Kelly L. Graham, MD, MPH; Elissa H. Wilker, ScD; Michael D. Howell, MD, MPH; Roger B. Davis, ScD; Edward R. Marcantonio, MD, SM
Early and late hospital readmissions may be caused by different factors and may require different prevention strategies. In this cohort study, the authors sought to determine whether predictors of readmission change within 30 days after discharge. They found that factors associated with readmissions during the early period after discharge may not be associated with readmissions during the late period and vice versa.
Ann Intern Med. 2015;162(11):741-749. doi:10.7326/M14-2159
Reena Duseja, MD, MS; Naomi S. Bardach, MD, MAS; Grace A. Lin, MD, MAS; Jinoos Yazdany, MD; Mitzi L. Dean, MS, MHA; Theodore H. Clay, MS; W. John Boscardin, PhD; R. Adams Dudley, MD, MBA
Information is limited about revisit rates after patients are discharged from the emergency department (ED). The authors of this observational study used information from 6 states in the Healthcare Cost and Utilization Project database and found that 1 of every 5 patients discharged from an ED had at least 1 revisit within 30 days, one third of which were to a different ED.
Ann Intern Med. 2015;162(11):750-756. doi:10.7326/M14-1616
Andrea K. Boggild, MSc, MD; Douglas H. Esposito, MD, MPH; Phyllis E. Kozarsky, MD; Vernon Ansdell, MD; Nicholas J. Beeching, MD; Daniel Campion, MB, MPH; Francesco Castelli, MD; Eric Caumes, MD; Francois Chappuis, MD, PhD; Jakob P. Cramer, MD, MSc; Effrossyni Gkrania-Klotsas, PhD; Martin P. Grobusch, MD, PhD; Stefan H.F. Hagmann, MD; Noreen A. Hynes, MD, MPH; Poh Lian Lim, MD, MPH; Rogelio López-Vélez, MD, PhD; Denis J.M. Malvy, MD, PhD; Marc Mendelson, MD, PhD; Philippe Parola, MD, PhD; Mark J. Sotir, PhD; Henry M. Wu, MD; Davidson H. Hamer, MD; for the GeoSentinel Surveillance Network
The outbreak of Ebola virus disease in western Africa has led to export of infected patients to Europe and North America. This cross-sectional study examined the spectrum of illness observed in travelers returning from areas of western Africa where Ebola transmission has been widespread. Findings suggest that the differential diagnosis of illness in travelers arriving from countries with widespread Ebola virus transmission must include malaria and other more common infections in addition to Ebola.
Ann Intern Med. 2015;162(11):757-764. doi:10.7326/M15-0074
Shelley Selph, MD, MPH; Tracy Dana, MLS; Ian Blazina, MPH; Christina Bougatsos, MPH; Hetal Patel, MD; Roger Chou, MD
This systematic review for the U.S. Preventive Services Task Force found that screening for type 2 diabetes mellitus did not affect mortality but that treatment of impaired fasting glucose and impaired glucose tolerance delayed progression to diabetes.
Ann Intern Med. 2015;162(11):765-776. doi:10.7326/M14-2221
Brian Hutton, PhD, MSc; Georgia Salanti, PhD; Deborah M. Caldwell, PhD, MA, BA; Anna Chaimani, PhD; Christopher H. Schmid, PhD; Chris Cameron, MSc; John P.A. Ioannidis, MD, DSc; Sharon Straus, MD, MSc; Kristian Thorlund, PhD; Jeroen P. Jansen, PhD; Cynthia Mulrow, MD, MSc; Ferrán Catalá-López, PhD, MPH, PharmD; Peter C. Gøtzsche, MD, MSc; Kay Dickersin, PhD, MA; Isabelle Boutron, MD, PhD; Douglas G. Altman, DSc; David Moher, PhD
Systematic reviews and meta-analyses have typically compared 2 treatments. With the evolution of systematic reviews that compare multiple treatments, some of them only indirectly, authors face novel challenges for conducting and reporting their reviews. This extension of the PRISMA statement was developed specifically to improve the reporting of systematic reviews incorporating network meta-analyses.
Ann Intern Med. 2015;162(11):777-784. doi:10.7326/M14-2385
Giulio R. Romeo, MD; Martin J. Abrahamson, MD
This commentary highlights 3 topics in the American Diabetes Association's Standards of Medical Care in Diabetes that are relevant to nonendocrinologists who care for patients with diabetes: ethnic differences in diabetes risk with different body mass indices, blood pressure targets, and individualization of diabetes treatment goals.
Ann Intern Med. 2015;162(11):785-786. doi:10.7326/M15-0385
Russell P. Harris, MD, MPH
New guidelines from the American Gastroenterological Association on the management of incidental pancreatic cysts recommend less aggressive evaluation than previous recommendations from other groups. This commentary discusses lessons extending beyond pancreatic cysts, how physicians should consider diagnostic testing, and what types of recommendations merit their attention.
Ann Intern Med. 2015;162(11):787-789. doi:10.7326/M15-0590
Frank H. Bosch, MD, PhD; David A. Fleming, MD, MA
In this commentary, leaders of the European Federation of Internal Medicine and American College of Physicians remind physicians of the importance of discussing patient preferences for cardiopulmonary resuscitation (CPR) and individual patient prognosis after CPR with hospitalized patients.
Ann Intern Med. 2015;162(11):790-791. doi:10.7326/M15-0492
Deborah Cotton, MD, MPH, Deputy Editor
Ebola virus disease is the topic of this issue's discussion from the Annals archive.
Ann Intern Med. 2015;162(11):792. doi:10.7326/M14-2866
Kumar Dharmarajan, MD, MBA; Harlan M. Krumholz, MD, SM
Two articles in this issue explore the clinical epidemiology and predictors of hospital revisits. The editorialists raise questions about the preventability of revisits from Duseja and colleagues' research and note limitations of Graham and colleagues' study. They assert that incorporating knowledge of patients' underlying vulnerabilities after discharge is critical to reducing revisits.
Ann Intern Med. 2015;162(11):793-794. doi:10.7326/M15-0878
K.M. Venkat Narayan, MD; Mary Beth Weber, PhD
In this issue, Selph and colleagues review evidence for screening for type 2 diabetes and prediabetes. The editorialists discuss the review and its implications for clinical practice.
Ann Intern Med. 2015;162(11):795-796. doi:10.7326/M15-0798
John E. Cornell, PhD
In this issue, Hutton and colleagues present an extension of the PRISMA statement that was developed to improve reporting of systematic reviews incorporating network meta-analyses. The editorialist discusses the extension statement and how it will provide consistency, clarity, and transparency to the reporting of evidence from network meta-analyses.
Ann Intern Med. 2015;162(11):797-798. doi:10.7326/M15-0930
Bennett W. Clark, MD
We have scores of publications with pithy nuggets of clinical wisdom. What we lack are doctors with enough clinical wisdom to deliver it in pithy nuggets. To think, in other words.
Ann Intern Med. 2015;162(11):799-800. doi:10.7326/M14-2719
Ann Intern Med. 2015;162(11):801. doi:10.7326/L15-5061
Ann Intern Med. 2015;162(11):801-802. doi:10.7326/L15-5061-2
Ann Intern Med. 2015;162(11):802. doi:10.7326/L15-5061-3
Ann Intern Med. 2015;162(11):802-803. doi:10.7326/L15-5061-4
Ann Intern Med. 2015;162(11):803-804. doi:10.7326/L15-5070
Ann Intern Med. 2015;162(11):804. doi:10.7326/L15-5080
Ann Intern Med. 2015;162(11):804. doi:10.7326/L15-5080-2
Kimberly R. Myers, PhD
Ann Intern Med. 2015;162(11):800. doi:10.7326/M15-0293
Paul Drawz, MD, MHS, MS; Mahboob Rahman, MD, MS
Ann Intern Med. 2015;162(11):ITC1. doi:10.7326/AITC201506020
M. K. Czerwiec, RN; Amber Pincavage, MD; Vineet M. Arora, MD, MAPP
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. 2015;162(11):W127-W128. doi:10.7326/G14-0008
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