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Year

Day

December 17, 2018
Viewpoint

Health Care Reform

Deep Learning in Medicine—Promise, Progress, and Challenges

Abstract Full Text
JAMA Intern Med. Published online December 17, 2018. 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.

Original Investigation

Efficacy of Mobile Phone–Delivered Smoking Cessation Interventions for Socioeconomically Disadvantaged Individuals: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. Published online December 17, 2018. doi:10.1001/jamainternmed.2018.5713

This randomized clinical trial assesses the efficacy of mobile phone–delivered cessation interventions targeted to current cigarette smokers at neighborhood sites serving racial/ethnic minority and socioeconomically disadvantaged individuals.

Long-term Risk of Colorectal Cancer and Related Deaths After a Colonoscopy With Normal Findings

Abstract Full Text
JAMA Intern Med. Published online December 17, 2018. doi:10.1001/jamainternmed.2018.5565

This population-based study examines the risks of and deaths associated with colorectal cancer after a 12-year follow-up period for persons who underwent colonoscopy vs those who did not.

Invited Commentary

Gaming, Upcoding, Fraud, and the Stubborn Persistence of Unstable Angina

Abstract Full Text
free access has audio
JAMA Intern Med. Published online December 17, 2018. doi:10.1001/jamainternmed.2018.5967
Review

Assessment of Instruments for Measurement of Delirium Severity: A Systematic Review

Abstract Full Text
JAMA Intern Med. Published online December 17, 2018. doi:10.1001/jamainternmed.2018.6975

This systematic review summarizes the criteria and methodology used to identify high-quality delirium severity instruments.

Research Letter

Temporal Trends in Unstable Angina Diagnosis Codes for Outpatient Percutaneous Coronary Interventions

Abstract Full Text
has audio
JAMA Intern Med. Published online December 17, 2018. doi:10.1001/jamainternmed.2018.5124

This study examines the appropriate use of percutaneous coronary interventions in New York, Michigan, and Florida using Healthcare Cost and Utilization Project state databases.

December 10, 2018
Viewpoint

Precision Medicine and Advancing Clinical Care: Insights From Iceland

Abstract Full Text
JAMA Intern Med. Published online December 10, 2018. doi:10.1001/jamainternmed.2018.6729

This Viewpoint examines how data from an Icelandic large-scale genotyping and sequencing initiative can enhance understanding of basic molecular pathways to advance precision medicine.

Original Investigation

Less Is More

Assessment of a Targeted Electronic Health Record Intervention to Reduce Telemetry Duration: A Cluster-Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. Published online December 10, 2018. doi:10.1001/jamainternmed.2018.5859

This cluster-randomized clinical trial assesses whether a targeted electronic health record alert achieves similar advances to multicomponent interventions and safely reduces unnecessary monitoring.

Challenges in Clinical Electrocardiography

Bundle Branch Block Site in a Patient With a Right-Lying Heart and Wide QRS Complex

Abstract Full Text
JAMA Intern Med. Published online December 10, 2018. doi:10.1001/jamainternmed.2018.6709

This case report presents the electrocardiographic findings in a woman with dextroversion.

Research Letter

Less Is More

Assessment of Self-monitoring of Blood Glucose in Individuals With Type 2 Diabetes Not Using Insulin

Abstract Full Text
JAMA Intern Med. Published online December 10, 2018. doi:10.1001/jamainternmed.2018.5700

This database analysis quantifies the rate of use and cost of self-monitoring blood glucose supplies that are potentially used inappropriately, specifically focusing on test strips.

Less Is More

Association of Inferior Vena Cava Filter Use With Mortality Rates in Older Adults With Acute Pulmonary Embolism

Abstract Full Text
JAMA Intern Med. Published online December 10, 2018. doi:10.1001/jamainternmed.2018.5287

This study uses 3 distinct statistical approaches to examine the association between use of inferior vena cava filters and mortality rates in Medicare fee-for-service beneficiaries with pulmonary embolism.

December 3, 2018
Perspective

Long-term Physician-Patient Relationships—Persevering in a Practice

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.6735

This article describes the benefits of maintaining a long-term physician-patient relationship rather than the trend toward more temporary relationships.

Original Investigation

Association of Opioid Prescriptions From Dental Clinicians for US Adolescents and Young Adults With Subsequent Opioid Use and Abuse

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5419

This cohort study using the Optum Research Database examines whether opioid prescriptions provided by dental clinicians for pain management of third molar extractions to opioid-naive US adolescents and young adults was associated with subsequent opioid use and abuse.

Association of the Trauma of Hospitalization With 30-Day Readmission or Emergency Department Visit

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5100

This cohort study examines patient reports and implications of difficulties with sleep, movement, eating, and anxiety or depression during hospitalization for at least 48 hours and the association with subsequent readmission or emergency department visits.

Less Is More

Analysis of Physician Variation in Provision of Low-Value Services

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5086

This study quantifies variation in provision of low-value health care services among primary care physicians and estimates the proportion of variation attributable to physician characteristics that may be indicative of performance among Medicare beneficiaries.

Invited Commentary

A Focus on Patient-Centered Care Required to Address the Trauma of Hospitalization

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5574

Medical Overuse as a Physician Cognitive Error: Looking Under the Hood

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5136

When High Prices Mean Needless Death

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5007
Special Communication

Less Is More

2018 Update on Medical Overuse

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5748

This Special Communication, the fifth annual update on medical overuse, discusses 10 studies published in 2017 that are most relevant to understanding medical overuse in adults.

Challenges in Clinical Electrocardiography

Diagnosing an Acutely Breathless Patient: Can Electrocardiography Provide the Answer?

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.6485

This report of a case describes a man in his 70s with type 2 diabetes, hypertension, and hyperlipidemia who presented to the emergency department with 4 days of progressive dizziness, shortness of breath, and chest pain on exertion.

Research Letter

Cost-Related Insulin Underuse Among Patients With Diabetes

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.5008

This survey study examines the association of higher insulin costs with nonadherence in patients with diabetes.

Comment & Response

Coding Error Resulting in Change in Secondary Outcome Scores in Trial of Safety and Benefit of Discontinuing Statin Therapy Among Terminally Ill Patients

Abstract Full Text
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.7162
Correction

Coding Error Resulting in Change in Secondary Outcome Scores

Abstract Full Text
free access
JAMA Intern Med. Published online December 3, 2018. doi:10.1001/jamainternmed.2018.7186
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