June 13, 2017 Issue of JAMA

June 13, 2017, Vol 317, No. 22, Pages 2251-2344

This Week in JAMA

Highlights

Abstract Full Text

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JAMA. 2017;317(22):2251-2253. doi:10.1001/jama.2016.13163

Podcast: Ultrasound of torso trauma in kids, comparison of iron for anemia, brain amyloid and cognitive decline, and more.

Original Investigation

Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma: A Randomized Clinical Trial

James F. Holmes, MD, MPH; Kenneth M. Kelley, MD; Sandra L. Wootton-Gorges, MD; et al.

Abstract Full Text

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JAMA. 2017;317(22):2290-2296. doi:10.1001/jama.2017.6322

This randomized clinical trial compares the effects of adding focused assessment sonography for trauma (FAST) examination to a standard trauma evaluation on missed diagnoses and health services outcomes for pediatric patients with blunt torso trauma.

Editorial
Abdominal Ultrasound for Pediatric Blunt Trauma: FAST Is Not Always Better
David O. Kessler, MD, MSc

JAMA

Effect of Low-Dose Ferrous Sulfate vs Iron Polysaccharide Complex on Hemoglobin Concentration in Young Children With Nutritional Iron-Deficiency Anemia: A Randomized Clinical Trial

Jacquelyn M. Powers, MD, MS; George R. Buchanan, MD; Leah Adix; et al.

Abstract Full Text

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JAMA. 2017;317(22):2297-2304. doi:10.1001/jama.2017.6846

This randomized clinical trial compares the effects of ferrous sulfate vs iron polysaccharide complex on nutritional iron-deficiency anemia among infants and children aged 9 to 48 months receiving care at an outpatient hematology clinic at a US tertiary care hospital.

Association Between Elevated Brain Amyloid and Subsequent Cognitive Decline Among Cognitively Normal Persons

Michael C. Donohue, PhD; Reisa A. Sperling, MD, MMSc; Ronald Petersen, MD, PhD; et al.

Abstract Full Text

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JAMA. 2017;317(22):2305-2316. doi:10.1001/jama.2017.6669

This exploratory analysis compares rate of cognitive decline over 4 years between participants with normal vs elevated amyloid levels who are cognitively normal.

Editorial
Brain Amyloid Pathology and Cognitive Function: Alzheimer Disease Without Dementia?
Pieter Jelle Visser, MD, PhD; Betty Tijms, PhD

JAMA

Comparison of Content on the American Board of Internal Medicine Maintenance of Certification Examination With Conditions Seen in Practice by General Internists

Bradley Gray, PhD; Jonathan Vandergrift, MS; Rebecca S. Lipner, PhD; et al.

Abstract Full Text

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JAMA. 2017;317(22):2317-2324. doi:10.1001/jama.2017.6853

This study compares the frequency of of medical conditions covered by questions on the American Board of Internal Medicine鈥檚 (ABIM鈥檚) Internal Medicine Maintenance of Certification (MOC) examination with the frequency of conditions seen in general internal medicine practice.

Editorial
Physician Certification and Recertification: The Role of Empirical Evidence
Adam B. Schwartz, MD; J. Sanford Schwartz, MD

JAMA

Research Letter

Time to Delivery of an Automated External Defibrillator Using a Drone for Simulated Out-of-Hospital Cardiac Arrests vs Emergency Medical Services

Andreas Claesson, RN, PhD; Anders Bäckman, RN; Mattias Ringh, MD, PhD; et al.

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JAMA. 2017;317(22):2332-2334. doi:10.1001/jama.2017.3957

This study compares the time to delivery of an automated external defibrillator using fully autonomous drones for simulated out-of-hospital cardiac arrests vs emergency medical services real-time responses.

Viewpoint

Building a Broader Consensus for Health Reform

James C. Capretta, MA

Abstract Full Text

JAMA. 2017;317(22):2273-2274. doi:10.1001/jama.2017.6689

This Viewpoint urges law makers build toward a bipartisan consensus for health care legislation.

Value-Based Payment Models for Community Health Centers: Time to (Cautiously) Take the Plunge?

Jay Bhatia, BA; Rachel Tobey, MPA; Michael Hochman, MD, MPH

Abstract Full Text

JAMA. 2017;317(22):2275-2276. doi:10.1001/jama.2017.5174

This Viewpoint discusses the drawbacks of the current reimbursement system for community health centers and highlights the benefits of new payment models if thoughtfully implemented.

Permanent GME Funding for Teaching Health Centers

Shayla N. M. Durfey, BS; Paul George, MD, MHPE; Eli Y. Adashi, MD, MS

Abstract Full Text

JAMA. 2017;317(22):2277-2278. doi:10.1001/jama.2017.5298

This Viewpoint argues for the importance and continued funding of the US teaching health center graduate medical education (GME) program, which funds community-based ambulatory primary care residency programs to address the shortage of primary care clinicians and improve primary care residency experiences.

Alternative Pathways to Board Recertification: To What End?

Catherine M. Welcher, BA; Lynne M. Kirk, MD; Richard E. Hawkins, MD

Abstract Full Text

JAMA. 2017;317(22):2279-2280. doi:10.1001/jama.2017.6120

This Viewpoint discusses origins of physician dissatisfaction with the maintenance of certification programs and how physicians, specialty boards, and others are working to evolve the programs toward processes of certification more relevant to contemporary practice.

A Piece of My Mind

Gray Areas

Alia Moore, MD

Abstract Full Text

JAMA. 2017;317(22):2281-2282. doi:10.1001/jama.2017.1657

Editorial

Abdominal Ultrasound for Pediatric Blunt Trauma: FAST Is Not Always Better

David O. Kessler, MD, MSc

Abstract Full Text

JAMA. 2017;317(22):2283-2285. doi:10.1001/jama.2017.6163

Brain Amyloid Pathology and Cognitive Function: Alzheimer Disease Without Dementia?

Pieter Jelle Visser, MD, PhD; Betty Tijms, PhD

Abstract Full Text

JAMA. 2017;317(22):2285-2287. doi:10.1001/jama.2017.6895

Physician Certification and Recertification: The Role of Empirical Evidence

Adam B. Schwartz, MD; J. Sanford Schwartz, MD

Abstract Full Text

JAMA. 2017;317(22):2288-2289. doi:10.1001/jama.2017.7342

From the 糖心vlog

Online Measures of Physician Performance: Moving Beyond Aggregation to Integration

Matthew M. Davis, MD, MAPP; David A. Hanauer, MD, MS

Abstract Full Text

JAMA. 2017;317(22):2325-2326. doi:10.1001/jama.2017.3979

This commentary discusses a study published in JAMA Dermatology that identified the type of information included on websites providing consumer reviews of physicians and aspects of their practice settings.

JAMA Clinical Evidence Synopsis

NSAIDs for Chronic Low Back Pain

Wendy T. M. Enthoven, MD, PhD; Pepijn D. Roelofs, PhD; Bart W. Koes, PhD

Abstract Full Text

JAMA. 2017;317(22):2327-2328. doi:10.1001/jama.2017.4571

This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials comparing nonsteroidal anti-inflammatory drugs (NSAIDs) with other drug treatments, nondrug treatments, or placebo in patients with chronic low back pain.

JAMA Clinical Challenge

A Man With a Nonblanchable Purpuric Rash

Nathalie E. Chalhoub, MD; Dinkar Kaw, MD; Vivek Nagaraja, MD

Abstract Full Text

JAMA. 2017;317(22):2329-2330. doi:10.1001/jama.2017.4954

An older man presented with 4 weeks of diffuse rash and elbow and knee pain. The rash improved initially with prednisone but recurred at tapered dosing. Laboratory tests revealed normal blood cell counts, normal values for renal and hepatic panels, microscopic hematuria, and 1+ proteinuria. What would you do next?

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