Karen E. Joynt, MD, MPH; E. John Orav, PhD; Jie Zheng, PhD; Ashish K. Jha, MD, MPH
In 2008, the U.S. Hospital Compare program began publicly reporting individual hospital mortality rates for acute myocardial infarction, heart failure, and pneumonia. This study measured how much the rates changed after public reporting began compared with other, nonreported conditions. The results were unexpected.
Ann Intern Med. 2016;165(3):153-160. doi:10.7326/M15-1462
Torsten Dahlén, MD; Gustaf Edgren, MD, PhD; Mats Lambe, MD, PhD; Martin Höglund, MD, PhD; Magnus Björkholm, MD, PhD; Fredrik Sandin, MSc; Anders Själander, MD, PhD; Johan Richter, MD, PhD; Ulla Olsson-Strömberg, MD, PhD; Lotta Ohm, MD, PhD; Magnus Bäck, MD, PhD; Leif Stenke, MD, PhD; on behalf of the Swedish CML Group and the Swedish CML Register Group
Tyrosine kinase inhibitors (TKIs) have proven to dramatically increase survival of chronic myelogenous leukemia (CML). However, these drugs have been associated with increased risk for both arterial and vascular events. This study compared the incidence of vascular events between first- and second-generation TKIs used in treating CML.
Ann Intern Med. 2016;165(3):161-166. doi:10.7326/M15-2306
Andrew Anglemyer, PhD; Matthew L. Miller, MS; Samuel Buttrey, PhD; Lyn Whitaker, PhD
Identifying temporal trends in suicide among military personnel and nonclinical factors associated with the chosen suicide methods may help improve prevention strategies. This study calculated suicide rates of active duty military personnel and identified characteristics of those who are at risk for firearm-specific suicide.
Ann Intern Med. 2016;165(3):167-174. doi:10.7326/M15-2785
Kathryn B. Anderson, MD, PhD; Stephen J. Thomas, MD; Timothy P. Endy, MD, MPH
The limited understanding of Zika virus (ZIKV) presents is a challenge for responses to this global threat to human health. This article reviews the literature on ZIKV and poses important questions for vaccine development and other areas of research.
Ann Intern Med. 2016;165(3):175-183. doi:10.7326/M16-0617
Wei Duan-Porter, MD, PhD; Karen M. Goldstein, MD, MSPH; Jennifer R. McDuffie, PhD, MPH; Jaime M. Hughes, MPH, MSW; Megan E.B. Clowse, MD, MPH; Ruth S. Klap, PhD; Varsha Masilamani, MBBS; Nancy M. Allen LaPointe, PharmD, MHS; Avishek Nagi, MS; Jennifer M. Gierisch, PhD, MPH; John W. Williams Jr., MD, MHSc
Men and women can have marked differences in disease prevalence, clinical manifestations, and health outcomes. Whether systematic reviews—a key source of information for clinicians, researchers, and patients—appropriately examine and report such differences is the topic of this evidence mapping exercise.
Ann Intern Med. 2016;165(3):184-193. doi:10.7326/M15-2877
Risa B. Burns, MD, MPH; Mara A. Schonberg, MD, MPH; Nadine M. Tung, MD; Howard Libman, MD
This Grand Rounds summarizes a discussion between a specialist and a primary care physician about offering medication for breast cancer prevention and how they would balance the benefits and harms both in general and in a specific patient.
Ann Intern Med. 2016;165(3):194-204. doi:10.7326/M16-0940
Bryan S. Lee, MD, JD; Jan Walker, RN, MBA; Tom Delbanco, MD; Joann G. Elmore, MD, MPH
Patients are accessing their medical records via online portals, uploading data into their records, and reading their clinicians' notes. Although these changes hold promise for improving the value and safety of health care, some opportunities are hindered by legal constraints dating back to when patients rarely saw their physical charts.
Ann Intern Med. 2016;165(3):219-220. doi:10.7326/M15-2827
Garen J. Wintemute, MD, MPH; Marian E. Betz, MD, MPH; Megan L. Ranney, MD, MPH
Although many physicians report believing that health care professionals should play an active role in helping to protect patients from firearm-related violence, few do so. This article addresses important barriers physicians face in discussing firearm safety with their patients, as well as when to ask patients about guns, what questions to ask, and what to do with the answers.
Ann Intern Med. 2016;165(3):205-213. doi:10.7326/M15-2905
Ian S. Campbell, MD; Joel D. Howell, MD, PhD; H. Hughes Evans, MD, PhD
Fiberoptic endoscopy was first used at the University of Michigan nearly 60 years ago. Here, the authors examine how initial staunch resistance to this disruptive technology ultimately gave way to widespread, enthusiastic adoption.
Ann Intern Med. 2016;165(3):214-218. doi:10.7326/M16-0025
Steven E. Weinberger, MD
Wintemute and colleagues address the legality of counseling patients about firearm safety and recommend content for these conversations. The editorialist discusses why physicians must not shirk their responsibility to seek information about gun ownership when appropriate or to counsel, educate, and take other actions if necessary to mitigate the risk for firearm-related injury or death.
Ann Intern Med. 2016;165(3):221-222. doi:10.7326/M16-0968
Reena George, MD; Vatsala Srinivasan, PhD
Maggots have been the proverbial bee in my bonnet. They are always a concern of mine, and I worry how I might prevent them in the open wounds of our patients in India dying at home.
Ann Intern Med. 2016;165(3):223-224. doi:10.7326/M15-2352
Ann Intern Med. 2016;165(3):225. doi:10.7326/L16-0100
Ann Intern Med. 2016;165(3):225. doi:10.7326/L16-0102
Ann Intern Med. 2016;165(3):226-227. doi:10.7326/L15-0527
Ann Intern Med. 2016;165(3):227-228. doi:10.7326/M16-1096
Alejandra Vivas, MD; Hadar Lev-Tov, MD, MAS; Robert S. Kirsner, MD, PhD
Ann Intern Med. 2016;165(3):ITC17-ITC32. doi:10.7326/AITC201608020
Darren B. Taichman, MD, PhD
Ann Intern Med. 2016;165(3):ED3. doi:10.7326/AFED201608020
Nathan Gray, MD
Annals Graphic Medicine brings together original graphic narratives, comics, animation/video, and other creative forms by those who provide or receive health care. They address medically relevant topics—whether they be poignant, thought-provoking, or just plain entertaining.
Ann Intern Med. 2016;165(3):W5. doi:10.7326/G16-0002
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