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July 2020 - January 1908

Decade

Year

Issue

March 2020, Vol 180, No. 3, Pages 344-474

Original Investigation

Mortality Trends for Veterans Hospitalized With Heart Failure and Pneumonia Using Claims-Based vs Clinical Risk-Adjustment Variables

Abstract Full Text
JAMA Intern Med. 2020;180(3):347-355. doi:10.1001/jamainternmed.2019.5970

This observational time-trend study compares trends in 30-day mortality rates among veterans hospitalized with heart failure and pneumonia when claims-based vs clinical variables are used in risk-adjustment models.

Disparities in Care and Mortality Among Homeless Adults Hospitalized for Cardiovascular Conditions

Abstract Full Text
JAMA Intern Med. 2020;180(3):357-366. doi:10.1001/jamainternmed.2019.6010

This cross-sectional study evaluates differences in intensity of care and mortality between homeless and nonhomeless individuals hospitalized for acute myocardial infarction, stroke, cardiac arrest, or heart failure.

Association Between Exposure to Pyrethroid Insecticides and Risk of All-Cause and Cause-Specific Mortality in the General US Adult Population

Abstract Full Text
has active quiz
JAMA Intern Med. 2020;180(3):367-374. doi:10.1001/jamainternmed.2019.6019

This cohort study uses data from the National Health and Nutrition Examination Survey conducted from 1999 to 2002 to investigate whether exposure to pyrethroid insecticides is associated with the risk of all-cause, cardiovascular, and cancer mortality in the general US adult population.

Clinical Effectiveness and Safety of Aspirin for Venous Thromboembolism Prophylaxis After Total Hip and Knee Replacement: A Systematic Review and Meta-analysis of Randomized Clinical Trials

Abstract Full Text
has active quiz
JAMA Intern Med. 2020;180(3):376-384. doi:10.1001/jamainternmed.2019.6108

This systematic review and meta-analysis of randomized clinical trials assesses the effectiveness and safety of aspirin for venous thromboembolism prophylaxis after total hip replacement and total knee replacement.

Hospital Transfer Rates Among US Nursing Home Residents With Advanced Illness Before and After Initiatives to Reduce Hospitalizations

Abstract Full Text
JAMA Intern Med. 2020;180(3):385-394. doi:10.1001/jamainternmed.2019.6130

This cross-sectional study uses Minimum Data Set assessments to investigate the hospital transfer rates among nursing home residents in the United States with advanced illness between 2011 and 2017 after the introduction of national initiatives to reduce hospitalizations.

Physician Work Environment and Well-Being

Professional Dissonance and Burnout in Primary Care: A Qualitative Study

Abstract Full Text
JAMA Intern Med. 2020;180(3):395-401. doi:10.1001/jamainternmed.2019.6326

This qualitative study identifies sources of burnout and potential remedies after conducting focus group discussions and interviews among primary care practitioners at a large US academic medical center.

Post–Acute Kidney Injury Proteinuria and Subsequent Kidney Disease Progression: The Assessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) Study

Abstract Full Text
JAMA Intern Med. 2020;180(3):402-410. doi:10.1001/jamainternmed.2019.6390

This cohort study quantifies whether proteinuria after hospital discharge is associated with future loss of renal function among patients who had acute kidney injury during hospitalization.

Effectiveness of Combined Behavioral and Drug Therapy for Overactive Bladder Symptoms in Men: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2020;180(3):411-419. doi:10.1001/jamainternmed.2019.6398

This randomized clinical trial evaluates whether combining behavioral and drug therapies improves outcomes compared with each therapy alone for overactive bladder symptoms in men and compares 3 sequences for implementing combined therapy.

Association of Ticagrelor vs Clopidogrel With Major Adverse Coronary Events in Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention

Abstract Full Text
JAMA Intern Med. 2020;180(3):420-428. doi:10.1001/jamainternmed.2019.6447

This cohort study compares the risk of major adverse coronary events (MACE) associated with use of ticagrelor vs clopidogrel in patients with acute coronary syndrome treated with percutaneous coronary intervention.

Association of Social Mobility With the Income-Related Longevity Gap in the United States: A Cross-Sectional, County-Level Study

Abstract Full Text
open access
JAMA Intern Med. 2020;180(3):429-436. doi:10.1001/jamainternmed.2019.6532

This cross-sectional study uses county-level data to assess the association of social mobility with income-related differences in life expectancy of individuals at age 40 years in the United States.

Health Care Policy and Law

Trends in Unmet Need for Physician and Preventive Services in the United States, 1998-2017

Abstract Full Text
has audio
JAMA Intern Med. 2020;180(3):439-448. doi:10.1001/jamainternmed.2019.6538

This survey study identifies changes in unmet need for physician services among insured and uninsured adults aged 18 to 64 years in the United States from the 1998 and 2017 Behavioral Risk Factor Surveillance System surveys.

Editorial

Physician Work Environment and Well-Being

Primary Care Practitioners’ Perspectives on Burnout and What to Do About It

Abstract Full Text
JAMA Intern Med. 2020;180(3):345-346. doi:10.1001/jamainternmed.2019.6322
Invited Commentary

Getting Better at Measuring Hospital Mortality

Abstract Full Text
JAMA Intern Med. 2020;180(3):355-356. doi:10.1001/jamainternmed.2019.6574

Pyrethroid Insecticides—Time for a Closer Look

Abstract Full Text
JAMA Intern Med. 2020;180(3):374-375. doi:10.1001/jamainternmed.2019.6093

Intergenerational Economic Mobility—Invest in Children’s Economic Futures to Improve Adult Health?

Abstract Full Text
JAMA Intern Med. 2020;180(3):436-438. doi:10.1001/jamainternmed.2019.7209

Looking Back to Improve Access to Health Care Moving Forward

Abstract Full Text
has audio
JAMA Intern Med. 2020;180(3):448-449. doi:10.1001/jamainternmed.2019.6764
Teachable Moment

Less Is More

Managing Clinical Uncertainty: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2020;180(3):452-453. doi:10.1001/jamainternmed.2019.6700

This Teachable Moment encourages managing clinical uncertainty by using strategies that prioritize continuity of care, communication, and trust.

Research Letter

Potential Medicare Savings on Inhaler Prescriptions Through the Use of Negotiated Prices and a Defined Formulary

Abstract Full Text
JAMA Intern Med. 2020;180(3):454-456. doi:10.1001/jamainternmed.2019.5337

This study examines the estimated cost of asthma inhalers for individuals treated under Medicare Part B compared with those treated under the Veterans Affairs Health System, taking into account separate approaches to price negotiation.

Public Awareness for a Sexual Assault Hotline Following a Grey’s Anatomy Episode

Abstract Full Text
JAMA Intern Med. 2020;180(3):456-458. doi:10.1001/jamainternmed.2019.5280

This study examines a rise in telephone calls to the Rape, Abuse, and Incest National Network rape crisis hotline in the wake of an episode of the television show Grey’s Anatomy focused on rape and ending with the hotline number.

Presence of Piracetam in Cognitive Enhancement Dietary Supplements

Abstract Full Text
JAMA Intern Med. 2020;180(3):458-459. doi:10.1001/jamainternmed.2019.5507

This study analyzes 5 brands of dietary supplements to determine the prevalence of the nootropic drug piracetam in supplements advertised as cognitive enhancers.

Underappreciated Bias Created by Measurement Error in Risk Factor Assessment—A Case Study of No Safe Level of Alcohol Consumption

Abstract Full Text
JAMA Intern Med. 2020;180(3):459-461. doi:10.1001/jamainternmed.2019.6116

This quality improvement study assesses the potential consequences of systematic underreporting of alcohol use on the observed results in a recent, well-publicized study.

Less Is More

Characterizing Relative and Disease-Specific Survival in Early-Stage Cancers

Abstract Full Text
JAMA Intern Med. 2020;180(3):461-463. doi:10.1001/jamainternmed.2019.6120

This cohort study examines the relative and disease-specific survival rates for patients with 10 early-stage cancers.

Health Care Reform

Characteristics of Americans With Primary Care and Changes Over Time, 2002-2015

Abstract Full Text
JAMA Intern Med. 2020;180(3):463-466. doi:10.1001/jamainternmed.2019.6282

This survey study assesses who has primary care in the United States and how this has changed over time.

Challenges in Clinical Electrocardiography

Wide QRS Complex Tachycardia in an Apparently Healthy Man

Abstract Full Text
JAMA Intern Med. 2020;180(3):450-451. doi:10.1001/jamainternmed.2019.6694

This case report presents the electrocardiographic findings of an apparently healthy man in his 40s.

Comment & Response

The Number of Discarded Kidneys Is Likely Much Larger Than Reported

Abstract Full Text
JAMA Intern Med. 2020;180(3):466-467. doi:10.1001/jamainternmed.2019.6096

The Number of Discarded Kidneys Is Likely Much Larger Than Reported—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(3):467-468. doi:10.1001/jamainternmed.2019.6099

Estimating Fluid Consumption Volumes in Electronic Cigarette Use

Abstract Full Text
JAMA Intern Med. 2020;180(3):468. doi:10.1001/jamainternmed.2019.6633

Estimating Fluid Consumption Volumes in Electronic Cigarette Use—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(3):468-469. doi:10.1001/jamainternmed.2019.6630

Using an Inclusive, Sex-Positive, Gender-Neutral Approach to Taking Sexual Histories

Abstract Full Text
JAMA Intern Med. 2020;180(3):469. doi:10.1001/jamainternmed.2019.6726

Nothing Informal About Family Caregiving

Abstract Full Text
JAMA Intern Med. 2020;180(3):470. doi:10.1001/jamainternmed.2019.6732

Nothing Informal About Family Caregiving—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(3):470-471. doi:10.1001/jamainternmed.2019.6729

Considerations in Analysis of Medicare Graduate Medical Education Payment Policies

Abstract Full Text
JAMA Intern Med. 2020;180(3):471. doi:10.1001/jamainternmed.2019.6966

Considerations in Analysis of Medicare Graduate Medical Education Payment Policies

Abstract Full Text
JAMA Intern Med. 2020;180(3):471-472. doi:10.1001/jamainternmed.2019.6987

Health Care Policy and Law

Considerations in Analysis of Medicare Graduate Medical Education Payment Policies—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(3):472-473. doi:10.1001/jamainternmed.2019.6977

Additional Considerations for Screening and Treatment of Depression in Patients With Acute Coronary Syndrome

Abstract Full Text
JAMA Intern Med. 2020;180(3):473. doi:10.1001/jamainternmed.2019.7116

Additional Considerations for Screening and Treatment of Depression in Patients With Acute Coronary Syndrome—Reply

Abstract Full Text
JAMA Intern Med. 2020;180(3):473-474. doi:10.1001/jamainternmed.2019.7113
Images From Our Readers

Twilight Aqueduct

Abstract Full Text
JAMA Intern Med. 2020;180(3):375. doi:10.1001/jamainternmed.2019.6905
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2020;180(3):344. doi:10.1001/jamainternmed.2019.4357
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