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Original Investigation | April 22, 2013 
Evaluation of the Mobile Acute Care of the Elderly (MACE) Service
William W. Hung, MD, MPH; Joseph S. Ross, MD, MHS; Jeffrey Farber, MD; Albert L. Siu, MD, MSPH
Includes: Supplemental Content
ImportanceImportance Older adults are particularly vulnerable to adverse events during hospitalization for acute medical problems. The Mobile Acute Care of the Elderly ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.478
Invited Commentary | April 22, 2013 
ACE, MACE, and GRACE:  Time to Put the Pieces Together
Lisa M. Walke, MD; Mary E. Tinetti, MD
Berwick et al1 challenged the US health care system to achieve the Triple Aim of higher-quality care for individuals, improved health of ...
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.493
Research Letters | April 22, 2013 
Extent and Reporting of Patient Nonenrollment in Influential Randomized Clinical Trials, 2002 to 2010
Keith Humphreys, PhD; Natalya C. Maisel, PhD; Janet C. Blodgett, MSc; Ingrid L. Fuh, BS; John W. Finney, PhD
Includes: Supplemental Content
Because they assign patients to treatment conditions, randomized clinical trials (RCTs) offer unparalleled internal validity for drawing inferences about the efficacy of ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.496
Original Investigation | April 22, 2013 
Effects of an Acute Care for Elders Unit on Costs and 30-Day Readmissions
Kellie L. Flood, MD; Paul A. MacLennan, PhD; Deborah McGrew, MHA; Darlene Green, DSN; Cindy Dodd, BSN; Cynthia J. Brown, MD, MSPH
Includes: Supplemental Content
ImportanceImportance Providing high-quality care while containing cost is essential for the economic stability of our health care system. The United States is ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.524
Research Letters | April 22, 2013 
Impact of a Real-Time Computerized Duplicate Alert System on the Utilization of Computed Tomography
Elliot J. Wasser, MD; Luciano M. Prevedello, MD, MPH; Aaron Sodickson, MD, PHD; Wenhong Mar, MS; Ramin Khorasani, MD, MPH
The use of high-cost imaging modalities is rising rapidly. From 1995 through 2007, use of computed tomographic (CT) scans in the United ...
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.543
Research Letters | April 22, 2013 
No Increase in Risk of Microscopic Hematuria With Aspirin Use by Asymptomatic Healthy People
Chang Wook Jeong, MD, PhD; Sangchul Lee, MD, PhD; Seok-Soo Byun, MD, PhD; Dong Ho Lee, MD, PhD; Sang Eun Lee, MD, PhD
Includes: Supplemental Content
The daily use of aspirin in low doses (75-325 mg) is a well-known preventive therapy for cardiovascular disease.1 Approximately 35% of adults ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.567
Editorial | April 22, 2013 
Trust in the Medical Literature—and Viewpoints in JAMA Internal Medicine
Robert Steinbrook, MD; Rita F. Redberg, MD, MSc
The mission of JAMA Internal Medicine is to publish high-quality scientific articles that inform medical practice, health care, and health policy. In ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.6281
Challenges in Clinical Electrocardiography | April 22, 2013 
Bizarre and Wide QRS After Liver Transplant
Colleen J. Johnson, MD, MS; Melvin A. Scheinman, MD; Mintu P. Turakhia, MD, MAS
A 52-year-old woman 3 weeks status post orthotopic liver transplant was noted to have ST-segment elevation on telemetry. The posttransplant course had ...
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.644a
Challenges in Clinical Electrocardiography | April 22, 2013 
Bizarre and Wide QRS After Liver Transplant—Discussion
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.644b
Viewpoint | April 22, 2013  FREE
Preventing Gun Violence by Changing Social Norms
David Hemenway, PhD
From a public health perspective, some social norms are beneficial (eg, washing your hands), while others are less so (eg, shaking hands, ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.6949
Viewpoint | April 22, 2013 
Nullius In Verba:  Don't Take Anyone's Word for It
Richard S. Lehman, MA, BM,  BCh, MRCGP
The fact that you are reading this article makes you an unusual physician. Most jobbing clinicians—myself among them—do not naturally gravitate to ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.823
Viewpoint | April 22, 2013 
Improving Health With Partnerships Between Academia and Industry
Susan Desmond-Hellmann, MD, MPH
At a time when jobs seem scarce, one role seems to have multiplied: the pundit; never at a loss for a provocative, ...
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JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.826
Viewpoint | April 22, 2013 
Assessing Research Results in the Medical Literature:  Trust but Verify
Robert M. Califf, MD; Jonathan McCall, MS; Robert A. Harrington, MD
Clinical research should contribute to a generalizable body of evidence that can guide decisions about clinical practice, personal health, and health policies. ...
JAMA Intern Med. Published online April 22, 2013. doi:10.1001/jamainternmed.2013.829
Editorial | April 15, 2013 
Can We Stop Ordering Prostate-Specific Antigen Screening Tests?
Mitchell H. Katz, MD
I run the second largest safety-net system in the United States. As is true of all safety-net systems in the United States, ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.1164
Invited Commentary | April 15, 2013 
Exercise in Alzheimer Disease
Comment on “Effects of the Finnish Alzheimer Disease Exercise Trial (FINALEX): A Randomized Controlled Trial”
A. Mark Clarfield, MD, FRCPC; Tzvi Dwolatzky, MD, MBBCh
Alzheimer disease (AD), first described more than a century ago, continues to challenge our generation. If we compare the therapeutic progress that ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.1215
Original Investigation | April 15, 2013 
Impact of Providing Fee Data on Laboratory Test Ordering:  A Controlled Clinical Trial
Leonard S. Feldman, MD; Hasan M. Shihab, MBChB, MPH; David Thiemann, MD; Hsin-Chieh Yeh, PhD; Margaret Ardolino, RN, MS; Steven Mandell, MS; Daniel J. Brotman, MD
Includes: Supplemental Content
ImportanceImportance Inpatient care providers often order laboratory tests without any appreciation for the costs of the tests.ObjectiveObjective To determine whether we could ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.232
Invited Commentary | April 15, 2013 
Controlling Costs With Computer-Based Decision Support:  An Ax, a Scalpel, or an Illusion?
Comment on “Impact of Providing Fee Data on Laboratory Test Ordering: A Controlled Clinical Trial”
William M. Tierney, MD
We have all known for decades that cost controls are coming to health care. The rapid rise in health care costs, greatly ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.245
Original Investigation | April 15, 2013 
Five-Year Downstream Outcomes Following Prostate-Specific Antigen Screening in Older Men
Louise C. Walter, MD; Kathy Z. Fung, MS; Katharine A. Kirby, MS; Ying Shi, PhD; Roxanne Espaldon, BA; Sarah O’Brien, MPH; Stephen J. Freedland, MD; Adam A. Powell, PhD, MBA; Richard M. Hoffman, MD, MPH
Includes: Supplemental Content
ImportanceImportance Despite ongoing controversies surrounding prostate-specific antigen (PSA) screening, many men 65 years or older undergo screening. However, few data exist that ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.323
Viewpoint | April 15, 2013 
Keeping the “Home” in Nursing Home:  Implications for Infection Prevention
Lona Mody, MD, MSc; Suzanne F. Bradley, MD; Susan S. Huang, MD, MPH
As they enter their retirement years, 76 million baby boomers with chronic illnesses will have an unprecedented impact on the health care ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.330
Original Investigation | April 15, 2013 
Effects of the Finnish Alzheimer Disease Exercise Trial (FINALEX):  A Randomized Controlled Trial
Kaisu H. Pitkälä, MD, PhD; Minna M. Pöysti, MD, PhD; Marja-Liisa Laakkonen, MD, PhD; Reijo S. Tilvis, MD, PhD; Niina Savikko, RN, PhD; Hannu Kautiainen, PhD; Timo E. Strandberg, MD, PhD
Includes: Supplemental Content
ImportanceImportance Few rigorous clinical trials have investigated the effectiveness of exercise on the physical functioning of patients with Alzheimer disease (AD).ObjectivesObjectives To ...
JAMA Intern Med. Published online April 15, 2013. doi:10.1001/jamainternmed.2013.359

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