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October 2016, Vol 176, No. 10, Pages 1419-1579

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1419-1421. doi:10.1001/jamainternmed.2015.4906
Viewpoint

Elder Rights in China: Care for Your Parents or Suffer Public Shaming and Desecrate Your Credit Scores

Abstract Full Text
JAMA Intern Med. 2016;176(10):1429-1430. doi:10.1001/jamainternmed.2016.5011

This Viewpoint discusses potential consequences of China policies mandating attentive behaviors of children to their elder parents and punishing behaviors deemed insufficiently attentive through public shaming and loss of credit.

Perspective

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Response to a Patient’s Failed Swallowing Study: Decisions Regarding Feeding Tubes and Dysphagia

Abstract Full Text
JAMA Intern Med. 2016;176(10):1431-1432. doi:10.1001/jamainternmed.2016.4759
Editorial

Skin Cancer—The Importance of Prevention

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JAMA Intern Med. 2016;176(10):1435-1436. doi:10.1001/jamainternmed.2016.5008

This Editorial discusses the US Preventive Services Task Force recommendation statement on screening for skin cancer and considers the importance of skin cancer prevention.

Less Is More

Lipid Screening in Children: Low-Value Care

Abstract Full Text
JAMA Intern Med. 2016;176(10):1437-1438. doi:10.1001/jamainternmed.2016.5114

This Editorial discusses the US Preventive Services Task Force recommendations statement on screening for lipid disorders in children and adolescents and the low value this screening has.

Screening for Latent Tuberculosis Infection: A Key Step Toward Achieving Tuberculosis Elimination in the United States

Abstract Full Text
JAMA Intern Med. 2016;176(10):1439-1440. doi:10.1001/jamainternmed.2016.5464

This Editorial discusses the US Preventive Services Task Force recommendation statement on screening for latent tuberculosis infection in adults.

Less Is More

Glucagon-like Peptide 1 Drugs as Second-line Therapy for Type 2 Diabetes

Abstract Full Text
JAMA Intern Med. 2016;176(10):1440-1442. doi:10.1001/jamainternmed.2016.1523
Original Investigation

Efficacy of Folic Acid Therapy on the Progression of Chronic Kidney Disease: The Renal Substudy of the China Stroke Primary Prevention Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1443-1450. doi:10.1001/jamainternmed.2016.4687

This secondary analysis of China Stroke Primary Prevention Trial data compares the effects of folic acid and enalapril vs enalapril alone on progression of CKD.

Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality

Abstract Full Text
free access has multimedia
JAMA Intern Med. 2016;176(10):1453-1463. doi:10.1001/jamainternmed.2016.4182

This cohort study assesses the associations of animal and plant protein intake with the risk for mortality in 2 populations of US adults.

Association Between Incretin-Based Drugs and the Risk of Acute Pancreatitis

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1464-1473. doi:10.1001/jamainternmed.2016.1522

This population-based study examines the association between use of incretin-based drugs in patients with type 2 diabetes and development of acute pancreatitis.

Association of Bile Duct and Gallbladder Diseases With the Use of Incretin-Based Drugs in Patients With Type 2 Diabetes Mellitus

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1474-1481. doi:10.1001/jamainternmed.2016.1531

This population-based study examines whether the use of dipeptidylpeptidase-4 inhibitors and glucagon-like peptide 1 analogues is associated with an increased risk of incident bile duct and gallbladder disease in patients with type 2 diabetes mellitus.

Treatment of Adult Depression in the United States

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1482-1491. doi:10.1001/jamainternmed.2016.5057

This study uses Medical Expenditure Panel Survey data to characterize the prevalence of screen-positive depression and depression treatment in the United States in 2012 and 2013.

Less Is More

Association Between Intensive Care Unit Utilization During Hospitalization and Costs, Use of Invasive Procedures, and Mortality

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1492-1499. doi:10.1001/jamainternmed.2016.4298

This study examines whether hospitals have consistent patterns of ICU utilization across 4 common medical conditions and the association between higher use of the ICU and hospital costs, use of invasive procedures, and mortality.

Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1501-1509. doi:10.1001/jamainternmed.2016.4419

This analysis of survey data assesses changes in access to care, utilization, and self-reported health among low-income adults in 3 states—Kentucky, Arkansas, and Texas—taking alternative approaches to the Affordable Care Act.

Association Between Distance From Home to Tobacco Outlet and Smoking Cessation and Relapse

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1512-1519. doi:10.1001/jamainternmed.2016.4535

This study uses data from 2 survey studies to examine associations between change in home-to-tobacco-outlet distance and change in smoking status among community-dwelling Finns.

Risks of Myocardial Infarction, Death, and Diabetes in Identical Twin Pairs With Different Body Mass Indexes

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1522-1529. doi:10.1001/jamainternmed.2016.4104

This cohort study uses data on monozygotic twins with discordant body mass indexes to evaluate the association between obesity, diabetes, and cardiovascular disease.

Patterns of Prescription Drug Use Before and After Fragility Fracture

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1531-1538. doi:10.1001/jamainternmed.2016.4814

This pharmacoepidemiology study uses Medicare Part D data to describe changes in use of prescription drugs associated with an increase in fracture risk before and after fragility fractures.

Less Is More

Physician-Driven Variation in Nonrecommended Services Among Older Adults Diagnosed With Cancer

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1541-1548. doi:10.1001/jamainternmed.2016.4426

This study uses Medicare data to characterize physician ordering of low-value breast cancer services including imaging for staging low-risk disease and IMRT after breast-conservation surgery.

Invited Commentary

Time to Think About Nutrient Needs in Chronic Disease

Abstract Full Text
JAMA Intern Med. 2016;176(10):1451-1452. doi:10.1001/jamainternmed.2016.4699

In Between the Intensive Care Unit and the Ward

Abstract Full Text
JAMA Intern Med. 2016;176(10):1499-1500. doi:10.1001/jamainternmed.2016.4313

Scrutinizing Alternative Paths to Medicaid Expansion

Abstract Full Text
JAMA Intern Med. 2016;176(10):1510-1511. doi:10.1001/jamainternmed.2016.4422

Retail Stores and the Fight Against Tobacco—Following the Money

Abstract Full Text
JAMA Intern Med. 2016;176(10):1520-1521. doi:10.1001/jamainternmed.2016.4544

Using Discordance in Monozygotic Twins to Understand Causality of Cardiovascular Disease Risk Factors

Abstract Full Text
JAMA Intern Med. 2016;176(10):1530. doi:10.1001/jamainternmed.2016.4115

Medication Review After a Fracture—Absolutely Essential

Abstract Full Text
JAMA Intern Med. 2016;176(10):1539-1540. doi:10.1001/jamainternmed.2016.4822

Physician Practice Style Variation—Implications for Policy

Abstract Full Text
JAMA Intern Med. 2016;176(10):1549-1550. doi:10.1001/jamainternmed.2016.4433

Counterfeit Medications and Fentanyl

Abstract Full Text
JAMA Intern Med. 2016;176(10):1555-1557. doi:10.1001/jamainternmed.2016.4310

From Choosing Wisely to Practicing Value—More to the Story

Abstract Full Text
JAMA Intern Med. 2016;176(10):1571-1572. doi:10.1001/jamainternmed.2016.5034
Evidence to Practice

CardioMEMS HF for the Management of Heart Failure—Effectiveness and Value

Abstract Full Text
JAMA Intern Med. 2016;176(10):1551-1552. doi:10.1001/jamainternmed.2016.5467

This Evidence to Practice report assesses the comparative clinical effectiveness, cost-effectiveness, and potential budget impact of the CardioMEMS HF system relative to standard heart failure management.

Teachable Moment

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Triple Oral Antithrombotic Therapy: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2016;176(10):1433-1434. doi:10.1001/jamainternmed.2016.4415

This Teachable Moment explores innovations that improve the ability to treat disease but increase the potential to cause harm, and thus the importance of careful consideration of who should be treated, what with, and for how long.

Research Letter

Adverse Effects From Counterfeit Alprazolam Tablets

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1554-1555. doi:10.1001/jamainternmed.2016.4306

This case series describes patients who experienced adverse effects associated with the ingestion of counterfeit alprazolam tablets.

States Worse Than Death Among Hospitalized Patients With Serious Illnesses

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1557-1559. doi:10.1001/jamainternmed.2016.4362

This cohort study examines how hospitalized patients with serious illnesses evaluate states of cognitive or functional debility relative to death.

Unauthorized Online Sales of Secondhand Continuous Positive Airway Pressure Devices

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1559-1561. doi:10.1001/jamainternmed.2016.4506

This study examines unauthorized online sales by private individuals of secondhand continuous positive airway pressure devices.

US Residency Competitiveness, Future Salary, and Burnout in Primary Care vs Specialty Fields

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1561-1563. doi:10.1001/jamainternmed.2016.4642

This study examines correlations between US specialty residency competitiveness and median salary, and between lifestyle factors and selection of a primary care specialty.

Emergency Department Use and Hospital Admissions Among Patients With End-Stage Renal Disease in the United States

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1563-1565. doi:10.1001/jamainternmed.2016.4975

This population epidemiology study uses US Renal Data System data to characterize emergency department (ED) visits, hospitalizations from the ED, and demographic characteristics of patients with end-stage renal disease who used ED services between 2005 and 2011.

Less Is More

Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1565-1567. doi:10.1001/jamainternmed.2016.5027

This survey study describes academic internal medicine physicians' understanding of benefits and harms of common medical interventions, their use of statistical terms in patient communication, and their awareness of high-value health care campaigns.

Less Is More

Low-Value Health Care Services in a Commercially Insured Population

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1567-1571. doi:10.1001/jamainternmed.2016.5031

This study examines low-value health care spending among US adults ages 18 to 64 years using data from Optum Clinformatics Datamart of UnitedHealthcare commercial claims for 2011 to 2013.

Comment & Response

Effect of Detecting and Isolating Asymptomatic Clostridium difficile Carriers

Abstract Full Text
JAMA Intern Med. 2016;176(10):1572-1573. doi:10.1001/jamainternmed.2016.5339

Effect Of Detecting and Isolating Asymptomatic Clostridium difficile Carriers—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(10):1573. doi:10.1001/jamainternmed.2016.5342

Prescription Trends—Brand-name Drugs vs Generic

Abstract Full Text
JAMA Intern Med. 2016;176(10):1573-1574. doi:10.1001/jamainternmed.2016.5375

Prescription Trends—Brand-Name Drugs vs Generic—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(10):1574-1575. doi:10.1001/jamainternmed.2016.5378

Patient Experience and Health Care Quality

Abstract Full Text
JAMA Intern Med. 2016;176(10):1575. doi:10.1001/jamainternmed.2016.5435

Patient Experience and Health Care Quality—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(10):1575-1576. doi:10.1001/jamainternmed.2016.5456

Payments to Physicians, Prescribing Rates, and More Appropriate Conclusions

Abstract Full Text
JAMA Intern Med. 2016;176(10):1576. doi:10.1001/jamainternmed.2016.5796

Payments to Physicians, Prescribing Rates, and More Appropriate Conclusions

Abstract Full Text
JAMA Intern Med. 2016;176(10):1576-1577. doi:10.1001/jamainternmed.2016.5799

American Society of Anesthesiologist Classification—Higher Incentives for Higher Scores

Abstract Full Text
JAMA Intern Med. 2016;176(10):1577-1578. doi:10.1001/jamainternmed.2016.5442

Payments to Physicians, Prescribing Rates, and More Appropriate Conclusions—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(10):1577. doi:10.1001/jamainternmed.2016.5802

American Society of Anesthesiologist Classification—Higher Incentives for Higher Scores

Abstract Full Text
JAMA Intern Med. 2016;176(10):1578. doi:10.1001/jamainternmed.2016.5448

American Society of Anesthesiologist Classification—Higher Incentives for Higher Scores—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(10):1578-1579. doi:10.1001/jamainternmed.2016.5459

A Reanalysis of Study of Prostate-Specific Antigen Testing Among Urologists

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1579. doi:10.1001/jamainternmed.2016.5051
Correction

Incorrect P Values in a Table

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1579. doi:10.1001/jamainternmed.2016.4948

Error in Reported Odds Ratios

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1579. doi:10.1001/jamainternmed.2016.5103

Missing Reference Citation

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1579. doi:10.1001/jamainternmed.2016.5900

Typographical Error in Methods Section

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1579. doi:10.1001/jamainternmed.2016.6486
Images From Our Readers

East River Reflections

Abstract Full Text
JAMA Intern Med. 2016;176(10):1432. doi:10.1001/jamainternmed.2016.5088

A Chance of Showers

Abstract Full Text
JAMA Intern Med. 2016;176(10):1473. doi:10.1001/jamainternmed.2016.5387
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2016;176(10):1428. doi:10.1001/jamainternmed.2015.4907
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