John A. Harris, MD, MSc; Elena Byhoff, MD, MSc; Chithra R. Perumalswami, MD, MSc; Kenneth M. Langa, MD, PhD; Alexi A. Wright, MD, MPH; Jennifer J. Griggs, MD, MPH
Obesity complicates medical, nursing, and informal care in severe illness, but its effect on hospice use (a cornerstone of end-of-life care) and Medicare expenditures is unknown. In this retrospective cohort study of deceased Medicare fee-for-service beneficiaries in the Health and Retirement Study, the authors sought to describe the associations between body mass index and hospice use and Medicare expenditures in the last 6 months of life.
Ann Intern Med. 2017;166(6):381-389. doi:10.7326/M16-0749
Lion Shahab, PhD; Maciej L. Goniewicz, PhD; Benjamin C. Blount, PhD; Jamie Brown, PhD; Ann McNeill, PhD; K. Udeni Alwis, PhD; June Feng, PhD; Lanqing Wang, PhD; Robert West, PhD
E-cigarettes are becoming increasingly popular, but data on the potential risks of long-term use are sparse. This cross-sectional study conducted in the United Kingdom examines the potential risks for long-term use of e-cigarettes and nicotine replacement therapy.
Ann Intern Med. 2017;166(6):390-400. doi:10.7326/M16-1107
Kelli D. Allen, PhD; Eugene Z. Oddone, MD, MHSc; Cynthia J. Coffman, PhD; Amy S. Jeffreys, MStat; Hayden B. Bosworth, PhD; Ranee Chatterjee, MD, MPH; Jennifer McDuffie, PhD; Jennifer L. Strauss; William S. Yancy Jr., MD, MHS; Santanu K. Datta, PhD, MHS; Leonor Corsino, MD, MHS; Rowena J. Dolor, MD, MHS
Gaps in the use of recommended strategies to manage osteoarthritis might be addressed by interventions aimed at health care providers or patients. This randomized trial evaluated the effects on physical function and symptoms of patient- and provider-targeted interventions aimed at increasing the use of recommended management strategies for hip or knee osteoarthritis.
Ann Intern Med. 2017;166(6):401-411. doi:10.7326/M16-1245
Joan A. Reid, PhD; Tara N. Richards, PhD; Thomas A. Loughran, PhD; Edward P. Mulvey, PhD
Gun violence and psychological problems are often conflated in public discourse on gun safety. However, few studies have empirically assessed the effect of exposure to violence when exploring the association between gun carrying and psychological distress. This study of youths found guilty of a serious criminal offense found that the relationship between psychological distress and gun carrying seems to be influenced by exposure to violence.
Ann Intern Med. 2017;166(6):412-418. doi:10.7326/M16-1648
Jessica Weiss, MD, MCR; Michele Freeman, MPH; Allison Low, BA; Rochelle Fu, PhD; Amy Kerfoot, MD; Robin Paynter, MLIS; Makalapua Motu'apuaka, BS; Karli Kondo, PhD; Devan Kansagara, MD, MCR
Although some guidelines recommend a systolic blood pressure target of less than 150 mm Hg for adults aged 60 years or older, results from a recent trial suggest a lower target may be optimal. This systematic review summarizes evidence from 21 trials and 3 observational studies about the benefits and harms of more versus less intensive blood pressure control in older adults.
Ann Intern Med. 2017;166(6):419-429. doi:10.7326/M16-1754
Amir Qaseem, MD, PhD, MHA; Timothy J. Wilt, MD, MPH; Robert Rich, MD; Linda L. Humphrey, MD, MPH; Jennifer Frost, MD; Mary Ann Forciea, MD; for the Clinical Guidelines Committee of the American College of Physicians and the Commission on Health of the Public and Science of the American Academy of Family Physicians
This jointly developed guideline from the American College of Physicians and the American Academy of Family Physicians provides recommendations about the benefits and harms of higher versus lower blood pressure targets for the treatment of hypertension in adults aged 60 years or older.
Ann Intern Med. 2017;166(6):430-437. doi:10.7326/M16-1785
Rami Doukky, MD, MSc; Gretchen Diemer, MD; Andria Medina, MD, PhD; David E. Winchester, MD, MS; Venkatesh L. Murthy, MD, PhD; Lawrence M. Phillips, MD; Kathleen Flood, BS; Linda Giering, PhD; Georgia Hearn, JD; Ronald G. Schwartz, MD, MS; Raymond Russell, MD, PhD; David Wolinsky, MD
The Centers for Medicare & Medicaid Services will require physicians to adopt appropriate use criteria, which promote using diagnostic tests of proven value based on the clinical context and avoid exposing patients to low-value testing. The authors discuss what ordering physicians will need to know and do under the new regulations, and they provide examples of commonly used but rarely appropriate cardiac imaging procedures.
Ann Intern Med. 2017;166(6):438-440. doi:10.7326/M16-2673
In this opinion piece, the author discusses the plans of the Trump administration and Republican-controlled Congress to repeal and replace the Patient Protection and Affordable Care Act and urges U.S. physicians to resist repeal and demand to see a replacement plan first.
Ann Intern Med. 2017;166(6):441-442. doi:10.7326/M16-2935
Hal C. Lawrence, MD; Debra L. Ness, MS
For more than 100 years, Planned Parenthood has served communities in need of affordable, safe, and accessible care. Congressional leadership recently announced its intention to defund Planned Parenthood. Leaders from the American Congress of Obstetricians and Gynecologists and the National Partnership for Women and Families discuss the adverse consequences that defunding would have on the health of U.S. women.
Ann Intern Med. 2017;166(6):443-444. doi:10.7326/M17-0217
Michael Pignone, MD, MPH; Anthony J. Viera, MD, MPH
The editorialists discuss the hypertension guidelines from the American College of Physicians and American Academy of Family Physicians. They provide advice for implementation of an office-based program to help achieve optimal outcomes for the treatment of hypertension.
Ann Intern Med. 2017;166(6):445-446. doi:10.7326/M17-0034
Julia Schoen, MS
Mr. B had his own agenda for our conversation. I asked him about his shortness of breath. Instead, he told me stories about his favorite dog.
Ann Intern Med. 2017;166(6):447-448. doi:10.7326/M16-1514
Jiena Sun, PhD
Ann Intern Med. 2017;166(6):448. doi:10.7326/M17-0131
Ann Intern Med. 2017;166(6):JC26. doi:10.7326/ACPJC-2017-166-6-026
Ann Intern Med. 2017;166(6):JC27. doi:10.7326/ACPJC-2017-166-6-027
Ann Intern Med. 2017;166(6):JC28. doi:10.7326/ACPJC-2017-166-6-028
Ann Intern Med. 2017;166(6):JC29. doi:10.7326/ACPJC-2017-166-6-029
Ann Intern Med. 2017;166(6):JC30. doi:10.7326/ACPJC-2017-166-6-030
Ann Intern Med. 2017;166(6):JC31. doi:10.7326/ACPJC-2017-166-6-031
Ann Intern Med. 2017;166(6):JC32. doi:10.7326/ACPJC-2017-166-6-032
Ann Intern Med. 2017;166(6):JC33. doi:10.7326/ACPJC-2017-166-6-033
Ann Intern Med. 2017;166(6):JC34. doi:10.7326/ACPJC-2017-166-6-034
Ann Intern Med. 2017;166(6):JC35. doi:10.7326/ACPJC-2017-166-6-035
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(6):CG1. doi:10.7326/W17-0003
Darren B. Taichman, MD, PhD
Ann Intern Med. 2017;166(6):ED6. doi:10.7326/AFED201703210
David H. Wesorick, MD; Vineet Chopra, MD, MSc
Ann Intern Med. 2017;166(6):HO1. doi:10.7326/AFHO201703210
Payal K. Patel, MD, MPH; Sanjay Saint, MD, MPH
Ann Intern Med. 2017;166(6):HO2-HO3. doi:10.7326/M17-0275
Ann Intern Med. 2017;166(6):I-26. doi:10.7326/P16-9030
Ann Intern Med. 2017;166(6):449-450. doi:10.7326/L16-0455
Ann Intern Med. 2017;166(6):450-451. doi:10.7326/L16-0372
Ann Intern Med. 2017;166(6):451-452. doi:10.7326/L16-0422
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