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September 2019 - January 1908

Decade

Year

Issue

September 2018, Vol 178, No. 9, Pages 1149-1288

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1149-1151. doi:10.1001/jamainternmed.2017.5229
Viewpoint

Implementing Opioid Agonist Treatment in Correctional Facilities

Abstract Full Text
JAMA Intern Med. 2018;178(9):1153-1154. doi:10.1001/jamainternmed.2018.3504

This Viewpoint discusses implementation challenges and potential outcomes of providing opioid agonist treatment to incarcerated persons with opioid use disorder.

Devolution and Devaluation of Fecal Leukocyte Testing: A 100-Year History

Abstract Full Text
JAMA Intern Med. 2018;178(9):1155-1156. doi:10.1001/jamainternmed.2018.3150

This Viewpoint discusses the history of fecal leukocyte testing over the past 100 years and recommends against its continued use.

Is the Over-the-Counter Availability of Human Insulin in the United States Good or Bad?

Abstract Full Text
JAMA Intern Med. 2018;178(9):1157-1158. doi:10.1001/jamainternmed.2018.3332

This Viewpoint discusses 2 case report vignettes—and the laws that they inspired—to argue the pros and cons of over-the-counter insulin sales.

Original Investigation

Effectiveness of a Mailed Colorectal Cancer Screening Outreach Program in Community Health Clinics: The STOP CRC Cluster Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2018;178(9):1174-1181. doi:10.1001/jamainternmed.2018.3629

This cluster randomized clinical trial examines the effectiveness of implementing an electronic health record-embedded mailed fecal immunochemical test outreach program vs usual care for colorectal cancer screening among patients at community health centers.

Editorial

Osteoporosis Screening—2 Steps May Be Too Much for Women Younger Than 65 Years

Abstract Full Text
JAMA Intern Med. 2018;178(9):1159-1160. doi:10.1001/jamainternmed.2018.2776

Introducing JAMA Internal Medicine Patient Pages

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1161-1162. doi:10.1001/jamainternmed.2018.3738

Screening for Cardiovascular Disease Risk With Electrocardiography

Abstract Full Text
JAMA Intern Med. 2018;178(9):1163-1164. doi:10.1001/jamainternmed.2018.2773

Health Care Reform

Changes in Health Care Costs and Mortality Associated With Transitional Care Management Services After a Discharge Among Medicare Beneficiaries

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1165-1171. doi:10.1001/jamainternmed.2018.2572

This cohort study investigates whether receipt of transitional care management services is associated with adjusted total Medicare costs and mortality among Medicare beneficiaries.

Effect of a Remotely Delivered Tailored Multicomponent Approach to Enhance Medication Taking for Patients With Hyperlipidemia, Hypertension, and Diabetes: The STIC2IT Cluster Randomized Clinical Trial

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1182-1189. doi:10.1001/jamainternmed.2018.3189

This cluster randomized clinical trial evaluates the effect of a remotely delivered multicomponent behaviorally tailored intervention vs usual care on adherence to medications for hyperlipidemia, hypertension, and diabetes in patients who are nonadherent to prescribed medications.

Association Between Sodium-Glucose Cotransporter 2 Inhibitors and Lower Extremity Amputation Among Patients With Type 2 Diabetes

Abstract Full Text
free access has active quiz
JAMA Intern Med. 2018;178(9):1190-1198. doi:10.1001/jamainternmed.2018.3034

This population-based cohort study of commercially insured patients examines the association between use of oral medication for type 2 diabetes and lower extremity amputation, peripheral arterial disease, critical limb ischemia, osteomyelitis, and ulcer.

Quality and Quantity of Sleep and Factors Associated With Sleep Disturbance in Hospitalized Patients

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1201-1208. doi:10.1001/jamainternmed.2018.2669

This cross-sectional study assesses the quantity and quality of sleep and the factors associated with sleep disturbances in hospitalized patients in the Netherlands.

Association of Endometrial Cancer Risk With Postmenopausal Bleeding in Women: A Systematic Review and Meta-analysis

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1210-1222. doi:10.1001/jamainternmed.2018.2820

This systematic review and meta-analysis assesses the prevalence of postmenopausal bleeding among women with endometrial cancer and the risk of endometrial cancer in women with postmenopausal bleeding.

Association of Statin Exposure With Histologically Confirmed Idiopathic Inflammatory Myositis in an Australian Population

Abstract Full Text
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JAMA Intern Med. 2018;178(9):1224-1230. doi:10.1001/jamainternmed.2018.2859

This case-control study uses data from 2 population-based databases to examine the association between current exposure to statin medications and histologically confirmed idiopathic inflammatory myositis in Australian adults.

Evaluation of the Pooled Cohort Risk Equations for Cardiovascular Risk Prediction in a Multiethnic Cohort From the Women’s Health Initiative

Abstract Full Text
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JAMA Intern Med. 2018;178(9):1231-1240. doi:10.1001/jamainternmed.2018.2875

This study evaluates the pooled cohort equation’s accuracy for predicting 10-year risk of atherosclerotic cardiovascular disease among participants in the Women’s Health Initiative.

Mortality Among Unsheltered Homeless Adults in Boston, Massachusetts, 2000-2009

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1242-1248. doi:10.1001/jamainternmed.2018.2924

This cohort study investigates all-cause and cause-specific mortality and age-stratified incident rate ratios among unsheltered homeless adults in Boston, Massachusetts, 2000-2009, compared with the entire Massachusetts population and also with a cohort of sheltered homeless adults in Boston.

Invited Commentary

Transitional Care Management Services for Medicare Beneficiaries—Better Quality and Lower Cost but Rarely Used

Abstract Full Text
JAMA Intern Med. 2018;178(9):1171-1173. doi:10.1001/jamainternmed.2018.2545

Sodium-Glucose Cotransporter 2 Inhibitors and the Risk of Amputation: Results and Challenges From the Real World

Abstract Full Text
JAMA Intern Med. 2018;178(9):1199-1200. doi:10.1001/jamainternmed.2018.3025

Minimizing Sleep Disruption for Hospitalized Patients: A Wake-up Call

Abstract Full Text
JAMA Intern Med. 2018;178(9):1208-1209. doi:10.1001/jamainternmed.2018.2679

Opportunities for Early Detection of Endometrial Cancer in Women With Postmenopausal Bleeding

Abstract Full Text
JAMA Intern Med. 2018;178(9):1222-1223. doi:10.1001/jamainternmed.2018.2819

Death Among the Unsheltered Homeless: Hidden in Plain Sight

Abstract Full Text
JAMA Intern Med. 2018;178(9):1248-1249. doi:10.1001/jamainternmed.2018.2919

Health Care Reform

Drawing Lessons From Canada’s Experience With Single-Payer Health Insurance

Abstract Full Text
JAMA Intern Med. 2018;178(9):1255-1257. doi:10.1001/jamainternmed.2018.3707

Overprescription in Urgent Care Clinics—The Fast and the Spurious

Abstract Full Text
JAMA Intern Med. 2018;178(9):1269-1270. doi:10.1001/jamainternmed.2018.1628

Less Is More

Are We Overtreating Isolated Subsegmental Pulmonary Embolism?First Do No Harm

Abstract Full Text
JAMA Intern Med. 2018;178(9):1274-1275. doi:10.1001/jamainternmed.2018.2970
Editor's Note

Promoting FIT Colorectal Cancer Screening

Abstract Full Text
JAMA Intern Med. 2018;178(9):1181. doi:10.1001/jamainternmed.2018.3654

Less Is More

Statin-Associated Myopathy—An Elusive Clinical Problem

Abstract Full Text
JAMA Intern Med. 2018;178(9):1230. doi:10.1001/jamainternmed.2018.3128

Prediction of Cardiovascular Risk to Guide Primary Prevention

Abstract Full Text
JAMA Intern Med. 2018;178(9):1240-1241. doi:10.1001/jamainternmed.2018.3131

Use of Limited Transthoracic Echocardiogram: Nothing More, Nothing Less

Abstract Full Text
JAMA Intern Med. 2018;178(9):1272. doi:10.1001/jamainternmed.2018.3483
Special Communication

Lessons From the Canadian Experience With Single-Payer Health Insurance: Just Comfortable Enough With the Status Quo

Abstract Full Text
JAMA Intern Med. 2018;178(9):1250-1255. doi:10.1001/jamainternmed.2018.3568

This Special Communication explores the strengths, challenges, and lessons learned following the introduction of the Canadian single-payer health care system in the late 1960s, comparing this system with health care approaches in other countries, including the United States.

Evidence to Practice

Calculating Health Care Waste in Washington State: First, Do No Harm

Abstract Full Text
JAMA Intern Med. 2018;178(9):1262-1263. doi:10.1001/jamainternmed.2018.3516

This review summarizes a report by the Washington Health Alliance documenting the frequency of 47 low-value care practices in Washington state.

Teachable Moment

Antibiotic Discretion in the Treatment of Acute Uncomplicated Diverticulitis: A Teachable Moment

Abstract Full Text
has active quiz
JAMA Intern Med. 2018;178(9):1258-1259. doi:10.1001/jamainternmed.2018.3507

This Teachable Moment describes the case of a marginally housed man with a history of alcohol use disorder and essential hypertension who was seen for abdominal pain and was diagnosed with uncomplicated diverticulitis, prescribed antibiotics, and subsequently was diagnosed with Clostridium difficile.

Less Is More

HLA-B*5801 Testing to Prevent Allopurinol Hypersensitivity Syndrome: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2018;178(9):1260-1261. doi:10.1001/jamainternmed.2018.3556

This Teachable Moment describes the case of a 77-year-old man with gout and hypertension who presented with allopurinol-associated adverse effects and who tested positive for the HLA-B*5801 allele.

Challenges in Clinical Electrocardiography

Isorhythmic Atrioventricular Dissociation and the Purloined P Wave After Transcatheter Aortic Valve Replacement

Abstract Full Text
JAMA Intern Med. 2018;178(9):1264-1265. doi:10.1001/jamainternmed.2018.2868

This case report describes new left bundle branch block and disappearance of the P wave in a patient undergoing transcatheter aortic valve replacement (TAVR).

Research Letter

Comparison of Antibiotic Prescribing in Retail Clinics, Urgent Care Centers, Emergency Departments, and Traditional Ambulatory Care Settings in the United States

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1267-1269. doi:10.1001/jamainternmed.2018.1632

This cohort study compares antibiotic prescribing in 2014 among retail clinics, urgent care centers, emergency departments, and traditional medical offices in the United States.

Less Is More

Association Between Offering Limited Left Ventricular Ejection Fraction Echocardiograms and Overall Use of Echocardiography

Abstract Full Text
free access has audio
JAMA Intern Med. 2018;178(9):1270-1272. doi:10.1001/jamainternmed.2018.3317

This study examines the use of a limited transthoracic echocardiogram (TTE) that evaluates only the left ventricle and its association with overall use of TTE.

Less Is More

Rates of Overtreatment and Treatment-Related Adverse Effects Among Patients With Subsegmental Pulmonary Embolism

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1272-1274. doi:10.1001/jamainternmed.2018.2971

This cohort study examines how often clinicians opt for clinical surveillance over therapeutic anticoagulation for patients with subsegmental pulmonary embolisms.

Assessment of Patterns of Potentially Unsafe Use of Zolpidem

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1275-1277. doi:10.1001/jamainternmed.2018.3031

This study evaluates data from the US Medical Expenditure Panel Survey to determine the extent of unsafe use of zolpidem.

Cost-effectiveness of the Recommendations of the Advisory Committee on Immunization Practices for the Recombinant Adjuvanted Zoster Subunit Vaccine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1277-1278. doi:10.1001/jamainternmed.2018.3200

This cost-effectiveness study evaluates use of the recombinant adjuvanted zoster subunit vaccine among patients 50 years and older.

Assessment of Pragmatism in Recently Published Randomized Clinical Trials

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1278-1280. doi:10.1001/jamainternmed.2018.3321

This database study evaluates the labeling, justifications, and limitations of pragmatic randomized clinical trials published in 2016.

Comment & Response

Opioid Death Rate Acceleration in Jurisdictions Legalizing Marijuana Use

Abstract Full Text
JAMA Intern Med. 2018;178(9):1280-1281. doi:10.1001/jamainternmed.2018.3888

Health Care Policy and Law

Opioid Death Rate Acceleration in Jurisdictions Legalizing Marijuana Use—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(9):1281-1282. doi:10.1001/jamainternmed.2018.3891

Opioid Death Rate Acceleration in Jurisdictions Legalizing Marijuana Use—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(9):1282. doi:10.1001/jamainternmed.2018.3894

Toenail Examination Reveals Unmet Care Needs—Reply

Abstract Full Text
JAMA Intern Med. 2018;178(9):1283. doi:10.1001/jamainternmed.2018.4285

Toenail Examination Reveals Unmet Care Needs

Abstract Full Text
JAMA Intern Med. 2018;178(9):1283. doi:10.1001/jamainternmed.2018.4288
Correction

Missing Author Initial in Byline

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1283. doi:10.1001/jamainternmed.2018.5060
Images From Our Readers

Weeping Higan Cherry Tree, Central Park, New York City

Abstract Full Text
JAMA Intern Med. 2018;178(9):1162. doi:10.1001/jamainternmed.2018.3810

Donut Falls, Wasatch National Forest, Utah

Abstract Full Text
JAMA Intern Med. 2018;178(9):1241. doi:10.1001/jamainternmed.2018.3822
JAMA Internal Medicine Patient Page

I Have a Cold—What Do I Need to Know?

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1288. doi:10.1001/jamainternmed.2018.2621

This Patient Page provides information on the common cold—controlling the spread, managing the symptoms, and avoiding treatment with antibiotics.

JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2018;178(9):1152. doi:10.1001/jamainternmed.2017.5230
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