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December 2019 - January 1908

Decade

Year

Issue

December 2019, Vol 179, No. 12, Pages 1613-1739

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(12):1613-1615. doi:10.1001/jamainternmed.2018.5526
Perspective

Sharing the Care—A Patient and Her Caregivers

Abstract Full Text
JAMA Intern Med. 2019;179(12):1617-1618. doi:10.1001/jamainternmed.2019.4231

This Perspective describes the role of caregivers and how they work with physicians in caring for patients.

Perioperative Risk Calculators and the Art of Medicine

Abstract Full Text
JAMA Intern Med. 2019;179(12):1619-1620. doi:10.1001/jamainternmed.2019.4914

This Perspective evaluates the strengths and limitations of perioperative risk calculators in determining courses of patient care.

Original Investigation

Effectiveness of Behaviorally Designed Gamification Interventions With Social Incentives for Increasing Physical Activity Among Overweight and Obese Adults Across the United States: The STEP UP Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2019;179(12):1624-1632. doi:10.1001/jamainternmed.2019.3505

This randomized clinical trial assesses the effectiveness of support, collaboration, and competition within a behaviorally designed gamification intervention to increase physical activity among overweight and obese adults.

Use and Discontinuation of Insulin Treatment Among Adults Aged 75 to 79 Years With Type 2 Diabetes

Abstract Full Text
JAMA Intern Med. 2019;179(12):1633-1641. doi:10.1001/jamainternmed.2019.3759

This cohort study of 21 531 adults examines whether insulin treatment is used less frequently and discontinued more often among older individuals with poor health compared with those in good health.

Patient Perceptions of Diabetes Guideline Frameworks for Individualizing Glycemic Targets

Abstract Full Text
JAMA Intern Med. 2019;179(12):1642-1649. doi:10.1001/jamainternmed.2019.3806

This survey study examines how older adults perceive factors used in diabetes guidelines for individualizing glycemic targets.

Analysis of Computed Tomography Radiation Doses Used for Lung Cancer Screening Scans

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(12):1650-1657. doi:10.1001/jamainternmed.2019.3893

This study identifies factors associated with radiation dose variation occuring during computed tomography screening scans for lung cancer.

Health Care Reform

Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use: The Care Ecosystem Randomized Clinical Trial

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(12):1658-1667. doi:10.1001/jamainternmed.2019.4101

This randomized clinical trial assesses the effects of dementia care provision via telephone and internet on key outcomes for persons with dementia and their caregivers in rural and urban regions of 3 states compared with usual care.

Association Between Mobility Measured During Hospitalization and Functional Outcomes in Older Adults With Acute Myocardial Infarction in the SILVER-AMI Study

Abstract Full Text
JAMA Intern Med. 2019;179(12):1669-1677. doi:10.1001/jamainternmed.2019.4114

This cohort study examines the association of mobility impairment, measured during hospitalization, as a risk marker for functional decline among older patients with acute myocardial infarction.

Physician Work Environment and Well-Being

Physician and Trainee Experiences With Patient Bias

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(12):1678-1685. doi:10.1001/jamainternmed.2019.4122

This qualitative study assesses how a convenience sample of physicians and trainees perceived and responded to encounters with biased patients and the barriers and facilitators to effective responses.

Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions: A Nonrandomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2019;179(12):1688-1697. doi:10.1001/jamainternmed.2019.4235

This nonrandomized clinical trial compares self-reported patient outcomes and burden of unwanted care among older adults with multiple chronic conditions who received either patient priorities–based care or usual care at a Connecticut primary care site.

Trends in Medicare Payment Rates for Noninvasive Cardiac Tests and Association With Testing Location

Abstract Full Text
JAMA Intern Med. 2019;179(12):1699-1706. doi:10.1001/jamainternmed.2019.4269

This study using Medicare claims data examines trends in differential Medicare fee-for-service payments for noninvasive cardiac tests performed in hospital- and provider-based settings.

Editorial

Maximizing the Outcomes of Breast Cancer Prevention

Abstract Full Text
JAMA Intern Med. 2019;179(12):1621-1623. doi:10.1001/jamainternmed.2019.4666
Invited Commentary

A Telephone-Based Dementia Care Management Intervention—Finding the Time to Listen

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(12):1667-1668. doi:10.1001/jamainternmed.2019.4111

Confronting Bias and Discrimination in Health Care—When Silence Is Not Golden

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(12):1686-1687. doi:10.1001/jamainternmed.2019.4100

Aligning Care With Patient Values and Priorities

Abstract Full Text
JAMA Intern Med. 2019;179(12):1697-1698. doi:10.1001/jamainternmed.2019.4230

The Case of Noninvasive Cardiac Testing—For Every Action There Is a Reaction

Abstract Full Text
JAMA Intern Med. 2019;179(12):1706-1707. doi:10.1001/jamainternmed.2019.4265
Teachable Moment

The Importance of Obtaining Sexual History in Older Adults: A Teachable Moment

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(12):1708-1709. doi:10.1001/jamainternmed.2019.4480

This Teachable Moment describes a man in his 70s with a medical history of noninvasive bladder cancer who presented to his primary care clinic with significant weight loss and was subsequently found to have previously undiagnosed acquired immunodeficiency syndrome.

Research Letter

Association of Cigarette Type With Lung Cancer Incidence and Mortality: Secondary Analysis of the National Lung Screening Trial

Abstract Full Text
JAMA Intern Med. 2019;179(12):1710-1712. doi:10.1001/jamainternmed.2019.3487

This study uses data from the National Lung Screening Trial to investigate the association of cigarette tar level, flavor, and filter status with lung cancer diagnosis, mortality, and all-cause mortality.

Health Care Policy and Law

Potential Medicare Savings From Generic Substitution and Therapeutic Interchange of ACE Inhibitors and Angiotensin-II-Receptor Blockers

Abstract Full Text
JAMA Intern Med. 2019;179(12):1712-1714. doi:10.1001/jamainternmed.2019.3107

This economic evaluation study estimates the potential Medicare savings from generic substitution and therapeutic interchange of brand-name hypertension medications.

Trends in Hospitalization vs Observation Stay for Ambulatory Care–Sensitive Conditions

Abstract Full Text
JAMA Intern Med. 2019;179(12):1714-1716. doi:10.1001/jamainternmed.2019.3177

This study of Medicare-defined avoidable hospital stays for conditions such as urinary tract infection and complications of diabetes uses Medicare Fee-for-Service Inpatient and Outpatient Claim Files to investigate whether a decrease in inpatient admissions from 2011 to 2015 represented real gains in ambulatory care.

Inclusion of Clinical Trial Registration Numbers in Conference Abstracts and Conformance of Abstracts to CONSORT Guidelines

Abstract Full Text
JAMA Intern Med. 2019;179(12):1716-1717. doi:10.1001/jamainternmed.2019.3183

This cross-sectional study reviews abstracts presented at 8 major medical and surgical conferences held in 2017 to assess the extent to which abstracts reporting randomized clinical trial results cite trial registration numbers and conform to key CONSORT guidelines.

Use of an Online Crowdfunding Platform for Unmet Financial Obligations in Cancer Care

Abstract Full Text
JAMA Intern Med. 2019;179(12):1717-1720. doi:10.1001/jamainternmed.2019.3330

This cross-sectional study identified characteristics of patients using an online crowdfunding platform for unmet financial obligations associated with cancer care.

Risk Analysis for the Carcinogen Pulegone in Mint- and Menthol-Flavored e-Cigarettes and Smokeless Tobacco Products

Abstract Full Text
JAMA Intern Med. 2019;179(12):1721-1723. doi:10.1001/jamainternmed.2019.3649

This analysis assesses the levels of the carcinogen pulegone in top-marketed brands of e-cigarettes and smokeless tobacco products.

Physician Work Environment and Well-Being

Clinician Experience of Electronic Health Record Configurations Displaying 1 vs 4 Records at a Time

Abstract Full Text
JAMA Intern Med. 2019;179(12):1723-1725. doi:10.1001/jamainternmed.2019.3688

This survey study of more than 1200 clinicians from several large urban medical centers highlights clinicians’ experiences with restrictions on the number of electronic health records that can be opened and displayed concurrently.

Association Between Having an Automatic Reenrollment Option and Reenrollment in the Health Insurance Marketplaces

Abstract Full Text
JAMA Intern Med. 2019;179(12):1725-1726. doi:10.1001/jamainternmed.2019.3717

This cross-sectional study using health insurance marketplace data examines the association between an automatic reenrollment option and actual reenrollment rates.

Gender Differences in Twitter Use and Influence Among Health Policy and Health Services Researchers

Abstract Full Text
JAMA Intern Med. 2019;179(12):1726-1729. doi:10.1001/jamainternmed.2019.4027

This study describes gender differences in Twitter use and influence among health services researchers who attended AcademyHealth’s 2018 Annual Research Meeting.

Comment & Response

Association of Anticholinergic Drug Exposure With Increased Occurrence of Dementia

Abstract Full Text
JAMA Intern Med. 2019;179(12):1729. doi:10.1001/jamainternmed.2019.4905

Association of Anticholinergic Drug Exposure With Increased Occurrence of Dementia

Abstract Full Text
JAMA Intern Med. 2019;179(12):1729-1730. doi:10.1001/jamainternmed.2019.4911

Association of Anticholinergic Drug Exposure With Increased Occurrence of Dementia—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1730-1731. doi:10.1001/jamainternmed.2019.4908

Additional Questions Regarding Wide QRS Tachycardia and Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2019;179(12):1731. doi:10.1001/jamainternmed.2019.5081

Additional Questions Regarding Wide QRS Tachycardia and Atrial Fibrillation—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1731-1732. doi:10.1001/jamainternmed.2019.5126

Diagnosis and Management of Hyperparathyroidism

Abstract Full Text
JAMA Intern Med. 2019;179(12):1732. doi:10.1001/jamainternmed.2019.5084

Diagnosis and Management of Hyperparathyroidism

Abstract Full Text
JAMA Intern Med. 2019;179(12):1732-1733. doi:10.1001/jamainternmed.2019.5129

Diagnosis and Management of Hyperparathyroidism—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1733-1734. doi:10.1001/jamainternmed.2019.5087

Ketogenic Diets for Diabetes and Obesity

Abstract Full Text
JAMA Intern Med. 2019;179(12):1734. doi:10.1001/jamainternmed.2019.5108

Ketogenic Diet for Obesity and Diabetes

Abstract Full Text
JAMA Intern Med. 2019;179(12):1734-1735. doi:10.1001/jamainternmed.2019.5148

Ketogenic Diets for Diabetes and Obesity—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1735-1736. doi:10.1001/jamainternmed.2019.5111

Biomarker-Informed Treatment Decisions in Cognitively Impaired Patients Do Not Apply to Preclinical Alzheimer Disease

Abstract Full Text
JAMA Intern Med. 2019;179(12):1736-1737. doi:10.1001/jamainternmed.2019.5114

Biomarker-Informed Treatment Decisions in Cognitively Impaired Patients Do Not Apply to Preclinical Alzheimer Disease—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1737. doi:10.1001/jamainternmed.2019.5078

Safety of the Use of Radioactive Iodine in Patients With Hyperthyroidism

Abstract Full Text
JAMA Intern Med. 2019;179(12):1737-1738. doi:10.1001/jamainternmed.2019.5117

Safety of the Use of Radioactive Iodine in Patients With Hyperthyroidism

Abstract Full Text
JAMA Intern Med. 2019;179(12):1738-1739. doi:10.1001/jamainternmed.2019.5120

Safety of the Use of Radioactive Iodine in Patients With Hyperthyroidism—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(12):1739. doi:10.1001/jamainternmed.2019.5123
Correction

Error in Figure 1

Abstract Full Text
free access
JAMA Intern Med. 2019;179(12):1739. doi:10.1001/jamainternmed.2019.5981

Errors in Table 2

Abstract Full Text
free access
JAMA Intern Med. 2019;179(12):1739. doi:10.1001/jamainternmed.2019.6188
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2019;179(12):1616. doi:10.1001/jamainternmed.2018.5527
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