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December 2018 - January 1908

Decade

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Issue

May 2016, Vol 176, No. 5, Pages 579-719

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):579-581. doi:10.1001/jamainternmed.2015.4876
Viewpoint

Limiting the Duration of Opioid Prescriptions: Balancing Excessive Prescribing and the Effective Treatment of Pain

Abstract Full Text
JAMA Intern Med. 2016;176(5):583-584. doi:10.1001/jamainternmed.2016.0544

This Viewpoint discusses the balance between the effective treatment of pain and preventing the abuse and misuse of opioids.

Health Care Reform

Increasing Access to Abortion With Telemedicine

Abstract Full Text
JAMA Intern Med. 2016;176(5):585-586. doi:10.1001/jamainternmed.2016.0573

This Viewpoint discusses the challenges and barriers involved in increasing access to telemedicine abortion services in the United States.

Perspective

Less Is More

Challenging the “Culture of Culturing”: The Case for Less Testing and More Clinical Assessment

Abstract Full Text
JAMA Intern Med. 2016;176(5):587-588. doi:10.1001/jamainternmed.2016.0525

Shame and Blame in the Therapeutic Relationship

Abstract Full Text
JAMA Intern Med. 2016;176(5):588-589. doi:10.1001/jamainternmed.2016.0610
Editorial

Firearm Injuries and Gun Violence: Call for Papers

Abstract Full Text
JAMA Intern Med. 2016;176(5):596-597. doi:10.1001/jamainternmed.2016.0937

Less Is More

Continuing Use of Prophylactic Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease Despite Evidence of No Benefit: Déjà Vu All Over Again

Abstract Full Text
JAMA Intern Med. 2016;176(5):597-598. doi:10.1001/jamainternmed.2016.0600

Opioid Prescribing for Chronic Pain: Not for the Faint of Heart

Abstract Full Text
JAMA Intern Med. 2016;176(5):599-601. doi:10.1001/jamainternmed.2016.0664

Screening for Chronic Obstructive Pulmonary Disease: D Is the New F

Abstract Full Text
JAMA Intern Med. 2016;176(5):601-602. doi:10.1001/jamainternmed.2016.1115
Original Investigation

Long-term Immune Response to Hepatitis B Virus Vaccination Regimens in Adults With Human Immunodeficiency Virus 1: Secondary Analysis of a Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2016;176(5):603-610. doi:10.1001/jamainternmed.2016.0741

This follow-up of a randomized clinical trial compares long-term immune responses to the standard hepatitis B virus vaccine regimen with a 4-injection intramuscular double-dose regimen and a 4-injection intradermal low-dose regimen among patients with HIV-1 infection.

Less Is More

Characteristics of Patients Undergoing Cardiac Catheterization Before Noncardiac Surgery: A Report From the National Cardiovascular Data Registry CathPCI Registry

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):611-618. doi:10.1001/jamainternmed.2016.0259

This study describes the characteristics, angiographic findings, and treatment patterns of patients with stable angina symptoms undergoing cardiac catheterization and/or percutaneous coronary intervention before noncardiac surgery in a large national registry.

Smartphone-Based Conversational Agents and Responses to Questions About Mental Health, Interpersonal Violence, and Physical Health

Abstract Full Text
free access has audio
JAMA Intern Med. 2016;176(5):619-625. doi:10.1001/jamainternmed.2016.0400

This cross-sectional study examines how smartphone-based, computer programed conversational agents respond to questions about mental health, interpersonal violence, and physical health.

Common Reasons That Asymptomatic Patients Who Are 65 Years and Older Receive Carotid Imaging

Abstract Full Text
free access has active quiz has audio
JAMA Intern Med. 2016;176(5):626-633. doi:10.1001/jamainternmed.2016.0678

This study examines why asymptomatic patients who are 65 years and older and undergo revascularization receive initial carotid imaging.

Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):635-642. doi:10.1001/jamainternmed.2015.8248

This audit of virtual visits for urgent health care uses standardized patients to assess the variation in quality among 8 companies that offer virtual visits.

Dietary Patterns and Fractures in Postmenopausal Women: Results From the Women’s Health Initiative

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):645-652. doi:10.1001/jamainternmed.2016.0482

This post hoc analysis of the Women’s Health Initiative study examines the effects of adherence to differing dietary recommendations and risk for hip fracture in postmenopausal women.

Clinician Factors Associated With Prostate-Specific Antigen Screening in Older Veterans With Limited Life Expectancy

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2016;176(5):654-661. doi:10.1001/jamainternmed.2016.0695

This study identifies clinician characteristics associated with higher prostate-specific antigen (PSA) screening rates in older men with limited life expectancy, for whom there is guideline consensus that PSA screening should be avoided, and contrasts this with PSA screening in men with favorable life expectancy, for whom many guidelines still recommend individualized decision making.

Likelihood of Unemployed Smokers vs Nonsmokers Attaining Reemployment in a One-Year Observational Study

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):662-670. doi:10.1001/jamainternmed.2016.0772

This study examines differences in reemployment rates of unemployed job seekers who smoke vs those who do not smoke during a 12-month period

Primary Care Practitioners’ Views on Incorporating Long-term Prognosis in the Care of Older Adults

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):671-678. doi:10.1001/jamainternmed.2016.0670

This qualitative study examines the beliefs and practices of primary care practitioners in discussing long-term prognosis with older adults.

Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):681-690. doi:10.1001/jamainternmed.2016.0833

This study evaluates whether overall Medicare fee-for-service readmissions were reduced through an intervention applied to high-risk discharge patients.

Invited Commentary

Screening for Asymptomatic Carotid Artery Stenosis: Evidence-Based Opinion

Abstract Full Text
JAMA Intern Med. 2016;176(5):633-634. doi:10.1001/jamainternmed.2016.0857

Health Care Communication Technology and Improved Access, Continuity, and Relationships: The Revolution Will Be Uberized

Abstract Full Text
JAMA Intern Med. 2016;176(5):643-644. doi:10.1001/jamainternmed.2016.0692

Mediterranean Diet and Fracture Risk

Abstract Full Text
JAMA Intern Med. 2016;176(5):652-653. doi:10.1001/jamainternmed.2016.0494

Discussing Long-term Prognosis in Primary Care: Hard but Necessary

Abstract Full Text
JAMA Intern Med. 2016;176(5):678-680. doi:10.1001/jamainternmed.2016.0972

Understanding Responses to Reductions in CMS Payments

Abstract Full Text
JAMA Intern Med. 2016;176(5):699-700. doi:10.1001/jamainternmed.2016.0216

The Challenges of Mobile Health Regulation

Abstract Full Text
JAMA Intern Med. 2016;176(5):704-705. doi:10.1001/jamainternmed.2016.0326
Editor's Note

Smarter Smartphones

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):625. doi:10.1001/jamainternmed.2016.0409

Employment Advice for Job-Seeking Smokers: Quit

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):670. doi:10.1001/jamainternmed.2016.0997
Evidence to Practice

Effectiveness and Value of Integrating Behavioral Health Into Primary Care

Abstract Full Text
JAMA Intern Med. 2016;176(5):691-692. doi:10.1001/jamainternmed.2016.0804

This Evidence to Practice review assesses the comparative effectiveness, cost-effectiveness, and budget implications of integrating behavioral health services into primary care settings compared with usual care.

Teachable Moment

Unwarranted Cancer Screening: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2016;176(5):590-591. doi:10.1001/jamainternmed.2016.0348

This Teachable Moment demonstrates the cascade of events that can result from unnecessary testing for malignant disease, especially in patients with dementia.

Less Is More

Indiscriminate Testing for Heparin-Induced Thrombocytopenia: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2016;176(5):592-593. doi:10.1001/jamainternmed.2016.0363

This Teachable Moment explains that increased awareness of type II thrombocytopenia has been associated with overtesting and inappropriate treatment and calls for more discriminate testing based on the well-validated 4T score.

Less Is More

Inappropriate Prescription of Proton Pump Inhibitors in the Setting of Steroid Use: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2016;176(5):594-595. doi:10.1001/jamainternmed.2016.0603

This case of a woman in her 60s presenting with ear fullness and asymetric hearing loss is a reminder to carefully consider indications for treatment using proton pump inhibitors in the setting of steroid use.

Challenges in Clinical Electrocardiography

Electrocardiography Evolution in a Woman Presenting With Alcohol Withdrawal Seizures and Cocaine Use

Abstract Full Text
JAMA Intern Med. 2016;176(5):693-695. doi:10.1001/jamainternmed.2016.0278
Research Letter

Health Care Reform

Medicare’s Reimbursement Reduction for Nerve Conduction Studies: Effect on Use and Payments

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):697-699. doi:10.1001/jamainternmed.2016.0162

This study examines whether a reduction in Medicare reimbursement for nerve conduction studies reduced the number of such studies conducted by health care professionals within a 1-year period.

Validation of the Instant Blood Pressure Smartphone App

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):700-702. doi:10.1001/jamainternmed.2016.0157

The accuracy and precision of the Instant Blood Pressure app are evaluated amid concerns that individuals may use these apps to assess their blood pressure and titrate therapy.

Accuracy of Wearable Devices for Estimating Total Energy Expenditure: Comparison With Metabolic Chamber and Doubly Labeled Water Method

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):702-703. doi:10.1001/jamainternmed.2016.0152

This study examines the accuracy of total energy expenditure estimates made by wearable devices compared with measurements made using the metabolic chamber and doubly labeled water methods.

Multidrug-Resistant Organisms on Patients’ Hands: A Missed Opportunity

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):705-706. doi:10.1001/jamainternmed.2016.0142

Baseline, new acquisition, and duration of hand carriage of multidrug-resistant organisms among patients newly admitted to post–acute care facilities from acute care hospitals is evaluated.

Published Articles Reporting Studies by Industry Employees on Interventional Cardiology Devices: Scope and Association With Study Outcomes

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):706-708. doi:10.1001/jamainternmed.2016.0367

This study examines the association between employees of the cardiovascular device industry who served as coauthors of articles reporting clinical trials of the industry’s products and the outcomes of those trials.

Less Is More

Evaluation of a Resident-Led Project to Decrease Phlebotomy Rates in the Hospital: Think Twice, Stick Once

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):708-710. doi:10.1001/jamainternmed.2016.0549

This Research Letter describes a program for reducing the frequency of phlebotomy as a means of decreasing health care costs for laboratory testing.

Incidence of Cataract Surgery in Patients After Percutaneous Cardiac Intervention in Taiwan

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):710-711. doi:10.1001/jamainternmed.2016.0554

This matched-cohort study evaluates the risk of cataract in the population undergoing percutaneous cardiac intervention procedures.

Changes in Demographics of Patients Seen at Federally Qualified Health Centers, 2005-2014

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):712-714. doi:10.1001/jamainternmed.2016.0705

This study describes a number of demographic differences in the populations served by Federally Qualified Health Centers, 2005-2014.

Comment & Response

Mechanical Circulatory Support and Rationale for Future Research

Abstract Full Text
JAMA Intern Med. 2016;176(5):714. doi:10.1001/jamainternmed.2016.0807

Mechanical Circulatory Support and Rationale for Future Research—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(5):714-715. doi:10.1001/jamainternmed.2016.0810

Mechanical Circulatory Support and Rationale for Future Research—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(5):715-716. doi:10.1001/jamainternmed.2016.0813

Fitness and Coronary Artery Calcification

Abstract Full Text
JAMA Intern Med. 2016;176(5):716. doi:10.1001/jamainternmed.2016.0898

Fitness and Coronary Artery Calcification—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(5):716-717. doi:10.1001/jamainternmed.2016.0901

Corporate Funding of Nutrition Research and Unjustified Conclusions

Abstract Full Text
JAMA Intern Med. 2016;176(5):717. doi:10.1001/jamainternmed.2016.0906

Corporate Funding of Nutrition Research and Unjustified Conclusions—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(5):717-718. doi:10.1001/jamainternmed.2016.0909

Mixed Diagnoses and Mixed Messages

Abstract Full Text
JAMA Intern Med. 2016;176(5):718-719. doi:10.1001/jamainternmed.2016.1284

Mixed Diagnoses and Mixed Messages—Reply

Abstract Full Text
JAMA Intern Med. 2016;176(5):719. doi:10.1001/jamainternmed.2016.1287
Correction

Errors in Text and Tables 2 and 3

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):719. doi:10.1001/jamainternmed.2016.1441

Error in Byline

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):719. doi:10.1001/jamainternmed.2016.1949
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2016;176(5):582. doi:10.1001/jamainternmed.2015.4877
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