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March 1, 2017, Vol 177, No. 3, Pages 297-449

In This Issue of JAMA Internal Medicine

Highlights

Abstract Full Text
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JAMA Intern Med. 2017;177(3):297-299. doi:10.1001/jamainternmed.2016.6134
Viewpoint

Will Cardiovascular Outcomes Data on Newer Diabetes Drugs Bury the Older Agents?

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JAMA Intern Med. 2017;177(3):301-302. doi:10.1001/jamainternmed.2016.8284

This Viewpoint examines randomized clinical trials of newer and older drugs for type 2 diabetes that have a primary cardiovascular outcome.

Developing Better Pneumococcal Vaccines for Adults

Abstract Full Text
JAMA Intern Med. 2017;177(3):303-304. doi:10.1001/jamainternmed.2016.8289

This Viewpoint proposes the development and use of a new pneumococcal vaccine specifically formulated for adults.

High Prices for Drugs With Generic AlternativesThe Curious Case of Duexis

Abstract Full Text
JAMA Intern Med. 2017;177(3):305-306. doi:10.1001/jamainternmed.2016.8423

This Viewpoint examines the rising cost of prescription drugs using Duexis, a drug used to treat rheumatoid arthritis, osteoarthritis, and to decrease the risk of developing upper gastrointestinal ulcers, as an example.

Defunding Planned Parenthood—The Stakes for America’s Women

Abstract Full Text
JAMA Intern Med. 2017;177(3):307-308. doi:10.1001/jamainternmed.2017.0178

This Viewpoint discusses the plan by Congressional Republicans to ban Planned Parenthood from receiving federal funding and to undermine the hard won gains of generations of American women.

Perspective

What Van Halen Can Teach Us About the Care of Older Patients

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JAMA Intern Med. 2017;177(3):309-310. doi:10.1001/jamainternmed.2016.8276
Editorial

Important Questions About Lung Cancer Screening Programs When Incidental Findings Exceed Lung Cancer Nodules by 40 to 1

Abstract Full Text
JAMA Intern Med. 2017;177(3):311-312. doi:10.1001/jamainternmed.2016.9446

Diabetes Care in Latinos With Limited English ProficiencyWhat Do Language Concordant Clinicians Add?

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JAMA Intern Med. 2017;177(3):313-315. doi:10.1001/jamainternmed.2016.8661

Responding to Firearm Homicide in Urban Areas

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JAMA Intern Med. 2017;177(3):316. doi:10.1001/jamainternmed.2016.8509
Original Investigation

Association of Drug and Alcohol Use With Adolescent Firearm Homicide at Individual, Family, and Neighborhood Levels

Abstract Full Text
JAMA Intern Med. 2017;177(3):317-324. doi:10.1001/jamainternmed.2016.8180

This study examines the relationships between exposures to drugs and alcohol at the individual, family, and neighborhood levels and adolescent firearm homicide.

Modeling Contagion Through Social Networks to Explain and Predict Gunshot Violence in Chicago, 2006 to 2014

Abstract Full Text
JAMA Intern Med. 2017;177(3):326-333. doi:10.1001/jamainternmed.2016.8245

This epidemiological analysis evaluates the extent to which the people who will become subjects of gun violence can be predicted by modeling gun violence as an epidemic that is transmitted between individuals through social interactions.

Association of “Weekend Warrior” and Other Leisure Time Physical Activity Patterns With Risks for All-Cause, Cardiovascular Disease, and Cancer Mortality

Abstract Full Text
JAMA Intern Med. 2017;177(3):335-342. doi:10.1001/jamainternmed.2016.8014

This pooled analysis of national health survey data investigates the association of physical activity patterns with all-cause, cardiovascular disease, and cancer mortality in adult respondents.

Patient Advocacy Organizations, Industry Funding, and Conflicts of Interest

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JAMA Intern Med. 2017;177(3):344-350. doi:10.1001/jamainternmed.2016.8443

This survey study examines the nature of industry funding and partnerships between patient advocacy organizations and for-profit companies in the United States.

Conflict of Interest in Seminal Hepatitis C Virus and Cholesterol Management Guidelines

Abstract Full Text
JAMA Intern Med. 2017;177(3):352-357. doi:10.1001/jamainternmed.2016.8439

This document review evaluates adherence to the Institute of Medicine standards for limits on commercial conflicts of interest, guideline development, and evaluation of evidence by a 2013 cholesterol management guideline and a 2014 hepatitis C virus management guideline.

Diabetes Outpatient Care and Acute Complications Before and After High-Deductible Insurance EnrollmentA Natural Experiment for Translation in Diabetes (NEXT-D) Study

Abstract Full Text
JAMA Intern Med. 2017;177(3):358-368. doi:10.1001/jamainternmed.2016.8411

This population-based cohort study examines the association of changes in insurance deductible levels with outpatient care of patients with diabetes.

Adherence to Newly Prescribed Diabetes Medications Among Insured Latino and White Patients With Diabetes

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JAMA Intern Med. 2017;177(3):371-379. doi:10.1001/jamainternmed.2016.8653

This study examines the association of patient race/ethnicity, preferred language, and physician language concordance with patient adherence to newly prescribed diabetes medications.

Association of Patient-Physician Language Concordance and Glycemic Control for Limited–English Proficiency Latinos With Type 2 Diabetes

Abstract Full Text
JAMA Intern Med. 2017;177(3):380-387. doi:10.1001/jamainternmed.2016.8648

This pre-post, differences-in-differences study evaluates the changes in risk factor control among limited–English proficiency Latinos with diabetes who switched from language-discordant (English-only) primary care physicians (PCPs) to language-concordant (Spanish-speaking) PCPs.

Association of Intensive Care Unit Patient-to-Intensivist Ratios With Hospital Mortality

Abstract Full Text
JAMA Intern Med. 2017;177(3):388-396. doi:10.1001/jamainternmed.2016.8457

This cohort study examines patient-to-intensivist ratios in UK intensive care units and the association of patient-to-intensivist ratios with patient mortality.

Implementation of Lung Cancer Screening in the Veterans Health Administration

Abstract Full Text
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JAMA Intern Med. 2017;177(3):399-406. doi:10.1001/jamainternmed.2016.9022

This clinical demonstration project describes organizational- and patient-level experiences with implementing a lung cancer screening program in selected Veterans Health Administration hospitals and estimates the number of patients who may be candidates for lung cancer screening.

Invited Commentary

The Roles of Alcohol and Drugs in Firearm Violence

Abstract Full Text
JAMA Intern Med. 2017;177(3):324-325. doi:10.1001/jamainternmed.2016.8192

Firearm Violence as a Disease—“Hot People” or “Hot Spots”?

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JAMA Intern Med. 2017;177(3):333-334. doi:10.1001/jamainternmed.2016.8273

Physical Activity on the WeekendCan It Wait Until Then?

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JAMA Intern Med. 2017;177(3):342-343. doi:10.1001/jamainternmed.2016.8050

Toward a Healthier Patient VoiceMore Independence, Less Industry Funding

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JAMA Intern Med. 2017;177(3):350-351. doi:10.1001/jamainternmed.2016.9179

Precision Benefit Design—Using “Smarter” Deductibles to Better Engage Consumers and Mitigate Cost-Related Nonadherence

Abstract Full Text
JAMA Intern Med. 2017;177(3):368-370. doi:10.1001/jamainternmed.2016.8747

Toward the Ideal Ratio of Patients to IntensivistsFinding a Reasonable Balance

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JAMA Intern Med. 2017;177(3):396-398. doi:10.1001/jamainternmed.2016.8476

Food Insecurity and “Unexplained” Weight Loss

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JAMA Intern Med. 2017;177(3):421-422. doi:10.1001/jamainternmed.2016.8697

What Can the Use of Anesthesia Services for Endoscopy in the Veterans Health Administration Teach Us About Appropriate Care?

Abstract Full Text
JAMA Intern Med. 2017;177(3):438. doi:10.1001/jamainternmed.2016.8571
Editor's Note

Regulatory Action Necessary for Immune Globulin Preparations for Hepatitis A Prophylaxis

Abstract Full Text
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JAMA Intern Med. 2017;177(3):432-433. doi:10.1001/jamainternmed.2016.9196
Review

Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and TestsA Systematic Review

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has active quiz
JAMA Intern Med. 2017;177(3):407-419. doi:10.1001/jamainternmed.2016.8254

This systematic review describes the findings of studies evaluating clinicians’ estimations of the benefits and harms associated with testing and treatment.

Evidence to Practice

Midlife Approaches to Prevention of Ill Health in Later Life

Abstract Full Text
JAMA Intern Med. 2017;177(3):423-424. doi:10.1001/jamainternmed.2016.8849

This study summarizes the effectiveness of individually directed midlife interventions to increase the uptake and maintenance of healthy behaviors.

Teachable Moment

“Explainable” Weight LossA Teachable Moment

Abstract Full Text
JAMA Intern Med. 2017;177(3):420-421. doi:10.1001/jamainternmed.2016.8693

This case report shows how a 2-item screening tool and basic laboratory tests can elicit causative factors for weight loss in elderly patients and help avoid further costly, invasive, and potentially harmful testing.

Research Letter

Financial Conflicts of Interest Among Hematologist-Oncologists on Twitter

Abstract Full Text
JAMA Intern Med. 2017;177(3):425-427. doi:10.1001/jamainternmed.2016.8467

This study describes the financial conflicts of interest prevalent among hematologist-oncologist users of Twitter.

Financial Conflicts of Interest and the Centers for Disease Control and Prevention’s 2016 Guideline for Prescribing Opioids for Chronic Pain

Abstract Full Text
JAMA Intern Med. 2017;177(3):427-428. doi:10.1001/jamainternmed.2016.8471

This study identifies levels of support for the 2016 Centers for Disease Control and Prevention guidelines for prescribing opioids for chronic pain and whether financial relationships with opioid manufacturers are associated with opposition to the guidelines.

Feasibility of Fecal Immunochemical Testing Among Hispanic and Haitian Immigrants Living in South Florida

Abstract Full Text
JAMA Intern Med. 2017;177(3):428-430. doi:10.1001/jamainternmed.2016.8689

This study analyzes a training strategy for community health workers to perform fecal immunochemical testing among Hispanic and Haitian immigrants living in south Florida.

Evaluation of Potencies of Immune Globulin Products Against Hepatitis A

Abstract Full Text
JAMA Intern Med. 2017;177(3):430-432. doi:10.1001/jamainternmed.2016.9057

This study evaluates anti–hepatitis A virus potencies in 9 currently marketed immune globulin products.

Health Insurance Deductibles and Their Associations With Out-of-Pocket Spending and Affordability Barriers Among US Adults With Chronic Conditions

Abstract Full Text
JAMA Intern Med. 2017;177(3):433-436. doi:10.1001/jamainternmed.2016.8419

This population-based study examines the cost burdens with related access barriers associated with insurance deductibles in patients with chronic conditions.

National Trends in Use of Monitored Anesthesia Care for Outpatient Gastrointestinal Endoscopy in the Veterans Health Administration

Abstract Full Text
JAMA Intern Med. 2017;177(3):436-438. doi:10.1001/jamainternmed.2016.8566

This cohort study assesses trends in use of monitored anesthesia care for outpatient gastrointestinal endoscopy in the Veterans Health Administration from 2000 to 2013.

Use of CT and Chest Radiography for Lung Cancer Screening Before and After Publication of Screening GuidelinesIntended and Unintended Uptake

Abstract Full Text
JAMA Intern Med. 2017;177(3):439-441. doi:10.1001/jamainternmed.2016.9016

This study evaluates the use of computed tomography and chest radiography for lung cancer screening before and after publication of the National Lung Screening Trial screening guidelines.

Comment & Response

Where Is the Geriatrician?

Abstract Full Text
JAMA Intern Med. 2017;177(3):441-442. doi:10.1001/jamainternmed.2016.8853

Where Is the Geriatrician?—Reply

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JAMA Intern Med. 2017;177(3):442-443. doi:10.1001/jamainternmed.2016.8856

Questioning Feeding Tubes to Treat Dysphagia

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JAMA Intern Med. 2017;177(3):443. doi:10.1001/jamainternmed.2016.9000

Questioning Feeding Tubes to Treat Dysphagia—Reply

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JAMA Intern Med. 2017;177(3):443-444. doi:10.1001/jamainternmed.2016.9003

Perspectives on Care for the Elderly in China

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JAMA Intern Med. 2017;177(3):444. doi:10.1001/jamainternmed.2016.9135

Perspectives on Care for the Elderly in China—Reply

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JAMA Intern Med. 2017;177(3):444-445. doi:10.1001/jamainternmed.2016.9141

Quantifying US Residency Competitiveness in Different Fields

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JAMA Intern Med. 2017;177(3):445. doi:10.1001/jamainternmed.2016.9222

Quantifying US Residency Competitiveness in Different Fields—Reply

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JAMA Intern Med. 2017;177(3):445-446. doi:10.1001/jamainternmed.2016.9228

Screening for Depression Through a Glass Darkly

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JAMA Intern Med. 2017;177(3):446-447. doi:10.1001/jamainternmed.2016.9281

Screening for Depression Through a Glass Darkly

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JAMA Intern Med. 2017;177(3):447. doi:10.1001/jamainternmed.2016.9284

Screening for Depression Through a Glass Darkly—Reply

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JAMA Intern Med. 2017;177(3):447-448. doi:10.1001/jamainternmed.2016.9287

Incorrect Impressions Concerning Industry-Sponsored Research

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JAMA Intern Med. 2017;177(3):448-449. doi:10.1001/jamainternmed.2016.9474

Incorrect Impressions Concerning Industry-Sponsored Research—Reply

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JAMA Intern Med. 2017;177(3):449. doi:10.1001/jamainternmed.2016.9477
Correction

Omitted Authorship Contribution

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JAMA Intern Med. 2017;177(3):449. doi:10.1001/jamainternmed.2017.0100

Additional Funding Source Added

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JAMA Intern Med. 2017;177(3):449. doi:10.1001/jamainternmed.2017.0118

Reporting Error in Methods Section

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JAMA Intern Med. 2017;177(3):449. doi:10.1001/jamainternmed.2017.0165
Images From Our Readers

Ice Cold

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JAMA Intern Med. 2017;177(3):315. doi:10.1001/jamainternmed.2016.9407
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JAMA Internal Medicine

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JAMA Intern Med. 2017;177(3):300. doi:10.1001/jamainternmed.2016.6135
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