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July 2015, Vol 175, No. 7, Pages 1077-1248

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2015;175(7):1077-1079. doi:10.1001/jamainternmed.2014.5074
Viewpoint

The Veiled Economics of Employee Cost Sharing

Abstract Full Text
JAMA Intern Med. 2015;175(7):1081-1082. doi:10.1001/jamainternmed.2015.1109

This Viewpoint explains how cost sharing in employer-sponsored health insurance plans affects low- and high-wage workers differently and advocates regulatory changes that would both improve health and control costs.

Health Care Reform

An Update on Maryland’s All-Payer Approach to Reforming the Delivery of Health Care

Abstract Full Text
JAMA Intern Med. 2015;175(7):1083-1084. doi:10.1001/jamainternmed.2015.1616

This Viewpoint discusses Maryland’s shift away from fee-for-service reimbursement models tied to volume and toward alternate structures that cap payments and reward hospitals and physicians for delivering better health and quality outcomes at lower costs.

Inside Story

Less Is More

Uncertainty and the Diagnostic Leviathan

Abstract Full Text
JAMA Intern Med. 2015;175(7):1085-1086. doi:10.1001/jamainternmed.2015.1103

Not Breathing Easier With the US FDA’s Ban on Chlorofluorocarbons in Inhalers

Abstract Full Text
JAMA Intern Med. 2015;175(7):1086. doi:10.1001/jamainternmed.2015.1714
Editorial

Addressing Overuse of Medical Services One Decision at a Time

Abstract Full Text
JAMA Intern Med. 2015;175(7):1092-1093. doi:10.1001/jamainternmed.2015.1693

This Editorial discusses overuse of medical services and proposes ways to assess and reduce patterns of overuse.

Original Investigation

Mediterranean Diet and Age-Related Cognitive Decline: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1094-1103. doi:10.1001/jamainternmed.2015.1668

This randomized clinical trial found that a Mediterranean diet supplemented with olive oil or nuts is associated with improved cognitive function in older people.

Less Is More

Safety and Procedural Success of Left Atrial Appendage Exclusion With the Lariat Device: A Systematic Review of Published Reports and Analytic Review of the FDA MAUDE Database

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1104-1109. doi:10.1001/jamainternmed.2015.1513

This systematic review assessed the safety and procedural success of the Lariat device, and the investigators found significant risks of major adverse events with off-label use for left atrial appendage exclusion.

Performance of Wells Score for Deep Vein Thrombosis in the Inpatient Setting

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1112-1117. doi:10.1001/jamainternmed.2015.1687

This prospective study of inpatients with suspected lower-extremity deep vein thrombosis showed that the Wells score performed only slightly better than chance at assessing risk for deep vein thrombosis. See also the Invited Commentary by Price and Minichiello.

Less Is More

Effectiveness of an Antimicrobial Stewardship Approach for Urinary Catheter–Associated Asymptomatic Bacteriuria

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1120-1127. doi:10.1001/jamainternmed.2015.1878

This pre-post comparison with a contemporaneous control group from 2010 to 2013 at 2 Veterans Affairs health care systems evaluates the effectiveness and sustainability of an intervention to reduce urine culture ordering and antimicrobial prescribing for catheter-associated asymptomatic bacteriuria. See the Invited Commentary by Juthani-Mehta.

Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System

Abstract Full Text
free access has audio
JAMA Intern Med. 2015;175(7):1130-1135. doi:10.1001/jamainternmed.2015.1035

This retrospective study of an academic health care system that used nondisclosure clauses in most malpractice settlement agreements found that the causes were often broader than necessary.

Association Between Hospice Use and Depressive Symptoms in Surviving Spouses

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1138-1146. doi:10.1001/jamainternmed.2015.1722

This observational study notes an increase in depression symptoms of surviving spouses of hospice users as well as nonhospice users.

The Association Between Continuity of Care and the Overuse of Medical Procedures

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1148-1154. doi:10.1001/jamainternmed.2015.1340

This study investigated the association between care continuity and use of potentially unnecessary procedures. Increased continuity was associated with an overall decrease in overuse, suggesting a potential benefit of high-continuity care; however, the strength and direction of the association varied according to the specific procedure.

The Effect of Primary Care Provider Turnover on Patient Experience of Care and Ambulatory Quality of Care

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1157-1162. doi:10.1001/jamainternmed.2015.1853

This observational study among a nationwide sample of patients reports that primary care provider turnover was associated with worse patient experiences of care but did not have a major effect on ambulatory care quality.

Bleeding, Recurrent Venous Thromboembolism, and Mortality Risks During Warfarin Interruption for Invasive Procedures

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1163-1168. doi:10.1001/jamainternmed.2015.1843

This cohort study notes an increased risk of bleeding in patients receiving bridge therapy during warfarin interruption for invasive procedures.

The Impact of the US Food and Drug Administration Chlorofluorocarbon Ban on Out-of-pocket Costs and Use of Albuterol Inhalers Among Individuals With Asthma

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1171-1179. doi:10.1001/jamainternmed.2015.1665

Using private insurance data from 2004 to 2010, this study investigates the effect of the chlorofluorocarbon ban on out-of-pocket costs and utilization of albuterol inhalers among individuals with asthma. See the Editor’s Note by Ross and the Perspective by Redberg.

Epidemiology of the Homebound Population in the United States

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1180-1186. doi:10.1001/jamainternmed.2015.1849

Cross-sectional data from the National Health and Aging Trends Study were used to develop measures of the frequency of leaving and ability to leave the home and to use these measures to estimate the homebound population in the US population.

Comparative Safety of Testosterone Dosage Forms

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1187-1196. doi:10.1001/jamainternmed.2015.1573

This cohort study identifies a greater cardiovascular risk with use of testosterone injections vs gels.

Less Is More

Informed Decision Making for Percutaneous Coronary Intervention for Stable Coronary Disease

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1199-1206. doi:10.1001/jamainternmed.2015.1657

This cross-sectional analysis found that informed decision making is often incomplete in conversations between cardiologists and patients with stable angina.

Risk for Clinically Relevant Adverse Cardiac Events in Patients With Chest Pain at Hospital Admission

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1207-1212. doi:10.1001/jamainternmed.2015.1674

This blinded data review of a prospectively collected database of adult patients admitted or observed with potentially ischemic chest pain found that the risk for a clinically relevant adverse cardiac event was rare and commonly iatrogenic.

Invited Commentary

Lariat—Small Step or Giant Leap?

Abstract Full Text
JAMA Intern Med. 2015;175(7):1110-1111. doi:10.1001/jamainternmed.2015.1517

The Wells Deep Vein Thrombosis Score for Inpatients: Not the Right Tool for the Job

Abstract Full Text
JAMA Intern Med. 2015;175(7):1118-1119. doi:10.1001/jamainternmed.2015.1699

This Invited Commentary discusses the poor utility of the Wells score for deep vein thrombosis in inpatients and suggests alternative approaches to stratify the risk of deep vein thrombosis.

Changing Clinicians’ Behavior: To Order or Not to Order a Urine Culture

Abstract Full Text
JAMA Intern Med. 2015;175(7):1127-1129. doi:10.1001/jamainternmed.2015.1888

Should Malpractice Settlements Be Secret?

Abstract Full Text
JAMA Intern Med. 2015;175(7):1135-1137. doi:10.1001/jamainternmed.2015.1038

The Antidepressant Effect of Hospice: Need for a More Potent Prescription

Abstract Full Text
JAMA Intern Med. 2015;175(7):1146-1147. doi:10.1001/jamainternmed.2015.1726

Understanding the Value of Continuity in the 21st Century

Abstract Full Text
JAMA Intern Med. 2015;175(7):1154-1156. doi:10.1001/jamainternmed.2015.1345

Overuse of Bridging Anticoagulation for Patients With Venous Thromboembolism: First, Do No Harm

Abstract Full Text
JAMA Intern Med. 2015;175(7):1169-1170. doi:10.1001/jamainternmed.2015.1858

Risks of Different Testosterone Preparations: Too Much, Too Little, Just Right

Abstract Full Text
JAMA Intern Med. 2015;175(7):1197-1198. doi:10.1001/jamainternmed.2015.1580

Decision Aids in Serious Illness: Moving What Works Into Practice

Abstract Full Text
JAMA Intern Med. 2015;175(7):1221-1222. doi:10.1001/jamainternmed.2015.1702

Ultrasound of the Whole Arm to Manage Suspected Upper-Extremity Deep Venous Thrombosis

Abstract Full Text
JAMA Intern Med. 2015;175(7):1227-1229. doi:10.1001/jamainternmed.2015.1711

Health Care Reform

Medicare Fee Cuts and Hospital- vs Office-Based Cardiovascular Imaging Services

Abstract Full Text
JAMA Intern Med. 2015;175(7):1231-1232. doi:10.1001/jamainternmed.2015.2021
Editor's Note

On Chlorofluorocarbon Bans and Inhaled Albuterol Prices

Abstract Full Text
free access
JAMA Intern Med. 2015;175(7):1179. doi:10.1001/jamainternmed.2015.1696

A Simple Approach to Reducing Inappropriate Use of Central Venous Catheters

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1234. doi:10.1001/jamainternmed.2015.1296

This Editorial Note discusses an intervention to reduce inappropriate use of central venous catheters in hospitalized patients.

Late Reply

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1247. doi:10.1001/jamainternmed.2015.3138
Review

Tools to Promote Shared Decision Making in Serious Illness: A Systematic Review

Abstract Full Text
JAMA Intern Med. 2015;175(7):1213-1221. doi:10.1001/jamainternmed.2015.1679

This review of tools for shared decision making in serious illness finds that future randomized clinical trials are needed for further development of novel decision aids for serious diagnoses and key decisions.

Teachable Moment

Patient Preferences and End-of-Life Care: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(7):1087-1088. doi:10.1001/jamainternmed.2015.1283

Less Is More

Subclinical Hypothyroidism During Pregnancy—Should You Expect This When You Are Expecting?A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(7):1088-1089. doi:10.1001/jamainternmed.2015.1348

A case vignette illustrates the issues surrounding the criteria for diagnosis and treatment of subclinical hypothyroidism in pregnancy.

The Diagnostic Cascade of Incidental Findings: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(7):1089-1090. doi:10.1001/jamainternmed.2015.1520

The authors discuss a case exemplifying the importance of clarifying a patient’s goals of care before conducting a surveillance computed tomographic scan of an asymptomatic tumor.

The Recommendation for Stenting in Stable Coronary Artery Disease—Ignoring the Evidence, Excluding the Patient: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(7):1090-1091. doi:10.1001/jamainternmed.2015.1705
Challenges in Clinical Electrocardiography

Intracranial Hemorrhage and Deep T-Wave Inversions

Abstract Full Text
JAMA Intern Med. 2015;175(7):1223-1225. doi:10.1001/jamainternmed.2015.1337
Research Letter

Whole-Arm Ultrasound to Rule Out Suspected Upper-Extremity Deep Venous Thrombosis in Outpatients

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1226-1227. doi:10.1001/jamainternmed.2015.1683

Health Care Reform

Medicare Fee Cuts and Cardiologist-Hospital Integration

Abstract Full Text
free access
JAMA Intern Med. 2015;175(7):1229-1231. doi:10.1001/jamainternmed.2015.2017

Less Is More

Reduction of Central Venous Catheter Use in Medical Inpatients Through Regular Physician Audits Using an Online Tool

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1232-1234. doi:10.1001/jamainternmed.2015.1292

Antibiotic Prescribing for Acute Respiratory Infections in Direct-to-Consumer Telemedicine Visits

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1234-1235. doi:10.1001/jamainternmed.2015.2024

This study uses health plan claims to assess antibiotic prescribing rates for acute respiratory infection, comparing between a direct-to-consumer telemedicine company vs physician offices.

The Political Alignment of US Physicians: An Update Including Campaign Contributions to the Congressional Midterm Elections in 2014

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1236-1237. doi:10.1001/jamainternmed.2015.1332

The Course of Functional Impairment in Older Homeless Adults: Disabled on the Street

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1237-1239. doi:10.1001/jamainternmed.2015.1562

This observational study suggests monitoring of older homeless adults to identify appropriate services.

Comment & Response

Hyperbaric Oxygen Treatment for Persistent Postconcussion Symptoms—A Placebo Effect?

Abstract Full Text
JAMA Intern Med. 2015;175(7):1239-1240. doi:10.1001/jamainternmed.2015.1032

Hyperbaric Oxygen Treatment for Persistent Postconcussion Symptoms—Reply

Abstract Full Text
JAMA Intern Med. 2015;175(7):1240-1241. doi:10.1001/jamainternmed.2015.1048

Hyperbaric Oxygen Treatment for Persistent Postconcussion Symptoms—Reply

Abstract Full Text
JAMA Intern Med. 2015;175(7):1241. doi:10.1001/jamainternmed.2015.1051

Carotid Endarterectomy for Asymptomatic Stenosis

Abstract Full Text
JAMA Intern Med. 2015;175(7):1241-1242. doi:10.1001/jamainternmed.2015.1118

One-Year Risk of Bleeding With Dabigatran in Patients With Atrial Fibrillation: Placing Real-World Results Into Perspective

Abstract Full Text
JAMA Intern Med. 2015;175(7):1242-1243. doi:10.1001/jamainternmed.2015.1271

Bleeding in Patients of African Ancestry Using Dabigatran: A Potential Effect of Creatine Kinase

Abstract Full Text
JAMA Intern Med. 2015;175(7):1243. doi:10.1001/jamainternmed.2015.1274

The Role of Selection in the Risk of Bleeding With Dabigatran in Patients With Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2015;175(7):1243-1244. doi:10.1001/jamainternmed.2015.1277

A Methodological Appraisal of Recent Real-World Data Publications on Dabigatran

Abstract Full Text
JAMA Intern Med. 2015;175(7):1244. doi:10.1001/jamainternmed.2015.1280

Dosage of Dabigatran as a Risk Factor for Bleeding in Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2015;175(7):1244-1245. doi:10.1001/jamainternmed.2015.1286

Patient Characteristics and Risk of Bleeding With Dabigatran in Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2015;175(7):1245. doi:10.1001/jamainternmed.2015.1289

Risk of Bleeding With Dabigatran in 2010-2011 Medicare Data

Abstract Full Text
JAMA Intern Med. 2015;175(7):1245-1247. doi:10.1001/jamainternmed.2015.1299

Increased Left Ventricular Trabeculation Does Not Necessarily Equate to Left Ventricular Noncompaction in Athletes

Abstract Full Text
JAMA Intern Med. 2015;175(7):1247. doi:10.1001/jamainternmed.2015.3109
  • Editor's Note
    Late Reply
    JAMA Intern Med
Correction

Error in Text and Table

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1247. doi:10.1001/jamainternmed.2015.2669

Error in Byline

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1247. doi:10.1001/jamainternmed.2015.2672

Error in Table

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1247-1248. doi:10.1001/jamainternmed.2015.2890

Error in Text

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1248. doi:10.1001/jamainternmed.2015.2975

Incorrect Numbers in Abstract

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1248. doi:10.1001/jamainternmed.2015.3083

Error in Author Affiliation

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1248. doi:10.1001/jamainternmed.2015.3162
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2015;175(7):1080. doi:10.1001/jamainternmed.2014.5075
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