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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/29214373/utilization-of-breast-cancer-screening-with-magnetic-resonance-imaging-in-community-practice
#1
Deirdre A Hill, Jennifer S Haas, Robert Wellman, Rebecca A Hubbard, Christoph I Lee, Jennifer Alford-Teaster, Karen J Wernli, Louise M Henderson, Natasha K Stout, Anna N A Tosteson, Karla Kerlikowske, Tracy Onega
BACKGROUND: Breast cancer screening with magnetic resonance imaging (MRI) may be a useful adjunct to screening mammography in high-risk women, but MRI uptake may be increasing rapidly among low- and average-risk women for whom benefits are unestablished. Comparatively little is known about use of screening MRI in community practice. OBJECTIVE: To assess relative utilization of MRI among women who do and do not meet professional society guidelines for supplemental screening, and describe utilization according to breast cancer risk indications...
December 6, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204977/managing-concerning-behaviors-in-patients-prescribed-opioids-for-chronic-pain-a-delphi-study
#2
Jessica S Merlin, Sarah R Young, Joanna L Starrels, Soraya Azari, E Jennifer Edelman, Jamie Pomeranz, Payel Roy, Shalini Saini, William C Becker, Jane M Liebschutz
BACKGROUND: Current guideline-recommended monitoring of patients prescribed long-term opioid therapy (LTOT) for chronic pain will likely result in increased identification of behaviors of concern for misuse and addiction, but there is a dearth of empiric evidence about how these behaviors should be managed. OBJECTIVE: To establish expert consensus about treatment approaches for common and challenging concerning behaviors that arise among patients on LTOT. DESIGN: We used a Delphi approach, which allows for generation of consensus...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204976/three-year-functional-trajectories-among-old-age-survivors-and-decedents-dying-eliminates-a-racial-disparity
#3
June R Lunney, Steven M Albert, Robert Boudreau, Diane Ives, Suzanne Satterfield, Anne B Newman, Tamara Harris
BACKGROUND: Long-term trajectories of disability comparing decedents and survivors and differences by race have not been assessed. OBJECTIVE: To examine self-reported difficulty in walking a quarter mile and the need for assistance with activities of daily living (ADL) beginning 3 years before death among decedents and age- and gender-matched survivors. DESIGN: A case-control sample drawn from the Health, Aging and Body Composition Study (Health ABC)...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204975/characteristics-and-disparities-among-primary-care-practices-in-the-united-states
#4
David Michael Levine, Jeffrey A Linder, Bruce E Landon
BACKGROUND: Despite new incentives for US primary care, concerns abound that patient-centered practice capabilities are lagging. OBJECTIVE: Describe the practice structure, patient-centered capabilities, and payment relationships of US primary care practices; identify disparities in practice capabilities. DESIGN: Analysis of the 2015 Medical Organizations Survey (MOS), part of the nationally representative Medical Expenditure Panel Survey (MEPS)...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204974/effects-of-discontinuation-of-urate-lowering-therapy-a-systematic-review
#5
Virginie Beslon, Perrine Moreau, Annabel Maruani, Hubert Maisonneuve, Bruno Giraudeau, Jean-Pascal Fournier
BACKGROUND: Urate-lowering therapy (ULT) is associated with low rates of adherence, leading to a potential risk of relapse of gouty arthritis, tophi, or urolithiasis. Our main aim was to identify the recurrence of gouty arthritis, tophi, or urolithiasis after discontinuation of ULT. Secondary aims included an assessment of ULT reintroduction rates and factors associated with relapse. METHODS: We conducted a systematic literature review of clinical studies investigating the effect of discontinuing any ULT (allopurinol, febuxostat, probenecid, sulfinpyrazone, benzbromarone) in adults on long-term therapy...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204973/external-validation-of-a-tool-predicting-7-year-risk-of-developing-cardiovascular-disease-type-2-diabetes-or-chronic-kidney-disease
#6
Simone P Rauh, Femke Rutters, Amber A W A van der Heijden, Thomas Luimes, Marjan Alssema, Martijn W Heymans, Dianna J Magliano, Jonathan E Shaw, Joline W Beulens, Jacqueline M Dekker
BACKGROUND: Chronic cardiometabolic diseases, including cardiovascular disease (CVD), type 2 diabetes (T2D) and chronic kidney disease (CKD), share many modifiable risk factors and can be prevented using combined prevention programs. Valid risk prediction tools are needed to accurately identify individuals at risk. OBJECTIVE: We aimed to validate a previously developed non-invasive risk prediction tool for predicting the combined 7-year-risk for chronic cardiometabolic diseases...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204972/interprofessional-collaboration-a-qualitative-study-of-non-physician-perspectives-on-resident-competency
#7
Mariposa Garth, Alexandra Millet, Emily Shearer, Sara Stafford, Sylvia Bereknyei Merrell, Janine Bruce, Erika Schillinger, Alistair Aaronson, David Svec
BACKGROUND: The Association of American Medical Colleges (AAMC) includes the ability to collaborate in an interprofessional team as a core professional activity that trainees should be able to complete on day 1 of residency (Med Sci Educ. 26:797-800, 2016). The training that medical students require in order to achieve this competency, however, is not well established (Med Sci Educ. 26:457-61, 2016), and few studies have examined non-physician healthcare professionals' perspectives regarding resident physicians' interprofessional skills...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204971/cultural-issues-in-medication-adherence-disparities-and-directions
#8
Elizabeth L McQuaid, Wendy Landier
Adherence to medications is dependent upon a variety of factors, including individual characteristics of the patient, the patient's family and culture, interactions with healthcare providers, and the healthcare system itself. Because of its association with worse outcomes, poor medication adherence is considered a potential contributor to disparities in health outcomes observed for various conditions across racial and ethnic groups. While there are no simple answers, it is clear that patient, provider, cultural, historical, and healthcare system factors all play a role in patterns of medication use...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204970/taking-an-interdisciplinary-approach-to-understanding-and-improving-medication-adherence
#9
EDITORIAL
Kenneth G Saag, Smita Bhatia, Michael J Mugavero, Jasvinder A Singh
No abstract text is available yet for this article.
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204969/advancing-the-science-and-practice-of-medication-adherence
#10
Michael J Stirratt, Jeffrey R Curtis, Maria I Danila, Richard Hansen, Michael J Miller, C Ann Gakumo
Medication adherence remains a significant unmet challenge for optimizing patient outcomes. Recent advances in the conceptualization, measurement, and support of medication adherence offer fresh opportunities to make a meaningful impact on adherence-related behavior and outcomes. These advances emphasize the multifaceted and dynamic nature of medication adherence, provide novel methods for monitoring medication adherence in clinical care, and articulate a set of multilevel strategies to more effectively improve and sustain medication adherence...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29204968/advantages-to-using-social-behavioral-models-of-medication-adherence-in-research-and-practice
#11
K Rivet Amico, M Mugavero, Marie A Krousel-Wood, Hayden B Bosworth, Jessica S Merlin
Achieving and sustaining high levels of adherence to medication regimens is essential to improving health outcomes, but continues to be a challenge for a sizable proportion of patients. Decades of research suggests that medication adherence is determined by a complex constellation of factors. Social-behavioral science research has focused on creating frameworks that identify which contextual, personal, social, or drug-related factors appear to most influence adherence. Comprehensive models of adherence propose specific structural relationships between these factors that can be used to plan for, implement, and monitor programs that seek to optimize adherence...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29192389/backwards-and-forwards
#12
Ariela R Orkaby
No abstract text is available yet for this article.
November 30, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29188544/keystrokes-mouse-clicks-and-gazing-at-the-computer-how-physician-interaction-with-the-ehr-affects-patient-participation
#13
Richard L Street, Lin Liu, Neil J Farber, Yunan Chen, Alan Calvitti, Nadir Weibel, Mark T Gabuzda, Kristin Bell, Barbara Gray, Steven Rick, Shazia Ashfaq, Zia Agha
BACKGROUND: Evidence is mixed regarding how physicians' use of the electronic health record (EHR) affects communication in medical encounters. OBJECTIVE: To investigate whether the different ways physicians interact with the computer (mouse clicks, key strokes, and gaze) vary in their effects on patient participation in the consultation, physicians' efforts to facilitate patient involvement, and silence. DESIGN: Cross-sectional, observational study of video and event recordings of primary care and specialty consultations...
November 29, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29188543/accelerating-the-implementation-of-social-determinants-of-health-interventions-in-internal-medicine
#14
Elena Byhoff, Karen M Freund, Arvin Garg
No abstract text is available yet for this article.
November 29, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29188542/wet-beriberi-associated-with-hikikomori-syndrome
#15
Natsumi Tanabe, Eiji Hiraoka, Jun Kataoka, Takaki Naito, Ko Matsumoto, Junya Arai, Yasuhiro Norisue
Wet beriberi, characterized by high cardiac output with predominantly right-sided heart failure and lactic acidosis, is a disease caused by thiamine deficiency, and is rarely seen in modern society. However, patients with social withdrawal syndrome, also known as hikikomori syndrome, may be a new population at risk of thiamine deficiency. Hikikomori syndrome, first recognized in Japan, is becoming a worldwide issue. A 39-year-old Japanese patient was brought to our hospital, with a 3-week history of progressive shortness of breath and generalized edema...
November 29, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29185176/communication-quality-predicts-psychological-well-being-and-satisfaction-in-family-surrogates-of-hospitalized-older-adults-an-observational-study
#16
Alexia M Torke, Christopher M Callahan, Greg A Sachs, Lucia D Wocial, Paul R Helft, Patrick O Monahan, James E Slaven, Kianna Montz, Emily S Burke, Lev Inger
BACKGROUND: Many hospitalized older adults require family surrogates to make decisions, but surrogates may perceive that the quality of medical decisions is low and may have poor psychological outcomes after the patient's hospitalization. OBJECTIVE: To determine the relationship between communication quality and high-quality medical decisions, psychological well-being, and satisfaction for surrogates of hospitalized older adults. DESIGN: Observational study at three hospitals in a Midwest metropolitan area...
November 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29185175/pivot-and-cluster-an-exercise-in-clinical-reasoning
#17
Jori E May, Reaford J Blackburn, Robert M Centor, Gurpreet Dhaliwal
No abstract text is available yet for this article.
November 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29185174/physical-psychological-social-and-existential-symptoms-in-older-homeless-experienced-adults-an-observational-study-of-the-hope-home-cohort
#18
M Patanwala, L Tieu, C Ponath, D Guzman, C S Ritchie, Margot Kushel
BACKGROUND: The homeless population in the United States is aging. Aging-associated comorbidities are associated with increased symptoms. OBJECTIVE: To describe the prevalence of symptoms among older homeless-experienced adults, analyze factors associated with moderate-high physical symptom burden, and identify symptom clusters. DESIGN: Cross-sectional analysis within longitudinal cohort study. PARTICIPANTS: Using population-based sampling from shelters, meal programs, encampments, and a recycling center in Oakland, CA, we recruited homeless adults aged ≥ 50 for a longitudinal cohort...
November 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29185173/increasing-prevalence-of-alcohol-use-disorders-meeting-the-challenge-in-primary-care-commentary-on-williams-et-al-barriers-to-and-facilitators-of-alcohol-use-disorder-pharmacotherapy-in-primary-care-a-qualitative-study-in-five-va-clinics
#19
EDITORIAL
https://www.readbyqxmd.com/read/29181792/medicaid-expansion-mental-health-and-access-to-care-among-childless-adults-with-and-without-chronic-conditions
#20
Tyler N A Winkelman, Virginia W Chang
BACKGROUND: While the Affordable Care Act's (ACA) Medicaid expansion has increased insurance coverage, its effects on health outcomes have been mixed. This may be because previous research did not disaggregate mental and physical health or target populations most likely to benefit. OBJECTIVE: To examine the association between Medicaid expansion and changes in mental health, physical health, and access to care among low-income childless adults with and without chronic conditions...
November 27, 2017: Journal of General Internal Medicine
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