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May 2019 - January 1908

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Issue

June 2018, Vol 178, No. 6, Pages 737-876

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):737-739. doi:10.1001/jamainternmed.2017.5214
Viewpoint

Physician Work Environment and Well-Being

Creating a “Manageable Cockpit” for Clinicians: A Shared Responsibility

Abstract Full Text
JAMA Intern Med. 2018;178(6):741-742. doi:10.1001/jamainternmed.2018.0575

This Viewpoint discusses the problem of information overload, distractions, interruptions, and cumbersome workflows that cumulatively contribute to a hazardous work environment for physicians and how to solve it.

Concerns About the Approval of Nusinersen Sodium by the US Food and Drug Administration

Abstract Full Text
JAMA Intern Med. 2018;178(6):743-744. doi:10.1001/jamainternmed.2018.0869

This Viewpoint discusses concerns about the approval of nusinersen sodium by the US Food and Drug Administration for the treatment of spinal muscular atrophy.

The Role of Telehealth in the Medical Response to Disasters

Abstract Full Text
JAMA Intern Med. 2018;178(6):745-746. doi:10.1001/jamainternmed.2018.1314

This Viewpoint discusses the role of telehealth in the medical response to disasters.

Perspective

Harry Potter, Magic, and Medicine

Abstract Full Text
JAMA Intern Med. 2018;178(6):747-748. doi:10.1001/jamainternmed.2018.0341

This Perspective compares the imperfect practice of medicine to the practice of magic and also draws lessons from the painting The Doctor by Luke Fildes.

Physician Work Environment and Well-Being

A Physician’s Suffering—Facing Depression as a Trainee

Abstract Full Text
JAMA Intern Med. 2018;178(6):749-750. doi:10.1001/jamainternmed.2018.1520

In this Perspective, a young physician hears news of another physician’s suicide, prompting her to reflect on her own experience with depression as a medical student.

Saving a Death When We Cannot Save a Life in the Intensive Care Unit

Abstract Full Text
JAMA Intern Med. 2018;178(6):751-752. doi:10.1001/jamainternmed.2018.1198

This Perspective discusses the approach of giving patients and families the opportunity for a meaningful talk before intubation, while patients are still able to communicate.

When Physicians Turn Into Patients—Becoming Kafka’s Cockroach

Abstract Full Text
JAMA Intern Med. 2018;178(6):753-754. doi:10.1001/jamainternmed.2018.1467

This article discusses the difficult changes that patients may experience, even physicians who become patients.

Editorial

Incremental Benefits and Harms of the 2017 American College of Cardiology/American Heart Association High Blood Pressure Guideline

Abstract Full Text
has audio
JAMA Intern Med. 2018;178(6):755-757. doi:10.1001/jamainternmed.2018.0310

Announcing the Teachable Moment Editorial Fellowship

Abstract Full Text
JAMA Intern Med. 2018;178(6):758. doi:10.1001/jamainternmed.2018.0780
Original Investigation

Association of an Opioid Standard of Practice Intervention With Intravenous Opioid Exposure in Hospitalized Patients

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):759-763. doi:10.1001/jamainternmed.2018.1044

This cohort study evaluates adoption of an opioid standard of practice intervention by physicians, nurse practitioners, and physician assistants to reduce opioid exposure by switching from intravenous to oral or subcutaneous administration in medical inpatients.

Weekly and Monthly Subcutaneous Buprenorphine Depot Formulations vs Daily Sublingual Buprenorphine With Naloxone for Treatment of Opioid Use Disorder: A Randomized Clinical Trial

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2018;178(6):764-773. doi:10.1001/jamainternmed.2018.1052

This randomized clinical trial compares a daily sublingual combination of buprenorphine and naloxone with subcutaneous weekly and monthly subcutaneous buprenorphine injection among adults seeking treatment for moderate-to-severe opioid use disorder.

Association of Clinical Outcomes With Surgical Repair of Hip Fracture vs Nonsurgical Management in Nursing Home Residents With Advanced Dementia

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):774-780. doi:10.1001/jamainternmed.2018.0743

This cohort study compares survival rates among nursing home residents with advanced dementia and hip fracture managed surgically vs nonsurgically.

Primary Care Practitioners’ Perceptions of Electronic Consult Systems: A Qualitative Analysis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):782-789. doi:10.1001/jamainternmed.2018.0738

This qualitative study describes the perceptions of primary care practitioners on the use of an electronic consult system for specialty referrals in a safety-net health system.

Association Between Hospice Length of Stay, Health Care Utilization, and Medicare Costs at the End of Life Among Patients Who Received Maintenance Hemodialysis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):792-799. doi:10.1001/jamainternmed.2018.0256

This large national cross-sectional study examines the association between hospice length of stay and health care utilization and costs at the end of life among Medicare beneficiaries who had received maintenance hemodialysis.

Association of a Smartphone Application With Medication Adherence and Blood Pressure Control: The MedISAFE-BP Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):802-809. doi:10.1001/jamainternmed.2018.0447

This 2-arm randomized clinical trial of individuals with uncontrolled hypertension determined if the Medisafe smartphone app improves self-reported medication adherence and blood pressure control.

Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Randomized Trial

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):812-819. doi:10.1001/jamainternmed.2018.0607

This cluster randomized corss-over trial examines the effect of implementing systematic cross-checking between emergency department physicians on reducing medical errors.

Economics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):820-829. doi:10.1001/jamainternmed.2018.0750

This meta-analysis estimates the association of palliative care consultation with direct hospital costs for adults with serious illness.

Association Between Psychological Interventions and Chronic Pain Outcomes in Older Adults: A Systematic Review and Meta-analysis

Abstract Full Text
free access has active quiz has audio
JAMA Intern Med. 2018;178(6):830-839. doi:10.1001/jamainternmed.2018.0756

This systematic review and meta-analysis evaluates the use of psychological interventions for older adults with chronic pain.

Invited Commentary

Hip Fractures in Patients With Advanced Dementia: What Treatment Provides the Best Palliation?

Abstract Full Text
JAMA Intern Med. 2018;178(6):780-781. doi:10.1001/jamainternmed.2018.0822

eConsult—Transforming Primary Care or Exacerbating Clinician Burnout?

Abstract Full Text
JAMA Intern Med. 2018;178(6):790-791. doi:10.1001/jamainternmed.2018.0762

Hospice Use and End-of-Life Care for Patients With End-stage Renal Disease: Too Little, Too Late

Abstract Full Text
JAMA Intern Med. 2018;178(6):799-801. doi:10.1001/jamainternmed.2018.1078

Building a Stronger Care Loop Through mHealth Technology

Abstract Full Text
JAMA Intern Med. 2018;178(6):809-811. doi:10.1001/jamainternmed.2018.1168

Treating Blood Pressure Correctly by Measuring It Correctly

Abstract Full Text
JAMA Intern Med. 2018;178(6):860-861. doi:10.1001/jamainternmed.2018.0311
Editor's Note

Inappropriate Use of Steroids for Acute Respiratory Infection

Abstract Full Text
JAMA Intern Med. 2018;178(6):854. doi:10.1001/jamainternmed.2018.1164

This Viewpoint discusses the lack of benefit and possible harms in treating acute respiratory infections with systemic steroids.

Evidence to Practice

Approach for Achieving Effective Care for High-Need Patients

Abstract Full Text
JAMA Intern Med. 2018;178(6):845-846. doi:10.1001/jamainternmed.2018.0823

This review summarizes the National Academy of Medicine’s report on achieving effective care for high-need patients.

Teachable Moment

A Case of Preventable Vision Loss

Abstract Full Text
JAMA Intern Med. 2018;178(6):840. doi:10.1001/jamainternmed.2018.0713

This Teachable Moment reports the case of a woman with jaw pain, bitemporal headaches, and scalp tenderness who developed acute right eye partial vision loss, an inferior visual field defect, and a hyperemic optic disc, consistent with ischemic optic neuropathy.

Hemoptysis or Hematemesis?—The Importance of Professional Medical Interpretation: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(6):841-842. doi:10.1001/jamainternmed.2018.0697

This Teachable Moment examines the case of a man who experienced a misdiagnosis due to translation difficulties and argues for more professional medical interpretation services in clinical settings.

Sensory Impairments in Heart Failure—Are We Missing the Basics?A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(6):843-844. doi:10.1001/jamainternmed.2018.1317

This Teachable Moment examines the case of an 81-year-old man with heart failure (HF) who had been prescribed a regimen of therapies for comorbities but did not understand medication instructions owing to sensory impairments and subsequently experienced HF exacerbations due to noncompliance.

Challenges in Clinical Electrocardiography

ST-Segment Elevation in Lead aVR: A Visual Reminder of Potential Catastrophe

Abstract Full Text
JAMA Intern Med. 2018;178(6):847-848. doi:10.1001/jamainternmed.2018.0928

This case report presents the electrocardiographic findings of a man with sudden-onset chest pain that radiated to his left arm, with associated nausea and diaphoresis.

Electrocardiographic Changes in a Woman With Anorexia Nervosa

Abstract Full Text
JAMA Intern Med. 2018;178(6):849-851. doi:10.1001/jamainternmed.2018.0981

This case report presents the electrocardiographic findings of a young woman with anorexia nervosa who had chest pain and persistent weight loss.

Research Letter

High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):852-854. doi:10.1001/jamainternmed.2018.0103

This study examines the frequency of steroid use for acute respiratory tract infections in Louisiana and nationally, and factors associated with this clinical practice.

Pharmaceutical Industry Payments and Oncologists’ Selection of Targeted Cancer Therapies in Medicare Beneficiaries

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):854-856. doi:10.1001/jamainternmed.2018.0776

This study examines the association between oncologists’ receipt of payments from pharmaceutical manufacturers and drug selection in 2 situations where there are multiple treatment options.

Physician Work Environment and Well-Being

Correlates and Outcomes of Physician Burnout Within a Large Academic Medical Center

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):856-858. doi:10.1001/jamainternmed.2018.0019

This survey study uses the Maslach Burnout Inventory to measure physician burnout and associated outcomes in a large academic medical center.

Association of Repeated Measurements With Blood Pressure Control in Primary Care

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):858-860. doi:10.1001/jamainternmed.2018.0315

This observational cohort study evaluated the effect of a second blood pressure (BP) measurement on the rate of BP control among more than 38 000 patients with diagnosed hypertension and who were followed in primary care.

Association of Pharmaceutical Industry Marketing of Opioid Products to Physicians With Subsequent Opioid Prescribing

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):861-863. doi:10.1001/jamainternmed.2018.1999

This database analysis examines the extent to which pharmaceutical industry marketing of opioid products to physicians during 2014 was associated with opioid prescribing during 2015.

Comment & Response

Caution to Readers About Systematic Review on Vitamin K and Prevention of Fractures That Included Problematic Trials

Abstract Full Text
JAMA Intern Med. 2018;178(6):863-864. doi:10.1001/jamainternmed.2018.1127

Enough Power to Build a Strong Case for Clinical Pharmacy Services?

Abstract Full Text
JAMA Intern Med. 2018;178(6):864. doi:10.1001/jamainternmed.2018.1706

Enough Power to Build a Strong Case for Clinical Pharmacy Services?—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):864-865. doi:10.1001/jamainternmed.2018.1709

Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities

Abstract Full Text
JAMA Intern Med. 2018;178(6):865-866. doi:10.1001/jamainternmed.2018.1760

Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):866-867. doi:10.1001/jamainternmed.2018.1757

Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities

Abstract Full Text
JAMA Intern Med. 2018;178(6):866. doi:10.1001/jamainternmed.2018.1763

Further Considerations Concerning Advance Care Planning in Medical Practice

Abstract Full Text
JAMA Intern Med. 2018;178(6):867. doi:10.1001/jamainternmed.2018.1772

Ridesharing and Text Messaging for Patients With Medicaid—Further Information

Abstract Full Text
JAMA Intern Med. 2018;178(6):867-868. doi:10.1001/jamainternmed.2018.1923

Ridesharing and Text Messaging for Patients With Medicaid—Further Information

Abstract Full Text
JAMA Intern Med. 2018;178(6):868. doi:10.1001/jamainternmed.2018.1926

Ridesharing and Text Messaging for Patients With Medicaid—Further Information—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):868-869. doi:10.1001/jamainternmed.2018.1929

Breastfeeding and Future Maternal Health—No Causal Evidence

Abstract Full Text
JAMA Intern Med. 2018;178(6):869-870. doi:10.1001/jamainternmed.2018.1806

Breastfeeding and Future Maternal Health—No Causal Evidence

Abstract Full Text
JAMA Intern Med. 2018;178(6):870-871. doi:10.1001/jamainternmed.2018.1803

Breastfeeding and Future Maternal Health—No Causal Evidence—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):871-872. doi:10.1001/jamainternmed.2018.1800

Multifactorial Brugada Phenocopy

Abstract Full Text
JAMA Intern Med. 2018;178(6):872. doi:10.1001/jamainternmed.2018.2012

Multifactorial Brugada Phenocopy

Abstract Full Text
JAMA Intern Med. 2018;178(6):872-873. doi:10.1001/jamainternmed.2018.2026

Multifactorial Brugada Phenocopy—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):873. doi:10.1001/jamainternmed.2018.2019

Cost-effectiveness of the Adjuvanted Herpes Zoster Subunit Vaccine

Abstract Full Text
JAMA Intern Med. 2018;178(6):873. doi:10.1001/jamainternmed.2018.2029

Veterans Health Administration Home-Based Programs and Cardiac Rehabilitation

Abstract Full Text
JAMA Intern Med. 2018;178(6):873-874. doi:10.1001/jamainternmed.2018.2054

Veterans Health Administration Home-Based Programs and Cardiac Rehabilitation—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):874. doi:10.1001/jamainternmed.2018.2050

Voluntary Opioid Tapering—Barriers to Delivering Care

Abstract Full Text
JAMA Intern Med. 2018;178(6):874-875. doi:10.1001/jamainternmed.2018.2115

Voluntary Opioid Tapering—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(6):875. doi:10.1001/jamainternmed.2018.2112
Correction

Caution of Conclusions of a Meta-analysis Including Problematic Trials

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):875-876. doi:10.1001/jamainternmed.2018.1140

Missing Acknowledgment

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):876. doi:10.1001/jamainternmed.2018.2297

Middle Initial Omitted

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):876. doi:10.1001/jamainternmed.2018.2651
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(6):740. doi:10.1001/jamainternmed.2017.5215
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