Rebecca T. Brown, MD, MPH; L. Grisell Diaz-Ramirez, MS; W. John Boscardin, PhD; Sei J. Lee, MD; Michael A. Steinman, MD
Functional impairments, or limitations in performing activities of daily living, are common among middle-aged adults. This article presents data on the incidence and clinical course of functional impairments among community-dwelling, middle-aged adults in the United States.
Ann Intern Med. 2017;167(11):761-768. doi:10.7326/M17-0496
Elizabeth Selvin, PhD, MPH; Dan Wang, MS; Alexandra K. Lee, PhD, MSPH; Richard M. Bergenstal, MD; Josef Coresh, MD, PhD
Clinical guidelines recommend that in the absence of overt symptoms, the diagnosis of diabetes be confirmed with a second blood test. Epidemiologic studies widely used to assess the burden of diabetes and the adequacy of national care, however, have used a single blood test to define diabetes. This population study assessed the frequency of diagnosed and undiagnosed diabetes by using a confirmatory approach with the results from 2 blood tests.
Ann Intern Med. 2017;167(11):769-776. doi:10.7326/M17-1272
Eric Y. Yen, MD, MS; Magda Shaheen, MD, MPH, PhD; Jennifer M.P. Woo, MPH; Neil Mercer, BS; Ning Li, PhD; Deborah K. McCurdy, MD; Arun Karlamangla, MD, PhD; Ram R. Singh, MD
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that was once associated with poor survival. Diagnostic and treatment advances have resulted in improved 5- and 10-year survival rates in patients with the disease. This study describes trends in SLE mortality rates in the United States over a 46-year period.
Ann Intern Med. 2017;167(11):777-785. doi:10.7326/M17-0102
Risa B. Burns, MD, MPH; Kelly Graham, MD, MPH; Mandeep S. Sawhney, MD, MS; Eileen E. Reynolds, MD
The U.S. Preventive Services Task Force has concluded that for adults aged 50 to 59 years with a 10-year risk for cardiovascular disease (CVD) of 10% or greater, the benefit of aspirin for both CVD and colorectal cancer prevention moderately outweighs the risk for harm. Here, 2 experts discuss whether to recommend aspirin for a 57-year-old man who has a CVD risk greater than 10% but has concerns about gastrointestinal side effects.
Ann Intern Med. 2017;167(11):786-793. doi:10.7326/M17-2162
Winston E. Abara, MD, PhD; Amir Qaseem, MD, PhD, MHA; Sarah Schillie, MD, MPH, MBA; Brian J. McMahon, MD; Aaron M. Harris, MD, MPH; for the High Value Care Task Force of the American College of Physicians and the Centers for Disease Control and Prevention
Hepatitis B vaccination, screening, and linkage to care can reduce the burden of chronic hepatitis B virus infection. However, recommendations vary among organizations, and implementation has been suboptimal. The American College of Physicians' High Value Care Task Force and the Centers for Disease Control and Prevention developed this advice about best practice for hepatitis B vaccination, screening, and linkage of patients with this infection to care.
Ann Intern Med. 2017;167(11):794-804. doi:10.7326/M17-1106
Anna S. Lok, MD; Raymond T. Chung, MD; Hugo E. Vargas, MD; Arthur Y. Kim, MD; Susanna Naggie, MD, MHS; William G. Powderly, MD
Emerging data show that direct-acting antivirals (DAAs) improve clinical outcomes in hepatitis C virus (HCV). This commentary discusses these benefits in light of a recent systematic review suggesting that evidence is insufficient to confirm or reject an effect of DAA therapy on HCV-related illness.
Ann Intern Med. 2017;167(11):812-813. doi:10.7326/M17-1876
Christian Terwiesch, PhD; David A. Asch, MD, MBA; Kevin G. Volpp, MD, PhD
Technologies enabling remote monitoring and transmission of patients' data hold promise for improved care. The authors caution, however, that these developments might increase the burden on physicians if the flow of additional information is not thoughtfully channeled in a manner that decreases rather than increases the need for physician–patient interactions.
Ann Intern Med. 2017;167(11):814-815. doi:10.7326/M17-0597
Timothy R. Huerta, PhD, MS; Ann Scheck McAlearney, ScD, MS; Milisa K Rizer, MD, MPH
Although a great deal of information has been published about Web-based portals for outpatients, little is known about the use of this technology among inpatients. In this article, the authors describe their experience with patients admitted to 2 academic hospitals who were provided with electronic tablets to enable them to access their medical records, care plans, care team rosters, and other information through a Web-based portal.
Ann Intern Med. 2017;167(11):816-817. doi:10.7326/M17-1766
Catharine I. Paules, MD; Robert W. Eisinger, PhD; Hilary D. Marston, MD, MPH; Anthony S. Fauci, MD
Among the unexpected crises that presidential administrations are likely to face, global pandemics are among the most challenging. This article discusses infectious disease outbreaks that occurred during the previous 5 presidential administrations and highlights lessons that can be applied to the infectious disease threats that will inevitably be faced in the current administration and beyond.
Ann Intern Med. 2017;167(11):805-811. doi:10.7326/M17-2496
Thomas M. Gill, MD
Brown and colleagues used longitudinal data from a large, nationally representative sample of nondisabled persons aged 50 to 56 years who were interviewed every 2 years for up to 20 years to describe the cumulative rates of disability by the age of 64 years. The editorialist discusses the findings, which suggest that disability may be as complex in middle age as it is in late life.
Ann Intern Med. 2017;167(11):818-819. doi:10.7326/M17-2550
Rajesh Talluri, PhD; Radhikesh Ranadive, MS; Jaya K. Rao, MD, MHS; Christine Laine, MD, MPH; Michael Griswold, PhD
The advent of large, information-rich data sets partnered with advanced computation has made it increasingly possible to inject life into data through interactive visualization. Brown and colleagues' study of midlife health trajectories includes the type of complex data that begs interactive exploration. The editorialists introduce an interactive graphic that enables readers to delve into the data reported by these investigators.
Ann Intern Med. 2017;167(11):820-821. doi:10.7326/M17-2903
Anne L. Peters, MD
In their study assessing the population burden of unrecognized diabetes, Selvin and colleagues used a definition that aligns more closely with clinical practice recommendations than that frequently used in epidemiologic studies. Here, the editorialist discusses the implications of this study.
Ann Intern Med. 2017;167(11):822-823. doi:10.7326/M17-2576
Darren B. Taichman, MD, PhD; Howard Bauchner, MD; Jeffrey M. Drazen, MD; Christine Laine, MD, MPH; Larry Peiperl, MD
Editors from Annals of Internal Medicine, JAMA (Journal of the American Medical Association), New England Journal of Medicine, and PLOS Medicine offer a shortlist of what health care professionals can do to fight the threat that firearms present to health in the United States.
Ann Intern Med. 2017;167(11):824-825. doi:10.7326/M17-2657
Frank A. Lederle, MD
When I was called out of a morbidity and mortality conference to receive the fateful imaging results, my life expectancy collapsed from decades to months and I entered a surreal dystopia from which I've never fully emerged.
Ann Intern Med. 2017;167(11):826-827. doi:10.7326/M17-2788
Jessica Schorr Saxe, MD
No longer able to hide from the dual realities that dementia has struck my family and that it begets suffering, I see now that denial has been a stubborn undercurrent in my life.
Ann Intern Med. 2017;167(11):828-829. doi:10.7326/M16-2951
Ann Intern Med. 2017;167(11):830-831. doi:10.7326/L17-0424
Ann Intern Med. 2017;167(11):831-832. doi:10.7326/L17-0468
Ann Intern Med. 2017;167(11):832. doi:10.7326/L17-0469
Ann Intern Med. 2017;167(11):832-833. doi:10.7326/L17-0470
Ann Intern Med. 2017;167(11):833-834. doi:10.7326/L17-0471
Ann Intern Med. 2017;167(11):833. doi:10.7326/L17-0474
Ann Intern Med. 2017;167(11):834. doi:10.7326/L17-0472
Ann Intern Med. 2017;167(11):834-835. doi:10.7326/L17-0473
Ann Intern Med. 2017;167(11):835-836. doi:10.7326/L17-0475
Ann Intern Med. 2017;167(11):836. doi:10.7326/L17-0521
Ann Intern Med. 2017;167(11):836. doi:10.7326/L17-0522
Laurie Kopin, EdD, MS, ANP; Charles J. Lowenstein, MD
Ann Intern Med. 2017;167(11):ITC81-ITC96. doi:10.7326/AITC201712050
Darren B. Taichman, MD, PhD
Ann Intern Med. 2017;167(11):ED11. doi:10.7326/AFED201712050
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(11):W53-W57. doi:10.7326/G17-0012
Ann Intern Med. 2017;167(11):I-22. doi:10.7326/P17-9048
Ann Intern Med. 2017;167(11):I-15. doi:10.7326/P17-9049
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