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June 2019 - January 1908

Decade

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Issue

April 2019, Vol 179, No. 4, Pages 461-596

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(4):461-463. doi:10.1001/jamainternmed.2018.5486
Perspective

The “Hemolyzed” Physical Examination—Situational Challenges to Accurate Bedside Diagnosis

Abstract Full Text
JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018.8753

This essay suggests that clinicians should be aware of situational impediments to accurate physical examination findings.

Editorial

Implementing the USPSTF Recommendations on Prevention of Perinatal Depression—Opportunities and Challenges

Abstract Full Text
JAMA Intern Med. 2019;179(4):467-468. doi:10.1001/jamainternmed.2018.7729

This Editorial discusses the opportunities and challenges of implementing the interventions to prevent perinatal depression detailed in the US Preventive Services Task Force recommendation statement.

Original Investigation

Assessment of Racial/Ethnic and Income Disparities in the Prescription of Opioids and Other Controlled Medications in California

Abstract Full Text
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JAMA Intern Med. 2019;179(4):469-476. doi:10.1001/jamainternmed.2018.6721

This California population-based study assesses differential exposure to opioids via the health care system by race/ethnicity and income and describes the observed social gradient of the current opioid epidemic.

Epidemiology of Invasive Group B Streptococcal Infections Among Nonpregnant Adults in the United States, 2008-2016

Abstract Full Text
JAMA Intern Med. 2019;179(4):479-488. doi:10.1001/jamainternmed.2018.7269

Using population-based surveillance data, this case study reports epidemiology trends in invasive group B Streptococcus disease among US nonpregnant adults according to demographic characteristics, underlying clinical conditions, and isolate characteristics.

Association Between Ultraprocessed Food Consumption and Risk of Mortality Among Middle-aged Adults in France

Abstract Full Text
JAMA Intern Med. 2019;179(4):490-498. doi:10.1001/jamainternmed.2018.7289

This cohort study uses the self-reported food intake and other nutrition-related data of a large cohort of adults enrolled in the French NutriNet-Santé Study to assess the association between ultraprocessed food consumption and risk of death from any cause.

Less Is More

Measuring Hospital-Acquired Complications Associated With Low-Value Care

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(4):499-505. doi:10.1001/jamainternmed.2018.7464

This descriptive analysis examines the incidence of hospital-acquired complications in a cohort of patients undergoing 1 of 7 procedures for which hospital admission is usually not needed.

Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015

Abstract Full Text
JAMA Intern Med. 2019;179(4):506-514. doi:10.1001/jamainternmed.2018.7624

This epidemiological study evaluates the association of primary care physician supply and both all-cause and cause-specific mortality by comparing US population and insurance claims data with data on density of primary care physicians and specialist physician density.

Association of Adolescent Hypertension With Future End-stage Renal Disease

Abstract Full Text
JAMA Intern Med. 2019;179(4):517-523. doi:10.1001/jamainternmed.2018.7632

This cohort study examines nearly 50 years of medical data of adolescents conscripted into the Israel Defense Forces army to understand whether late-adolescence hypertension is a risk factor in the future development of end-stage renal disease.

Health Care Policy and Law

Analysis of Drivers of Disenrollment and Plan Switching Among Medicare Advantage Beneficiaries

Abstract Full Text
JAMA Intern Med. 2019;179(4):524-532. doi:10.1001/jamainternmed.2018.7639

This cross-sectional study characterizes trends in switching to and from Medicare Advantage plans among high-need beneficiaries and evaluates the drivers of disenrollment decisions among US Medicare enrollees.

Association of Adding Aspirin to Warfarin Therapy Without an Apparent Indication With Bleeding and Other Adverse Events

Abstract Full Text
JAMA Intern Med. 2019;179(4):533-541. doi:10.1001/jamainternmed.2018.7816

This registry-based cohort study compares adverse event rates up to 3 years after initiation of treatment among patients receiving combination warfarin and aspirin therapy (without a therapeutic indication for aspirin use) vs those receiving warfarin monotherapy.

Association of Urinary Oxalate Excretion With the Risk of Chronic Kidney Disease Progression

Abstract Full Text
JAMA Intern Med. 2019;179(4):542-551. doi:10.1001/jamainternmed.2018.7980

This study assesses whether urinary oxalate excretion predisposes patients to more rapid progression of chronic kidney disease.

Invited Commentary

Opioid Prescribing Trends and the Physician’s Role in Responding to the Public Health Crisis

Abstract Full Text
JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jamainternmed.2018.7934

Group B Streptococcus, an A-List Pathogen in Nonpregnant Adults

Abstract Full Text
JAMA Intern Med. 2019;179(4):488-489. doi:10.1001/jamainternmed.2018.7296

The Future of Primary Care in the United States Depends on Payment Reform

Abstract Full Text
JAMA Intern Med. 2019;179(4):515-516. doi:10.1001/jamainternmed.2018.7623

Implications of Oxalate as a Novel Risk Factor for Chronic Kidney Disease

Abstract Full Text
JAMA Intern Med. 2019;179(4):551-552. doi:10.1001/jamainternmed.2018.7987
Editor's Note

On the Need for (Only) High-Quality Clinical Practice Guidelines

Abstract Full Text
JAMA Intern Med. 2019;179(4):561. doi:10.1001/jamainternmed.2018.7471
Review

Factors Associated With High-Quality Guidelines for the Pharmacologic Management of Chronic Diseases in Primary Care: A Systematic Review

Abstract Full Text
JAMA Intern Med. 2019;179(4):553-560. doi:10.1001/jamainternmed.2018.7529

This systematic review uses the validated Appraisal of Guidelines for Research and Evaluation Instrument to assess 421 clinical practice guidelines for the management of common noncommunicable diseases in primary care and elucidate factors associated with quality of clinical practice guidelines.

Teachable Moment

Contraception Counseling in Patients With SLE and Other Chronic Medical Conditions Requiring Potentially Teratogenic Medications: A Teachable Moment

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(4):562-563. doi:10.1001/jamainternmed.2018.7990

This Teachable Moment emphasizes the importance of contraception counseling in patients with systemic lupus erythematosus and other chronic medical conditions requiring potentially teratogenic medications and outlines the means to overcome the present barriers to such counseling.

Research Letter

Evidence-Based Medicine and the American Thoracic Society Clinical Practice Guidelines

Abstract Full Text
JAMA Intern Med. 2019;179(4):584-586. doi:10.1001/jamainternmed.2018.7461

This study assesses whether American Thoracic Society clinical practice guidelines are substantiated by high-quality evidence and can be used to promote evidence-based medicine.

Challenges in Clinical Electrocardiography

Enhancing the Sgarbossa Criteria for the Diagnosis of ST Elevation Myocardial Infarction

Abstract Full Text
JAMA Intern Med. 2019;179(4):564-566. doi:10.1001/jamainternmed.2018.7993

This case report evaluates the Sgarbossa criteria for the diagnosis of ST elevation myocardial infarction and points to recent improvements in the criteria.

Wide QRS Tachycardia in a Man With a Medical History of Atrial Fibrillation

Abstract Full Text
JAMA Intern Med. 2019;179(4):567-569. doi:10.1001/jamainternmed.2018.8603

A man in his 70s with stage 4 chronic kidney disease and atrial fibrillation presented with 1 month of progressive dyspnea on exertion, orthopnea, and worsening lower extremity edema. What is your diagnosis?

Behavioral Health and Burnout Among Physician Mothers Who Care for a Person With a Serious Health Problem, Long-term Illness, or Disability

Abstract Full Text
JAMA Intern Med. 2019;179(4):571-574. doi:10.1001/jamainternmed.2018.6411

This survey study evaluates behavioral health risks and burnout among physician mothers who have caregiving responsibilities for persons in addition to their patients and children.

County-Level Opioid Prescribing in the United States, 2015 and 2017

Abstract Full Text
JAMA Intern Med. 2019;179(4):574-576. doi:10.1001/jamainternmed.2018.6989

This study examines trends in opioid prescribing at the US national and county levels during 2015 and 2017.

Racial Differences in Opioid Overdose Deaths in New York City, 2017

Abstract Full Text
JAMA Intern Med. 2019;179(4):576-578. doi:10.1001/jamainternmed.2018.7700

This study evaluates racial differences in opioid overdose deaths in New York City for 2017.

Health Care Policy and Law

Pharmaceutical Company Payments to Executive Board Members of Professional Medical Associations in Japan

Abstract Full Text
JAMA Intern Med. 2019;179(4):578-580. doi:10.1001/jamainternmed.2018.7283

This analysis of data from pharmaceutical manufacturers assesses the extent and distribution of industry payments to the executive board members of professional medical associations in Japan.

Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Discharge Instructions

Abstract Full Text
JAMA Intern Med. 2019;179(4):580-582. doi:10.1001/jamainternmed.2018.7653

This study assesses the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions.

Evaluation of the Inclusion of Studies Identified by the FDA as Having Falsified Data in the Results of Meta-analyses: The Example of the Apixaban Trials

Abstract Full Text
JAMA Intern Med. 2019;179(4):582-584. doi:10.1001/jamainternmed.2018.7661

This study evaluates the inclusion of studies identified by the FDA as having falsified data in the results of meta-analyses.

Comment & Response

Association of NSAID Use and Renal Complications

Abstract Full Text
JAMA Intern Med. 2019;179(4):586. doi:10.1001/jamainternmed.2018.8684

Association of NSAID Use and Renal Complications—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):587. doi:10.1001/jamainternmed.2018.8681

AV Nodal Wenckebach Masquerading as Infra-His Wenckebach Due to Intra-atrial Conduction Delay

Abstract Full Text
JAMA Intern Med. 2019;179(4):587-588. doi:10.1001/jamainternmed.2018.8630

AV Nodal Wenckebach Masquerading as Infra-His Wenckebach Due to Intra-atrial Conduction Delay–In Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):588. doi:10.1001/jamainternmed.2018.8597

Balance Between Best Practice and Patient Satisfaction: Antimicrobial Stewardship in Telemedicine

Abstract Full Text
JAMA Intern Med. 2019;179(4):588-589. doi:10.1001/jamainternmed.2018.8744

Balance Between Best Practice and Patient Satisfaction: Antimicrobial Stewardship in Telemedicine

Abstract Full Text
JAMA Intern Med. 2019;179(4):589. doi:10.1001/jamainternmed.2018.8763

Balance Between Best Practice and Patient Satisfaction: Antimicrobial Stewardship in Telemedicine—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):589-590. doi:10.1001/jamainternmed.2018.8772

Older People Might Be at Most Serious Risk in Antihypertensive Treatment

Abstract Full Text
JAMA Intern Med. 2019;179(4):590. doi:10.1001/jamainternmed.2018.8600

Older People Might Be at Most Serious Risk in Antihypertensive Treatment—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):590-591. doi:10.1001/jamainternmed.2018.8619

Medication Effects on Fecal Occult Blood Testing

Abstract Full Text
JAMA Intern Med. 2019;179(4):591. doi:10.1001/jamainternmed.2019.0132

Less Is More

Medication Effects on Fecal Occult Blood Testing—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):591-592. doi:10.1001/jamainternmed.2019.0129

Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety

Abstract Full Text
JAMA Intern Med. 2019;179(4):592-593. doi:10.1001/jamainternmed.2019.0146

Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety

Abstract Full Text
JAMA Intern Med. 2019;179(4):593. doi:10.1001/jamainternmed.2019.0149

Clarifications Needed on Study of Association Between Physician Burnout and Patient Safety—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):593-594. doi:10.1001/jamainternmed.2019.0152

From the American College of Chest Physicians: Guidelines on Conflict-of-Interest Management

Abstract Full Text
JAMA Intern Med. 2019;179(4):594-595. doi:10.1001/jamainternmed.2019.0167

From the American College of Chest Physicians: Guidelines on Conflict-of-Interest Management—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(4):595-596. doi:10.1001/jamainternmed.2019.0160
Correction

Errors in Data Entry and Figures

Abstract Full Text
free access
JAMA Intern Med. 2019;179(4):596. doi:10.1001/jamainternmed.2019.0155
Images From Our Readers

American Bison in a Snow Flurry

Abstract Full Text
JAMA Intern Med. 2019;179(4):478. doi:10.1001/jamainternmed.2019.0022
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2019;179(4):464. doi:10.1001/jamainternmed.2018.5487
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