January 17, 2017 Issue of JAMA

January 17, 2017, Vol 317, No. 3, Pages 229-330

This Week in JAMA

Highlights

Abstract Full Text

free access has audio

JAMA. 2017;317(3):229-231. doi:10.1001/jama.2016.12954

Podcast: Asthma remission in adults, qSOFA score for predicting mortality in infection, management of latex allergy, and more

Original Investigation

Reevaluation of Diagnosis in Adults With Physician-Diagnosed Asthma

Shawn D. Aaron, MD; Katherine L. Vandemheen, MScN; J. Mark FitzGerald, MD; et al.

Abstract Full Text

free access

JAMA. 2017;317(3):269-279. doi:10.1001/jama.2016.19627

This cohort study investigates the proportion of adults who were diagnosed with asthma by a physician within the previous 5 years and no longer met clinical criteria for the diagnosis.

Editorial
Asthma鈥擧ere Today, Gone Tomorrow?
Helen M. Hollingsworth, MD; George T. O鈥機onnor, MD, MS

JAMA

Association Between Diabetes and Cause-Specific Mortality in Rural and Urban Areas of China

Fiona Bragg, DPhil; Michael V. Holmes, PhD; Andri Iona, MSc; et al.

Abstract Full Text

free access

JAMA. 2017;317(3):280-289. doi:10.1001/jama.2016.19720

This population epidemiology study uses national survey data to compare the prevalence of diabetes and to provide estimates of the diabetes-related absolute excess mortality for adults living in rural and urban areas of China.

Editorial
China鈥檚 Burgeoning Epidemic of Diabetes-Associated Mortality
Margaret Chan, MD

JAMA

Caring for the Critically Ill Patient

Prognostic Accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for In-Hospital Mortality Among Adults With Suspected Infection Admitted to the Intensive Care Unit

Eamon P. Raith, MBBS, MACCP; Andrew A. Udy, MBChB, PhD, FCICM; Michael Bailey, PhD; et al.

Abstract Full Text

free access

JAMA. 2017;317(3):290-300. doi:10.1001/jama.2016.20328

This cohort study compares the accuracy of the Sequential [Sepsis-related] Organ Failure Assessment (SOFA) score, quick SOFA score, and Systemic Inflammatory Response Syndrome criteria for predicting in-hospital mortality or prolonged length of stay among adults admitted to the ICU with suspected infection in Australia and New Zealand.

Editorial
qSOFA for Identifying Sepsis Among Patients With Infection
François Lamontagne, MD; David A. Harrison, PhD; Kathryn M. Rowan, PhD

JAMA

Caring for the Critically Ill Patient

Prognostic Accuracy of Sepsis-3 Criteria for In-Hospital Mortality Among Patients With Suspected Infection Presenting to the Emergency Department

Yonathan Freund, MD, PhD; Najla Lemachatti, MD; Evguenia Krastinova, MD, PhD; et al.

Abstract Full Text

free access

JAMA. 2017;317(3):301-308. doi:10.1001/jama.2016.20329

This cohort study compares the ability of the quick Sequential Organ Failure Assessment score vs systemic inflammatory response syndrome and severe sepsis criteria for a in-hospital mortality risk among adult patients presenting to the emergency department with suspected infection.

Editorial
qSOFA for Identifying Sepsis Among Patients With Infection
François Lamontagne, MD; David A. Harrison, PhD; Kathryn M. Rowan, PhD

JAMA

Research Letter

Variation in the Ratio of Physician Charges to Medicare Payments by Specialty and Region

Ge Bai, PhD, CPA; Gerard F. Anderson, PhD

Abstract Full Text

free access

JAMA. 2017;317(3):315-318. doi:10.1001/jama.2016.16230

This study uses data from the Centers for Medicare & Medicaid Services to understand the extent and variation of physician excess charges by specialty and geographic region.

Viewpoint

Osteoporosis and Fracture Risk Evaluation and Management: Shared Decision Making in Clinical Practice

Nelson B. Watts, MD; JoAnn E. Manson, MD, DrPH

Abstract Full Text

JAMA. 2017;317(3):253-254. doi:10.1001/jama.2016.19087

This Viewpoint outlines the diagnostic approaches and treatment options to reduce risk of fracture among patients with osteoporosis.

A Framework for Disseminating Clinical Best Practices in the VA Health System

Shereef M. Elnahal, MD, MBA; Carolyn M. Clancy, MD; David J. Shulkin, MD

Abstract Full Text

JAMA. 2017;317(3):255-256. doi:10.1001/jama.2016.18764

In this Viewpoint, the Under Secretary for Health of the Veterans Health Administration and colleagues describe the agency鈥檚 Diffusion of Excellence program, a learning health system approach to aligning best practices and agency system assets for rapid dissemination of clinical best practices.

Using the Electronic Health Record to Understand and Minimize Overuse

Juliet Rumball-Smith, MBChB, FAFPHM, PhD; Paul G. Shekelle, MD, MPH, PhD; David W. Bates, MD, MSc

Abstract Full Text

JAMA. 2017;317(3):257-258. doi:10.1001/jama.2016.18609

This Viewpoint proposes ways in which electronic health record (EHR) systems might be configured to reduce health service overuse, improve health care quality, and control costs.

The Pediatric Research Equity Act Moves Into Adolescence

Florence T. Bourgeois, MD, MPH; Thomas J. Hwang, AB

Abstract Full Text

JAMA. 2017;317(3):259-260. doi:10.1001/jama.2016.18131

This Viewpoint discusses the Pediatric Research Equity Act, a 2003 law authorizing the US Food and Drug Administration to require the study of new therapies for pediatric populations, and proposes improvements to the law as it comes up for reauthorization in 2017.

A Piece of My Mind

A Mind-Body Duelist

Christopher Barbey, MA

Abstract Full Text

JAMA. 2017;317(3):261. doi:10.1001/jama.2016.12484

Editorial

Asthma鈥擧ere Today, Gone Tomorrow?

Helen M. Hollingsworth, MD; George T. O鈥機onnor, MD, MS

Abstract Full Text

JAMA. 2017;317(3):262-263. doi:10.1001/jama.2016.19676

China鈥檚 Burgeoning Epidemic of Diabetes-Associated Mortality

Margaret Chan, MD

Abstract Full Text

JAMA. 2017;317(3):264-266. doi:10.1001/jama.2016.19736

qSOFA for Identifying Sepsis Among Patients With Infection

François Lamontagne, MD; David A. Harrison, PhD; Kathryn M. Rowan, PhD

Abstract Full Text

JAMA. 2017;317(3):267-268. doi:10.1001/jama.2016.19684

JAMA Performance Improvement

Management of a Patient With a Latex Allergy

Christina A. Minami, MD, MS; Cynthia Barnard, PhD, MBA, MSJS; Karl Y. Bilimoria, MD, MS

Abstract Full Text

has audio

JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034

This JAMA Performance Improvement article explores the case of a patient with latex allergy who had a latex catheter placed and how the health care team should handle the situation both during surgery and postoperatively.

Podcast: Managing Patients With a Latex Allergy

JAMA Clinical Evidence Synopsis

Associations of Antifungal Treatments With Prevention of Fungal Infection in Critically Ill Patients Without Neutropenia

Andrea Cortegiani, MD; Vincenzo Russotto, MD; Antonino Giarratano, MD

Abstract Full Text

JAMA. 2017;317(3):311-312. doi:10.1001/jama.2016.16535

This Clinical Evidence Synopsis summarizes a 2016 update of a Cochrane review of clinical trials comparing the effects of antifungal drugs on prevention of mortality and invasive fungal infection in critically ill patients without neutropenia.

From The Medical Letter on Drugs and Therapeutics

Epinephrine Auto-Injectors for Anaphylaxis

Abstract Full Text

JAMA. 2017;317(3):313. doi:10.1001/jama.2016.14505

This Medical Letter review summarizes available generic and brand-name epinephrine auto-injectors in the wake of recent EpiPen price increases.

Medical News & Perspectives

NIH Charts a Path for Nutrition Science

Jennifer Abbasi

Abstract Full Text

has multimedia has audio

JAMA. 2017;317(3):243-244. doi:10.1001/jama.2016.18217

This Medical News article discusses the new NIH Nutrition Research Task Force.

Video: Hypertension, Obesity, and COVID-19

Podcast: NIH Charts a Path for Nutrition Science
Conversations with Dr Bauchner: Hypertension, Obesity, and COVID-19

News From the Food and Drug Administration

Milk Products Seized After Salmonella Found at Plant

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(3):247. doi:10.1001/jama.2016.19737

Relief for Ureteral Obstruction

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(3):247. doi:10.1001/jama.2016.19759

Diabetes Drug Gains New Indication

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2017;317(3):247. doi:10.1001/jama.2016.19774

The JAMA Forum

Repeal and Replace Obamacare: What Could It Mean?

Stuart M. Butler, PhD

Abstract Full Text

free access

JAMA. 2017;317(3):244-245. doi:10.1001/jama.2016.19918

Global Health

UNICEF Reports on the Impact of Air Pollution on Children

M.J. Friedrich

Abstract Full Text

JAMA. 2017;317(3):246. doi:10.1001/jama.2016.19034

WHO Calls Off Global Zika Emergency

M.J. Friedrich

Abstract Full Text

JAMA. 2017;317(3):246. doi:10.1001/jama.2016.20447

Highest Blood Pressure Levels Shift From Rich to Poor Countries

M.J. Friedrich

Abstract Full Text

JAMA. 2017;317(3):246. doi:10.1001/jama.2016.20449

The Arts and Medicine

Extremis: A Documentary Look at End-of-Life Decisions in the ICU

Mara Buchbinder, PhD

Abstract Full Text

JAMA. 2017;317(3):240-241. doi:10.1001/jama.2016.20009

This Arts and Medicine essay reviews Extremis, a 2016 short documentary streaming on Netflix, which addresses the challenges of end-of-life communication and decision-making in the ICU by following the work and patients of a critical and palliative care physician at Highland Hospital in Oakland, California.

Poetry and Medicine