February 20, 2018 Issue of JAMA

February 20, 2018, Vol 319, No. 7, Pages 633-732

This Week in JAMA

Highlights

Abstract Full Text

free access has audio

JAMA. 2018;319(7):633-635. doi:10.1001/jama.2017.12240

Podcast: Low-Fat vs Low Carb Diet, Haloperidol in the ICU, ARDS review, and more

Original Investigation

Effect of Low-Fat vs Low-Carbohydrate Diet on 12-Month Weight Loss in Overweight Adults and the Association With Genotype Pattern or Insulin Secretion: The DIETFITS Randomized Clinical Trial

Christopher D. Gardner, PhD; John F. Trepanowski, PhD; Liana C. Del Gobbo, PhD; et al.

Abstract Full Text

free access

JAMA. 2018;319(7):667-679. doi:10.1001/jama.2018.0245

This randomized clinical trial compares the effects of a healthy low-fat vs a healthy low-carbohydrate diet on 12-month weight change among adults aged 18 to 50 years with a body mass index of 28 to 40 without diabetes, and investigates modification of the diet effect by genotype pattern or insulin secretion.

Caring for the Critically Ill Patient

Effect of Haloperidol on Survival Among Critically Ill Adults With a High Risk of Delirium: The REDUCE Randomized Clinical Trial

Mark van den Boogaard, PhD; Arjen J. C. Slooter, MD, PhD; Roger J. M. Brüggemann, PharmD, PhD; et al.

Abstract Full Text

free access

JAMA. 2018;319(7):680-690. doi:10.1001/jama.2018.0160

This randomized clinical trial compares the effects of prophylactic haloperidol on 28-day survival in patients in the intensive care unit at high risk of developing delirium.

Editorial
Preventing Delirium in the Intensive Care Unit
Anthony Delaney, MBBS, MSc, PhD; Naomi Hammond, MN, MPH, PhD; Edward Litton, MBChB, MSc, PhD

JAMA

Administrative Costs Associated With Physician Billing and Insurance-Related Activities at an Academic Health Care System

Phillip Tseng, MEd; Robert S. Kaplan, PhD; Barak D. Richman, JD, PhD; et al.

Abstract Full Text

free access

JAMA. 2018;319(7):691-697. doi:10.1001/jama.2017.19148

This study estimates the administrative costs associated with physician billing activities in a large academic health care system with a certified electronic health record system.

Editorial
Disentangling Health Care Billing: For Patients鈥� Physical and Financial Health
Vivian S. Lee, MD, PhD, MBA; Bonnie B. Blanchfield, CPA, ScD

JAMA

Research Letter

Prevalence of Housing Problems Among Community Health Center Patients

Travis P. Baggett, MD, MPH; Seth A. Berkowitz, MD, MPH; Vicki Fung, PhD; et al.

Abstract Full Text

free access

JAMA. 2018;319(7):717-719. doi:10.1001/jama.2017.19869

This study uses national survey data to assess the prevalence and health-related correlates of housing problems among community health center patients.

Viewpoint

Does Medicine Overemphasize IQ?

Ezekiel J. Emanuel, MD, PhD; Emily Gudbranson, BA

Abstract Full Text

JAMA. 2018;319(7):651-652. doi:10.1001/jama.2017.20141

In this Viewpoint, Ezekiel Emanuel argues that emotional intelligence (EQ) is as important as IQ for the effective practice of medicine and calls for medical schools to evaluate the EQ of applicants and provide opportunities to enhance EQ among medical students.

Principles for a Framework for Alternative Payment Models

Sam Nussbaum, MD; Mark McClellan, MD, PhD; Grischa Metlay, PhD

Abstract Full Text

JAMA. 2018;319(7):653-654. doi:10.1001/jama.2017.20226

This Viewpoint describes the Health Care Payment Learning and Action Network鈥檚 alternative payment model classification system and its framework principles.

Accountable Care at the Frontlines of a Health System: Bridging Aspiration and Reality

Ishani Ganguli, MD, MPH; Timothy G. Ferris, MD, MPH

Abstract Full Text

JAMA. 2018;319(7):655-656. doi:10.1001/jama.2017.18995

This Viewpoint discusses tensions between the goals and realities of accountable care organizations and suggests ways for health system leaders to address these issues and improve health care quality and reduce costs.

A Piece of My Mind

A Teaching Case

Leah B. Rosenberg, MD

Abstract Full Text

JAMA. 2018;319(7):657-658. doi:10.1001/jama.2018.0071

In this essay, a palliative care physician reviews the case of a dying man who was admitted during her two-week tour as an attending physician for internal medicine as a good teaching case for residents to learn how to treat patients in the last moments of their lives.

Editorial

Preventing Delirium in the Intensive Care Unit

Anthony Delaney, MBBS, MSc, PhD; Naomi Hammond, MN, MPH, PhD; Edward Litton, MBChB, MSc, PhD

Abstract Full Text

JAMA. 2018;319(7):659-660. doi:10.1001/jama.2018.0159

Disentangling Health Care Billing: For Patients鈥� Physical and Financial Health

Vivian S. Lee, MD, PhD, MBA; Bonnie B. Blanchfield, CPA, ScD

Abstract Full Text

JAMA. 2018;319(7):661-663. doi:10.1001/jama.2017.19966

Time to Rethink the Approach to Treating Acute Respiratory Distress Syndrome

Luciano Gattinoni, MD; John J. Marini, MD; Michael Quintel, MD

Abstract Full Text

JAMA. 2018;319(7):664-666. doi:10.1001/jama.2017.21900

Review

Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment

Eddy Fan, MD, PhD; Daniel Brodie, MD; Arthur S. Slutsky, MD

Abstract Full Text

has audio

JAMA. 2018;319(7):698-710. doi:10.1001/jama.2017.21907

This review summarizes advances in the diagnosis and treatment of acute respiratory distress syndrome between 2012 and 2017.

Podcast: What Is New in Acute Respiratory Disease Syndrome?
Podcast: Observations From ICU Patients We Thought Were Asleep, but Were Not

Editorial
Time to Rethink the Approach to Treating Acute Respiratory Distress Syndrome
Luciano Gattinoni, MD; John J. Marini, MD; Michael Quintel, MD

JAMA

JAMA Clinical Guidelines Synopsis

Management of ARDS in Adults

Michael D. Howell, MD, MPH; Andrew M. Davis, MD, MPH

Abstract Full Text

JAMA. 2018;319(7):711-712. doi:10.1001/jama.2018.0307

This JAMA Clinical Guidelines Synopsis summarizes the 2017 American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine guideline on management of acute respiratory distress syndrome (ARDS) in adults.

JAMA Clinical Challenge

Ulcerated Nodule of the Fingernail

Shari R. Lipner, MD, PhD

Abstract Full Text

JAMA. 2018;319(7):713-714. doi:10.1001/jama.2018.0179

A woman receiving immunosuppressant therapy after a prior kidney transplant presented with a tender ulcerated nodule on her fingernail with nail loss, purulent drainage, and histopathology showing a pyogenic granuloma鈥搇ike response with atypical epithelioid and spindled cells adjacent to blood vessels. What would you do next?

Medical News & Perspectives

ASO Therapy: Hope for Genetic Neurological Diseases

Christopher C. Muth, MD

Abstract Full Text

has audio

JAMA. 2018;319(7):644-646. doi:10.1001/jama.2017.18665

This medical news interview discusses recent advances in antisense oligonucleotide therapies.

Podcast: ASO Therapy: Hope for Genetic Neurological Diseases

News From the Food and Drug Administration

Notable Year for Novel Drugs

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2018;319(7):649. doi:10.1001/jama.2018.0477

Diabetic Foot Ulcers Heal With Shock Wave Therapy

Rebecca Voelker, MSJ

Abstract Full Text

free access

JAMA. 2018;319(7):649. doi:10.1001/jama.2018.0480

Crackdown on Stem Cell Product

Rebecca Voelker, MSJ

Abstract Full Text

JAMA. 2018;319(7):649. doi:10.1001/jama.2018.0486

The JAMA Forum

The Problem With Work Requirements for Medicaid

Aaron E. Carroll, MD

Abstract Full Text

free access

JAMA. 2018;319(7):646-647. doi:10.1001/jama.2018.0420

Global Health

Inflammatory Bowel Disease Goes Global

M. J. Friedrich

Abstract Full Text

JAMA. 2018;319(7):648. doi:10.1001/jama.2018.0365

High Rates of Violent Death Among Rohingya Refugees

M. J. Friedrich

Abstract Full Text

JAMA. 2018;319(7):648. doi:10.1001/jama.2018.0964

Air Pollutants Undermine Infant Brain Development

M. J. Friedrich

Abstract Full Text

JAMA. 2018;319(7):648. doi:10.1001/jama.2018.0966

The Arts and Medicine

Apprehending Otherness Through Wonder: A Facial Plastic Surgeon鈥檚 Review of the Book and Movie

Travis T. Tollefson, MD, MPH

Abstract Full Text

JAMA. 2018;319(7):640-642. doi:10.1001/jama.2017.22109

In this Arts and Medicine essay, a facial plastic and reconstructive surgeon who works with children with craniofacial differences reality checks R. J. Palacio鈥檚 story Wonder about a boy with Treacher Collins syndrome starting his first year of school among peers.

Poetry and Medicine