Molly B. Conroy, MD, MPH; Kathleen M. McTigue, MD, MS, MPH; Cindy L. Bryce, PhD; Dana Tudorascu, PhD; Bethany Barone Gibbs, PhD; Jonathan Arnold, MD, MSE; Diane Comer, BA; Rachel Hess, MD, MS; Kimberly Huber, MPH; Laurey R. Simkin-Silverman, PhD; Gary S. Fischer, MD
This randomized controlled trial examined the effects of an electronic health record–based intervention that provided personalized coaching on weight change among patients who had intentional weight loss of at least 5% in the past 2 years.
Ann Intern Med. 2019;171(11):777-784. doi:10.7326/M18-3337
Eric L. Ross, MD; Sandeep Vijan, MD; Erin M. Miller, MS; Marcia Valenstein, MD; Kara Zivin, PhD
The authors created a computer model to examine whether cognitive behavioral therapy or a second-generation antidepressant provides better health economic value for major depressive disorder.
Ann Intern Med. 2019;171(11):785-795. doi:10.7326/M18-1480
Steven D. Criss, BS; Pianpian Cao, MPH; Mehrad Bastani, PhD; Kevin ten Haaf, PhD; Yufan Chen, MPH; Deirdre F. Sheehan, MPH; Erik F. Blom, MD; Iakovos Toumazis, PhD; Jihyoun Jeon, PhD; Harry J. de Koning, MD, PhD; Sylvia K. Plevritis, PhD; Rafael Meza, PhD; Chung Yin Kong, PhD
The National Lung Screening Trial showed that cigarette smokers who were screened with low-dose helical computed tomography had a lower risk for dying from lung cancer than those screened with standard chest radiography. The Centers for Medicare & Medicaid Services recommends screening up to age 77. The U.S. Preventive Services Task Force recommends screening up to age 80. Criss and colleagues used computer modeling to estimate which option provides the most value.
Ann Intern Med. 2019;171(11):796-804. doi:10.7326/M19-0322
Risa B. Burns, MD, MPH; Peter Zimetbaum, MD; Steven A. Lubitz, MD, MPH; Gerald W. Smetana, MD
Two cardiologists discuss the U.S. Preventive Services Task Force guidelines on atrial fibrillation and whether they would recommend anticoagulation for a specific patient with screen-detected atrial fibrillation.
Ann Intern Med. 2019;171(11):828-836. doi:10.7326/M19-1126
Alan N. Barkun, MD; Majid Almadi, MD; Ernst J. Kuipers, MD; Loren Laine, MD; Joseph Sung, MD; Frances Tse, MD; Grigorios I. Leontiadis, MD; Neena S. Abraham, MD; Xavier Calvet, MD; Francis K.L. Chan, MD; James Douketis, MD; Robert Enns, MD; Ian M. Gralnek, MD; Vipul Jairath, MD; Dennis Jensen, MD; James Lau, MD; Gregory Y.H. Lip, MD; Romaric Loffroy, MD; Fauze Maluf-Filho, MD; Andrew C. Meltzer, MD; Nageshwar Reddy, MD; John R. Saltzman, MD; John K. Marshall, MD; Marc Bardou, MD
This guideline updates the 2010 International Consensus Recommendations on Management of Patients With Nonvariceal Upper Gastrointestinal Bleeding.
Ann Intern Med. 2019;171(11):805-822. doi:10.7326/M19-1795
Hilary Daniel, BS; Sue S. Bornstein, MD; for the Health and Public Policy Committee of the American College of Physicians
Pharmacy benefit managers (PBMs), third-party intermediaries for various types of employers and government purchasers who negotiate the price of drugs in health plans, play a crucial role in determining the amount many Americans pay for medications. In this position paper, the American College of Physicians offers recommendations to improve transparency in the PBM industry.
Ann Intern Med. 2019;171(11):823-824. doi:10.7326/M19-0035
Hilary Daniel, BS; Sue S. Bornstein, MD; for the Health Public Policy Committee of the American College of Physicians
In this position paper, the American College of Physicians provides recommendations to decrease out-of-pocket costs for patients, enhance government purchasing power, and address existing policies that add costs.
Ann Intern Med. 2019;171(11):825-827. doi:10.7326/M19-0013
Edward P. Manning, MD, PhD
Although most U.S. physicians train at Veterans Health Administration hospitals, few have served in the military. The author, a veteran and physician, discusses how failure to appreciate the differences between civilian and military cultures can result in misalignment of veterans' and physicians' perspectives during management of a veteran's health.
Ann Intern Med. 2019;171(11):843-844. doi:10.7326/M19-1264
Roy C. Ziegelstein, MD; Deidra C. Crews, MD, ScM
Academic medical institutions have recognized the need to improve diversity among faculty members, trainees, and students. Persons from underrepresented minority (URM) groups are often asked to serve on search committees to help with these efforts. This article suggests that this places undue burden on URM persons while unintentionally lessening the responsibility among those in the majority for helping to improve diversity in academic medical institutions.
Ann Intern Med. 2019;171(11):845-846. doi:10.7326/M19-1923
Natalie A. Bello, MD, MPH; Eliza C. Miller, MD; Kirsten Lawrence Cleary, MD, MSc; Ronald Wapner, MD
Cardiovascular disease is the leading cause of death among women in the United States, and stroke is third. This article discusses female-specific cardiovascular risk factors across the lifespan and describes a precision medicine–based approach to risk factor modification and primary prevention, including the current role of genetic testing in the assessment of risk for cardiovascular disease and stroke.
Ann Intern Med. 2019;171(11):837-842. doi:10.7326/M19-1601
Adam Gilden Tsai, MD, MSCE
The editorialist discusses Conroy and colleagues' findings and how they may facilitate the incorporation of obesity treatment into routine primary care.
Ann Intern Med. 2019;171(11):847-848. doi:10.7326/M19-2988
Mark Sinyor, MSc, MD
The editorialist discusses why Ross and colleagues' findings support the need to ensure the availability of both cognitive behavioral therapy and second-generation antidepressants.
Ann Intern Med. 2019;171(11):849-850. doi:10.7326/M19-2623
David D. Kim, PhD; Peter J. Neumann, ScD
The editorialists discuss Criss and colleagues' findings and explain how decision analytic models can help us address clinical and policy questions.
Ann Intern Med. 2019;171(11):851-852. doi:10.7326/M19-2797
Angel Lanas, MD
The editorial discusses the update of the International Consensus Clinical Practice Guidelines on the Management of Nonvariceal Upper Gastrointestinal Bleeding.
Ann Intern Med. 2019;171(11):853-854. doi:10.7326/M19-2789
Shelley A. Jazowski, MPH; Stacie B. Dusetzina, PhD
The editorialist discusses the American College of Physicians' recommendations for increasing competition aimed to reduce the cost of prescription drugs.
Ann Intern Med. 2019;171(11):855-856. doi:10.7326/M19-2895
Elizabeth Adler, MD
Ann Intern Med. 2019;171(11):857-858. doi:10.7326/M19-0487
Ann Intern Med. 2019;171(11):859-861. doi:10.7326/L19-0361
Ann Intern Med. 2019;171(11):861-862. doi:10.7326/L19-0667
Ann Intern Med. 2019;171(11):862. doi:10.7326/L19-0668
Ann Intern Med. 2019;171(11):862-863. doi:10.7326/L19-0603
Ann Intern Med. 2019;171(11):863. doi:10.7326/L19-0672
Ann Intern Med. 2019;171(11):863-864. doi:10.7326/L19-0673
Ann Intern Med. 2019;171(11):864. doi:10.7326/L19-0619
Sanjay R. Patel, MD, MS
Ann Intern Med. 2019;171(11):ITC81-ITC96. doi:10.7326/AITC201912030
Darren B. Taichman, MD, PhD
Ann Intern Med. 2019;171(11):ED11. doi:10.7326/AWED201912030
Robert M. Centor, MD; Fernando Ovalle, MD
In this episode of Annals On Call, Dr. Centor discusses the use of technology to improve diabetes management with Dr. Fernando Ovalle of the University of Alabama at Birmingham.
Ann Intern Med. 2019;171(11):OC1. doi:10.7326/A19-0019
Grace E. Farris, MD
Dr. Mom explores the challenges and ups and downs of juggling life as a hospitalist and mother. The feature appears monthly in Annals Graphic Medicine at Annals.org.
Ann Intern Med. 2019;171(11):W76-W77. doi:10.7326/G19-0074
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. 2019;171(11):W78. doi:10.7326/G19-0013
Ann Intern Med. 2019;171(11):I-19. doi:10.7326/P19-0014
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