Matthew Miller, MD, ScD; Lisa Hepburn, PhD; Deborah Azrael, PhD
Universal background checks for firearm purchases are favored by most Americans and are endorsed by leading medical, legal, and law enforcement organizations; however, no recent data exist on how often they are performed. This nationally representative survey assessed where current gun owners acquired their most recent firearm and how frequently the transaction involved a background check. It also compared results between states with and without legislation regulating private firearm sales.
Ann Intern Med. 2017;166(4):233-239. doi:10.7326/M16-1590
Andrew Cheung, MD; Thérèse A. Stukel, PhD; David A. Alter, MD, PhD; Richard H. Glazier, MD, MPH; Vicki Ling, MSc; Xuesong Wang, MSc; Baiju R. Shah, MD, PhD
Higher patient volume has been shown to be associated with better quality of care and better outcomes for many acute care conditions, but whether such an association exists for the outpatient management of chronic diseases is uncertain. This cohort study, conducted using linked population-based health care administrative data in Ontario, Canada, explored the association between primary care physician volume and quality of diabetes care.
Ann Intern Med. 2017;166(4):240-247. doi:10.7326/M16-1056
Märit Halmin, MD; Klaus Rostgaard, MSc; Brian K. Lee, PhD; Agneta Wikman, MD, PhD; Rut Norda, MD, PhD; Kaspar René Nielsen, MD, PhD; Ole B. Pedersen, MD, PhD; Jacob Holmqvist, MD; Henrik Hjalgrim, MD, DrMedSci; Gustaf Edgren, MD, PhD
The possibility of deleterious effects of prolonged storage of red blood cells on patient outcomes has long been a topic of interest. A population-based cohort study in Sweden and Denmark assessed whether an association exists between the length of red blood cell storage and patient mortality at 30 days and 1 year after transfusion.
Ann Intern Med. 2017;166(4):248-256. doi:10.7326/M16-1415
Jennifer Erickson, RD; Behnam Sadeghirad, PharmD, MPH; Lyubov Lytvyn, MSc; Joanne Slavin, PhD, RD; Bradley C. Johnston, PhD
This systematic review examines the consistency and quality of 9 guidelines on dietary sugar intake that offered 12 recommendations.
Ann Intern Med. 2017;166(4):257-267. doi:10.7326/M16-2020
P. Todd Korthuis, MD, MPH; Dennis McCarty, PhD; Melissa Weimer, DO, MCR; Christina Bougatsos, MPH; Ian Blazina, MPH; Bernadette Zakher, MBBS; Sara Grusing, BS; Beth Devine, PhD, PharmD, MBA; Roger Chou, MD
Greater integration of medication-assisted treatment for opioid use disorder in U.S. primary care settings would expand access to treatment for this condition. This article summarizes findings of a technical report and describes 12 representative models of care for integrating this treatment in primary care settings.
Ann Intern Med. 2017;166(4):268-278. doi:10.7326/M16-2149
Amir Qaseem, MD, PhD, MHA; Michael J. Barry, MD; Linda L. Humphrey, MD, MPH; Mary Ann Forciea, MD; for the Clinical Guidelines Committee of the American College of Physicians
This evidence-based guideline from the American College of Physicians addresses oral pharmacologic treatment of type 2 diabetes in adults.
Ann Intern Med. 2017;166(4):279-290. doi:10.7326/M16-1860
David S. Weinberg, MD, MSc; Alan Barkun, MD, CM, MSc; Barbara J. Turner, MD, MSEd
The U.S. Multi-Society Task Force on Colorectal Cancer released a consensus statement regarding use of fecal immunochemical testing for colorectal cancer screening in average-risk populations. This commentary discusses the consensus statement and concludes that such testing is a worthy component of average-risk screening programs that should be promoted as enthusiastically as colonoscopy.
Ann Intern Med. 2017;166(4):297-298. doi:10.7326/M16-2341
M. Carol Greenlee, MD; Lawrence D'Angelo, MD, MPH; Stacey R. Harms, MSJ; Alice A. Kuo, MD, PhD; Michael Landry, MD, MSc; Margaret McManus, MHS; Gregg M. Talente, MD, MS; Patience White, MD, MA; for the American College of Physicians Council of Subspecialty Societies Pediatric to Adult Care Transitions Initiative Steering Committee
The transition from adolescence to adulthood is replete with unique challenges that our current health system is illprepared to meet. The authors discuss the factors that make provision of quality health care to young adults challenging, particularly for individuals with established special health needs, as well as potential solutions for improvement.
Ann Intern Med. 2017;166(4):299-300. doi:10.7326/M16-0514
Justin Barr, MD, PhD
Over the past 500 years, clinicians have applied contemporary medical knowledge in an effort to understand, diagnose, and treat aortic aneurysms through highly innovative yet largely unsuccessful interventions that have culminated in modern surgical cures.
Ann Intern Med. 2017;166(4):291-296. doi:10.7326/M16-2081
Philip J. Cook, PhD
The editorialist, whose study 20 years ago is often cited as showing that 40% of gun sales lacked background checks, considers why the issue remains so important, as well as what has and has not changed.
Ann Intern Med. 2017;166(4):301-302. doi:10.7326/M16-2819
Kevin A. Peterson, MD, MPH
The editorialist discusses the implications of Cheung and colleagues' study with regard to the relationship between delivery of primary care services and quality.
Ann Intern Med. 2017;166(4):303-304. doi:10.7326/M16-2768
Dean Schillinger, MD; Cristin Kearns, DDS, MBA
Erickson and colleagues report a systematic review of the scientific basis of guidelines on sugar intake, providing another occasion for concern about conflicts between public health interests and the interests of the food and beverage industry. The editorialists discuss the shortcomings of the review.
Ann Intern Med. 2017;166(4):305-306. doi:10.7326/M16-2754
E. Jennifer Edelman, MD, MHS; David A. Fiellin, MD
Korthuis and colleagues review models for delivery of treatment for opioid use disorder through primary care. The editorialists discuss the findings and highlight opportunities for primary care practices to engage in treatment of opioid use disorder in order to address the current health crisis that is fueled by prescription opioids.
Ann Intern Med. 2017;166(4):307-308. doi:10.7326/M16-2666
Judith E. Fradkin, MD; Griffin P. Rodgers, MD
The editorialists discuss the paucity of data on the key clinical outcomes addressed in the American College of Physicians' guideline on oral pharmacologic therapy of type 2 diabetes. They outline the need for new approaches integrating research and care delivery to foster affordable trials to compare interventions on clinically meaningful outcomes.
Ann Intern Med. 2017;166(4):309-310. doi:10.7326/M16-2883
Ann Intern Med. 2017;166(4):311. doi:10.7326/L16-0631
Ann Intern Med. 2017;166(4):311-312. doi:10.7326/L16-0632
Ann Intern Med. 2017;166(4):312. doi:10.7326/L16-0630
Ann Intern Med. 2017;166(4):JC14. doi:10.7326/ACPJC-2017-166-4-014
Ann Intern Med. 2017;166(4):JC15. doi:10.7326/ACPJC-2017-166-4-015
Ann Intern Med. 2017;166(4):JC16. doi:10.7326/ACPJC-2017-166-4-016
Ann Intern Med. 2017;166(4):JC17. doi:10.7326/ACPJC-2017-166-4-017
Ann Intern Med. 2017;166(4):JC18. doi:10.7326/ACPJC-2017-166-4-018
Ann Intern Med. 2017;166(4):JC19. doi:10.7326/ACPJC-2017-166-4-019
Ann Intern Med. 2017;166(4):JC20. doi:10.7326/ACPJC-2017-166-4-020
Ann Intern Med. 2017;166(4):JC21. doi:10.7326/ACPJC-2017-166-4-021
Ann Intern Med. 2017;166(4):JC22. doi:10.7326/ACPJC-2017-166-4-022
Ann Intern Med. 2017;166(4):JC23. doi:10.7326/ACPJC-2017-166-4-023
Geno J. Merli, MD; Howard H. Weitz, MD
Annals Consult Guys brings a new perspective to the art and science of medicine with lively discussion and analysis of real-world cases and situations.
Ann Intern Med. 2017;166(4):CG1. doi:10.7326/W17-0002
Darren B. Taichman, MD, PhD
Ann Intern Med. 2017;166(4):ED4. doi:10.7326/AFED201702210
David H. Wesorick, MD; Vineet Chopra, MD, MSc
Ann Intern Med. 2017;166(4):HO1. doi:10.7326/AFHO201702210
Jennifer Meddings, MD, MSc; Laurence F. McMahon Jr., MD, MPH
Ann Intern Med. 2017;166(4):HO2-HO3. doi:10.7326/M16-2738
Ann Intern Med. 2017;166(4):I-18. doi:10.7326/P16-9028
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