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June 2019 - January 1908

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Issue

June 2019, Vol 179, No. 6, Pages 737-854

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(6):737-739. doi:10.1001/jamainternmed.2018.5496
Original Investigation

Cardiovascular Outcomes of Calcium-Free vs Calcium-Based Phosphate Binders in Patients 65 Years or Older With End-stage Renal Disease Requiring Hemodialysis

Abstract Full Text
JAMA Intern Med. 2019;179(6):741-749. doi:10.1001/jamainternmed.2019.0045

This observational study examines the use of sevelamer vs calcium acetate for treatment of hyperphosphatemia in patients 65 years or older with end-stage renal disease who are undergoing hemodialysis.

Effect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2019;179(6):751-759. doi:10.1001/jamainternmed.2019.0077

This cluster randomized clinical trial evaluates the effect of a communication quality-improvement intervention on a goal-concordant care and peacefulness at the end of life among oncology clinicians and patients with advanced cancer.

Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations

Abstract Full Text
open access has audio
JAMA Intern Med. 2019;179(6):760-767. doi:10.1001/jamainternmed.2019.0095

This secondary analysis of time-motion data from participants in a cluster-randomized trial assesses how first-year internal medicine residents allocate time spent working on general medicine inpatient services.

Association of Stratification by Dual Enrollment Status With Financial Penalties in the Hospital Readmissions Reduction Program

Abstract Full Text
JAMA Intern Med. 2019;179(6):769-776. doi:10.1001/jamainternmed.2019.0117

This cross-sectional study examines changes in performance and penalties after stratification of hospitals by the Hospital Readmissions Reduction Program into groups based on the proportion of each hospital’s Medicare patient population that is enrolled in both Medicare and Medicaid.

Association of Cumulative Socioeconomic and Health-Related Disadvantage With Disparities in Smoking Prevalence in the United States, 2008 to 2017

Abstract Full Text
JAMA Intern Med. 2019;179(6):777-785. doi:10.1001/jamainternmed.2019.0192

This study of a nationally representative cross-sectional annual household-based probability sample of noninstitutionalized residents estimates disparities in smoking prevalence associated with the number of socioeconomic and health-related disadvantages faced by US adults from 2008 to 2017.

Association Between Receipt of a Medically Tailored Meal Program and Health Care Use

Abstract Full Text
open access
JAMA Intern Med. 2019;179(6):786-793. doi:10.1001/jamainternmed.2019.0198

This cohort study looks at the incidence of inpatient and skilled nursing facility admissions, as well as health care costs, for recipients of home-delivered medically tailored meals.

Diagnostic Performance of Creatinine-Based Equations for Estimating Glomerular Filtration Rate in Adults 65 Years and Older

Abstract Full Text
JAMA Intern Med. 2019;179(6):796-804. doi:10.1001/jamainternmed.2019.0223

This cross-sectional study compares 4 equations used to estimate glomerular filtration rate against measurement of inulin 2247 older French adults with varying degrees of kidney health.

Health Care Policy and Law

Association Between State Laws Facilitating Pharmacy Distribution of Naloxone and Risk of Fatal Overdose

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(6):805-811. doi:10.1001/jamainternmed.2019.0272

This population-based study examines fatal opioid overdose rates in states with policies allowing pharmacy distribution of naloxone.

Association of Treatment With 5α-Reductase Inhibitors With Time to Diagnosis and Mortality in Prostate Cancer

Abstract Full Text
has active quiz
JAMA Intern Med. 2019;179(6):812-819. doi:10.1001/jamainternmed.2019.0280

This population-based cohort study examines medical records of 80 875 men who were treated at Veterans Affairs hospitals for prostate cancer to compare the time to diagnosis and mortality in men previously treated with 5α-reductase inhibitors for benign prostatic hyperplasia with those of men who received different or no treatment.

Invited Commentary

Comparative Safety of Phosphate Binders Without Proven Efficacy—How Did We Get Here?

Abstract Full Text
JAMA Intern Med. 2019;179(6):749-750. doi:10.1001/jamainternmed.2019.0043

A Modern Snapshot of the Daily Work of Medical Interns—The Burden of Indirect Patient Care

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(6):767-768. doi:10.1001/jamainternmed.2019.0092

Food Is Medicine—The Promise and Challenges of Integrating Food and Nutrition Into Health Care

Abstract Full Text
JAMA Intern Med. 2019;179(6):793-795. doi:10.1001/jamainternmed.2019.0184

Advance Care Planning Codes—Getting Paid for Quality Care

Abstract Full Text
JAMA Intern Med. 2019;179(6):830-831. doi:10.1001/jamainternmed.2018.8105

Family Caregivers Needed—No Training Provided

Abstract Full Text
JAMA Intern Med. 2019;179(6):835-836. doi:10.1001/jamainternmed.2018.8689

Evaluating Digital Health Tools—Prospective, Experimental, and Real World

Abstract Full Text
JAMA Intern Med. 2019;179(6):840-841. doi:10.1001/jamainternmed.2018.7229
Editor's Note

Supplemental Security Income and the Health of Low-Income Adults

Abstract Full Text
JAMA Intern Med. 2019;179(6):843-844. doi:10.1001/jamainternmed.2019.0058
Special Communication

Prognosis Reconsidered in Light of Ancient Insights—From Hippocrates to Modern Medicine

Abstract Full Text
JAMA Intern Med. 2019;179(6):820-823. doi:10.1001/jamainternmed.2019.0302

This article discusses the ways that the meaning of prognosis has evolved over time and its implications for practice in modern medicine.

Research Letter

Assessment of First-Year Use of Medicare’s Advance Care Planning Billing Codes

Abstract Full Text
JAMA Intern Med. 2019;179(6):827-829. doi:10.1001/jamainternmed.2018.8107

This observational analysis characterizes the first year of use of the Medicare code for advance care planning and describes beneficiaries most likely to receive advance care planning.

Early Utilization Patterns of the New Medicare Procedure Codes for Advance Care Planning

Abstract Full Text
JAMA Intern Med. 2019;179(6):829-830. doi:10.1001/jamainternmed.2018.8615

This study of Medicare claims analyzes utilization patterns for new Current Procedural Terminology codes for advance care planning visits.

Health Care Policy and Law

Favorable Formulary Placement of Branded Drugs in Medicare Prescription Drug Plans When Generics Are Available

Abstract Full Text
JAMA Intern Med. 2019;179(6):832-833. doi:10.1001/jamainternmed.2018.7824

This study examines Medicare Part D prescription drug plans to assess how often branded products were given more favorable formulary placement than generic products.

Factors Associated With Receipt of Training Among Caregivers of Older Adults

Abstract Full Text
JAMA Intern Med. 2019;179(6):833-835. doi:10.1001/jamainternmed.2018.8694

This study uses data from the 2015 National Health and Aging Trends Survey to investigate whether family and unpaid caregiver characteristics are associated with the receipt of caregiver training.

Automatically Charting Symptoms From Patient-Physician Conversations Using Machine Learning

Abstract Full Text
open access
JAMA Intern Med. 2019;179(6):836-838. doi:10.1001/jamainternmed.2018.8558

This study assesses the feasibility of using machine learning to automatically populate a review of systems of all symptoms discussed in an encounter between a patient and a clinician.

Characteristics of Digital Health Studies Registered in ClinicalTrials.gov

Abstract Full Text
JAMA Intern Med. 2019;179(6):838-840. doi:10.1001/jamainternmed.2018.7235

This analysis of digital health studies in ClinicalTrials.gov examines the clinical evidence underlying digital health interventions.

Association of Health Status With Receipt of Supplemental Security Income Among Individuals With Severe Disabilities and Very Low Income and Assets

Abstract Full Text
JAMA Intern Med. 2019;179(6):842-843. doi:10.1001/jamainternmed.2018.8609

This study assesses the association of health status with receipt of Supplemental Security Income by comparing the health patterns among individuals before vs after entry into the program.

Challenges in Clinical Electrocardiography

Pseudo–Ventricular Tachycardia, Pseudo–Atrial Fibrillation, and Pseudo–Atrial Flutter in a Patient With Parkinson Disease: Two’s Company, Three’s a Crowd

Abstract Full Text
JAMA Intern Med. 2019;179(6):824-826. doi:10.1001/jamainternmed.2019.0746

This case report describes pseudo–ventricular tachycardia, pseudo–atrial fibrillation, and pseudo–atrial flutter in a patient with Parkinson disease.

Comment & Response

Effectiveness of a Best Practice Alert to Reduce Telemetry Orders

Abstract Full Text
JAMA Intern Med. 2019;179(6):844. doi:10.1001/jamainternmed.2019.0708

Less Is More

Effectiveness of a Best Practice Alert to Reduce Telemetry Orders—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):844-845. doi:10.1001/jamainternmed.2019.0705

Future Directions for Corticosteroids in Treatment of Sepsis

Abstract Full Text
JAMA Intern Med. 2019;179(6):845. doi:10.1001/jamainternmed.2019.0859

Future Directions for Corticosteroids in Treatment of Sepsis—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):845. doi:10.1001/jamainternmed.2019.0856

Providing Prescriptions to the Patient Who Is Leaving Against Medical Advice

Abstract Full Text
JAMA Intern Med. 2019;179(6):845-846. doi:10.1001/jamainternmed.2019.0878

Complication Rates in a Study of Invasive Diagnostic Procedures for Lung Abnormalities

Abstract Full Text
JAMA Intern Med. 2019;179(6):846-847. doi:10.1001/jamainternmed.2019.0960

Complication Rates in a Study of Invasive Diagnostic Procedures for Lung Abnormalities—In Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):847. doi:10.1001/jamainternmed.2019.0954

Lack of Standardized Terminology in Ultrasound Reports for Ovarian Cysts

Abstract Full Text
JAMA Intern Med. 2019;179(6):847-848. doi:10.1001/jamainternmed.2019.0970

Lack of Standardized Terminology in Ultrasound Reports for Ovarian Cysts—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):848-849. doi:10.1001/jamainternmed.2019.0976

Insulin Cost and Underuse in Patients With Diabetes

Abstract Full Text
JAMA Intern Med. 2019;179(6):849. doi:10.1001/jamainternmed.2019.0973

Power Calculations, Effect Sizes, and 30-Day Mortality in Enterobacteriaceae Bacteremia

Abstract Full Text
JAMA Intern Med. 2019;179(6):849-850. doi:10.1001/jamainternmed.2019.1190

Methodological Issues in Determining the Accuracy of Automated Office Blood Pressure Readings for Diagnosing Hypertension

Abstract Full Text
JAMA Intern Med. 2019;179(6):850. doi:10.1001/jamainternmed.2019.1224

Methodological Issues in Determining the Accuracy of Automated Office Blood Pressure Readings for Diagnosing Hypertension—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):850-851. doi:10.1001/jamainternmed.2019.1221

“Not Shared” Need Not Mean “Not Patient Centered”: Deciding That a Patient Is Not a Candidate

Abstract Full Text
JAMA Intern Med. 2019;179(6):851-852. doi:10.1001/jamainternmed.2019.1227

“Not Shared” Need Not Mean “Not Patient Centered”: Deciding That a Patient Is Not a Candidate—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):852. doi:10.1001/jamainternmed.2019.1237

Digital Breast Tomosynthesis for Women Older Than 70 Years

Abstract Full Text
JAMA Intern Med. 2019;179(6):853. doi:10.1001/jamainternmed.2019.1234

Digital Breast Tomosynthesis for Women Older Than 70 Years—Reply

Abstract Full Text
JAMA Intern Med. 2019;179(6):853-854. doi:10.1001/jamainternmed.2019.0957
Correction

Error in Key Points

Abstract Full Text
free access
JAMA Intern Med. 2019;179(6):854. doi:10.1001/jamainternmed.2019.1010
Images From Our Readers

Limpkin, Sweetwater Preserve, Gainesville, Florida

Abstract Full Text
JAMA Intern Med. 2019;179(6):854. doi:10.1001/jamainternmed.2019.0419
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2019;179(6):740. doi:10.1001/jamainternmed.2018.5497
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