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August 2019 - January 1908

Decade

Year

Issue

March 2018, Vol 178, No. 3, Pages 315-439

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):315. doi:10.1001/jamainternmed.2017.5199
Viewpoint

I’m Talking to You-Mab—How to Pronounce the New, Unpronounceable Pharmaceuticals

Abstract Full Text
JAMA Intern Med. 2018;178(3):319-320. doi:10.1001/jamainternmed.2017.7898

This Viewpoint discusses the challenges and potential solutions concerning the difficulties pronouncing pharmaceuticals with complicated names.

Health Care Policy and Law

The Federal Right to Try Act of 2017—A Wrong Turn for Access to Investigational Drugs and the Path Forward

Abstract Full Text
JAMA Intern Med. 2018;178(3):321-322. doi:10.1001/jamainternmed.2017.8167

This Viewpoint discusses Right to Try laws and examines the potential effects these laws could have on drug approval and clinical trials.

Perspective

Putting the “She” in Doctor

Abstract Full Text
JAMA Intern Med. 2018;178(3):323-324. doi:10.1001/jamainternmed.2017.8362

This essay examines some of the ways that women clinicians face discrimination in the workplace.

Editorial

Reducing Harms in Lung Cancer Screening—Bach to the Future

Abstract Full Text
JAMA Intern Med. 2018;178(3):326-327. doi:10.1001/jamainternmed.2017.8217
Original Investigation

Lactation Duration and Progression to Diabetes in Women Across the Childbearing Years: The 30-Year CARDIA Study

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):328-337. doi:10.1001/jamainternmed.2017.7978

This 30-year prospective cohort study examines the association between lactation and progression to diabetes using biochemical testing both before and after pregnancy, accounting for prepregnancy cardiometabolic measures, gestational diabetes, and lifestyle behaviors.

Web Platform vs In-Person Genetic Counselor for Return of Carrier Results From Exome Sequencing: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):338-346. doi:10.1001/jamainternmed.2017.8049

This randomized clinical trial compares the provision of genetic results on carrier status to postreproductive adults from a genetic counselor vs a web-based platform.

Health Care Reform

Out-of-Pocket Spending and Premium Contributions After Implementation of the Affordable Care Act

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):347-355. doi:10.1001/jamainternmed.2017.8060

This nationally representative survey estimates changes in household health spending nationwide after implementation of the Affordable Care Act among adults aged 18 to 64 years.

Less Is More

Prevalence of Pulmonary Embolism in Patients With Syncope

Abstract Full Text
free access has active quiz has audio
JAMA Intern Med. 2018;178(3):356-362. doi:10.1001/jamainternmed.2017.8175

This study of longitudinal administrative data estimates the prevalence of pulmonary embolism in patients presenting to the hospital for syncope in 4 countries.

Diabetes and Hypertension in India: A Nationally Representative Study of 1.3 Million Adults

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):363-372. doi:10.1001/jamainternmed.2017.8094

This cross-sectional, nationally representative, population-based study determines the prevalence of diabetes and hypertension in India, and its variation by state, rural vs urban location, and individual-level sociodemographic characteristics.

Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2018;178(3):375-382. doi:10.1001/jamainternmed.2017.8274

This randomized clinical trial assesses whether a multifaceted pharmacist intervention can reduce the number of readmissions among Danish patients in acute admission wards who use at least 5 medications.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):383-389. doi:10.1001/jamainternmed.2017.8336

This pragmatic trial evaluates the rate of missed appointments in urban Medicaid patients offered complimentary rideshare.

Long-term Outcomes Associated With Implantable Cardioverter Defibrillator in Adults With Chronic Kidney Disease

Abstract Full Text
free access has audio
JAMA Intern Med. 2018;178(3):390-398. doi:10.1001/jamainternmed.2017.8462

This noninterventional cohort study examines the association of placement of implantable cardioverter defibrillators with the risk of death and hospitalization in patients with reduced left ejection fraction heart failure and chronic kidney disease.

Factors Associated With Variation in Long-term Acute Care Hospital vs Skilled Nursing Facility Use Among Hospitalized Older Adults

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):399-405. doi:10.1001/jamainternmed.2017.8467

This cohort study examines factors associated with variation in acute care transfers to long-term acute care hospitals vs skilled nursing facilities among older patients.

Invited Commentary

Health Care Policy and Law

India’s Call to Action—Prioritize Chronic Cardiovascular Disease

Abstract Full Text
JAMA Intern Med. 2018;178(3):373-374. doi:10.1001/jamainternmed.2017.8083

The Electronic Health Record as Practice-Improvement Coach

Abstract Full Text
JAMA Intern Med. 2018;178(3):413-414. doi:10.1001/jamainternmed.2017.7536
Editor's Note

Persistence of Sexual Harassment and Gender Bias in Medicine Across Generations—Us Too

Abstract Full Text
JAMA Intern Med. 2018;178(3):324-325. doi:10.1001/jamainternmed.2017.8676
Teachable Moment

Treatment of Immune Thrombocytopenia: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(3):406-407. doi:10.1001/jamainternmed.2017.7614

This Teachable Moment describes the case of a 56-year-old man who presented to his primary care physician with bleeding gums and was subsequently diagnosed with primary immune thrombocytopenia.

Challenges in Clinical Electrocardiography

A Case of Possible Pacemaker Malfunction: The Pacemaker That Did Not Make Sense

Abstract Full Text
JAMA Intern Med. 2018;178(3):408-410. doi:10.1001/jamainternmed.2017.8303

This case report presents the electrocardiographic findings from a man in his 50s with a dual-chamber pacemaker implanted for sinus node dysfunction who had severe back pain, fevers, drenching night sweats, and weight loss.

Research Letter

Less Is More

Association of Lower Diagnostic Yield With High Users of CT Pulmonary Angiogram

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):412-413. doi:10.1001/jamainternmed.2017.7552

This study examines interphysician variability of diagnostic yield in computed tomographic pulmonary angiogram for pulmonary emboli.

Less Is More

An Examination of Deintensification Recommendations in Clinical Practice Guidelines: Stepping Up or Scaling Back?

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):414-416. doi:10.1001/jamainternmed.2017.7198

In light of initiatives to decrease use of unnecessary services, this article examines whether current guidelines for diabetes and cardiovascular disease preferentially recommend intensification rather than deintensification of care.

Characterizing Kaiser Permanente Southern California’s Experience With the California End of Life Option Act in the First Year of Implementation

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):417-421. doi:10.1001/jamainternmed.2017.7728

This study describes the experience of a large integrated health system and provides in-depth descriptions of individuals who initiated the California End of Life Option Act process.

Types and Distributions of Biomedical Industry Payments to Men and Women Physicians by Specialty, 2015

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):421-423. doi:10.1001/jamainternmed.2017.7445

This data analysis examines the differences in industry payments to male and female physicians in 2015.

Health Care Reform

Finding Health Care Prices Online—How Difficult Is It to Be an Informed Health-Care Consumer?

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):423-424. doi:10.1001/jamainternmed.2017.6841

This study examines the availability of pricing information for 4 nonemergency medical interventions using 2 online search engines in 8 US cities.

Health Care Reform

Consumer Behaviors Among Individuals Enrolled in High-Deductible Health Plans in the United States

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):424-426. doi:10.1001/jamainternmed.2017.6622

This survey study examines the consumer behaviors among individuals enrolled in high-deductible health plans in the United States.

Less Is More

Comparison of Observed Harms and Expected Mortality Benefit for Persons in the Veterans Health Affairs Lung Cancer Screening Demonstration Project

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):426-428. doi:10.1001/jamainternmed.2017.8170

This study examines how a high false-positive rate in lung cancer screening influences the harm-to-benefit ratio for higher- vs lower-risk patients.

Comment & Response

Necessary Clarifications Concerning Results of the SUMMIT Trial

Abstract Full Text
JAMA Intern Med. 2018;178(3):428-429. doi:10.1001/jamainternmed.2017.8356

Necessary Clarifications Concerning Results of the SUMMIT Trial—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):429. doi:10.1001/jamainternmed.2017.8359

Expanding the Scope of High-Value Practice Beyond Guideline-Based Care

Abstract Full Text
JAMA Intern Med. 2018;178(3):429-430. doi:10.1001/jamainternmed.2017.8514

Expanding the Scope of High-Value Practice Beyond Guideline-Based Care—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):430-431. doi:10.1001/jamainternmed.2017.8517

Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing?

Abstract Full Text
JAMA Intern Med. 2018;178(3):431. doi:10.1001/jamainternmed.2017.8522

Less Is More

Evidence-Based Guidelines to Eliminate Repetitive Laboratory Testing?—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):431-432. doi:10.1001/jamainternmed.2017.8531

Medical Overuse of Prostate-Specific Antigen Testing and Overprescription of Antibiotics

Abstract Full Text
JAMA Intern Med. 2018;178(3):432. doi:10.1001/jamainternmed.2017.8525

Less Is More

Medical Overuse of Prostate-Specific Antigen Testing and Overprescription of Antibiotics—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):432-433. doi:10.1001/jamainternmed.2017.8534

Drivers of Low-Value Care

Abstract Full Text
JAMA Intern Med. 2018;178(3):433. doi:10.1001/jamainternmed.2017.8528

Drivers of Low-Value Care—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):433-434. doi:10.1001/jamainternmed.2017.8537

Nil Per Os Before Procedures—Time to Reevaluate the Practice

Abstract Full Text
JAMA Intern Med. 2018;178(3):434-435. doi:10.1001/jamainternmed.2017.8600

Beware of Limb Lead Reversal

Abstract Full Text
JAMA Intern Med. 2018;178(3):435. doi:10.1001/jamainternmed.2017.8636

Beware of Limb Lead Reversal—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):435. doi:10.1001/jamainternmed.2017.8639

Coronary Computed Tomographic Angiography and Potential for Overtreatment

Abstract Full Text
JAMA Intern Med. 2018;178(3):435-436. doi:10.1001/jamainternmed.2017.8647

Coronary Computed Tomographic Angiography and Potential for Overtreatment—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):436-437. doi:10.1001/jamainternmed.2017.8664

Life Expectancy of Patients With Low-Normal Thyroid Function

Abstract Full Text
JAMA Intern Med. 2018;178(3):437. doi:10.1001/jamainternmed.2017.8740

Life Expectancy of Patients With Low-Normal Thyroid Function—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(3):437-438. doi:10.1001/jamainternmed.2017.8743

Disagreement With the NICE Decision

Abstract Full Text
JAMA Intern Med. 2018;178(3):438-439. doi:10.1001/jamainternmed.2017.8661
Correction

Typographic Error in Figure

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):439. doi:10.1001/jamainternmed.2018.0093

Omitted Acknowledgment Paragraphs and Coder Name

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):439. doi:10.1001/jamainternmed.2018.0098

Error in Results Section

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):439. doi:10.1001/jamainternmed.2018.0618
Images From Our Readers

New York City Skyline View From Staten Island Ferry

Abstract Full Text
JAMA Intern Med. 2018;178(3):407. doi:10.1001/jamainternmed.2017.8224
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(3):318. doi:10.1001/jamainternmed.2017.5200
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