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January 2015, Vol 175, No. 1, Pages 1-146

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2015;175(1):1-3. doi:10.1001/jamainternmed.2014.5044
Viewpoint

Bundling Informed Consent and Advance Care Planning in Chronic Cardiovascular Disease: We Need to Talk

Abstract Full Text
JAMA Intern Med. 2015;175(1):5-6. doi:10.1001/jamainternmed.2014.6219

Public Health in the Age of Ebola in West Africa

Abstract Full Text
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JAMA Intern Med. 2015;175(1):7-8. doi:10.1001/jamainternmed.2014.6235

This Viewpoint discusses several key public health lessons learned from the current West Africa Ebola epidemic that are changing the way we think about emerging infectious disease threats.

Secondary Prevention of Cardiovascular Disease With Vorapaxar: A New Era of 3-Drug Antiplatelet Therapy?

Abstract Full Text
JAMA Intern Med. 2015;175(1):9-10. doi:10.1001/jamainternmed.2014.5802

This Viewpoint questions the benefit-risk balance of vorapaxar use as a component of 3-drug antiplatelet therapy for cardiovascular disease.

Variation in Prices for Common Medical Tests and Procedures

Abstract Full Text
JAMA Intern Med. 2015;175(1):11-12. doi:10.1001/jamainternmed.2014.6793

This Viewpoint reports crowdsourced health care prices in California.

Inside Story

Less Is More

D-Dimer and the Workup of Pulmonary Embolism: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(1):14-15. doi:10.1001/jamainternmed.2014.5861

Feeding Tube Placement in Patients With Advanced Cancer: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2015;175(1):15-16. doi:10.1001/jamainternmed.2014.5449

PSA Screening鈥擨 Finally Won!

Abstract Full Text
has audio
JAMA Intern Med. 2015;175(1):16-17. doi:10.1001/jamainternmed.2014.5441
Original Investigation

Risk of Bleeding With Dabigatran in Atrial Fibrillation

Abstract Full Text
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JAMA Intern Med. 2015;175(1):18-24. doi:10.1001/jamainternmed.2014.5398

This retrospective cohort study reports a higher incidence of major bleeding and a higher risk of gastrointestinal bleeding with dabigatran.

Less Is More

Dual Use of Department of Veterans Affairs and Medicare Benefits and Use of Test Strips in Veterans With Type 2 Diabetes Mellitus

Abstract Full Text
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JAMA Intern Med. 2015;175(1):26-34. doi:10.1001/jamainternmed.2014.5405

This cross-sectional, retrospective cohort study found that veterans who receive glucose test strips through both the Department of Veterans Affairs and Medicare use more strips and are more likely to overuse strips.

Getting Maintenance of Certification to Work: A Grounded Theory Study of Physicians' Perceptions

Abstract Full Text
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JAMA Intern Med. 2015;175(1):35-42. doi:10.1001/jamainternmed.2014.5437

This focus group study finds that physicians view maintenance of certification as an unnecessarily complex process that is misaligned with its purposes and proposes a new model.

Effects of Hyperbaric Oxygen on Symptoms and Quality of Life Among Service Members With Persistent Postconcussion Symptoms: A Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2015;175(1):43-52. doi:10.1001/jamainternmed.2014.5479

This multicenter, double-blind, sham-controlled clinical trial demonstrates that among service members with persistent postconcussion symptoms hyperbaric oxygen showed no benefits over sham compressions. See the Invited Commentary by Hoge and Jonas.

Clinical Effectiveness of Integrating Depression Care Management Into Medicare Home Health: The Depression CAREPATH Randomized Trial

Abstract Full Text
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JAMA Intern Med. 2015;175(1):55-64. doi:10.1001/jamainternmed.2014.5835

This cluster randomized effectiveness trial finds that home health care nurses can effectively integrate depression care management into routine practice among patients with moderate to severe depression. See the Invited Commentary by Lyketsos.

Use of Cardiac Biomarker Testing in the Emergency Department

Abstract Full Text
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JAMA Intern Med. 2015;175(1):67-75. doi:10.1001/jamainternmed.2014.5830

This retrospective study of ED visits by adults shows that cardiac biomarker testing in the ED is common even among those without symptoms suggestive of acute coronary syndrome.

Medication Therapy Management Interventions in Outpatient Settings: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Intern Med. 2015;175(1):76-87. doi:10.1001/jamainternmed.2014.5841

This systematic review and meta-analysis indicate that medication therapy management may reduce the frequency of some medication-related problems, but the evidence is insufficient with respect to improvement in health outcomes.

Influence of the Timing of Antiretroviral Therapy on the Potential for Normalization of Immune Status in Human Immunodeficiency Virus 1鈥揑nfected Individuals

Abstract Full Text
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JAMA Intern Med. 2015;175(1):88-99. doi:10.1001/jamainternmed.2014.4010

This cohort study reports deferral of antiretroviral therapy beyond 12 months of the estimated date of seroconversion diminishes the likelihood of restoring immunologic health in human immunodeficiency virus 1鈥搃nfected individuals. See also the Invited Commentary by Schacker.

A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits

Abstract Full Text
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JAMA Intern Med. 2015;175(1):101-107. doi:10.1001/jamainternmed.2014.6349

Examining the ordering patterns for diagnostic imaging, Hughes et al found that advanced practice clinicians were associated with more imaging services than primary care physicians for similar patients during evaluation and management office visits.

Community Health Worker Home Visits for Adults With Uncontrolled Asthma: The HomeBASE Trial Randomized Clinical Trial

Abstract Full Text
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JAMA Intern Med. 2015;175(1):109-117. doi:10.1001/jamainternmed.2014.6353

This randomized parallel group study reports that the provision of in-home asthma self-management support by community health workers to low-income adults with uncontrolled asthma improves asthma control and quality of life but not unscheduled health care use.

Invited Commentary

The Ritual of Hyperbaric Oxygen and Lessons for the Treatment of Persistent Postconcussion Symptoms in Military Personnel

Abstract Full Text
JAMA Intern Med. 2015;175(1):53-54. doi:10.1001/jamainternmed.2014.3375

Health Care Reform

Now Is the Time for True Reform of Mental Health Services

Abstract Full Text
JAMA Intern Med. 2015;175(1):65-66. doi:10.1001/jamainternmed.2014.6086

Defining Success With Antiretroviral Therapy

Abstract Full Text
JAMA Intern Med. 2015;175(1):99-100. doi:10.1001/jamainternmed.2014.4004

Health Care Reform

Finding Value in Medicine

Abstract Full Text
JAMA Intern Med. 2015;175(1):118-119. doi:10.1001/jamainternmed.2014.6357

Learning to Act on Secondhand Tobacco Smoke Exposure to Limit Risk for Coronary Heart Disease

Abstract Full Text
JAMA Intern Med. 2015;175(1):136. doi:10.1001/jamainternmed.2014.4046
Editor's Note

A New Program for Sharing Medical Cost Information

Abstract Full Text
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JAMA Intern Med. 2015;175(1):13. doi:10.1001/jamainternmed.2014.6804

The Importance of Postapproval Data for Dabigatran

Abstract Full Text
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JAMA Intern Med. 2015;175(1):25. doi:10.1001/jamainternmed.2014.6265

The Right Care by the Right Clinician

Abstract Full Text
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JAMA Intern Med. 2015;175(1):108. doi:10.1001/jamainternmed.2014.6441
Special Communication

Less Is More

Update on Medical Overuse

Abstract Full Text
JAMA Intern Med. 2015;175(1):120-124. doi:10.1001/jamainternmed.2014.5444

This systematic review of English-language articles published in 2013 shows that both clinical trials and observational studies highlighted frequently overused or unnecessary care.

Cardiac Screening of Young Athletes Prior to Participation in Sports: Difficulties in Detecting the Fatally Flawed Among the Fabulously Fit

Abstract Full Text
JAMA Intern Med. 2015;175(1):125-127. doi:10.1001/jamainternmed.2014.6023

In this Special Communication, Sharma and colleagues conclude that preparticipation cardiac screening in athletes should be performed by experts who fully understand the cardiovascular adaptation to exercise.

Challenges in Clinical Electrocardiography

Wide Complex Tachycardia in a Patient With a Family History of Sudden Death

Abstract Full Text
JAMA Intern Med. 2015;175(1):128-131. doi:10.1001/jamainternmed.2014.6272
Research Letter

Neoplasms Misdiagnosed as 鈥淐hronic Lyme Disease鈥

Abstract Full Text
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JAMA Intern Med. 2015;175(1):132-133. doi:10.1001/jamainternmed.2014.5426

Secondhand Tobacco Smoke Exposure Among Hospitalized Nonsmokers With Coronary Heart Disease

Abstract Full Text
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JAMA Intern Med. 2015;175(1):133-136. doi:10.1001/jamainternmed.2014.5476

Association of Loop Diuretic Use With Higher Parathyroid Hormone Levels in Patients With Normal Renal Function

Abstract Full Text
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JAMA Intern Med. 2015;175(1):137-138. doi:10.1001/jamainternmed.2014.5857

Eligibility for Statin Therapy According to New Cholesterol Guidelines and Prevalent Use of Medication to Lower Lipid Levels in an Older US Cohort: The Atherosclerosis Risk in Communities Study Cohort

Abstract Full Text
free access
JAMA Intern Med. 2015;175(1):138-140. doi:10.1001/jamainternmed.2014.6288
Comment & Response

Do Not Throw Out the Resveratrol With the Bath Water

Abstract Full Text
JAMA Intern Med. 2015;175(1):140-141. doi:10.1001/jamainternmed.2014.7000

Left Ventricular Noncompaction and Athletes: Looking for Stratification Criteria

Abstract Full Text
JAMA Intern Med. 2015;175(1):141-142. doi:10.1001/jamainternmed.2014.6980

Criteria for Waiver of Informed Consent for Quality Improvement Research

Abstract Full Text
JAMA Intern Med. 2015;175(1):142-143. doi:10.1001/jamainternmed.2014.6977

Left Ventricular Noncompaction and Athletes鈥擱eply

Abstract Full Text
JAMA Intern Med. 2015;175(1):142. doi:10.1001/jamainternmed.2014.7003

Is There More Than Just 1 Ethical Standard for Clinical Trials?

Abstract Full Text
JAMA Intern Med. 2015;175(1):143-144. doi:10.1001/jamainternmed.2014.6974

Criteria for Waiver of Informed Consent for Quality Improvement Research鈥擱eply

Abstract Full Text
JAMA Intern Med. 2015;175(1):143. doi:10.1001/jamainternmed.2014.6997

Faster Brain Shrinkage in the ACCORD MIND Study: An Unexpected Result?

Abstract Full Text
JAMA Intern Med. 2015;175(1):144. doi:10.1001/jamainternmed.2014.6971

Faster Brain Shrinkage in the ACCORD MIND Study鈥擱eply

Abstract Full Text
JAMA Intern Med. 2015;175(1):144-145. doi:10.1001/jamainternmed.2014.6991

Why Are We Consuming So Much Sugar Despite Knowing Too Much Can Harm Us?

Abstract Full Text
JAMA Intern Med. 2015;175(1):145-146. doi:10.1001/jamainternmed.2014.6968

Why Are We Consuming So Much Sugar Despite Knowing Too Much Can Harm Us?鈥擱eply

Abstract Full Text
JAMA Intern Med. 2015;175(1):146. doi:10.1001/jamainternmed.2014.6994
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2015;175(1):4. doi:10.1001/jamainternmed.2014.5045
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