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January 2019, Vol 179, No. 1, Pages 1-132

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):1-3. doi:10.1001/jamainternmed.2018.4702
Inside Story

Less Is More

Softening Our Approach to Discussing Prognosis

Abstract Full Text
JAMA Intern Med. 2019;179(1):5-6. doi:10.1001/jamainternmed.2018.5786

This essay discusses the use of 鈥淚鈥 statements in communicating a prognosis to patients.

Sharing Medicine

From Puppy to Patient: Translational Oncology

Abstract Full Text
JAMA Intern Med. 2019;179(1):7-8. doi:10.1001/jamainternmed.2018.5464

This essay describes the author鈥檚 relationship with her dog and how caring for an animal relates to treating a person.

Editorial

Unhealthy Alcohol Use in Primary Care鈥擳he Elephant in the Examination Room

Abstract Full Text
JAMA Intern Med. 2019;179(1):9-10. doi:10.1001/jamainternmed.2018.6125
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
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JAMA Intern Med. 2019;179(1):11-15. 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.

Less Is More

Analysis of Physician Variation in Provision of Low-Value Services

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):16-25. 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.

Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization: A Randomized Clinical Trial

Abstract Full Text
free access has multimedia has audio
JAMA Intern Med. 2019;179(1):28-36. doi:10.1001/jamainternmed.2018.4869

This randomized clinical trial examines the effect of an exercise intervention on the functional levels of elderly patients hospitalized for acute care.

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

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):38-45. 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.

Association of Sexual Harassment and Sexual Assault With Midlife Women鈥檚 Mental and Physical Health

Abstract Full Text
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JAMA Intern Med. 2019;179(1):48-53. doi:10.1001/jamainternmed.2018.4886

This cohort study of community-recruited women aged 40 to 60 years evaluates the association of a history of sexual harassment and sexual assault with mental and physical health indices.

Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients

Abstract Full Text
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JAMA Intern Med. 2019;179(1):54-61. doi:10.1001/jamainternmed.2018.5118

This study evaluates the association of establishing team-based primary care with health care utilization and costs among chronically ill.

Association Between Supplemental Nutrition Assistance Program Participation and Cost-Related Medication Nonadherence Among Older Adults With Diabetes

Abstract Full Text
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JAMA Intern Med. 2019;179(1):63-70. doi:10.1001/jamainternmed.2018.5011

This cross-sectional study uses National Health Interview Survey data to investigate participation in the Supplemental Nutrition Assistance Program (SNAP) and its association with cost-related medication nonadherence among older adults with diabetes.

Risk of Malignant Ovarian Cancer Based on Ultrasonography Findings in a Large Unselected Population

Abstract Full Text
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JAMA Intern Med. 2019;179(1):71-77. doi:10.1001/jamainternmed.2018.5113

This nested case-control study of patients enrolled in Kaiser Permanente Washington quantifies the risk of malignant ovarian cancer based on ultrasonographic characteristics of ovarian masses, including simple cysts, in a large unselected population.

Associations of Intimate Partner Violence, Sexual Assault, and Posttraumatic Stress Disorder With Menopause Symptoms Among Midlife and Older Women

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):80-87. doi:10.1001/jamainternmed.2018.5233

This cross-sectional analysis of data from a multiethnic cohort of midlife and older women examines the associations of intimate partner violence, sexual assault, and posttraumatic stress with menopause symptoms.

Invited Commentary

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

Abstract Full Text
JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136

A Novel Exercise Intervention and Functional Status in Very Elderly Patients During Acute Hospitalization

Abstract Full Text
has audio
JAMA Intern Med. 2019;179(1):36-37. doi:10.1001/jamainternmed.2018.6162

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

Abstract Full Text
JAMA Intern Med. 2019;179(1):46-47. doi:10.1001/jamainternmed.2018.5574

Anatomy and Physiology of Primary Care Teams

Abstract Full Text
JAMA Intern Med. 2019;179(1):61-62. doi:10.1001/jamainternmed.2018.5550

Evaluating an Asymptomatic Adnexal Cyst Found on Pelvic Ultrasonography

Abstract Full Text
JAMA Intern Med. 2019;179(1):78-79. doi:10.1001/jamainternmed.2018.5133

Association of Interpersonal Violence With Women鈥檚 Health

Abstract Full Text
JAMA Intern Med. 2019;179(1):87-89. doi:10.1001/jamainternmed.2018.5242

When High Prices Mean Needless Death

Abstract Full Text
JAMA Intern Med. 2019;179(1):114-115. doi:10.1001/jamainternmed.2018.5007
Editor's Note

Coordinating Clinical Trials to Confirm Drug Safety and Efficacy鈥擱esolving Uncertainty

Abstract Full Text
JAMA Intern Med. 2019;179(1):98. doi:10.1001/jamainternmed.2018.6037
Review

Health Care Policy and Law

Assessment of Pregabalin Postapproval Trials and the Suggestion of Efficacy for New Indications: A Systematic Review

Abstract Full Text
JAMA Intern Med. 2019;179(1):90-97. doi:10.1001/jamainternmed.2018.5705

This systematic review identifies 238 trials of pregabalin for nonapproved indications and examines how often exploratory trials generate a suggestion of efficacy but are not followed up by confirmatory trials.

Teachable Moment

Magic Mouthwash for Oral Mucositis: A Teachable Moment

Abstract Full Text
JAMA Intern Med. 2019;179(1):104-105. doi:10.1001/jamainternmed.2018.6223

This teachable moment assesses the effectiveness of magic mouthwash for oral mucositis.

Challenges in Clinical Electrocardiography

A Diagnostically Challenging Infusion Reaction鈥擪ounis, Takotsubo, or the ATAK!

Abstract Full Text
JAMA Intern Med. 2019;179(1):99-100. doi:10.1001/jamainternmed.2018.6155

This case report describes a diagnostically challenging electrocardiography finding after apparent chemotherapy infusion reaction.

A Wide Complex Tachycardia in a Woman During Exercise: Did She Tread Into Dangerous Territory?

Abstract Full Text
JAMA Intern Med. 2019;179(1):101-103. doi:10.1001/jamainternmed.2018.6207

This case report describes a wide complex tachycardia in a woman with type 2 diabetes, hypertension, dyslipidemia, and obseity.

JAMA Internal Medicine Patient Page

I Am Worried About Gonorrhea: What Do I Need to Know?

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):132. doi:10.1001/jamainternmed.2018.4345

This Patient Page examines the transmission, symptoms, and treatment of gonorrhea infection.

Research Letter

Characteristics of Patients With Professional Guardians in the Department of Veterans Affairs Health Care System

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):107-108. doi:10.1001/jamainternmed.2018.4849

This population-based study characterized patients with professional guardians using records from the Department of Veterans Affairs health care system.

Physician Work Environment and Well-Being

Prevalence of Sexual Harassment in Academic Medicine

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):108-111. doi:10.1001/jamainternmed.2018.4859

This cross-sectional internet-based survey study analyzes sexual harassment among physicians in an academic tertiary referral center in Germany.

Proportion of Violent Injuries Unreported to Law Enforcement

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):111-112. doi:10.1001/jamainternmed.2018.5139

This analysis of data collected in a metropolitan area emergency department and from 2 local police departments compares the report of violent injury and estimates the proportion of violent injury that is unreported to police.

Cost-Related Insulin Underuse Among Patients With Diabetes

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):112-114. doi:10.1001/jamainternmed.2018.5008

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

Association Between Cannabis Use and Risk for Diabetic Ketoacidosis in Adults With Type 1 Diabetes

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):115-118. doi:10.1001/jamainternmed.2018.5142

This survey study investigates whether cannabis use is associated with risk of diabetic ketoacidosis in adults with type 1 diabetes.

Routine Inpatient Mobility Assessment and Hospital Discharge Planning

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):118-120. doi:10.1001/jamainternmed.2018.5145

This cohort study examines whether use of a mobility assessment tool in hospitalized patients with impaired mobility is associated with discharge to a postacute facility.

Comment & Response

Why Pregnant Women May Justifiably Choose to Use Cannabis

Abstract Full Text
JAMA Intern Med. 2019;179(1):120. doi:10.1001/jamainternmed.2018.6890

Why Pregnant Women May Justifiably Choose to Use Cannabis鈥擱eply

Abstract Full Text
JAMA Intern Med. 2019;179(1):120-121. doi:10.1001/jamainternmed.2018.6893

Direct-to-Consumer Atrial Fibrillation Screening

Abstract Full Text
JAMA Intern Med. 2019;179(1):121-122. doi:10.1001/jamainternmed.2018.6972

Shared Decision Making Rarely Happens for Lung Cancer Screening

Abstract Full Text
JAMA Intern Med. 2019;179(1):122. doi:10.1001/jamainternmed.2018.6983

Shared Decision Making Rarely Happens for Lung Cancer Screening鈥擱eply

Abstract Full Text
JAMA Intern Med. 2019;179(1):122-123. doi:10.1001/jamainternmed.2018.6986

Retail Clinics Provide Important Antibiotic Stewardship

Abstract Full Text
JAMA Intern Med. 2019;179(1):123-124. doi:10.1001/jamainternmed.2018.7016

Retail Clinics Provide Important Antibiotic Stewardship鈥擱eply

Abstract Full Text
JAMA Intern Med. 2019;179(1):124. doi:10.1001/jamainternmed.2018.7013

Respiratory Isolation Based on Rapid Molecular Testing in an Intermediate Tuberculosis-Burden Country

Abstract Full Text
JAMA Intern Med. 2019;179(1):124-125. doi:10.1001/jamainternmed.2018.7238

Respiratory Isolation Based on Rapid Molecular Testing in an Intermediate Tuberculosis-Burden Country鈥擱eply

Abstract Full Text
JAMA Intern Med. 2019;179(1):125-126. doi:10.1001/jamainternmed.2018.7232

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. 2019;179(1):126. doi:10.1001/jamainternmed.2018.7162
Correction

Coding Error Resulting in Change in Secondary Outcome Scores

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):126-127. doi:10.1001/jamainternmed.2018.7186

Error in Figure 1

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):127. doi:10.1001/jamainternmed.2018.6665

Incorrect Author Surname, Affiliation, and Figure Key

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):127. doi:10.1001/jamainternmed.2018.7586
Images From Our Readers

Green Chicago River on St Patrick鈥檚 Day

Abstract Full Text
JAMA Intern Med. 2019;179(1):6. doi:10.1001/jamainternmed.2018.5731

Angkor Wat at Sunrise

Abstract Full Text
JAMA Intern Med. 2019;179(1):8. doi:10.1001/jamainternmed.2018.5736
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
free access
JAMA Intern Med. 2019;179(1):4. doi:10.1001/jamainternmed.2018.4703
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