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 Showing 1-20 of 81 Articles

This Viewpoint discusses potential consequences of China policies mandating attentive behaviors of children to their elder parents and punishing behaviors deemed insufficiently attentive through public shaming and loss of credit.

Original Investigation  FREE
Mark Olfson, MD, MPH; Carlos Blanco, MD, PhD; Steven C. Marcus, PhD
Includes: Supplemental Content

Importance  Despite recent increased use of antidepressants in the United States, concerns persist that many adults with depression do not receive treatment, whereas others receive treatments that do not match their level of illness severity.

Objective  To characterize the treatment of adult depression in the United ...

Invited Commentary 
Anna L. Parks, MD; Patrick G. O’Malley, MD, MPH

Since 2012, the American Board of Internal Medicine’s (ABIM) Choosing Wisely initiative has targeted low-value care by creating lists of wasteful interventions and disseminating them to physicians and patients. Its original goal was to promote conversation about risks and benefits to prevent unnecessary tests and procedures.1 In ...

Research Letter 
Mona Krouss, MD; Lindsay Croft, PhD, MS; Daniel J. Morgan, MD, MS

This survey study describes academic internal medicine physicians' understanding of benefits and harms of common medical interventions, their use of statistical terms in patient communication, and their awareness of high-value health care campaigns.

Invited Commentary: From Choosing Wisely to Practicing Value—More to the Story; Anna L. Parks, MD; Patrick G. O’Malley, MD, MPH
Research Letter 
Rachel O. Reid, MD, MS; Brendan Rabideau, BA; Neeraj Sood, PhD

This study examines low-value health care spending among US adults ages 18 to 64 years using data from Optum Clinformatics Datamart of UnitedHealthcare commercial claims for 2011 to 2013.

Invited Commentary: From Choosing Wisely to Practicing Value—More to the Story; Anna L. Parks, MD; Patrick G. O’Malley, MD, MPH
Original Investigation 
Xin Xu, MD, PhD; Xianhui Qin, MD, PhD; Youbao Li, MD; Danhua Sun, MD; Jun Wang, MD; Min Liang, MD; Binyan Wang, MD, PhD; Yong Huo, MD; Fan Fan Hou, MD, PhD; for the investigators of the Renal Substudy of the China Stroke Primary Prevention Trial (CSPPT)
Includes: Supplemental Content

Importance  The efficacy of folic acid therapy on renal outcomes has not been previously investigated in populations without folic acid fortification.

Objective  To test whether treatment with enalapril and folic acid is more effective in slowing renal function decline than enalapril alone across a spectrum of ...

Invited Commentary: Time to Think About Nutrient Needs in Chronic Disease; Patrick J. Stover, PhD; Robert J. Berry, MD, MPHTM; Martha S. Field, PhD
Original Investigation 
Jeffrey C. Munson, MD, MSCE; Julie P. W. Bynum, MD, MPH; John-Erik Bell, MD, MS; Robert Cantu, MD, MS; Christine McDonough, PT, PhD; Qianfei Wang, MS; Tor D. Tosteson, ScD; Anna N. A. Tosteson, ScD
Includes: Supplemental Content

Importance  Patients who have a fragility fracture are at high risk for subsequent fractures. Prescription drugs represent 1 factor that could be modified to reduce the risk of subsequent fracture.

Objective  To describe the use of prescription drugs associated with fracture risk before and after fragility ...

Invited Commentary: Medication Review After a Fracture; Sarah D. Berry, MD, MPH; Douglas P. Kiel, MD, MPH
Invited Commentary 
Patrick J. Stover, PhD; Robert J. Berry, MD, MPHTM; Martha S. Field, PhD

There is renewed interest in health benefits of folic acid supplementation since the China Stroke Prevention Primary Prevention Trial (CSPPT) showed the potential benefits of folic acid in preventing stroke in Chinese adults with hypertension.1 It has long been known that folic acid prevents neural tube defects, ...

Invited Commentary 
Sarah D. Berry, MD, MPH; Douglas P. Kiel, MD, MPH

Approximately 1 of every 2 women and 1 of every 4 men aged 50 years or older will experience a fracture in their remaining lifetime. In fact, in the United States, the annual number of osteoporotic fractures that occur exceeds the incidence of heart attack, stroke, and breast ...

Research Letter 
Brendan P. Lovasik, MD; Rebecca Zhang, MS; Jason M. Hockenberry, PhD; Justin D. Schrager, MD; Stephen O. Pastan, MD; Sumit Mohan, MD, MPH; Rachel E. Patzer, PhD, MPH

This population epidemiology study uses US Renal Data System data to characterize emergency department (ED) visits, hospitalizations from the ED, and demographic characteristics of patients with end-stage renal disease who used ED services between 2005 and 2011.

Although I visited Mrs P every day for 1 week, she could never remember my name. She did recognize the young resident rounding with me each day though—we thought perhaps it was because of his beard.

Original Investigation 
Allison Lipitz-Snyderman, PhD; Camelia S. Sima, MD, MS; Coral L. Atoria, MPH; Elena B. Elkin, PhD; Christopher Anderson, MD; Victoria Blinder, MD; Chiaojung Jillian Tsai, MD, PhD; Katherine S. Panageas, DrPH; Peter B. Bach, MD, MAPP
Includes: Supplemental Content

Importance  Interventions to address overuse of health care services may help reduce costs and improve care. Understanding physician-level variation and behavior patterns can inform such interventions.

Objective  To assess patterns of physician ordering of services that tend to be overused in the treatment of patients with ...

Invited Commentary: Physician Practice Style Variation; Jessica Van Parys, PhD; Jonathan Skinner, PhD
Original Investigation 
Anna Pulakka, PhD; Jaana I. Halonen, PhD; Ichiro Kawachi, MD, PhD; Jaana Pentti, BSc; Sari Stenholm, PhD; Markus Jokela, PhD; Ilkka Kaate, MSc; Markku Koskenvuo, MD, PhD; Jussi Vahtera, MD, PhD; Mika Kivimäki, PhD
Includes: Supplemental Content

Importance  Reduced availability of tobacco outlets is hypothesized to reduce smoking, but longitudinal evidence on this issue is scarce.

Objective  To examine whether changes in distance from home to tobacco outlet are associated with changes in smoking behaviors.

Design, Setting, and Participants  The data from ...

Invited Commentary: Retail Stores and the Fight Against Tobacco; Cheryl Bettigole, MD, MPH; Thomas A. Farley, MD, MPH
Invited Commentary 
Jessica Van Parys, PhD; Jonathan Skinner, PhD

Practice style variation at the regional level has been well documented at different geographic levels, but there is much less research focusing on the role of individual physician variability in practice. Two studies1,2 have shown considerable variation in the practice styles of cardiologists who treat ...

Invited Commentary 
Cheryl Bettigole, MD, MPH; Thomas A. Farley, MD, MPH

Step by step, efforts to counter the marketing of the tobacco industry have helped to chip away at our nation’s smoking habit. From 1970 to 2014, average taxes on cigarettes rose from $0.18 to $2.29,1 substantially raising the price of a pack of cigarettes. Clean indoor air ...

Research Letter 
David A. Faber, BA; Shivam Joshi, MD; Mark H. Ebell, MD, MS

This study examines correlations between US specialty residency competitiveness and median salary, and between lifestyle factors and selection of a primary care specialty.

Comment & Response  FREE
Quoc-Dien Trinh, MD

To the Editor On behalf of my coauthors, I write to explain an error that occurred in our Research Letter, “Differences in Prostate-Specific Antigen Testing Among Urologists and Primary Care Physicians Following the 2012 USPSTF Recommendations,”1 published in the April 2016 issue of JAMA Internal Medicine. ...


In the Original Investigation titled “Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients” published in the April 2016 issue of JAMA Internal Medicine,1 4 incorrect P values appeared in Table 1. In that table, the P values (last column) compared data ...


In the Research Letter “Differences in Prostate-Specific Antigen Testing Among Urologists and Primary Care Physicians Following the 2012 USPSTF Recommendations,”1 published in the April 2016 issue of JAMA Internal Medicine, there were statistical errors reported in the original article (odds ratios and associated confidence intervals and ...

Thomas B. Newman, MD, MPH; Alan R. Schroeder, MD; Mark J. Pletcher, MD, MPH

This Editorial discusses the US Preventive Services Task Force recommendations statement on screening for lipid disorders in children and adolescents and the low value this screening has.

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