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August 2019 - January 1908

Decade

Year

Issue

July 2018, Vol 178, No. 7, Pages 881-1003

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):881-883. doi:10.1001/jamainternmed.2017.5219
Viewpoint

The Shortage of Normal Saline in the Wake of Hurricane Maria

Abstract Full Text
JAMA Intern Med. 2018;178(7):885-886. doi:10.1001/jamainternmed.2018.1936

This Viewpoint discusses the US shortage of normal saline after Hurricane Maria crippled pharmaceutical manufacturing in Puerto Rico and how to prevent similar shortages in the future.

Perspective

How Better Communication Skills May Lessen the Need for Physician-Assisted Death: Talking Her Out of It

Abstract Full Text
JAMA Intern Med. 2018;178(7):887-888. doi:10.1001/jamainternmed.2018.2118

This article explores the experience of a physician advocate in communicating about end-of-life care and physician-assisted suicide with a patient with stage 4 lung cancer.

Editorial

Implications of the New USPSTF Prostate Cancer Screening Recommendation—Attaining Equipoise

Abstract Full Text
JAMA Intern Med. 2018;178(7):889-891. doi:10.1001/jamainternmed.2018.1982

New Prevention Guidelines for Falls and Fractures—Looking Beyond the Letters

Abstract Full Text
JAMA Intern Med. 2018;178(7):892-893. doi:10.1001/jamainternmed.2018.1809
Original Investigation

Association of State Alcohol Policies With Alcohol-Related Motor Vehicle Crash Fatalities Among US Adults

Abstract Full Text
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JAMA Intern Med. 2018;178(7):894-901. doi:10.1001/jamainternmed.2018.1406

This repeated cross-sectional study examines the association between the restrictiveness of state alcohol policies with the likelihood of alcohol involvement among adults dying in motor vehicle crashes in the United States.

Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function: A Community-Based Cohort Study

Abstract Full Text
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JAMA Intern Med. 2018;178(7):903-910. doi:10.1001/jamainternmed.2018.0292

This large cohort study quantifies the association between metformin use and hospitalization with acidosis across the range of estimated glomerular filtration rate (eGFR), accounting for change in eGFR stage over time.

Aldosterone Antagonist Therapy and Mortality in Patients With ST-Segment Elevation Myocardial Infarction Without Heart Failure: A Systematic Review and Meta-analysis

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2018;178(7):913-920. doi:10.1001/jamainternmed.2018.0850

This systematic review and meta-analysis of 10 randomized clinical trials explores the role of treatment with aldosterone antagonists in patients with ST-segment elevation myocardial infarction (STEMI) without heart failure or left ventricular ejection fraction greater than 40%.

Association of Prognostic Estimates With Burdensome Interventions in Nursing Home Residents With Advanced Dementia

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2018;178(7):922-929. doi:10.1001/jamainternmed.2018.1413

This analysis of 2 cohort studies examines the accuracy of proxies’ prognostic estimates for nursing home residents with advanced dementia and the association of their estimates with use of burdensome interventions.

Sharing Medicine

Effect of a Patient and Clinician Communication-Priming Intervention on Patient-Reported Goals-of-Care Discussions Between Patients With Serious Illness and Clinicians: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2018;178(7):930-940. doi:10.1001/jamainternmed.2018.2317

This randomized clinical trial evaluates the effect of a communication-priming intervention designed to increase patient-reported goals-of-care discussions between patients with serious illness and clinicians vs usual care.

Trends in Platelet Adenosine Diphosphate P2Y12 Receptor Inhibitor Use and Adherence Among Antiplatelet-Naive Patients After Percutaneous Coronary Intervention, 2008-2016

Abstract Full Text
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JAMA Intern Med. 2018;178(7):943-950. doi:10.1001/jamainternmed.2018.0783

This population-based cohort study examines claims data in a large US insurer to assess changes in prescribing and adherence to platelet adenosine diphosphate P2Y12 receptor inhibitors by patients after percutaneous coronary intervention and after introduction of newer, more expensive agents.

Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2018;178(7):952-959. doi:10.1001/jamainternmed.2018.1244

This randomized clinical trial investigates the effect of increased attending physician supervision on an inpatient resident general medical service on patient safety and educational outcomes.

An Advance Care Planning Video Decision Support Tool for Nursing Home Residents With Advanced Dementia: A Cluster Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2018;178(7):961-969. doi:10.1001/jamainternmed.2018.1506

This cluster randomized clinical trial tests whether an advance care planning video (vs usual care) has an effect on documented advance directives, level of care preferences, goals-of-care discussions, and burdensome treatments among nursing home residents with advanced dementia.

Invited Commentary

Effective Alcohol Policies—Saving Lives on US Roadways

Abstract Full Text
JAMA Intern Med. 2018;178(7):901-902. doi:10.1001/jamainternmed.2018.1399

Should Metformin Be First-line Therapy for Patients With Type 2 Diabetes and Chronic Kidney Disease?Informed Patients Should Decide

Abstract Full Text
JAMA Intern Med. 2018;178(7):911-912. doi:10.1001/jamainternmed.2018.0301

Mineralocorticoid Receptor Antagonists in ST-Segment Elevation Myocardial Infarction

Abstract Full Text
JAMA Intern Med. 2018;178(7):920-921. doi:10.1001/jamainternmed.2018.1940

Precision Communication—A Path Forward to Improve Goals-of-Care Communication

Abstract Full Text
JAMA Intern Med. 2018;178(7):940-942. doi:10.1001/jamainternmed.2018.2307

A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient

Abstract Full Text
JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/jamainternmed.2018.0790

Optimizing the Balance Between Supervision and Autonomy in Training

Abstract Full Text
JAMA Intern Med. 2018;178(7):959-960. doi:10.1001/jamainternmed.2018.1250

The Complexities of Advance Care Planning in Individuals With Advanced Dementia

Abstract Full Text
JAMA Intern Med. 2018;178(7):969-970. doi:10.1001/jamainternmed.2018.1490

Less Is More

Continuing to Improve Appropriateness of Continuous Electrocardiographic Monitoring (Telemetry)

Abstract Full Text
JAMA Intern Med. 2018;178(7):978-979. doi:10.1001/jamainternmed.2018.2400

Suggestions for Improving Conflict of Interest Processes in the US Food and Drug Administration Advisory Committees—Past Imperfect

Abstract Full Text
JAMA Intern Med. 2018;178(7):997-998. doi:10.1001/jamainternmed.2018.1324
Special Communication

Less Is More

Eliminating Inappropriate Telemetry Monitoring: An Evidence-Based Implementation Guide

Abstract Full Text
JAMA Intern Med. 2018;178(7):971-978. doi:10.1001/jamainternmed.2018.2409

This evidence review and implementation guide reviews the evidence and formulates a process for implementing procedures to avoid unnecessary electrocardiographic monitoring.

Evidence to Practice

Public Health Consequences of e-Cigarette Use

Abstract Full Text
JAMA Intern Med. 2018;178(7):984-986. doi:10.1001/jamainternmed.2018.1600

This review summarizes the National Academies of Sciences, Engineering, and Medicine’s report on the public health consequences of e-cigarette use.

Challenges in Clinical Electrocardiography

A Near-Disaster in Rescuing Wide Complex Tachycardia—Can We Always Trust External Defibrillators?

Abstract Full Text
JAMA Intern Med. 2018;178(7):980-981. doi:10.1001/jamainternmed.2018.1962

This case report presents the elecrocardiographic findings of a man in his 50s with dizziness, shortness of breath, and tachycardia in whom electrical cardioversion was unsuccessful until the sixth attempt.

A Wide QRS Complex Illusion

Abstract Full Text
JAMA Intern Med. 2018;178(7):982-983. doi:10.1001/jamainternmed.2018.2095

A woman in her 20s presented with a medical history of multiple, unwitnessed, nonexertional syncopal events in the previous 24 hours that were preceded by palpitations, and associated with loss of consciousness lasting 30 minutes. What is your diagnosis?

Research Letter

Surveillance of Hypoglycemia—Limitations of Emergency Department and Hospital Utilization Data

Abstract Full Text
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JAMA Intern Med. 2018;178(7):987-988. doi:10.1001/jamainternmed.2018.1014

This study examines the proportion of all severe hypoglycemic events that are captured by surveillance based on health care utilization alone among pharmacologically treated patients with diabetes.

Employment of Advanced Practice Clinicians in Physician Practices

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):988-990. doi:10.1001/jamainternmed.2018.1515

This study examines trends in advanced practice clinician employment across different physician practices in the United States.

Results Reporting for Trials With the Same Sponsor, Drug, and Condition in ClinicalTrials.gov and Peer-Reviewed Publications

Abstract Full Text
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JAMA Intern Med. 2018;178(7):990-992. doi:10.1001/jamainternmed.2018.0263

This study examines the extent to which trials registered in ClinicalTrials.gov by individual sponsors for the same drug and condition were available publicly in ClinicalTrials.gov and/or PubMed.

Less Is More

Antibiotic Therapy Duration in US Adults With Sinusitis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):992-994. doi:10.1001/jamainternmed.2018.0407

This study evaluates the duration of antibiotic therapy prescribed for US adults with sinusitis.

Less Is More

Clinical Usefulness of Imaging and Blood Cultures in Cellulitis Evaluation

Abstract Full Text
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JAMA Intern Med. 2018;178(7):994-996. doi:10.1001/jamainternmed.2018.0625

This cohort study examines the clinical usefulness and cost of blood cultures and imaging in patients with presumed cellulitis.

Conflicts of Interest of Public Speakers at Meetings of the Anesthetic and Analgesic Drug Products Advisory Committee

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):996-997. doi:10.1001/jamainternmed.2018.1325

This data review investigates the characteristics and conflicts of interest of public speakers at Anesthetic and Analgesic Drug Products Advisory Committee meetings.

Comment & Response

Web-Based Platform vs Genetic Counselors in Educating Patients About Carrier Results From Exome Sequencing

Abstract Full Text
JAMA Intern Med. 2018;178(7):998-999. doi:10.1001/jamainternmed.2018.2239

Web-Based Platform vs Genetic Counselors in Educating Patients About Carrier Results From Exome Sequencing—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(7):999. doi:10.1001/jamainternmed.2018.2236

Correlates and Outcomes of Physician Burnout

Abstract Full Text
JAMA Intern Med. 2018;178(7):999-1000. doi:10.1001/jamainternmed.2018.2384

Correlates and Outcomes of Physician Burnout—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(7):1000. doi:10.1001/jamainternmed.2018.2403

Regulation of Cosmetics

Abstract Full Text
JAMA Intern Med. 2018;178(7):1000-1001. doi:10.1001/jamainternmed.2018.2452

Ethical Issues Related to Breastfeeding for US Physicians Who Are Mothers

Abstract Full Text
JAMA Intern Med. 2018;178(7):1001-1002. doi:10.1001/jamainternmed.2018.2559

Ethical Issues Related to Breastfeeding for US Physicians Who are Mothers—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(7):1002. doi:10.1001/jamainternmed.2018.2569

Standardization of Continuous Renal Replacement Therapy

Abstract Full Text
JAMA Intern Med. 2018;178(7):1002-1003. doi:10.1001/jamainternmed.2018.2686

Standardization of Continuous Renal Replacement Therapy—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(7):1003. doi:10.1001/jamainternmed.2018.2676
Correction

Incomplete Conflict of Interest Disclosures

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):1003. doi:10.1001/jamainternmed.2018.2498

Incorrect Numbers of Adverse Events Reported

Abstract Full Text
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JAMA Intern Med. 2018;178(7):1003. doi:10.1001/jamainternmed.2018.2967
Images From Our Readers

Jacqueline Kennedy Onassis Reservoir, Central Park, New York City

Abstract Full Text
JAMA Intern Med. 2018;178(7):942. doi:10.1001/jamainternmed.2018.2432
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(7):884. doi:10.1001/jamainternmed.2017.5220
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