Brian L. Sprague, PhD; Emily F. Conant, MD; Tracy Onega, PhD; Michael P. Garcia, MS; Elisabeth F. Beaber, PhD; Sally D. Herschorn, MD; Constance D. Lehman, MD, PhD; Anna N.A. Tosteson, ScD; Ronilda Lacson, MD, PhD; Mitchell D. Schnall, MD, PhD; Despina Kontos, PhD; Jennifer S. Haas, MD, MSc; Donald L. Weaver, MD; William E. Barlow, PhD; on behalf of the PROSPR Consortium
About half of the United States currently has legislation requiring radiology facilities to disclose information on mammographic breast density to women, and many include language recommending discussion of supplemental screening options. However, breast density assessment, as routinely practiced in the clinical setting, is subjective. The authors performed cross-sectional and longitudinal analyses of prospectively collected observational data to examine variation in breast density assessment across radiologists in clinical practice.
Ann Intern Med. 2016;165(7):457-464. doi:10.7326/M15-2934
William D. Leslie, MD, MSc; Sumit R. Majumdar, MD, MPH; Suzanne N. Morin, MD, MSc; Lisa M. Lix, PhD
The role of repeated bone mineral density testing in women receiving osteoporosis treatment is unclear. This population-based cohort study examined the relationship between changes in bone mineral density and fracture risk among women who initiated osteoporosis treatment in routine clinical practice.
Ann Intern Med. 2016;165(7):465-472. doi:10.7326/M15-2937
Daniel Murphy, MD; Charles E. McCulloch, PhD; Feng Lin; Tanushree Banerjee, PhD; Jennifer L. Bragg-Gresham, PhD; Mark S. Eberhardt, PhD; Hal Morgenstern, PhD; Meda E. Pavkov, MD, PhD; Rajiv Saran, MBBS, MD, MS; Neil R. Powe, MD, MPH, MBA; Chi-yuan Hsu, MD, MSc; for the Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team
Recent studies suggest a decrease in the incidence of end-stage renal disease in the United States, but recent trends in the prevalence of chronic kidney disease (CKD) have not been described. This study used data from the National Health and Nutrition Examination Survey to provide updated trends on CKD prevalence for the overall U.S. population and specific subgroups.
Ann Intern Med. 2016;165(7):473-481. doi:10.7326/M16-0273
Meng-Yang Di, MD, PhD; Hao Liu, MD; Zu-Yao Yang, PhD; Peter A.L. Bonis, MD; Jin-Ling Tang, MD, PhD; Joseph Lau, MD
This systematic review of 94 studies evaluates the accuracy and utility of 18 severity scoring systems for predicting mortality in adults with acute pancreatitis.
Ann Intern Med. 2016;165(7):482-490. doi:10.7326/M16-0650
Hanna E. Bloomfield, MD, MPH; Eva Koeller, BA; Nancy Greer, PhD; Roderick MacDonald, MS; Robert Kane, MD; Timothy J. Wilt, MD, MPH
This meta-analysis of controlled trials examines whether a Mediterranean diet with no restriction on fat intake affects cardiovascular outcomes, cognitive function, diabetes, hypertension, cancer, or mortality.
Ann Intern Med. 2016;165(7):491-500. doi:10.7326/M16-0361
Douglas K. Owens, MD, MS; Evelyn P. Whitlock, MD, MPH; Jillian Henderson, PhD, MPH; Michael P. Pignone, MD, MPH; Alex H. Krist, MD, MPH; Kirsten Bibbins-Domingo, PhD, MD, MAS; Susan J. Curry, PhD; Karina W. Davidson, PhD, MASc; Mark Ebell, MD, MS; Matthew W. Gillman, MD, SM; David C. Grossman, MD, MPH; Alex R. Kemper, MD, MPH, MS; Ann E. Kurth, PhD, RN, MSN, MPH; Michael Maciosek, PhD; Albert L. Siu, MD, MSPH; Michael L. LeFevre, MD, MPH; on behalf of the U.S. Preventive Services Task Force*
This article describes the processes by which the U.S. Preventive Services Task Force incorporates modeling into its recommendations.
Ann Intern Med. 2016;165(7):501-508. doi:10.7326/M15-2531
Gerald W. Smetana, MD; Martin J. Abrahamson, MB ChB; David M. Rind, MD
This Grand Rounds summarizes a discussion between 2 experts about the merits and benefits of screening for type 2 diabetes, including the significance of abnormal blood glucose levels and diabetes as cardiovascular risk factors, and application of the guidelines in a specific patient.
Ann Intern Med. 2016;165(7):509-516. doi:10.7326/M16-1091
Michael Klompas, MD, MPH; Chanu Rhee, MD, MPH
In 2015, the Centers for Medicare & Medicaid Services began requiring hospitals to report their adherence to treatment bundles for patients with sepsis. The reporting rules are rigid and onerous and may not always reflect best clinical care for all patients. The authors of this article describe what they believe could be done to improve the situation.
Ann Intern Med. 2016;165(7):517-518. doi:10.7326/M16-0588
Allan S. Detsky, MD, PhD; Michael A. Gropper, MD, PhD
The authors think that physicians who hold leadership positions in health care organizations, such as chairs of clinical departments, hospital chief executive officers, and deans of medical schools, should participate in direct patient care. In this commentary, they explain why.
Ann Intern Med. 2016;165(7):519-520. doi:10.7326/M16-0820
Linda F. Fried, MD, MPH; Paul M. Palevsky, MD
Murphy and colleagues analyze trends in the prevalence of CKD in U.S. adults. The editorialists note that, unfortunately, the observed improvement in prevalence has not been uniform across all populations. In addition, although the data showing stabilization in CKD prevalence are cause for optimism, the underlying reason for the bending of the CKD prevalence curve is uncertain.
Ann Intern Med. 2016;165(7):521-522. doi:10.7326/M16-1649
Chris E. Forsmark, MD; Dhiraj Yadav, MD, MPH
Lau and colleagues' systematic review revealed that prognostic scoring systems for acute pancreatitis have limited accuracy and value in predicting mortality. The editorialists discuss how simpler measures, such as hematocrit or blood urea nitrogen level, are as predictive as more complex scoring systems. They call for future research to determine better methods for identifying high-risk patients, as well as therapies to mitigate disease severity.
Ann Intern Med. 2016;165(7):523-524. doi:10.7326/M16-1581
Carl Norden, MD
I am 80 and a retired infectious diseases physician. I have always thought of myself as caring, compassionate, and warm. I thought I knew what patients were feeling, but only now that I have a life-threatening illness do I understand what it's really like to be a patient.
Ann Intern Med. 2016;165(7):525-526. doi:10.7326/M16-1243
Ann Intern Med. 2016;165(7):527. doi:10.7326/L16-0195
Ann Intern Med. 2016;165(7):527-528. doi:10.7326/L16-0196
Ann Intern Med. 2016;165(7):528. doi:10.7326/L16-0323
Ann Intern Med. 2016;165(7):528-529. doi:10.7326/L16-0324
Ann Intern Med. 2016;165(7):529-530. doi:10.7326/L16-0321
Ann Intern Med. 2016;165(7):529. doi:10.7326/L16-0322
Ann Intern Med. 2016;165(7):529. doi:10.7326/L16-0325
Ann Intern Med. 2016;165(7):530-532. doi:10.7326/L15-0535
Ann Intern Med. 2016;165(7):532. doi:10.7326/L16-0374
Robert M. McCarron, DO; Erik R. Vanderlip, MD, MPH; Jeffrey Rado, MD, MPH
Ann Intern Med. 2016;165(7):ITC49-ITC64. doi:10.7326/AITC201610040
Darren B. Taichman, MD, PhD
Ann Intern Med. 2016;165(7):ED7. doi:10.7326/AFED201610040
Kartik A. Valluri, 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(7):W12. doi:10.7326/G16-0014
Ann Intern Med. 2016;165(7):I-28. doi:10.7326/P16-9021
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