Vaibhav Kumar, MD; Joshua T. Cohen, PhD; David van Klaveren, PhD; Djøra I. Soeteman, PhD; John B. Wong, MD; Peter J. Neumann, ScD; David M. Kent, MD, MS
Lung cancer screening with low-dose computed tomography has been recommended for current and former smokers selected on the basis of criteria that were similar to those used in a large randomized trial that demonstrated a mortality benefit. This study assessed whether being more specific in choosing patients with the highest predicted risk for lung cancer improves the performance of a population screening program.
Ann Intern Med. 2018;168(3):161-169. doi:10.7326/M17-1401
Neda Laiteerapong, MD, MS; Jennifer M. Cooper, MPH; M. Reza Skandari, PhD; Philip M. Clarke, PhD; Aaron N. Winn, PhD; Rochelle N. Naylor, MD; Elbert S. Huang, MD, MPH
Intensive glycemic control (glycated hemoglobin level <7%) is an established, cost-effective standard of care for patients with type 2 diabetes, but guidelines recommend individualizing glycemic goals on the basis of age, comorbidity, diabetes duration, and complications. In this study, the authors sought to estimate the cost-effectiveness of individualized control versus uniform intensive control for U.S. adults with diabetes diagnosed at age 30 years or older.
Ann Intern Med. 2018;168(3):170-178. doi:10.7326/M17-0537
Jefferson G. Williams, MD, MPH; Michael W. Bachman, MHS, EMT-P; Michael D. Lyons, BA, EMT-P; Benjamin B. Currie, EMT-P; Lawrence H. Brown, PhD; A. Wooten Jones, MPH, EMT-P; Jose G. Cabanas, MD, MPH; Alan K. Kronhaus, MD; J. Brent Myers, MD, MPH
Falling is a frequent problem for residents of assisted living facilities. The problem is aggravated when institutional policy requires transport to an emergency department after every fall, even when there is little to no injury. The paramedics who provide emergency medical services and some of the primary care physicians who provide care in 1 geographic area worked together to address this problem. The result was a remarkable improvement.
Ann Intern Med. 2018;168(3):179-186. doi:10.7326/M17-0969
Divya Ravi, MD, MPH; Mehrnaz Ghasemiesfe, MD; Deborah Korenstein, MD; Thomas Cascino, MD; Salomeh Keyhani, MD, MPH
This systematic review of 24 observational studies examines the associations between marijuana use and vascular risk factors (hyperglycemia, diabetes, dyslipidemia, and obesity) and clinical outcomes (stroke, myocardial infarction, and cardiovascular mortality).
Ann Intern Med. 2018;168(3):187-194. doi:10.7326/M17-1548
Ken M. Kunisaki, MD, MS; Nancy Greer, PhD; Wajahat Khalil, MD; Erin Koffel, PhD; Eva Koeller, BA; Roderick MacDonald, MS; Timothy J. Wilt, MD, MPH
This systematic review compares case-finding accuracy and comparative effectiveness of care for obstructive sleep apnea between sleep specialist physicians and nonsleep specialists.
Ann Intern Med. 2018;168(3):195-202. doi:10.7326/M17-2511
Eileen E. Reynolds, MD; Carol Bates, MD; Martha Richardson, MD; Risa B. Burns, MD, MPH
Use of hormone therapy (HT) for the vasomotor symptoms of menopause has been controversial since publication of the Women's Health Initiative in the early 2000s. However, the 2017 guideline from the North American Menopause Society recommends HT for these symptoms. Here, 2 experts discuss the guideline and whether to prescribe HT to a 52-year-old woman with severe hot flashes, sleep disturbance, and irritability.
Ann Intern Med. 2018;168(3):203-209. doi:10.7326/M17-3320
David K. Kim, MD, MA; Laura E. Riley, MD; Paul Hunter, MD; on behalf of the Advisory Committee on Immunization Practices
The Advisory Committee on Immunization Practices (ACIP) presents the recommended Immunization Schedule for Adults Aged 19 Years or Older for 2018. This schedule has been approved by the ACIP, American College of Physicians, American Academy of Family Physicians, American College of Obstetricians and Gynecologists, and American College of Nurse-Midwives.
Ann Intern Med. 2018;168(3):210-220. doi:10.7326/M17-3439
Michael L. Cheng, MD; David B. Solit, MD
Cancer is defined by diverse somatic and germline alterations that promote aberrant cell growth. Tumor genomic profiling to guide therapy is now part of standard management in several solid tumor types. The authors discuss how recent technical advances in next-generation sequencing technology, coupled with decreasing costs, present an opportunity to improve patient outcomes through routine, prospective tumor and germline genomic profiling.
Ann Intern Med. 2018;168(3):221-222. doi:10.7326/M17-2940
Angela K. Green, MD, MSc; Peter Bach, MD, MAPP
Cheung and colleagues argue for moving from lung cancer screening based on the National Lung Screening Trial eligibility criteria toward risk-based testing, and Kumar and colleagues examine the cost-effectiveness of risk-based screening. The editorialists discuss the findings of these studies and note that regardless of the criteria used to identify persons for testing, lung cancer screening remains woefully underutilized.
Ann Intern Med. 2018;168(3):223-224. doi:10.7326/M17-3316
Matthew E. Growdon, MD, MPH; Sharon K. Inouye, MD, MPH
Williams and colleagues' prospective cohort study examined an intervention to avoid unnecessary transport to the emergency department for residents in assisted living facilities who fall. The editorialists discuss the findings and conclude that the study provides an example of a much-needed health care innovation pushing our health system toward the triple aim of improving patient experience and population health and reducing costs of care.
Ann Intern Med. 2018;168(3):225-226. doi:10.7326/M17-2968
Phillip D. Bertram, MD
The letter was on my desk when I returned from lunch. Although the envelope was unremarkable, the name on the return address caught my attention and unlocked a distant memory.
Ann Intern Med. 2018;168(3):227. doi:10.7326/M17-2238
Ann Intern Med. 2018;168(3):228-229. doi:10.7326/L17-0426
Ann Intern Med. 2018;168(3):229-232. doi:10.7326/M17-2067
Ann Intern Med. 2018;168(3):232. doi:10.7326/L17-0588
Ann Intern Med. 2018;168(3):232-233. doi:10.7326/L17-0589
Ann Intern Med. 2018;168(3):233-234. doi:10.7326/L17-0690
Ann Intern Med. 2018;168(3):233. doi:10.7326/L17-0691
Ann Intern Med. 2018;168(3):234-235. doi:10.7326/L17-0692
Ann Intern Med. 2018;168(3):235. doi:10.7326/L17-0627
Ann Intern Med. 2018;168(3):235-236. doi:10.7326/L17-0628
Ann Intern Med. 2018;168(3):236. doi:10.7326/L17-0767
Ann Intern Med. 2018;168(3):169. doi:10.7326/M17-1296
Rachel Bystritsky, MD; Henry Chambers, MD
Ann Intern Med. 2018;168(3):ITC17-ITC32. doi:10.7326/AITC201802060
Darren B. Taichman, MD, PhD
Ann Intern Med. 2018;168(3):ED3. doi:10.7326/AFED201802060
Kevin Dueck, MD, MSc
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. 2018;168(3):W7-W8. doi:10.7326/G17-0014
Ann Intern Med. 2018;168(3):I-22. doi:10.7326/P17-9050
Ann Intern Med. 2018;168(3):I-26. doi:10.7326/P17-9051
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