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Editor's Note | May 6, 2013 
Snack (Healthily) Before Shopping:  Comment on “Fattening Fasting”
Rita F. Redberg, MD, MSc
I think all diet guides include the advice to “never go grocery shopping when you are hungry”—and when I had young children, ...
JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.749
Original Investigation | May 6, 2013 
Cost Consideration in the Clinical Guidance Documents of Physician Specialty Societies in the United States
Jennifer A. T. Schwartz, MD; Steven D. Pearson, MD, MSc
ImportanceImportance Despite increasing concerns regarding the cost of health care, the consideration of costs in the development of clinical guidance documents by ...
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JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.817
Invited Commentary | May 6, 2013 
Physician Specialty Society Clinical Guidelines and Bending the Cost Curve:  Comment on “Cost Consideration in the Clinical Guidance Documents of Physician Specialty Societies in the United States”
Joseph P. Drozda, MD
For more than 30 years, physicians have heard concerns about escalating health care costs, including warnings of dire consequences from unsustainable trends. ...
JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.820
Original Investigation | May 6, 2013 
Cognition and Take-up of Subsidized Drug Benefits by Medicare Beneficiaries
Ifedayo O. Kuye, AB; Richard G. Frank, PhD; J. Michael McWilliams, MD, PhD
Includes: Supplemental Content
ImportanceImportance Take-up of the Medicare Part D low-income subsidy (LIS) by eligible beneficiaries has been low despite the attractive drug coverage it ...
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JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.845
Original Investigation | May 6, 2013 
Provision of Spiritual Support to Patients With Advanced Cancer by Religious Communities and Associations With Medical Care at the End of Life
Tracy A. Balboni, MD, MPH; Michael Balboni, PhD; Andrea C. Enzinger, MD; Kathleen Gallivan, PhD; M. Elizabeth Paulk, MD; Alexi Wright, MD; Karen Steinhauser, PhD; Tyler J. VanderWeele, PhD; Holly G. Prigerson, PhD
ImportanceImportance Previous studies report associations between medical utilization at the end-of-life (EoL) and religious coping and spiritual support from the medical team. ...
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JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.903
Invited Commentary | May 6, 2013 
Advancing Research on Spiritual Influences at the End of Life:  Comment on “Provision of Spiritual Support to Patients With Advanced Cancer by Religious Communities and Associations With Medical Care at the End of Life”
Christopher G. Ellison, PhD; Maureen R. Benjamins, PhD
Balboni and her team1 continue to highlight the role that religiousness and spiritual support play in the lives of patients with advanced ...
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JAMA Intern Med. Published online May 06, 2013. doi:10.1001/jamainternmed.2013.922
Special Article | April 29, 2013 
Collecting and Applying Data on Social Determinants of Health in Health Care Settings
Laura Gottlieb, MD; Megan Sandel, MD; Nancy E. Adler, PhD
Despite strong evidence linking patients' social circumstances to their health, little guidance exists for health care practitioners and institutions on addressing social ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.560
Original Investigation | April 29, 2013 
Characteristics of Oncology Clinical Trials:  Insights From a Systematic Analysis of ClinicalTrials.gov
Bradford R. Hirsch, MD, MBA; Robert M. Califf, MD; Steven K. Cheng, PhD; Asba Tasneem, PhD; John Horton, MS; Karen Chiswell, PhD; Kevin A. Schulman, MD, MBA; David M. Dilts, PhD; Amy P. Abernethy, MD
Includes: Supplemental Content
ImportanceImportance Clinical trials are essential to cancer care, and data about the current state of research in oncology are needed to develop ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.627
Viewpoint | April 29, 2013 
Toward Accountable Cancer Care
Justin E. Bekelman, MD; Miranda Kim, MD, MBA; Ezekiel J. Emanuel, MD, PhD, MSC
Cancer accounts for over 500 000 deaths and nearly $125 billion in medical costs annually, second only to heart disease. While interventions ...
JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.635
Original Investigation | April 29, 2013 
Treatment of Nonfatal Conditions at the End of Life:  Nonmelanoma Skin Cancer
Eleni Linos, MD, DrPH; Rupa Parvataneni, MS; Sarah E. Stuart, BA; W. John Boscardin, PhD; C. Seth Landefeld, MD; Mary-Margaret Chren, MD
ImportanceImportance Nonmelanoma skin cancer (NMSC) is the most common cancer and predominantly affects older patients. Because NMSCs do not typically affect survival ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.639
Viewpoint | April 29, 2013 
Public Health Responses to Arsenic in Rice and Other Foods
Ana Navas-Acien, MD, PhD; Keeve E. Nachman, PhD, MHS
Inorganic arsenic and its methylated metabolites are powerful toxicants and carcinogens.1 Arsenic has always been present at varying levels in drinking water ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.6405
Research Letters | April 29, 2013 
Time Trends of Mortality From Colorectal Cancer in the United States: A Birth-Cohort Analysis
Brent Y. Lee, MD; Amnon Sonnenberg, MD, MSc
The occurrence of colorectal cancer in the United States is decreasing1. We sought to determine whether the decrease began prior to increased ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.656
Research Letters | April 29, 2013 
Limit to Benefits of Large Reductions in Low-Density Lipoprotein Cholesterol Levels: Use of Fractional Polynomials to Assess the Effect of Low-Density Lipoprotein Cholesterol Level Reduction in Metaregression of Large Statin Randomized Trials
Hisato Takagi, MD, PhD; Takuya Umemoto, MD, PhD; for the ALICE (All-Literature Investigation of Cardiovascular Evidence) Group
A recent metaregression1 of 25 large statin randomized trials involving 155 613 participants and 23 791 major vascular events reported a significant ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.659
Invited Commentary | April 29, 2013 
Visions of Hope in Cancer: Focus on Infrastructure:  Comment on “Characteristics of Oncology Clinical Trials” and “Toward Accountable Cancer Care”
Peter B. Bach, MD, MAPP
It is natural to be frustrated by the slow pace of progress in cancer. Mortality rates in the United States have been ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.6596
Invited Commentary | April 29, 2013 
Skin Cancer and Shared Decision Making:  Comment on “Treatment of Nonfatal Conditions at the End of Life”
Neil S. Wenger, MD, MPH
Shared decision making between patients and their physicians is optimal for choosing a course of medical care. Decision making is shared because ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.6685
Original Investigation | April 29, 2013 
Perioperative Use of Selective Serotonin Reuptake Inhibitors and Risks for Adverse Outcomes of Surgery
Andrew D. Auerbach, MD, MPH; Eric Vittinghoff, PhD; Judith Maselli, MSPH; Penelope S. Pekow, PhD; John Q. Young, MD; Peter K. Lindenauer, MD, MS
Includes: Supplemental Content
ImportanceImportance Single-site studies have described an association between use of selective serotonin reuptake inhibitors (SSRIs) and adverse outcomes of surgery. Multicenter studies ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.714
Invited Commentary | April 29, 2013 
Selective Serotonin Reuptake Inhibitors and Surgery: To Hold or Not to Hold, That Is the Question:  Comment on “Perioperative Use of Selective Serotonin Reuptake Inhibitors and Risks for Adverse Outcomes of Surgery”
Marko Mrkobrada, MD, FRCPC; Daniel G. Hackam, MD, PhD, FRCPC
More than 200 million major surgical operations are undertaken worldwide every year.1 Surgery is particularly prevalent in the developed world, with an ...
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JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.718
Viewpoint | April 29, 2013 
Security, Insecurity, and Health Workers:  The Case of Polio
Heidi J. Larson, PhD; Zulfiqar A. Bhutta, MD, PhD
In 1988, the World Health Assembly set the goal of eradicating polio by the year 2000. At the time, there were about ...
JAMA Intern Med. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.7191
Research Letters | April 22, 2013 
Developing a Model for Attending Physician Workload and Outcomes
Henry J. Michtalik, MD, MPH, MHS; Peter J. Pronovost, MD, PhD; Jill A. Marsteller, PhD, MPP; Joanne Spetz, PhD; Daniel J. Brotman, MD
With increased economic pressures on hospitals, limitations on resident physician hours, and payment reductions for preventable harms, hospitals seek to increase productivity ...
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.405
Perspectives | April 22, 2013  FREE
Pharmaceutically Less and Holistically More
Abhijit Kanti Dam, MD, FCCP, Dip Pall Med; Nivedita Datta, MBBS, DGO, DNB, Cert Pall Med; Usha Rani Mohanty, RN, Cert Pall Med; Priya Khanna, MBBS, FRCPsy
An 80-year-old woman had advanced malignant disease of the left scapula and shoulder joint and a large ulcerated mass in the axilla ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.475

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