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September 2017, Vol 177, No. 9, Pages 1233-1400

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2017;177(9):1233-1235. doi:10.1001/jamainternmed.2016.6164
Viewpoint

Sharing Medicine

Sharing as the Future of Medicine

Abstract Full Text
JAMA Intern Med. 2017;177(9):1237-1238. doi:10.1001/jamainternmed.2017.2371

This Viewpoint introduces the series Sharing Medicine, which summarizes how physicians currently share knowledge, skills, and experiences among their professional community and patients and ways in which to do this better.

Sharing Medicine

Shared Decision Making—The Importance of Diagnosing Preferences

Abstract Full Text
JAMA Intern Med. 2017;177(9):1239-1240. doi:10.1001/jamainternmed.2017.1923

This Viewpoint uses a hypothetical scenario of an elderly patient with congestive heart failure to explore the shared decision-making process.

Sharing Medicine

Sharing Clinical Research Data—Finding the Right Balance

Abstract Full Text
JAMA Intern Med. 2017;177(9):1241-1242. doi:10.1001/jamainternmed.2017.1926

This Viewpoint describes the benefits and challenges of sharing full data sets from clinical trials.

Sharing Medicine

Sharing Knowledge for Health Care

Abstract Full Text
JAMA Intern Med. 2017;177(9):1243-1244. doi:10.1001/jamainternmed.2017.2080

This Viewpoint emphasizes the importance of close coordination between clinical need and research resources to deliver effective and sustainable health care.

Sharing Medicine

Sharing the Process of Diagnostic Decision Making

Abstract Full Text
JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929

This Viewpoint discusses how expert clinicians zero in on the most probable diagnosis and how this process can be communicated to patients.

Sharing Medicine

Shared Understanding With Patients

Abstract Full Text
JAMA Intern Med. 2017;177(9):1247-1248. doi:10.1001/jamainternmed.2017.1932

This Viewpoint addresses the need for clinicians to hone and practice good communication skills to enable shared decision making with patients.

Sharing Medicine

Sharing Experiences of Illness and Care

Abstract Full Text
JAMA Intern Med. 2017;177(9):1249-1250. doi:10.1001/jamainternmed.2017.1935

This Viewpoint explores the study and use of patient experiences, or narratives, in shared decision making and in helping patients better understand and cope with their illnesses.

Inside Story

Medical Assistance in Dying: Our Lessons Learned

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1251-1252. doi:10.1001/jamainternmed.2017.2862

No Wonder No One Trusts Us

Abstract Full Text
JAMA Intern Med. 2017;177(9):1253. doi:10.1001/jamainternmed.2017.2863
Editorial

Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Is Behavioral Counselling Necessary?

Abstract Full Text
JAMA Intern Med. 2017;177(9):1254-1255. doi:10.1001/jamainternmed.2017.1979

Commenting on the C recommendation of the USPSTF for the practice of behavioral counselling to promote healthful diet and physical activity for individuals at low risk for cardiovascular disease, this Editorial suggests that societal or population-wide policies might be more effective than individual counselling efforts.

Sharing Medicine—A JAMA Internal Medicine Series

Abstract Full Text
JAMA Intern Med. 2017;177(9):1256. doi:10.1001/jamainternmed.2017.2348
Original Investigation

Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation Trial of the INTERACT Program

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1257-1264. doi:10.1001/jamainternmed.2017.2657

This randomized clinical trial determines whether training and support for implementation of a nursing home quality improvement program reduces hospital admissions and emergency department visits.

Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Care: A Cluster-Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1265-1272. doi:10.1001/jamainternmed.2017.2468

This randomized clinical trial compares a multicomponent intervention (including a nurse care manager, electronic registry, data-driven academic detailing, and electronic decision tools) with electronic decision tools alone to improve adherence to opioid-prescribing guidelines.

The Association Between Vasectomy and Prostate Cancer: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1273-1286. doi:10.1001/jamainternmed.2017.2791

This systematic review and meta-analysis investigates whether vasectomy is associated with prostate cancer.

Health Care Reform

Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1287-1295. doi:10.1001/jamainternmed.2017.2679

This analysis of claims data compares physician reimbursement in Medicare Advantage, traditional Medicare, and commercial health insurance plans.

Health Care Policy and Law

Progress Toward Universal Health Coverage: A Comparative Analysis in 5 South Asian Countries

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1297-1305. doi:10.1001/jamainternmed.2017.3133

This population-based study evaluates the status of health coverage in 5 South Asian countries toward achievement of the United Nations’ Sustainable Development Goals.

Association of Adverse Events With Antibiotic Use in Hospitalized Patients

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1308-1315. doi:10.1001/jamainternmed.2017.1938

This cohort study describes the incidence of antibiotic-associated adverse drug events for adult inpatients receiving systemic antibiotic therapy.

Association of History of Dizziness and Long-term Adverse Outcomes With Early vs Later Orthostatic Hypotension Assessment Times in Middle-aged Adults

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1316-1323. doi:10.1001/jamainternmed.2017.2937

This cohort study compares early vs later orthostatic hypotension measurements and their association with history of dizziness and long-term adverse outcomes.

Less Is More

Electrocardiograms in Low-Risk Patients Undergoing an Annual Health Examination

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1326-1333. doi:10.1001/jamainternmed.2017.2649

This population-based cohort study examines the frequency of ECGs following an annual health examination with a primary care physician among patients with no known cardiac conditions or risk factors.

Health Care Reform

Association Between Extending CareFirst’s Medical Home Program to Medicare Patients and Quality of Care, Utilization, and Spending

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1334-1342. doi:10.1001/jamainternmed.2017.2775

This difference-in-differences analysis tests whether extending CareFirst’s program to Medicare fee-for-service patients improves care processes and reduces hospitalizations, emergency department visits, and spending.

Association of Ozone Exposure With Cardiorespiratory Pathophysiologic Mechanisms in Healthy Adults

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1344-1353. doi:10.1001/jamainternmed.2017.2842

This cohort study measures ozone concentration to assess its association with cardiovascular disease risk in 89 healthy adults.

Application of a Lifestyle-Based Tool to Estimate Premature Cardiovascular Disease Events in Young Adults: The Coronary Artery Risk Development in Young Adults (CARDIA) Study

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1354-1360. doi:10.1001/jamainternmed.2017.2922

This cohort study assesses the performance of a lifestyle-based risk tool to estimate atherosclerotic cardiovascular disease events over 25 years in adults before 55 years of age.

Invited Commentary

Health Care Reform

Medicare Advantage Reimbursement to Physicians

Abstract Full Text
JAMA Intern Med. 2017;177(9):1295-1296. doi:10.1001/jamainternmed.2017.2689

Health Care Reform

Outcomes in South Asia Matter for the World

Abstract Full Text
JAMA Intern Med. 2017;177(9):1306-1307. doi:10.1001/jamainternmed.2017.3140

Early Orthostatic Hypotension and Orthostatic Intolerance—More Than an Observation or Annoyance

Abstract Full Text
JAMA Intern Med. 2017;177(9):1324-1325. doi:10.1001/jamainternmed.2017.2923
Editor's Note

Going Beyond Guideline-Concordant Opioid Therapy to Improve Patient Safety

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1272. doi:10.1001/jamainternmed.2017.3030

The Importance of Independent Evaluation

Abstract Full Text
JAMA Intern Med. 2017;177(9):1343. doi:10.1001/jamainternmed.2017.3044

Continued High Rates of IVC Filter Use After US Food and Drug Safety Warning

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1374-1375. doi:10.1001/jamainternmed.2017.2724

Growth of Skilled Nursing Facility Specialists: Navigating Between What Is Ideal and What Is Practical

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1378. doi:10.1001/jamainternmed.2017.2151
Special Communication

Sharing Medicine

A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness

Abstract Full Text
JAMA Intern Med. 2017;177(9):1361-1366. doi:10.1001/jamainternmed.2017.2005

This Special Communication reviews the effect of communication by health care professionals on patients living with serious illness, identifies key evidence gaps in understanding the impact of communication on patient outcomes, and creates an agenda for future research.

Teachable Moment

Recalculating the Costs of Overtriage: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(9):1367-1368. doi:10.1001/jamainternmed.2017.2782

This Teachable Moment describes a case of a man with type I diabetes admitted to the emergency department after his insulin pump was not reattached.

Less Is More

Antinuclear Antibody and Subserology Testing in the Evaluation of Fibromyalgia: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(9):1369-1370. doi:10.1001/jamainternmed.2017.2776

This Teachable Moment highlights that clinical judgement is sufficient to diagnose fibromyalgia, and antinuclear antibody and subserology testing is not essential to rule out autoimmune conditions in the absence of suggestive signs and symptoms.

Challenges in Clinical Electrocardiography

Possible Device Malfunction in a Dual-Chamber Pacemaker

Abstract Full Text
JAMA Intern Med. 2017;177(9):1371-1372. doi:10.1001/jamainternmed.2017.2925

A man in his 60s with a medical history of hypertension and pacemaker implantation several years prior for symptomatic sinus node dysfunction was admitted to the hospital for evaluation of abdominal pain.

Research Letter

Less Is More

Association Between Contemporary Trends in Inferior Vena Cava Filter Placement and the 2010 US Food and Drug Administration Advisory

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1373-1374. doi:10.1001/jamainternmed.2017.2719

This study uses the National Inpatient Sample database to assess the association between rates of inferior vena cava filter placement in the United States and the 2010 US FDA device safety warning.

Association Between Sponsorship and Findings of Medical Home Evaluations

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1375-1376. doi:10.1001/jamainternmed.2017.3188

This analysis of published evaluations of medical home interventions investigates whether there is an association between the findings and whether the evaluators were employed or funded by intervention sponsors.

Temporal Trends in the Numbers of Skilled Nursing Facility Specialists From 2007 Through 2014

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1376-1378. doi:10.1001/jamainternmed.2017.2136

This study of Medicare data quantifies recent increases in health care professionals working exclusively in skilled nursing facilities.

A National Survey of Medicaid Beneficiaries’ Experiences and Satisfaction With Health Care

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1378-1381. doi:10.1001/jamainternmed.2017.3174

This study analyzes a newly released government survey examining Medicaid beneficiaries’ experiences with and opinions of the Medicaid program.

Women’s Awareness and Perceived Importance of the Harms and Benefits of Mammography Screening: Results From a 2016 National Survey

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1381-1382. doi:10.1001/jamainternmed.2017.2247

This survey study examines how women in the general US population perceive the benefits and harms of mammography screening.

Multitasking and Silent Electronic Health Record Use in Ambulatory Visits

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1382-1385. doi:10.1001/jamainternmed.2017.2668

This study examines time allocation and transitions into and out of silent electronic health record use in clinics after implementation and its association with patient-reported quality of care.

Injurious Falls and Syncope in Older Community-Dwelling Adults Meeting Inclusion Criteria for SPRINT

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1385-1387. doi:10.1001/jamainternmed.2017.2924

This study compares rates of injurious falls and syncope in community-dwelling older adults in the Irish Longitudinal Study on Ageing with rates in the Systolic Blood Pressure Intervention Trial.

A Survey of Unregulated Direct-to-Consumer Treatment Centers Providing Stem Cells for Patients With Heart Failure

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1387-1388. doi:10.1001/jamainternmed.2017.2988

This study used a telephone survey to assess the type of treatment, cost, and statements made about efficacy at unregulated stem cell centers.

Revisiting Outcomes–Based Pricing Propositions for the PCSK9 Inhibitor Evolocumab

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1388-1390. doi:10.1001/jamainternmed.2017.3143

This data analysis simulates the annual price of evolocumab under the outcome-based contracts proposed by Amgen and puts estimates in the context of the available evidence on the cost-effectiveness of PCSK9 inhibitors.

Inclusion of Demographic-Specific Information in Studies Supporting US Food & Drug Administration Approval of High-Risk Medical Devices

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1390-1391. doi:10.1001/jamainternmed.2017.3148

This analysis characterizes the studies used to support US Food & Drug Administration 2015 premarket approval of devices, particularly findings of device safety and effectiveness for women, the elderly, and minorities.

Comment & Response

Meta-Epidemiology of Testosterone’s Risks and Benefits—Will We Ever Know the Answer?

Abstract Full Text
JAMA Intern Med. 2017;177(9):1392. doi:10.1001/jamainternmed.2017.2961

Meta-Epidemiology of Testosterone’s Risks and Benefits—Will We Ever Know the Answer?—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1392. doi:10.1001/jamainternmed.2017.2964

Meta-Epidemiology of Testosterone’s Risks and Benefits—Will We Ever Know the Answer?—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1392-1393. doi:10.1001/jamainternmed.2017.2967

Testosterone Replacement Therapy and Cardiovascular Risk—A Closer Look at Additional Parameters

Abstract Full Text
JAMA Intern Med. 2017;177(9):1393. doi:10.1001/jamainternmed.2017.3154

Testosterone Replacement Therapy and Cardiovascular Risk—A Closer Look to Additional Parameters

Abstract Full Text
JAMA Intern Med. 2017;177(9):1393-1394. doi:10.1001/jamainternmed.2017.3890

Redefining Unexplained Anemia in Elderly

Abstract Full Text
JAMA Intern Med. 2017;177(9):1394-1395. doi:10.1001/jamainternmed.2017.2958

Redefining Unexplained Anemia in Elderly—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1395. doi:10.1001/jamainternmed.2017.2970

Intensive Blood Pressure Control on Gait Speed and Mobility Limitation for Older Adults

Abstract Full Text
JAMA Intern Med. 2017;177(9):1395-1396. doi:10.1001/jamainternmed.2017.3001

Intensive Blood Pressure Control on Gait Speed and Mobility Limitation for Older Adults—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1396. doi:10.1001/jamainternmed.2017.3004

Inaccuracies Describing Results of a Lung Cancer Screening Demonstration Project

Abstract Full Text
JAMA Intern Med. 2017;177(9):1396-1397. doi:10.1001/jamainternmed.2017.3120

Inaccuracies Describing Results of a Lung Cancer Screening Demonstration Project—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1397. doi:10.1001/jamainternmed.2017.3123

Benefits of Electronic Medical Record Banks

Abstract Full Text
JAMA Intern Med. 2017;177(9):1398. doi:10.1001/jamainternmed.2017.2716

All Types of Hemorrhagic Stroke Are Not Created Equally

Abstract Full Text
JAMA Intern Med. 2017;177(9):1398-1399. doi:10.1001/jamainternmed.2017.3237

All Types of Hemorrhagic Stroke Are Not Created Equally—Reply

Abstract Full Text
JAMA Intern Med. 2017;177(9):1399. doi:10.1001/jamainternmed.2017.3240
Correction

Error in Title

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1399. doi:10.1001/jamainternmed.2017.4439

Incorrect Author Affiliation

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1399-1400. doi:10.1001/jamainternmed.2017.4609

Data Transcription Errors and Missing Footnote in Table

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1399. doi:10.1001/jamainternmed.2017.5056

Caution Advised for Readers of Letters Related to Retracted Articles

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1400. doi:10.1001/jamainternmed.2017.4594

Sentence Added to Author Contributions

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1400. doi:10.1001/jamainternmed.2017.4605

Omitted Affiliation and Disclaimer

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1400. doi:10.1001/jamainternmed.2017.4715
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2017;177(9):1236. doi:10.1001/jamainternmed.2016.6165
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