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August 2019 - January 1908

Decade

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Issue

October 2018, Vol 178, No. 10, Pages 1289-1433

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(10):1289-1291. doi:10.1001/jamainternmed.2017.5234
Perspective

Clinician-Patient Discussions of Successful CPR—The Vegetable Clause

Abstract Full Text
JAMA Intern Med. 2018;178(10):1299-1300. doi:10.1001/jamainternmed.2018.4066

This article explores the importance of goals of care discussions between clinicians and patients before setting a do-not-resuscitate order or administering CPR.

Editorial

Cervical Cancer Screening—Moving From the Value of Evidence to the Evidence of Value

Abstract Full Text
JAMA Intern Med. 2018;178(10):1293-1295. doi:10.1001/jamainternmed.2018.4282

Failing Grade for Shared Decision Making for Lung Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(10):1295-1296. doi:10.1001/jamainternmed.2018.3527

Screening for Atrial Fibrillation Comes With Many Snags

Abstract Full Text
JAMA Intern Med. 2018;178(10):1296-1298. doi:10.1001/jamainternmed.2018.4038
Original Investigation

Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial

Abstract Full Text
open access has active quiz
JAMA Intern Med. 2018;178(10):1301-1310. doi:10.1001/jamainternmed.2018.3915

This randomized clinical trial compares the effectiveness of a tai ji quan intervention with multimodal exercise and stretching exercise in reducing falls in older adults who had fallen in the past year.

Less Is More

Evaluating Shared Decision Making for Lung Cancer Screening

Abstract Full Text
has audio
JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054

This analysis assesses the quality of shared decision making between clinicians and patients eligible for lung cancer screening regarding the initiation of lung cancer screening in clinical practice.

Physician Work Environment and Well-Being

Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(10):1317-1331. doi:10.1001/jamainternmed.2018.3713

This meta-analysis examines whether physician burnout is associated with low-quality, unsafe patient care.

Effect of Group-Administered Behavioral Treatment on Urinary Incontinence in Older Women: A Randomized Clinical Trial

Abstract Full Text
has audio
JAMA Intern Med. 2018;178(10):1333-1341. doi:10.1001/jamainternmed.2018.3766

This multisite randomized clinical trial compares the effectiveness, cost, and cost-effectiveness of group-administered behavioral treatment vs no treatment for urinary incontinence in older women.

Trends in Visits to Acute Care Venues for Treatment of Low-Acuity Conditions in the United States From 2008 to 2015

Abstract Full Text
JAMA Intern Med. 2018;178(10):1342-1349. doi:10.1001/jamainternmed.2018.3205

This cohort study investigates trends in patterns of care for low-acuity patients with acute conditions from 2008 to 2015 using data from a large commercial health plan in the United States.

Effect of Portable Air Filtration Systems on Personal Exposure to Fine Particulate Matter and Blood Pressure Among Residents in a Low-Income Senior Facility: A Randomized Clinical Trial

Abstract Full Text
open access
JAMA Intern Med. 2018;178(10):1350-1357. doi:10.1001/jamainternmed.2018.3308

This randomized, double-blind crossover trial investigates the effect of 2 air filtration systems vs a sham unfiltered system on personal exposures to fine particulate matter and blood presssure among older adults in a US urban location.

Patient-Reported Experiences of Dialysis Care Within a National Pay-for-Performance System

Abstract Full Text
JAMA Intern Med. 2018;178(10):1358-1367. doi:10.1001/jamainternmed.2018.3756

This cross-sectional analysis examines associations of dialysis facility performance and patient, facility, with geographic characteristics using measures of patient experiences.

Effect of Mobile Device–Supported Single-Patient Multi-crossover Trials on Treatment of Chronic Musculoskeletal Pain: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2018;178(10):1368-1377. doi:10.1001/jamainternmed.2018.3981

This randomized clinical trial examines outcomes of participation in an individually designed single-patient multi-crossover (n-of-1) trial supported by a mobile app compared with usual care among patients with chronic musculoskeletal pain.

Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital

Abstract Full Text
JAMA Intern Med. 2018;178(10):1380-1388. doi:10.1001/jamainternmed.2018.3638

This cohort study evaluates the association of implementation of a molecular testing strategy with length of isolation for patients with possible tuberculosis in a US hospital.

Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Population-Based Cohort Study

Abstract Full Text
free access
JAMA Intern Med. 2018;178(10):1390-1399. doi:10.1001/jamainternmed.2018.3675

This population-based cohort study of 6732 intensive care unit (ICU) patients from 9 hospitals evaluates the 30-day hospital readmission, health care utilization, and clinical outcomes of patients discharged home directly from the ICU vs from a hospital ward.

Invited Commentary

Clinician Burnout and the Quality of Care

Abstract Full Text
JAMA Intern Med. 2018;178(10):1331-1332. doi:10.1001/jamainternmed.2018.3708

A Randomized Clinical Trial of n-of-1 Trials—Tribulations of a Trial

Abstract Full Text
JAMA Intern Med. 2018;178(10):1378-1379. doi:10.1001/jamainternmed.2018.3979

Molecular Assay Testing to Rule Out Tuberculosis—Be That Early Adopter

Abstract Full Text
JAMA Intern Med. 2018;178(10):1388-1389. doi:10.1001/jamainternmed.2018.3628

The Complexity and Challenges of Intensive Care Unit Admissions and Discharges: Similarities With All Hospitalized Patients

Abstract Full Text
JAMA Intern Med. 2018;178(10):1399-1400. doi:10.1001/jamainternmed.2018.3674

Accounting for the Harms of Lung Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(10):1422-1423. doi:10.1001/jamainternmed.2018.3061
Special Communication

Less Is More

Development of a Conceptual Map of Negative Consequences for Patients of Overuse of Medical Tests and Treatments

Abstract Full Text
JAMA Intern Med. 2018;178(10):1401-1407. doi:10.1001/jamainternmed.2018.3573

This Special Communication reviews case reports of overused medical tests and treatments and maps out 6 domains of negative consequences for patients.

Teachable Moment

Elevated Pulmonary Pressure–Get With the Right Group: A Teachable Moment

Abstract Full Text
has active quiz
JAMA Intern Med. 2018;178(10):1414-1415. doi:10.1001/jamainternmed.2018.3645

This case report describes a man in his 50s with no medical history of heart or lung disease who presented with progressive dyspnea on exertion due to chronic thromboembolic pulmonary hypertension and was misdiagnosed with WHO group 1 idiopathic pulmonary arterial hypertension.

Challenges in Clinical Electrocardiography

Syncope With Bifascicular Block Due to Infra-Hisian Wenckebach Conduction Abnormality

Abstract Full Text
JAMA Intern Med. 2018;178(10):1408-1410. doi:10.1001/jamainternmed.2018.3951

This case report presents the electrocardiographic findings of a man in his 70s with a history of type 2 diabetes and hypertension who presented with syncope; there was no seizure activity or preceding chest pain, palpitations, or shortness of breath.

Electrocardiographic Abnormalities in a Woman in Her 70s With Syncope

Abstract Full Text
JAMA Intern Med. 2018;178(10):1411-1413. doi:10.1001/jamainternmed.2018.4069

This case report examines the electrocardiographic findings of a woman in her 70s with hypothyroidism and hypertension who experienced a syncopal episode.

Research Letter

Implications of the New American College of Cardiology Guidelines for Hypertension Prevalence in India

Abstract Full Text
JAMA Intern Med. 2018;178(10):1416-1418. doi:10.1001/jamainternmed.2018.3511

This study analyzes whether the lowered blood pressure threshold for hypertension in the 2017 American College of Cardiology/American Heart Association guidelines vs the JNC7 guidelines are associated with diagnosis prevalence of hypertension among adults in India.

Assessment of Clinical Trial Evidence for High-Risk Cardiovascular Devices Approved Under the Food and Drug Administration Priority Review Program

Abstract Full Text
JAMA Intern Med. 2018;178(10):1418-1420. doi:10.1001/jamainternmed.2018.3649

This study uses publicly available FDA summaries to analyze the quality of evidence in pivotal studies that support cardiovascular premarket device approval under FDA priority review from 2007 to 2017.

Less Is More

Estimation of Overdiagnosis of Lung Cancer in Low-Dose Computed Tomography Screening: A Secondary Analysis of the Danish Lung Cancer Screening Trial

Abstract Full Text
has audio
JAMA Intern Med. 2018;178(10):1420-1422. doi:10.1001/jamainternmed.2018.3056

This study analyzes data from the Danish Lung Cancer Screening Trial to determine the amount of overdiagnosis of computed tomography–detected lung cancer.

Association of Nausea and Vomiting in Pregnancy With Prenatal Marijuana Use

Abstract Full Text
JAMA Intern Med. 2018;178(10):1423-1424. doi:10.1001/jamainternmed.2018.3581

This observational study of a health care system population assessed whether prenatal marijuana use is elevated among women with nausea and vomiting in pregnancy who underwent universal screening for marijuana use.

Comment & Response

Inconsistent Reporting of Potential Conflicts of Interest

Abstract Full Text
JAMA Intern Med. 2018;178(10):1424-1425. doi:10.1001/jamainternmed.2018.3695

Hydrochlorothiazide and the Risk of Malignant Melanoma

Abstract Full Text
JAMA Intern Med. 2018;178(10):1425. doi:10.1001/jamainternmed.2018.4312

Hydrochlorothiazide and the Risk of Malignant Melanoma—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1425-1426. doi:10.1001/jamainternmed.2018.4315

Reduced Opioid Marketing Could Limit Prescribing Information for Physicians—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1426-1427. doi:10.1001/jamainternmed.2018.4366

Reduced Opioid Marketing Could Limit Prescribing Information for Physicians

Abstract Full Text
JAMA Intern Med. 2018;178(10):1427. doi:10.1001/jamainternmed.2018.4369

Lactic Acidosis, Metformin Use, and Dose-Response Association—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1427-1428. doi:10.1001/jamainternmed.2018.4430

Lactic Acidosis, Metformin Use, and Dose-Response Association

Abstract Full Text
JAMA Intern Med. 2018;178(10):1428. doi:10.1001/jamainternmed.2018.4433

Lactic Acidosis, Metformin Use, and Dose-Response Association

Abstract Full Text
JAMA Intern Med. 2018;178(10):1428-1429. doi:10.1001/jamainternmed.2018.4448

Lactic Acidosis, Metformin Use, and Dose-Response Association

Abstract Full Text
JAMA Intern Med. 2018;178(10):1429. doi:10.1001/jamainternmed.2018.4451

Less Is More

The Patient Experience and Use of Telemetry Monitoring—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1429-1430. doi:10.1001/jamainternmed.2018.4654

The Patient Experience and Use of Telemetry Monitoring

Abstract Full Text
JAMA Intern Med. 2018;178(10):1430. doi:10.1001/jamainternmed.2018.4681

Association of Increased Attending Physician Supervision With Patient Safety and Educational Outcomes

Abstract Full Text
JAMA Intern Med. 2018;178(10):1430-1431. doi:10.1001/jamainternmed.2018.4740

Association of Increased Attending Physician Supervision With Patient Safety and Educational Outcomes—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1431-1432. doi:10.1001/jamainternmed.2018.4760

Psychotherapeutics for Chronic Pain Extends Beyond Cognitive Behavioral Therapy—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(10):1432. doi:10.1001/jamainternmed.2018.4866

Psychotherapeutics for Chronic Pain Extends Beyond Cognitive Behavioral Therapy

Abstract Full Text
JAMA Intern Med. 2018;178(10):1432-1433. doi:10.1001/jamainternmed.2018.5332
Correction

Missing Conflict of Interest Disclosure

Abstract Full Text
free access
JAMA Intern Med. 2018;178(10):1433. doi:10.1001/jamainternmed.2018.3298
Images From Our Readers

Ladyfinger Point, Antelope Island State Park, Utah

Abstract Full Text
JAMA Intern Med. 2018;178(10):1433. doi:10.1001/jamainternmed.2018.3826
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(10):1292. doi:10.1001/jamainternmed.2017.5235
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