Beth Han, MD, PhD, MPH; Wilson M. Compton, MD, MPE; Carlos Blanco, MD, PhD; Elizabeth Crane, PhD, MPH; Jinhee Lee, PharmD; Christopher M. Jones, PharmD, MPH
Despite the continuing epidemic of opioid misuse, data about the prevalence and correlates of misuse are scarce. This study used data from the National Survey on Drug Use and Health to estimate the prevalence of prescription opioid use, misuse, and use disorders among civilian, noninstitutionalized U.S. adults.
Ann Intern Med. 2017;167(5):293-301. doi:10.7326/M17-0865
Rebecca S. Lipner, PhD; Bradley G. Brossman, PhD; Kelli M. Samonte, PhD; Steven J. Durning, MD, PhD
Closed-book medical certification examinations have been criticized for not mimicking real-life practice, in which physicians frequently look up information to inform care. This randomized trial assessed whether allowing examinees to use an online medical information resource altered the test's ability to differentiate those who perform adequately from those who do not.
Ann Intern Med. 2017;167(5):302-310. doi:10.7326/M16-2843
Sarah Kattakuzhy, MD; Chloe Gross, RN; Benjamin Emmanuel, MPH; Gebeyehu Teferi, MD; Veronica Jenkins, MD; Rachel Silk, RN, MPH; Elizabeth Akoth, RN, MS; Aurielle Thomas, BA; Charisse Ahmed, BS; Michelle Espinosa; Angie Price, CRNP; Elana Rosenthal, MD; Lydia Tang, MD; Eleanor Wilson, MD, MS; Soren Bentzen, PhD; Henry Masur, MD; Shyam Kottilil, MD, PhD; and the ASCEND Providers
The number of patients with hepatitis C virus infection who would benefit from direct-acting antiviral therapy greatly exceeds the current workforce capacity of specialists in infectious disease and hepatology. In a partnership between the National Institutes of Health and federally qualified health centers in the District of Columbia, treatment outcomes were compared among patients treated by specialists, nurse practitioners, and primary care physicians.
Ann Intern Med. 2017;167(5):311-318. doi:10.7326/M17-0118
Shannon M. Nugent, PhD; Benjamin J. Morasco, PhD; Maya E. O'Neil, PhD; Michele Freeman, MPH; Allison Low, BA; Karli Kondo, PhD; Camille Elven, MD; Bernadette Zakher, MBBS; Makalapua Motu'apuaka, BA; Robin Paynter, MLIS; Devan Kansagara, MD, MCR
This systematic review examines evidence from 27 trials about the benefits of plant-based cannabis preparations for treating chronic pain in adults and evidence from 32 primary studies and 11 systematic reviews about potential harms of cannabis use in the general population.
Ann Intern Med. 2017;167(5):319-331. doi:10.7326/M17-0155
Maya E. O'Neil, PhD; Shannon M. Nugent, PhD; Benjamin J. Morasco, PhD; Michele Freeman, MPH; Allison Low, BA; Karli Kondo, PhD; Bernadette Zakher, MBBS; Camille Elven, MD; Makalapua Motu'apuaka, BA; Robin Paynter, MLIS; Devan Kansagara, MD, MCR
This systematic review summarizes evidence regarding the benefits and harms of plant-based cannabis for treating posttraumatic stress disorder in adults and describes several ongoing studies that may soon provide important results.
Ann Intern Med. 2017;167(5):332-340. doi:10.7326/M17-0477
Shabbir M.H. Alibhai, MD, MSc; Katherine Zukotynski, MD; Cindy Walker-Dilks, MLS; Urban Emmenegger, MD; Antonio Finelli, MD, MSc; Scott C. Morgan, MD, MSc; Sebastién J. Hotte, MD, MSc; George A. Tomlinson, PhD; Eric Winquist, MD, MSc
This systematic review summarizes evidence about the effectiveness of drug, supplement, and lifestyle interventions aimed at fracture prevention, improving bone mineral density, or preventing or delaying osteoporosis in men with nonmetastatic prostate cancer.
Ann Intern Med. 2017;167(5):341-350. doi:10.7326/M16-2577
Karen E. Lasser, MD, MPH
Han and colleagues present striking results from an analysis of the 2015 National Survey on Drug Use and Health. Although improved access to evidence-based pain management and a decrease in excessive prescribing are needed, the editorialist discusses why the way out of the opioid crisis requires a much broader policy approach that alleviates social contributors to poor health.
Ann Intern Med. 2017;167(5):351-352. doi:10.7326/M17-1559
Steven E. Weinberger, MD
In recent years, the Maintenance of Certification (MOC) program of the American Board of Internal Medicine has generated substantial controversy. Lipner and colleagues' study demonstrates that allowing access to a single informational resource did not adversely affect the performance of the examination. The editorialist discusses the findings and the need for continuing modifications to make the MOC process more relevant, more valuable, less burdensome, and less time-consuming.
Ann Intern Med. 2017;167(5):353-354. doi:10.7326/M17-1853
Sachin Patel, MD, PhD
Interest in scientific evidence for medical cannabis use is increasing. This issue includes systematic reviews evaluating the evidence for cannabis in the treatment of pain and posttraumatic stress disorder. The editorialist discusses the lack of high-quality data from which to draw firm conclusions about the efficacy of cannabis for these conditions, for which it is both sanctioned and commonly used.
Ann Intern Med. 2017;167(5):355-356. doi:10.7326/M17-1713
Azeez Farooki, MD; Howard I. Scher, MD
Alibhai and colleagues report a systematic review of therapies to maintain bone health in patients receiving hormonal therapy for prostate cancer. The editorialists discuss the findings and the need for comparative effectiveness studies of the available agents to better define benefits and harms.
Ann Intern Med. 2017;167(5):357-358. doi:10.7326/M17-1800
George Goshua, MD
It all feels cold. I do not yet have the clinical experience but cannot escape the feeling that Robert deserves a more human touch.
Ann Intern Med. 2017;167(5):359. doi:10.7326/M16-2602
Ann Intern Med. 2017;167(5):360-361. doi:10.7326/L17-0182
Ann Intern Med. 2017;167(5):361-362. doi:10.7326/L17-0187
Ann Intern Med. 2017;167(5):362-363. doi:10.7326/L17-0322
Ann Intern Med. 2017;167(5):363-364. doi:10.7326/L17-0323
D.A. Frater, MD
Ann Intern Med. 2017;167(5):331. doi:10.7326/M17-0424
Ann Intern Med. 2017;167(5):356. doi:10.7326/M17-0425
Timothy M. Uyeki, MD, MPH, MPP
Ann Intern Med. 2017;167(5):ITC33-ITC48. doi:10.7326/AITC201709050
Darren B. Taichman, MD, PhD
Ann Intern Med. 2017;167(5):ED5. doi:10.7326/AFED201709050
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. 2017;167(5):W36-W40. doi:10.7326/G17-0005
Ann Intern Med. 2017;167(5):I-24. doi:10.7326/P17-9042
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