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October 2019 - January 1908

Decade

Year

Issue

November 2019, Vol 179, No. 11, Pages 1453-1612

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1453-1455. doi:10.1001/jamainternmed.2018.5521
Viewpoint

Surprise Medical Bills, the High Cost of Emergency Department Care, and the Effects on Patients

Abstract Full Text
JAMA Intern Med. 2019;179(11):1457-1458. doi:10.1001/jamainternmed.2019.3448

This Viewpoint examines the high unexpected costs of emergency department visits and cites several pieces of journalism that reported on exorbitant, unexpected bills and led to cancellations of debt and potential broader health care policy changes.

Health Care Policy and Law

The Public Health Urgency of a Temporary FDA Moratorium on New Opioid Approvals

Abstract Full Text
JAMA Intern Med. 2019;179(11):1459-1460. doi:10.1001/jamainternmed.2019.3846

This Viewpoint suggests the US Food and Drug Administration (FDA) halt approval of new opioids until the agency adopts a more rigorous framework for opioid review, providing 2 examples of new opioids that were approved by the FDA but had high rates of abuse after entering the drug market.

Improving Adverse Event Reporting for Compounded Drugs

Abstract Full Text
JAMA Intern Med. 2019;179(11):1461-1462. doi:10.1001/jamainternmed.2019.3830

This Viewpoint examines the weak points in adverse event reporting requirements for producers of compounded drugs and offers solutions to improve adverse event reporting and analysis.

Perspective

Medical Discharge Summary—“Disposition: To the Street”

Abstract Full Text
JAMA Intern Med. 2019;179(11):1463-1464. doi:10.1001/jamainternmed.2019.3603

In this essay, an internal medicine physician describes caring for a patient who became one of the city’s top medical care users after becoming homeless.

Original Investigation

Perioperative Management of Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1469-1478. doi:10.1001/jamainternmed.2019.2431

This cohort study examines the risk of bleeding and stroke associated with surgical procedures and the value of perioperative management among patients with atrial fibrillation who use anticoagulants.

Association Between Soft Drink Consumption and Mortality in 10 European Countries

Abstract Full Text
JAMA Intern Med. 2019;179(11):1479-1490. doi:10.1001/jamainternmed.2019.2478

This cohort study examines whether soft drink consumption is associated with all-cause and cause-specific mortality in a large cohort of European adults.

Less Is More

Association Between Drug Treatments for Patients With Osteoporosis and Overall Mortality Rates: A Meta-analysis

Abstract Full Text
JAMA Intern Med. 2019;179(11):1491-1500. doi:10.1001/jamainternmed.2019.2779

This meta-analysis examines randomized placebo-controlled clinical trials of drug treatments, particularly treatment with bisphosphonates, for the prevention of fracture in patients with osteoporosis to assess whether these treatments are associated with reduced overall mortality rates.

Time-Series Analysis of Health Care–Associated Infections in a New Hospital With All Private Rooms

Abstract Full Text
open access
JAMA Intern Med. 2019;179(11):1501-1506. doi:10.1001/jamainternmed.2019.2798

This time-series analysis examines the changes in the rates of multidrug-resistant organisms and nosocomial infections after patients were moved from a hospital with ward-type rooms to one with 100% single-patient rooms.

Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality in a Japanese Cohort

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(11):1509-1518. doi:10.1001/jamainternmed.2019.2806

This cohort study evaluates the associations between animal and plant protein intake and all-cause and cause-specific mortality among Japanese adults.

Less Is More

Risk Factors and Outcomes Associated With Treatment of Asymptomatic Bacteriuria in Hospitalized Patients

Abstract Full Text
JAMA Intern Med. 2019;179(11):1519-1527. doi:10.1001/jamainternmed.2019.2871

This cohort study examines the outcomes of treatment of asymptomatic bacteriuria in hospitalized patients.

Clinical Outcomes After Intensifying Antihypertensive Medication Regimens Among Older Adults at Hospital Discharge

Abstract Full Text
JAMA Intern Med. 2019;179(11):1528-1536. doi:10.1001/jamainternmed.2019.3007

This cohort study investigates the association between intensification of antihypertensive regimens at hospital discharge and clinical outcomes after discharge.

Trends Associated With Large-scale Expansion of Peritoneal Dialysis Within an Integrated Care Delivery Model

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1537-1542. doi:10.1001/jamainternmed.2019.3155

This cohort study describes a system-level approach to expansion of peritoneal dialysis use and temporal trends in initiation, persistence, and associated mortality among adult patients with advanced kidney disease in an integrated health care plan delivery system.

Assessment of Out-of-Network Billing for Privately Insured Patients Receiving Care in In-Network Hospitals

Abstract Full Text
JAMA Intern Med. 2019;179(11):1543-1550. doi:10.1001/jamainternmed.2019.3451

This analysis of health insurance claims data assesses out-of-network billing for patients treated through in-network hospital admissions and emergency department visits.

Association Between Forced Sexual Initiation and Health Outcomes Among US Women

Abstract Full Text
JAMA Intern Med. 2019;179(11):1551-1558. doi:10.1001/jamainternmed.2019.3500

This cross-sectional study estimates the health outcomes associated with forced sexual initiation in girls and women in the United States.

Editorial

Ending Surprise Medical Bills

Abstract Full Text
JAMA Intern Med. 2019;179(11):1465-1466. doi:10.1001/jamainternmed.2019.3382

De-adoption of Routine Urine Culture Testing—A Call to Action

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(11):1466-1468. doi:10.1001/jamainternmed.2019.4515
Invited Commentary

The Evidence-Based Hospital—A Case for Single-Patient Rooms

Abstract Full Text
JAMA Intern Med. 2019;179(11):1507-1508. doi:10.1001/jamainternmed.2019.2797

Forced and Coerced Sexual Initiation in Women: New Insights, Even More Questions

Abstract Full Text
JAMA Intern Med. 2019;179(11):1558-1560. doi:10.1001/jamainternmed.2019.3467

Health Care Policy and Law

Implications for Veterans’ Health Care: The Danger Becomes Clearer

Abstract Full Text
JAMA Intern Med. 2019;179(11):1586-1587. doi:10.1001/jamainternmed.2019.2996

Meta-analysis Metastasis

Abstract Full Text
JAMA Intern Med. 2019;179(11):1594-1595. doi:10.1001/jamainternmed.2019.2999
Editor's Note

Evidence Supporting US Food and Drug Administration Drug Safety Communications

Abstract Full Text
JAMA Intern Med. 2019;179(11):1592. doi:10.1001/jamainternmed.2019.3065
Review

Acute Care for Patients Who Are Incarcerated: A Review

Abstract Full Text
JAMA Intern Med. 2019;179(11):1561-1567. doi:10.1001/jamainternmed.2019.3881

This review considers the legal precedents, terminology, characteristics, clinical management, and challenges during transitions of care for patients who are incarcerated and in need of short-term medical care.

Less Is More

2019 Update on Medical Overuse: A Review

Abstract Full Text
JAMA Intern Med. 2019;179(11):1568-1574. doi:10.1001/jamainternmed.2019.3842

This review assesses articles published in 2018 related to medical overuse with the goal of improving patient care.

Teachable Moment

Less Is More

Interpreting CD4 Counts in a Patient With HIV

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(11):1578-1579. doi:10.1001/jamainternmed.2019.3642

This Teachable Moment describes a man in his 40s with human immunodeficiency virus infection being treated with combination antiretroviral therapy, cutaneous Kaposi sarcoma in remission, and lymphedema of both legs who presented with acute-onset right lower extremity pain, swelling, and erythema.

Research Letter

Association Between Broadband Internet Availability and Telemedicine Use

Abstract Full Text
JAMA Intern Med. 2019;179(11):1580-1582. doi:10.1001/jamainternmed.2019.2234

This population-based study examines the availability of broadband in local communities for telemedicine.

Physician Work Environment and Well-Being

Use of “Doctor” Badges for Physician Role Identification During Clinical Training

Abstract Full Text
JAMA Intern Med. 2019;179(11):1582-1584. doi:10.1001/jamainternmed.2019.2416

This survey-based pilot study explores the frequency and implications of role misidentification experienced by residents at a large academic medical center and evaluates the use of a simple, low-cost method for distinguishing physicians from other members of the health care team.

Health Care Policy and Law

Association Between Dual Use of Department of Veterans Affairs and Medicare Part D Drug Benefits and Potentially Unsafe Prescribing

Abstract Full Text
JAMA Intern Med. 2019;179(11):1584-1586. doi:10.1001/jamainternmed.2019.2788

This observational study evaluates the association of dual prescribing for Veterans Affairs and Medicare Part D benefits with unsafe prescription exposure in a national cohort of older veterans.

Association of Sodium-Glucose Cotransporter 2 Inhibitor Treatment With Risk of Hospitalization for Fournier Gangrene Among Men

Abstract Full Text
JAMA Intern Med. 2019;179(11):1587-1590. doi:10.1001/jamainternmed.2019.2813

This cohort study assesses the association between initiation of sodium-glucose cotransporter 2 (SGLT-2) inhibitor treatment and the risk of hospitalization for Fournier gangrene among men.

Association Between Data Sources and US Food and Drug Administration Drug Safety Communications

Abstract Full Text
JAMA Intern Med. 2019;179(11):1590-1592. doi:10.1001/jamainternmed.2019.3066

This study describes sources of initial safety signals that that preceded US Food and Drug Administration (FDA) drug safety communications and examines their associations with drug characteristics and subsequent label changes.

Assessment of Publication Trends of Systematic Reviews and Randomized Clinical Trials, 1995 to 2017

Abstract Full Text
JAMA Intern Med. 2019;179(11):1593-1594. doi:10.1001/jamainternmed.2019.3013

This cross-sectional study assesses the growth in the number of systematic reviews and meta-analyses vs randomized clinical trials from 1995 to 2017.

Industry Payments to Physician Directors of National Cancer Institute–Designated Cancer Centers, 2015-2017

Abstract Full Text
JAMA Intern Med. 2019;179(11):1595-1597. doi:10.1001/jamainternmed.2019.3098

This study examines industry payments made to physician directors of National Cancer Institute–designated cancer centers from 2015 through 2017.

Challenges in Clinical Electrocardiography

de Winter Electrocardiogram Pattern—An Unusual ST-Segment Elevation Myocardial Infarction Equivalent Pattern

Abstract Full Text
JAMA Intern Med. 2019;179(11):1575-1577. doi:10.1001/jamainternmed.2019.4127

This case report presents the electrocardiographic findings of a man in his 60s with no history of cardiovascular disease who presented to the emergency department with chest pain of 1 hour’s duration.

Comment & Response

Reevaluating the Use of the Nationwide Inpatient Sample to Identify Incident Cases of Atrial Fibrillation After Aortic Valve Replacement

Abstract Full Text
JAMA Intern Med. 2019;179(11):1597-1598. doi:10.1001/jamainternmed.2019.4409

Reevaluating the Use of the Nationwide Inpatient Sample to Identify Incident Cases of Atrial Fibrillation After Aortic Valve Replacement—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1598. doi:10.1001/jamainternmed.2019.4412

More Considerations on Both Model Assumptions and Results Interpretations—Evaluating Readmission

Abstract Full Text
JAMA Intern Med. 2019;179(11):1599. doi:10.1001/jamainternmed.2019.4688

More Considerations on Both Model Assumptions and Results Interpretations—Evaluating Readmission—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1599-1600. doi:10.1001/jamainternmed.2019.4721

An Alternative to Sodium Polystyrene Sulfonate and Patiromer for the Treatment of Hyperkalemia

Abstract Full Text
JAMA Intern Med. 2019;179(11):1600. doi:10.1001/jamainternmed.2019.4698

An Alternative to Sodium Polystyrene Sulfonate and Patiromer for the Treatment of Hyperkalemia—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1600-1601. doi:10.1001/jamainternmed.2019.4685

Is 4400 Steps per Day the New 10 000 Steps per Day?

Abstract Full Text
JAMA Intern Med. 2019;179(11):1601. doi:10.1001/jamainternmed.2019.4704

Is 4400 Steps per Day the New 10 000 Steps per Day?—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1602. doi:10.1001/jamainternmed.2019.4701

Age-Related Bias in Total Step Count Recorded by Wearable Devices

Abstract Full Text
JAMA Intern Med. 2019;179(11):1602. doi:10.1001/jamainternmed.2019.4707

Age-Related Bias in Total Step Count Recorded By Wearable Devices—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1603. doi:10.1001/jamainternmed.2019.4691

Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes

Abstract Full Text
JAMA Intern Med. 2019;179(11):1603-1604. doi:10.1001/jamainternmed.2019.4860

Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes

Abstract Full Text
JAMA Intern Med. 2019;179(11):1604. doi:10.1001/jamainternmed.2019.4863

Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1604-1605. doi:10.1001/jamainternmed.2019.4874

Vitamin B12 Therapy in Older Adults and Misconception of Its Inappropriateness

Abstract Full Text
JAMA Intern Med. 2019;179(11):1605. doi:10.1001/jamainternmed.2019.4899

Vitamin B12 Therapy in Older Adults and Misconception of Its Inappropriateness

Abstract Full Text
JAMA Intern Med. 2019;179(11):1606. doi:10.1001/jamainternmed.2019.4926

Vitamin B12 Therapy in Older Adults and Misconception of Its Inappropriateness—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(11):1606-1607. doi:10.1001/jamainternmed.2019.4902
Correction

Correction to Open Access Status

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1607. doi:10.1001/jamainternmed.2019.5327

Error in Figure 3

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1607. doi:10.1001/jamainternmed.2019.5480
Images From Our Readers

Less Is More

Deprescription Mosaic—The Art of Geriatrics

Abstract Full Text
JAMA Intern Med. 2019;179(11):1579. doi:10.1001/jamainternmed.2019.4314
JAMA Internal Medicine Patient Page

I’m Worried About Depression—What Should I Know?

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1612. doi:10.1001/jamainternmed.2019.0637

This JAMA Patient Page describes depression, its diagnosis, and its treatment.

JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2019;179(11):1456. doi:10.1001/jamainternmed.2018.5522
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