journal

JAMA Internal Medicine

journal
https://read.qxmd.com/read/32227142/comparison-of-the-effectiveness-of-single-component-and-multicomponent-interventions-for-reducing-radiation-doses-in-patients-undergoing-computed-tomography-a-randomized-clinical-trial
#1
Rebecca Smith-Bindman, Philip Chu, Yifei Wang, Robert Chung, Naomi Lopez-Solano, Andrew J Einstein, Leif Solberg, Luisa F Cervantes, Thomas Yellen-Nelson, William Boswell, Bradley N Delman, Phuong-Anh Duong, Allen R Goode, Nima Kasraie, Ryan K Lee, Rebecca Neill, Anokh Pahwa, Pavlina Pike, Jodi Roehm, Sebastian Schindera, Jay Starkey, Saravanabavaan Suntharalingam, Cécile R L P N Jeukens, Diana L Miglioretti
Importance: Computed tomography (CT) radiation doses vary across institutions and are often higher than needed. Objective: To assess the effectiveness of 2 interventions to reduce radiation doses in patients undergoing CT. Design, Setting, and Participants: This randomized clinical trial included 864 080 adults older than 18 years who underwent CT of the abdomen, chest, combined abdomen and chest, or head at 100 facilities in 6 countries from November 1, 2015, to September 21, 2017...
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227137/shift-from-adalimumab-originator-to-biosimilars-in-denmark
#2
Thomas Bo Jensen, Seoyoung C Kim, Espen Jimenez-Solem, Dorthe Bartels, Hanne Rolighed Christensen, Jon Trærup Andersen
No abstract text is available yet for this article.
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227133/association-of-the-comprehensive-end-stage-renal-disease-care-model-with-medicare-payments-and-quality-of-care-for-beneficiaries-with-end-stage-renal-disease
#3
Grecia Marrufo, Erin Murphy Colligan, Brighita Negrusa, Darin Ullman, Joe Messana, Anand Shah, Tom Duvall, Richard A Hirth
Importance: Medicare beneficiaries with end-stage renal disease (ESRD) are a medically complex group accounting for less than 1% of the Medicare population but more than 7% of Medicare fee-for-service payments. Objective: To evaluate the association of the Comprehensive End-Stage Renal Disease Care (CEC) model with Medicare payments, health care use, and quality of care. Design, Setting, and Participants: In this economic evaluation, a difference-in-differences design estimated the change in outcomes for 73 094 Medicare fee-for-service beneficiaries aligned to CEC dialysis facilities between the baseline (from January 2014 to March 2015) and intervention periods (from October 2015 to December 2017) relative to 60 464 beneficiaries at matched dialysis facilities...
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227131/decreasing-health-care-spending-through-market-competition-a-case-for-the-rapid-adoption-of-adalimumab-biosimilars
#4
Jennifer D Claytor, Walid Gellad
No abstract text is available yet for this article.
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227130/concerns-remain-regarding-long-term-ozone-exposure-and-respiratory-outcomes
#5
Minjing Luo, Ping Li, Wenquan Niu
No abstract text is available yet for this article.
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227129/concerns-remain-regarding-long-term-ozone-exposure-and-respiratory-outcomes-reply
#6
Laura M Paulin, Joel D Kaufman, Nadia N Hansel
No abstract text is available yet for this article.
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227127/evaluation-of-a-paradigm-shift-from-intravenous-antibiotics-to-oral-step-down-therapy-for-the-treatment-of-infective-endocarditis-a-narrative-review
#7
Brad Spellberg, Henry F Chambers, Daniel M Musher, Thomas L Walsh, Arnold S Bayer
Importance: The requirement of prolonged intravenous antibiotic courses to treat infective endocarditis (IE) is a time-honored dogma of medicine. However, numerous antibiotics are now available that achieve adequate levels in the blood after oral administration to kill bacteria. Moreover, prolonged intravenous antibiotic regimens are associated with high rates of adverse events. Accordingly, recent studies of oral step-down antibiotic treatment have stimulated a reevaluation of the need for intravenous-only therapy for IE...
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32227126/comparison-of-priority-vs-standard-us-food-and-drug-administration-premarket-approval-review-for-high-risk-medical-devices
#8
Caroline Ong, Vy K Ly, Rita F Redberg
No abstract text is available yet for this article.
March 30, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202610/alternating-qrs-complex-morphology-in-a-man-presenting-with-stroke
#9
Jacob J Mayfield, Nora Goldschlager
No abstract text is available yet for this article.
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202609/association-between-medicaid-expansion-and-rates-of-opioid-related-hospital-use
#10
Hefei Wen, Aparna Soni, Alex Hollingsworth, Seth Freedman, Joseph Benitez, Kosali Simon, Brendan Saloner
Importance: The rate of opioid-related emergency department (ED) visits and inpatient hospitalizations has increased rapidly in recent years. Medicaid expansions have the potential to reduce overall opioid-related hospital events by improving access to outpatient treatment for opioid use disorder. Objective: To examine the association between Medicaid expansions and rates of opioid-related ED visits and inpatient hospitalizations. Design, Setting, and Participants: A difference-in-differences observational design was used to compare changes in opioid-related hospital events in US nonfederal, nonrehabilitation hospitals in states that implemented Medicaid expansions between the first quarter of 2005 and the last quarter of 2017 with changes in nonexpansion states...
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202606/use-and-costs-of-breast-cancer-screening-for-women-in-their-40s-in-a-us-population-with-private-insurance
#11
Natalia Kunst, Jessica B Long, Xiao Xu, Susan H Busch, Kelly A Kyanko, Ilana B Richman, Cary P Gross
No abstract text is available yet for this article.
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202605/multicenter-emergency-department-validation-of-the-canadian-syncope-risk-score
#12
Venkatesh Thiruganasambandamoorthy, Marco L A Sivilotti, Natalie Le Sage, Justin W Yan, Paul Huang, Mona Hegdekar, Eric Mercier, Muhammad Mukarram, Marie-Joe Nemnom, Andrew D McRae, Brian H Rowe, Ian G Stiell, George A Wells, Andrew D Krahn, Monica Taljaard
Importance: The management of patients with syncope in the emergency department (ED) is challenging because no robust risk tool available has been recommended for clinical use. Objective: To validate the Canadian Syncope Risk Score (CSRS) in a new cohort of patients with syncope to determine its ability to predict 30-day serious outcomes not evident during index ED evaluation. Design, Setting, and Participants: This prospective multicenter cohort study conducted at 9 EDs across Canada included patients 16 years and older who presented to EDs within 24 hours of syncope...
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202604/comparison-of-industry-payments-in-2017-with-annual-salary-in-a-cohort-of-academic-oncologists
#13
Jennifer Gill, Alyson Haslam, Tyler Crain, Diana Herrera-Perez, Vinay Prasad
No abstract text is available yet for this article.
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32202590/jama-internal-medicine-the-year-in-review-2019
#14
Rita F Redberg
No abstract text is available yet for this article.
March 23, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32176270/estimation-of-glomerular-filtration-rate-with-vs-without-including-patient-race
#15
Andrew S Levey, Hocine Tighiouart, Silvia M Titan, Lesley A Inker
No abstract text is available yet for this article.
March 16, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32176253/not-all-hypertension-is-a-lifelong-disease-a-teachable-moment
#16
Shumin Yang, Jinbo Hu, Qifu Li
No abstract text is available yet for this article.
March 16, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32176252/generalizability-of-clinical-trials-supporting-the-2017-american-college-of-cardiology-american-heart-association-blood-pressure-guideline
#17
Timothy S Anderson, Michelle Odden, Joanne Penko, Dhruv S Kazi, Brandon K Bellows, Kirsten Bibbins-Domingo
No abstract text is available yet for this article.
March 16, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32176248/development-and-validation-of-a-penicillin-allergy-clinical-decision-rule
#18
Jason A Trubiano, Sara Vogrin, Kyra Y L Chua, Jack Bourke, James Yun, Abby Douglas, Cosby A Stone, Roger Yu, Lauren Groenendijk, Natasha E Holmes, Elizabeth J Phillips
Importance: Penicillin allergy is a significant public health issue for patients, antimicrobial stewardship programs, and health services. Validated clinical decision rules are urgently needed to identify low-risk penicillin allergies that potentially do not require penicillin skin testing by a specialist. Objective: To develop and validate a penicillin allergy clinical decision rule that enables point-of-care risk assessment of patient-reported penicillin allergies...
March 16, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32176242/investing-in-the-health-of-american-indians-and-alaska-natives
#19
Michael A Incze, Matthew L Tobey, Thomas D Sequist
No abstract text is available yet for this article.
March 16, 2020: JAMA Internal Medicine
https://read.qxmd.com/read/32167524/risk-factors-associated-with-acute-respiratory-distress-syndrome-and-death-in-patients-with-coronavirus-disease-2019-pneumonia-in-wuhan-china
#20
Chaomin Wu, Xiaoyan Chen, Yanping Cai, Jia'an Xia, Xing Zhou, Sha Xu, Hanping Huang, Li Zhang, Xia Zhou, Chunling Du, Yuye Zhang, Juan Song, Sijiao Wang, Yencheng Chao, Zeyong Yang, Jie Xu, Xin Zhou, Dechang Chen, Weining Xiong, Lei Xu, Feng Zhou, Jinjun Jiang, Chunxue Bai, Junhua Zheng, Yuanlin Song
Importance: Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and has subsequently spread worldwide. Risk factors for the clinical outcomes of COVID-19 pneumonia have not yet been well delineated. Objective: To describe the clinical characteristics and outcomes in patients with COVID-19 pneumonia who developed acute respiratory distress syndrome (ARDS) or died. Design, Setting, and Participants: Retrospective cohort study of 201 patients with confirmed COVID-19 pneumonia admitted to Wuhan Jinyintan Hospital in China between December 25, 2019, and January 26, 2020...
March 13, 2020: JAMA Internal Medicine
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