Less Is More
Pranita D. Tamma, MD, MHS; Anna T. Conley, BA; Sara E. Cosgrove, MD, MS; et al.
JAMA Intern Med. 2019;179(3):316-323. doi:10.1001/jamainternmed.2018.6226
This cohort study compares the 30-day mortality among hospitalized patients with Enterobacteriaceae bacteremia treated with oral step-down therapy vs intravenous therapy.
Mihaela S. Stefan, MD, PhD; Meng-Shiou Shieh, PhD; Kerry A. Spitzer, PhD, MPA; et al.
JAMA Intern Med. 2019;179(3):333-339. doi:10.1001/jamainternmed.2018.5394
This cohort study uses data from the Premier Inpatient Database to assess outcomes associated with the addition of antibiotic treatment in patients hospitalized for asthma exacerbation treated with corticosteroids who had no other indication for antibiotic therapy.
Brian P. Lee, MD; Eric Vittinghoff, PhD; Jennifer L. Dodge, MPH; et al.
JAMA Intern Med. 2019;179(3):340-348. doi:10.1001/jamainternmed.2018.6536
This cohort study analyzes data from all liver transplants performed in the United States from 2002 through 2016 to investigate the increase in liver transplants for alcohol-associated liver disease and evaluate the long-term success of transplant in these patients.
Health Care Reform
David M. Levine, MD, MPH, MA; Bruce E. Landon, MD, MBA, MSc; Jeffrey A. Linder, MD, MPH
JAMA Intern Med. 2019;179(3):363-372. doi:10.1001/jamainternmed.2018.6716
This national survey study uses Medical Expenditure Panel Survey data collected from a large sample of noninstitutionalized US adults to assess whether an association exists between receipt of primary care and high- or low-value services or patient experience.
E. Jennifer Edelman, MD, MHS; Kirsha S. Gordon, PhD; Kristina Crothers, MD; et al.
JAMA Intern Med. 2019;179(3):297-304. doi:10.1001/jamainternmed.2018.6101
This nested case-control study assesses the association of prescribed opioids with the risk for community-acquired pneumonia among patients with and without HIV in the Veterans Aging Cohort Study.
Susan P. Y. Wong, MD, MS; Lynne V. McFarland, PhD; Chuan-Fen Liu, PhD; et al.
JAMA Intern Med. 2019;179(3):305-313. doi:10.1001/jamainternmed.2018.6197
This qualitative analysis uses documentation in the electronic medical records of adults receiving care from the US Veterans Health Administration to describe how decisions not to start dialysis unfold in the clinical setting.
Jinhai Huo, PhD, MD, MSPH; Ying Xu, PhD; Tommy Sheu, MD, MPH; et al.
JAMA Intern Med. 2019;179(3):324-332. doi:10.1001/jamainternmed.2018.6277
This cohort study examines the rates and costs associated with complications of invasive diagnostic procedures performed in patients undergoing screening for lung cancer.
Michael Roerecke, PhD; Janusz Kaczorowski, PhD; Martin G. Myers, MD, FRCPC
JAMA Intern Med. 2019;179(3):351-362. doi:10.1001/jamainternmed.2018.6551
This systematic review and meta-analysis examines the association between automated office blood pressure and office blood pressure readings measured in routine clinical practice and in research studies, and ambulatory blood pressure recorded during awake hours.
Health Care Reform
Thomas J. Hwang, AB; Nina Jain, MD, MBA; Julie C. Lauffenburger, PharmD, PhD; et al.
JAMA Intern Med. 2019;179(3):374-380. doi:10.1001/jamainternmed.2018.6417
This analysis of 75 brand-name drugs uses Medicare data to estimate the costs of proposed Medicare Part B and Part D reforms on total drug spending and patient cost-sharing for prescription drugs.
Audio Author Interview:
Analysis of Proposed Medicare Reforms on Prescription Drug Total Spending and Patient Cost-Sharing
Dae Hyun Kim, MD, MPH, ScD; Jonathan Afilalo, MD, MSc; Sandra M. Shi, MD; et al.
JAMA Intern Med. 2019;179(3):383-391. doi:10.1001/jamainternmed.2018.6738
This cohort study examines changes in functional status over time in patients who have undergone transcatheter aortic valve replacement or surgical aortic valve replacement.
Audio Author Interview:
Changes in Functional Status in the Year After Aortic Valve Replacement
Philipe de Souto Barreto, PhD; Yves Rolland, MD, PhD; Bruno Vellas, MD, PhD; et al.
JAMA Intern Med. 2019;179(3):394-405. doi:10.1001/jamainternmed.2018.5406
This systematic review and meta-analysis investigates the association of long-term exercise interventions with the risk of falls, injurious falls, multiple falls, fractures, hospitalization, and mortality in older adults.
Philippe Henrot, MD; Martine Boisserie-Lacroix, MD; Véronique Boute, MD; et al.
JAMA Intern Med. 2019;179(3):407-414. doi:10.1001/jamainternmed.2018.7169
This randomized clinical trial evaluates the benefits and disadvantages of self-compression mammography, a novel alternative to the routine, painful standard compression method.