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March 2016, Vol 176, No. 3, Pages 291-417

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
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JAMA Intern Med. 2016;176(3):291-293. doi:10.1001/jamainternmed.2015.4864
Viewpoint

Free Speech and Pharmaceutical Regulation—Fishy Business

Abstract Full Text
JAMA Intern Med. 2016;176(3):295-296. doi:10.1001/jamainternmed.2015.8155

This Viewpoint discusses the implications of recent circuit court decisions regarding commercial speech and off-label marketing of prescription drugs.

Perspective

Finding a Human Leukocyte Antigen Match—A Perfect Stranger

Abstract Full Text
JAMA Intern Med. 2016;176(3):297. doi:10.1001/jamainternmed.2015.7811
Original Investigation

Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients: The Transitional Care Bridge Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(3):302-309. doi:10.1001/jamainternmed.2015.8042

This double-blind, multicenter 6-month randomized clinical trial tests whether an intervention of systematic comprehensive geriatric assessment (CGA), followed by the transitional care bridge program, improved activities of daily living compared with systematic CGA alone in older acutely hospitalized patients.

Health Care Reform

Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition–Heart Failure (BEAT-HF) Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(3):310-318. doi:10.1001/jamainternmed.2015.7712

This randomized clinical trial evaluates the effectiveness of a care transition intervention using remote patient monitoring to reduce 180-day all-cause readmissions among older adults hospitalized with heart failure.

Less Is More

Effectiveness of Short Message Service Text-Based Smoking Cessation Intervention Among University Students: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(3):321-328. doi:10.1001/jamainternmed.2015.8260

This randomized clinical trial evaluates short message service–based texting to university students in Sweden as an intervention to aid in smoking cessation.

A Mind-Body Program for Older Adults With Chronic Low Back Pain: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(3):329-337. doi:10.1001/jamainternmed.2015.8033

This randomized clinical trial investigates the effectiveness of a mind-body program at increasing function and reducing pain in older adults with chronic low back pain.

Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease: A Meta-analysis

Abstract Full Text
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JAMA Intern Med. 2016;176(3):340-349. doi:10.1001/jamainternmed.2015.7667

This meta-analysis of randomized clinical trials assesses the effect of mobile telephone text messaging on medication adherence in patients with chronic disease.

Association Between Lifetime Marijuana Use and Cognitive Function in Middle Age: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

Abstract Full Text
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JAMA Intern Med. 2016;176(3):352-361. doi:10.1001/jamainternmed.2015.7841

This study uses data from the Coronary Artery Risk Development in Young Adults (CARDIA) study to examine the association between cumulative lifetime exposure to marijuana and cognitive performance in middle age.

Examining Variation in Hospice Visits by Professional Staff in the Last 2 Days of Life

Abstract Full Text
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JAMA Intern Med. 2016;176(3):364-370. doi:10.1001/jamainternmed.2015.7479

This cohort study of Medicare hospice beneficiaries examines individual characteristics, hospice program, and geographic variation in patient visits by professional staff during the last 2 days of life.

A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities

Abstract Full Text
free access has multimedia has audio
JAMA Intern Med. 2016;176(3):372-379. doi:10.1001/jamainternmed.2015.7664

This study of caregivers of older adults with disabilities with estimates extrapolated from 2 national surveys examines how caregivers’ involvement in older adults’ health care activities relates to caregiving responsibilities, supportive services use, and caregiving-related effects.

Invited Commentary

New Approaches to Reduce Readmissions in Patients With Heart Failure

Abstract Full Text
JAMA Intern Med. 2016;176(3):318-320. doi:10.1001/jamainternmed.2015.7993

Less Is More

Why We Need Nonpharmacologic Approaches to Manage Chronic Low Back Pain in Older Adults

Abstract Full Text
JAMA Intern Med. 2016;176(3):338-339. doi:10.1001/jamainternmed.2015.8348

Mobile Text Messaging and Adherence of Patients to Medication Prescriptions: A txt a dA keeps da doctR awA?

Abstract Full Text
JAMA Intern Med. 2016;176(3):350-351. doi:10.1001/jamainternmed.2015.7853

Long-term Marijuana Use and Cognitive Impairment in Middle Age

Abstract Full Text
JAMA Intern Med. 2016;176(3):362-363. doi:10.1001/jamainternmed.2015.7850

Variability in Hospice Care at the Very End of Life

Abstract Full Text
JAMA Intern Med. 2016;176(3):370-371. doi:10.1001/jamainternmed.2015.7931

Putting the Spotlight on Invisible Family Caregivers

Abstract Full Text
JAMA Intern Med. 2016;176(3):380-381. doi:10.1001/jamainternmed.2015.8002

Variability in DXA Reporting and Other Challenges in Osteoporosis Evaluation

Abstract Full Text
JAMA Intern Med. 2016;176(3):393-395. doi:10.1001/jamainternmed.2015.7550
Editor's Note

Texting for Health Education

Abstract Full Text
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JAMA Intern Med. 2016;176(3):328. doi:10.1001/jamainternmed.2015.8285

The Financial Associations of Public Speakers at Meetings of Federal Health Advisory Committees

Abstract Full Text
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JAMA Intern Med. 2016;176(3):391. doi:10.1001/jamainternmed.2015.8092

High-Deductible Health Plans and Higher-Value Decisions: A Mirage or Are We Just Not There Yet?

Abstract Full Text
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JAMA Intern Med. 2016;176(3):397-398. doi:10.1001/jamainternmed.2015.7559
Teachable Moment

Pseudoatrial Flutter Waves—When a Flutter Is Not a Flutter

Abstract Full Text
has multimedia
JAMA Intern Med. 2016;176(3):298-299. doi:10.1001/jamainternmed.2015.8315

This case of a patient with pseudoatrial flutter waves demonstrates the importance of obtaining a 12-lead electrocardiogram to avoid misidentifying pseudoatrial flutter waves with new-onset atrial flutter.

Less Is More

Intensive Glycemic Control in Type 2 Diabetes Mellitus—A Balancing Act of Latent Benefit and Avoidable Harm: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2016;176(3):300-301. doi:10.1001/jamainternmed.2015.8320

This Teachable Moment provides an example of how patient-centered care and shared decision-making require a comprehensive and transparent discussion between patient and physician of known risks, benefits, costs, and burden of available and reasonable treatment options.

Challenges in Clinical Electrocardiography

Wenckebach—Second-Degree Heart Block and the Company It Keeps

Abstract Full Text
JAMA Intern Med. 2016;176(3):382-385. doi:10.1001/jamainternmed.2015.7592

Wide Complex Tachycardia in a Patient With a History of Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2016;176(3):386-388. doi:10.1001/jamainternmed.2015.7605
Research Letter

Health Care Reform

Characteristics and Conflicts of Public Speakers at Meetings of the Oncologic Drugs Advisory Committee to the US Food and Drug Administration

Abstract Full Text
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JAMA Intern Med. 2016;176(3):389-391. doi:10.1001/jamainternmed.2015.7805

This study reviewed transcripts of meetings of the Oncologic Drugs Advisory Committee to the US Food and Drug Administration to characterize potential financial and other conflicts of interest of public speakers.

Less Is More

Osteoporosis Overtreatment in a Regional Health Care System

Abstract Full Text
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JAMA Intern Med. 2016;176(3):391-393. doi:10.1001/jamainternmed.2015.6020

This cohort study estimates the incidence of osteoporosis overtreatment of women in a health system where DXA reports include T scores for anatomic sites that guidelines recommend against using as a basis for treatment.

Cost-Sharing Obligations, High-Deductible Health Plan Growth, and Shopping for Health Care: Enrollees With Skin in the Game

Abstract Full Text
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JAMA Intern Med. 2016;176(3):395-397. doi:10.1001/jamainternmed.2015.7554

This cohort study examines the rapid growth of high-deductible health plans in a nationally representative sample of insured US adults.

Hospital Care Efficiency and the SMART (Specific, Measurable, Agreed, Required, and Timely) Medicine Initiative

Abstract Full Text
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JAMA Intern Med. 2016;176(3):398-399. doi:10.1001/jamainternmed.2015.7705

This article describes trends in the use of low-value diagnostic tests at a hospital after implementation of consensus recommendations developed by a team of physicians and engineers to reduce their use.

Effect of US Drug Enforcement Administration’s Rescheduling of Hydrocodone Combination Analgesic Products on Opioid Analgesic Prescribing

Abstract Full Text
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JAMA Intern Med. 2016;176(3):399-402. doi:10.1001/jamainternmed.2015.7799

This study examines national patterns to identify effects on opioid analgesic prescribing before and after the US Drug Enforcement Administration’s rescheduling of hydrocodone combination analgesic products.

Posttraumatic Stress and Prolonged Grief After the Sudden Cardiac Death of a Young Relative

Abstract Full Text
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JAMA Intern Med. 2016;176(3):402-405. doi:10.1001/jamainternmed.2015.7808

This cross-sectional study assesses psychological functioning, including prolonged grief and posttraumatic stress symptoms, and identifies factors that correlate with adverse outcomes after the sudden cardiac death of a young relative.

Geographic Variation in Medicare Expenditures, 2003-2012

Abstract Full Text
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JAMA Intern Med. 2016;176(3):405-407. doi:10.1001/jamainternmed.2015.7814

This study examines whether variation in 7 categories of per capita Medicare expenditures had changed in the 10 years beginning 2003.

Comment & Response

Inaccurate Reporting of Insulin Reimbursement

Abstract Full Text
JAMA Intern Med. 2016;176(3):407-408. doi:10.1001/jamainternmed.2015.8095

Inaccurate Reporting of Insulin Reimbursement

Abstract Full Text
JAMA Intern Med. 2016;176(3):408. doi:10.1001/jamainternmed.2015.8098

Inaccurate Reporting of Insulin Reimbursement—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):408-409. doi:10.1001/jamainternmed.2015.8101

Discontinuation of Antihypertensive Treatment in Elderly Patients and Cognitive Function

Abstract Full Text
JAMA Intern Med. 2016;176(3):409. doi:10.1001/jamainternmed.2015.8342

Discontinuation of Antihypertensive Treatment in Elderly Patients and Cognitive Function—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):409-410. doi:10.1001/jamainternmed.2015.8345

Potential Benefits of Computer-Aided Detection for Cancer Identification and Treatment

Abstract Full Text
JAMA Intern Med. 2016;176(3):410. doi:10.1001/jamainternmed.2015.8459

Potential Benefits of Computer-Aided Detection for Cancer Identification and Treatment—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):411. doi:10.1001/jamainternmed.2015.8474

Discretionary Interpretations of Accountable Care Organization Data

Abstract Full Text
JAMA Intern Med. 2016;176(3):411-412. doi:10.1001/jamainternmed.2015.8503

Discretionary Interpretations of Accountable Care Organization Data—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):412. doi:10.1001/jamainternmed.2015.8506

Toxin Immunoassays and Clostridium difficile Infection

Abstract Full Text
JAMA Intern Med. 2016;176(3):412. doi:10.1001/jamainternmed.2015.8522

Toxin Immunoassays and Clostridium difficile Infection

Abstract Full Text
JAMA Intern Med. 2016;176(3):413. doi:10.1001/jamainternmed.2015.8525

Toxin Immunoassays and Clostridium difficile Infection

Abstract Full Text
JAMA Intern Med. 2016;176(3):413-414. doi:10.1001/jamainternmed.2015.8536

Toxin Immunoassays and Clostridium difficile Infection—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):414-415. doi:10.1001/jamainternmed.2015.8539

Neuraminidase Inhibitors and Influenza Infection

Abstract Full Text
JAMA Intern Med. 2016;176(3):415. doi:10.1001/jamainternmed.2016.0013

Neuraminidase Inhibitors and Influenza Infection

Abstract Full Text
JAMA Intern Med. 2016;176(3):415-416. doi:10.1001/jamainternmed.2016.0016

Neuraminidase Inhibitors and Influenza Infection—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(3):416-417. doi:10.1001/jamainternmed.2016.0050

The Role of Physicians in Asylum Evaluation: Documenting Torture and Trauma

Abstract Full Text
JAMA Intern Med. 2016;176(3):417. doi:10.1001/jamainternmed.2016.0053
Correction

Error in Text

Abstract Full Text
free access
JAMA Intern Med. 2016;176(3):417. doi:10.1001/jamainternmed.2015.8190

Error in Reference List

Abstract Full Text
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JAMA Intern Med. 2016;176(3):417. doi:10.1001/jamainternmed.2016.0106
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2016;176(3):294. doi:10.1001/jamainternmed.2015.4865
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