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August 2019 - January 1908

Decade

Year

Issue

March 2019, Vol 179, No. 3, Pages 285-460

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):285-287. doi:10.1001/jamainternmed.2018.5481
Viewpoint

New Breast Cancer Screening Technologies in Older Women—Is It Time to Pump the Brakes?

Abstract Full Text
JAMA Intern Med. 2019;179(3):289-290. doi:10.1001/jamainternmed.2018.7767

This Viewpoint describes ways that Medicare could modify its approach to payment of new breast cancer screening services for older women.

State Preemption to Prevent Local Taxation of Sugar-Sweetened Beverages

Abstract Full Text
JAMA Intern Med. 2019;179(3):291-292. doi:10.1001/jamainternmed.2018.7770

This Viewpoint examines growing legislation regarding state preemption on taxation of sugar-sweetened beverages and how previous practice in the tobacco industry may provide indication for the future.

Health Care Reform

Deep Learning in Medicine—Promise, Progress, and Challenges

Abstract Full Text
JAMA Intern Med. 2019;179(3):293-294. doi:10.1001/jamainternmed.2018.7117

This Viewpoint examines the successes achieved in deep learning in medicine and the challenges still faced by deep learning.

Perspective

Physician Work Environment and Well-Being

“It’s Cancer”—The Malady of All Emperors

Abstract Full Text
JAMA Intern Med. 2019;179(3):295-296. doi:10.1001/jamainternmed.2018.7834

This article discusses the importance of delivering bad medical news properly to patients and the increased difficulty caused by the modern electronic health record system.

Original Investigation

Health Care Reform

Quality and Experience of Outpatient Care in the United States for Adults With or Without Primary Care

Abstract Full Text
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.

Association of Prescribed Opioids With Increased Risk of Community-Acquired Pneumonia Among Patients With and Without HIV

Abstract Full Text
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.

Sharing Medicine

Care Practices for Patients With Advanced Kidney Disease Who Forgo Maintenance Dialysis

Abstract Full Text
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.

Less Is More

Association of 30-Day Mortality With Oral Step-Down vs Continued Intravenous Therapy in Patients Hospitalized With Enterobacteriaceae Bacteremia

Abstract Full Text
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.

Complication Rates and Downstream Medical Costs Associated With Invasive Diagnostic Procedures for Lung Abnormalities in the Community Setting

Abstract Full Text
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.

Association of Antibiotic Treatment With Outcomes in Patients Hospitalized for an Asthma Exacerbation Treated With Systemic Corticosteroids

Abstract Full Text
has active quiz
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.

National Trends and Long-term Outcomes of Liver Transplant for Alcohol-Associated Liver Disease in the United States

Abstract Full Text
has active quiz
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.

Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension: A Systematic Review and Meta-analysis

Abstract Full Text
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

Analysis of Proposed Medicare Part B to Part D Shift With Associated Changes in Total Spending and Patient Cost-Sharing for Prescription Drugs

Abstract Full Text
has audio
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.

Evaluation of Changes in Functional Status in the Year After Aortic Valve Replacement

Abstract Full Text
has audio
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.

Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults: A Systematic Review and Meta-analysis

Abstract Full Text
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.

Self-compression Technique vs Standard Compression in Mammography: A Randomized Clinical Trial

Abstract Full Text
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.

Invited Commentary

Active Medical Management for Patients With Advanced Kidney Disease

Abstract Full Text
JAMA Intern Med. 2019;179(3):313-315. doi:10.1001/jamainternmed.2018.6195

Changing Times in Liver Transplantation for Alcohol-Associated Liver Disease

Abstract Full Text
JAMA Intern Med. 2019;179(3):348-350. doi:10.1001/jamainternmed.2018.6532

Health Care Reform

Does Primary Care Add Sufficient Value to Deserve Better Funding?

Abstract Full Text
JAMA Intern Med. 2019;179(3):372-373. doi:10.1001/jamainternmed.2018.6707

Managing the Cost of Medicare Part B Drugs: Implications for the Program and Beneficiaries

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(3):380-382. doi:10.1001/jamainternmed.2018.6146

Less Is More

Invasive Procedures to Improve Function in Frail Older Adults: Do Outcomes Justify the Intervention?

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(3):391-393. doi:10.1001/jamainternmed.2018.6708

Exercise Programs in Older Adults—A Prescription for Fall Reduction

Abstract Full Text
JAMA Intern Med. 2019;179(3):405-406. doi:10.1001/jamainternmed.2018.5389

Tepid Steps on Drug Pricing

Abstract Full Text
JAMA Intern Med. 2019;179(3):439-441. doi:10.1001/jamainternmed.2018.6593
Evidence to Practice

Calcitonin Gene-Related Peptide Monoclonal Antibody Treatments for Migraine

Abstract Full Text
JAMA Intern Med. 2019;179(3):421-422. doi:10.1001/jamainternmed.2018.7536

This review summarizes an evidence report by the Institute for Clinical and Economic Review on the effectiveness and value of 2 new calcitonin gene-related peptide monoclonal antibody treatments for migraine.

From the JAMA Network

Deconstructing Burnout to Define a Positive Path Forward

Abstract Full Text
JAMA Intern Med. 2019;179(3):429-430. doi:10.1001/jamainternmed.2018.8247

This article describes a method for decreasing physician burnout by standardizing criteria for defining burnout and describing a framework to deconstruct burnout.

Teachable Moment

Less Is More

Avoiding Hospital Discharge Against Medical Advice: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2019;179(3):423-424. doi:10.1001/jamainternmed.2018.7286

This Teachable Moment describes an approach that can be used to avoid hospital discharges against medical advice and help to reduce the stigma associated with them.

Less Is More

Elective Colonoscopy in Older Adults—Minimizing Risks: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2019;179(3):425-426. doi:10.1001/jamainternmed.2018.7666

This Teachable Moment describes the case of an elderly man who chose to undergo elective colonoscopy and polypectomy, possibly without a clear understanding of the risk-benefit imbalance of such a procedure.

Initiating Opioid Agonist Treatment for Opioid Use Disorder in the Inpatient Setting: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2019;179(3):427-428. doi:10.1001/jamainternmed.2018.6749

This Teachable Moment describes an approach for initiating opioid agonist treatment in the inpatient setting that obviates the need for opioid withdrawal.

Challenges in Clinical Electrocardiography

Electrocardiographic Findings in Ventricular Paced Rhythm With Hyperkalemia

Abstract Full Text
JAMA Intern Med. 2019;179(3):415-417. doi:10.1001/jamainternmed.2018.8004

This case report presents the electrocardiographic findings in ventricular paced rhythm with hyperkalemia.

Syncope in a Patient With Wolff-Parkinson-White Pattern: Not All That Glitters Is Gold

Abstract Full Text
JAMA Intern Med. 2019;179(3):418-420. doi:10.1001/jamainternmed.2018.7646

This case report describes a patient with syncope and an electrocardiographic finding of Wolff-Parkinson-White pattern.

Research Letter

Assessment of Spending in Medicare Part D If Medication Prices From the Department of Veterans Affairs Were Used

Abstract Full Text
JAMA Intern Med. 2019;179(3):431-433. doi:10.1001/jamainternmed.2018.5874

This study uses the most recent national data available from Medicare and the Department of Veterans Affairs to quantify the savings Medicare Part D would achieve if it paid the same prices for prescription drugs currently paid by the Department of Veterans Affairs.

Physician Work Environment and Well-Being

Analysis of Gender Equity in Leadership of Physician-Focused Medical Specialty Societies, 2008-2017

Abstract Full Text
JAMA Intern Med. 2019;179(3):433-435. doi:10.1001/jamainternmed.2018.5303

This cross-sectional study examines gender equity in the presidential leadership of medical specialty societies over a 10-year period.

Consumer Responses to Price Disclosure in Direct-to-Consumer Pharmaceutical Advertising

Abstract Full Text
JAMA Intern Med. 2019;179(3):435-437. doi:10.1001/jamainternmed.2018.5976

This survey-based behavioral experiment was conducted to understand how consumers are likely to respond to including the drug price in any direct-to-consumer pharmaceutical advertising.

Estimates of the Number of Brand-name Drugs Affected by the Medicaid Rebate Cap in 2017

Abstract Full Text
JAMA Intern Med. 2019;179(3):437-439. doi:10.1001/jamainternmed.2018.6559

This analysis of Medicaid reimbursement data examines the financial implications of removing the Medicaid rebate cap.

Media Trends for the Substance Abuse and Mental Health Services Administration 800-662-HELP Addiction Treatment Referral Services After a Celebrity Overdose

Abstract Full Text
JAMA Intern Med. 2019;179(3):441-442. doi:10.1001/jamainternmed.2018.6562

This evaluation of media trends compared searches on social media for key words after a celebrity overdose and a celebrity suicide.

Place-Based Inequity in Smoking Prevalence in the Largest Cities in the United States

Abstract Full Text
JAMA Intern Med. 2019;179(3):442-444. doi:10.1001/jamainternmed.2018.5990

This study uses data from the 500 Cities Project to characterize inequities in cigarette smoking both between and within cities and their association with sociodemographic factors and chronic diseases.

Utilization of Long-Acting Reversible Contraceptives in the United States After vs Before the 2016 US Presidential Election

Abstract Full Text
JAMA Intern Med. 2019;179(3):444-446. doi:10.1001/jamainternmed.2018.7111

This study examines the utilization rate of long-acting reversible contraceptives after the 2016 US presidential election compared with before the election and during the same period in 2015.

Trends in Testosterone Prescribing for Age-related Hypogonadism in Men With and Without Heart Disease

Abstract Full Text
JAMA Intern Med. 2019;179(3):446-448. doi:10.1001/jamainternmed.2018.6505

This cohort study examines the trend in prescription testosterone use among male Medicare beneficiaries with and without coronary artery disease aged 50 years or older.

Comment & Response

Delivery of Bottled Water to Women With Recurrent Urinary Tract Infections: Why in Bulgaria?

Abstract Full Text
JAMA Intern Med. 2019;179(3):448-449. doi:10.1001/jamainternmed.2018.8240

Delivery of Bottled Water to Women With Recurrent Urinary Tract Infections: Why in Bulgaria?—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(3):449. doi:10.1001/jamainternmed.2018.7977

Low-Dose Amitriptyline for Chronic Low Back Pain

Abstract Full Text
JAMA Intern Med. 2019;179(3):449-450. doi:10.1001/jamainternmed.2018.8137

Low-Dose Amitriptyline for Chronic Low Back Pain

Abstract Full Text
JAMA Intern Med. 2019;179(3):450. doi:10.1001/jamainternmed.2018.8140

Low-Dose Amitriptyline for Chronic Low Back Pain—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(3):450-451. doi:10.1001/jamainternmed.2018.8145

Sodium-Glucose Cotransporter 2 Inhibitors and Amputations

Abstract Full Text
JAMA Intern Med. 2019;179(3):451-452. doi:10.1001/jamainternmed.2018.8134

A Case for n-of-1 Trials

Abstract Full Text
JAMA Intern Med. 2019;179(3):452. doi:10.1001/jamainternmed.2018.7166

A Case for n-of-1 Trials

Abstract Full Text
JAMA Intern Med. 2019;179(3):452-453. doi:10.1001/jamainternmed.2018.7183

A Case for n-of-1 Trials—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(3):453. doi:10.1001/jamainternmed.2018.7180

Finding Benefit in n-of-1 Trials

Abstract Full Text
JAMA Intern Med. 2019;179(3):453-454. doi:10.1001/jamainternmed.2018.8379

Finding Benefit in n-of-1 Trials

Abstract Full Text
JAMA Intern Med. 2019;179(3):454-455. doi:10.1001/jamainternmed.2018.8382

Finding Benefit in n-of-1 Trials—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(3):455. doi:10.1001/jamainternmed.2018.8330

Inconsistencies in Reporting Studies of Lactic Acidosis

Abstract Full Text
JAMA Intern Med. 2019;179(3):455-456. doi:10.1001/jamainternmed.2018.8627

Inconsistencies in Reporting Studies of Lactic Acidosis—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(3):456. doi:10.1001/jamainternmed.2018.8594

Association Between April 20 Cannabis Celebration and Fatal Crashes

Abstract Full Text
JAMA Intern Med. 2019;179(3):456. doi:10.1001/jamainternmed.2018.8094
Correction

Error in Editorial Note

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):456-457. doi:10.1001/jamainternmed.2018.7695

Errors in Table Row Headings

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2018.8727

Error in Axis in Figure 2B

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2018.8236

Errors in Byline and Table and Omitted Conflict of Interest Disclosure

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2019.0175

Error in Author Affiliation

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2019.0135

Errors in Table 1

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2019.0248

Error in Figure Legend

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):457. doi:10.1001/jamainternmed.2019.0249
Images From Our Readers

Coney Island on a Foggy June Afternoon

Abstract Full Text
JAMA Intern Med. 2019;179(3):417. doi:10.1001/jamainternmed.2019.0018
JAMA Internal Medicine Patient Page

Vitamins and Nutritional Supplements: What Do I Need to Know?

Abstract Full Text
free access
JAMA Intern Med. 2019;179(3):460. doi:10.1001/jamainternmed.2018.5880

This Patient Page describes the safety, efficacy, and dangers of vitamins and nutritional supplements.

JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2019;179(3):288. doi:10.1001/jamainternmed.2018.5482
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