
JAMA Intern Med. 2018;178(2):297-298. doi:10.1001/jamainternmed.2017.8309

False Information About Breast Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(2):298. doi:10.1001/jamainternmed.2017.7081

False Information About Breast Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(2):298-299. doi:10.1001/jamainternmed.2017.7084

False Information About Breast Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(2):299-300. doi:10.1001/jamainternmed.2017.7087

False Information About Breast Cancer Screening—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(2):300. doi:10.1001/jamainternmed.2017.7090
Correction

Misspelled Name and Data Error in Text

Abstract Full Text
free access
JAMA Intern Med. 2018;178(2):300. doi:10.1001/jamainternmed.2018.0056
Images From Our Readers

Hudson River, Manhattan

Abstract Full Text
JAMA Intern Med. 2018;178(2):278. doi:10.1001/jamainternmed.2017.8220
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JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(2):174. doi:10.1001/jamainternmed.2017.5195
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