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JAMA Internal Medicine

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https://www.readbyqxmd.com/read/28319242/quality-of-cancer-surveillance-clinical-practice-guidelines-specificity-and-consistency-of-recommendations
#1
Ryan P Merkow, Deborah Korenstein, Rubaya Yeahia, Peter B Bach, Shrujal S Baxi
Importance: Primary care clinicians, who are increasingly responsible for caring for the growing population of cancer survivors, may be unfamiliar with appropriate cancer surveillance strategies. Clinical practice guidelines can inform cancer follow-up care and surveillance testing. Vague recommendations and inconsistencies among guidelines can lead to overuse and underuse of health care resources and have a negative impact on cost and quality of survivorship care. Objective: To examine the specificity and consistency of recommendations for surveillance after active treatment across cancer guidelines...
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319231/association-of-suicidality-and-depression-with-5%C3%AE-reductase-inhibitors
#2
Blayne Welk, Eric McArthur, Michael Ordon, Kelly K Anderson, Jade Hayward, Stephanie Dixon
Importance: There have been concerns raised by patients and regulatory agencies regarding serious psychiatric adverse effects associated with 5α-reductase inhibitors. Objective: To determine if there is an increased risk of suicide, self-harm, or depression among older men starting a 5α-reductase inhibitor for prostatic enlargement. Design, Setting, and Participants: A population-based, retrospective, matched cohort study using linked administrative data for 93 197 men ages 66 years or older (median [IQR] age, 75 [70-80] years) in Ontario, Canada, who initiated a new prescription for a 5α-reductase inhibitor during the study period (2003 through 2013)...
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319229/patient-mortality-during-unannounced-accreditation-surveys-at-us-hospitals
#3
Michael L Barnett, Andrew R Olenski, Anupam B Jena
Importance: In the United States, hospitals receive accreditation through unannounced on-site inspections (ie, surveys) by The Joint Commission (TJC), which are high-pressure periods to demonstrate compliance with best practices. No research has addressed whether the potential changes in behavior and heightened vigilance during a TJC survey are associated with changes in patient outcomes. Objective: To assess whether heightened vigilance during survey weeks is associated with improved patient outcomes compared with nonsurvey weeks, particularly in major teaching hospitals...
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319228/health-and-functional-status-of-adults-aged-90-years-in-the-united-states
#4
Michelle C Odden, William Jen Hoe Koh, Alice M Arnold, Bruce M Psaty, Anne B Newman
No abstract text is available yet for this article.
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319227/the-risk-of-suicidality-and-depression-from-5-%C3%AE-reductase-inhibitors
#5
Stephen Thielke
No abstract text is available yet for this article.
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28319225/household-food-insecurity-and-ideal-cardiovascular-health-factors-in-us-adults
#6
Cindy Leung, June Tester, Barbara Laraia
No abstract text is available yet for this article.
March 20, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288257/military-family-physicians-readiness-for-treating-patients-with-gender-dysphoria
#7
Natasha A Schvey, Ian Blubaugh, Alexandria Morettini, David A Klein
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288256/review-of-the-drug-trials-snapshots-program-of-the-us-food-and-drug-administration-women-in-cardiovascular-drug-trials
#8
John Whyte, Janet Woodcock, Junyang Wang
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288254/variation-in-physician-spending-and-association-with-patient-outcomes
#9
Yusuke Tsugawa, Ashish K Jha, Joseph P Newhouse, Alan M Zaslavsky, Anupam B Jena
Importance: While the substantial variation in health care spending across regions and hospitals is well known, key clinical decisions are ultimately made by physicians. However, the degree to which spending varies across physicians and the clinical consequences of that variation are unknown. Objective: To investigate variation in spending across physicians and its association with patient outcomes. Design, Setting, and Participants: For this retrospective data analysis, we analyzed a 20% random sample of Medicare fee-for-service beneficiaries 65 years and older who were hospitalized with a nonelective medical condition and treated by a general internist between January 1, 2011, and December 31, 2014...
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288251/physician-spending-and-patient-outcomes
#10
Gregory Curfman
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288250/fda-drug-trials-snapshots-a-clearer-picture
#11
Sanket S Dhruva, Rita F Redberg
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288249/association-of-intensive-blood-pressure-control-and-kidney-disease-progression-in-nondiabetic-patients-with-chronic-kidney-disease-a-systematic-review-and-meta-analysis
#12
Wan-Chuan Tsai, Hon-Yen Wu, Yu-Sen Peng, Ju-Yeh Yang, Hung-Yuan Chen, Yen-Ling Chiu, Shih-Ping Hsu, Mei-Ju Ko, Mei-Fen Pai, Yu-Kang Tu, Kuan-Yu Hung, Kuo-Liong Chien
Importance: The optimal blood pressure (BP) target remains debated in nondiabetic patients with chronic kidney disease (CKD). Objective: To compare intensive BP control (<130/80 mm Hg) with standard BP control (<140/90 mm Hg) on major renal outcomes in patients with CKD without diabetes. Data Sources: Searches of PubMed, MEDLINE, Embase, and Cochrane Library for publications up to March 24, 2016. Study Selection: Randomized clinical trials that compared an intensive vs a standard BP target in nondiabetic adults with CKD, reporting changes in glomerular filtration rate (GFR), doubling of serum creatinine level, 50% reduction in GFR, end-stage renal disease (ESRD), or all-cause mortality...
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288248/a-transgender-military-internist-s-perspective-on-readiness-for-treating-patients-with-gender-dysphoria
#13
Jamie L Henry
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28288245/addressing-the-opioid-epidemic-in-the-united-states-lessons-from-the-department-of-veterans-affairs
#14
Walid F Gellad, Chester B Good, David J Shulkin
No abstract text is available yet for this article.
March 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28267832/screening-pelvic-examinations-the-emperor-s-new-clothes-now-in-3-sizes
#15
George F Sawaya
No abstract text is available yet for this article.
March 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28264094/representation-of-women-among-academic-grand-rounds-speakers
#16
Julie R Boiko, Alyce J M Anderson, Rachael A Gordon
No abstract text is available yet for this article.
March 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28264091/racial-disparities-in-medical-student-membership-in-the-alpha-omega-alpha-honor-society
#17
Dowin Boatright, David Ross, Patrick O'Connor, Edward Moore, Marcella Nunez-Smith
Importance: Previous studies have found racial and ethnic inequities in the receipt of academic awards, such as promotions and National Institutes of Health research funding, among academic medical center faculty. Few data exist about similar racial/ethnic disparities at the level of undergraduate medical education. Objective: To examine the association between medical student race/ethnicity and induction into the Alpha Omega Alpha (AΩA) honor society. Design, Setting, and Participants: This study analyzed data from the Electronic Residency Application Service, the official service used by US medical students to apply to residency programs...
March 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28264090/comparison-of-male-vs-female-resident-milestone-evaluations-by-faculty-during-emergency-medicine-residency-training
#18
Arjun Dayal, Daniel M O'Connor, Usama Qadri, Vineet M Arora
Importance: Although implicit bias in medical training has long been suspected, it has been difficult to study using objective measures, and the influence of sex and gender in the evaluation of medical trainees is unknown. The emergency medicine (EM) milestones provide a standardized framework for longitudinal resident assessment, allowing for analysis of resident performance across all years and programs at a scope and level of detail never previously possible. Objective: To compare faculty-observed training milestone attainment of male vs female residency training...
March 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28264084/implicit-bias-in-academic-medicine-whatadoctorlookslike
#19
Molly Cooke
No abstract text is available yet for this article.
March 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28264081/decreasing-the-sale-of-sugary-beverages-how-sweet-it-is
#20
Mitchell H Katz
No abstract text is available yet for this article.
March 6, 2017: JAMA Internal Medicine
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