We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Basic View | Expanded View
 Showing 41-60 of 64 Articles
Original Investigation 
Jeremy B. Sussman, MD, MS; Eve A. Kerr, MD, MPH; Sameer D. Saini, MD, MS; Rob G. Holleman, MPH; Mandi L. Klamerus, MPH; Lillian C. Min, MD; Sandeep Vijan, MD, MS; Timothy P. Hofer, MD, MS
Includes: Supplemental Content

Importance  Older patients with diabetes mellitus receiving medical treatment whose blood pressure (BP) or blood glucose level are potentially dangerously low are rarely deintensified. Given the established risks of low blood pressure and blood glucose, this is a major opportunity to decrease medication harm.

Objective  To ...

Invited Commentary: Targeting Vascular Risk Factors in Older Adults; Enrico Mossello, MD, PhD
Case Report/Case Series 
Christopher R. Russo, MD; Terrence D. Welch, MD; Rajbir S. Sangha, MD; Mark L. Greenberg, MD

Importance  Cardiac arrhythmias are common causes of syncope. Brugada syndrome is an uncommon but serious genetic arrhythmia disorder that can be unmasked by medicines causing sodium channel blockade.

Observations  This report documents a case of Brugada syndrome and polymorphic ventricular tachycardia–ventricular fibrillation not initially recognized in ...

Invited Commentary 
Enrico Mossello, MD, PhD

For many years vascular disease prevention strategies have been focused on reducing undertreatment, often using a “one-size-fits-all” approach to increase patient adherence. The paradigm of this approach has been the proposal of a polypill targeting multiple vascular risk factors, a standard treatment aimed at maximizing vascular protection. Conversely, ...

Research Letter 
Tanner J. Caverly, MD, MPH; Angela Fagerlin, PhD; Brian J Zikmund-Fisher, PhD; Susan Kirsh, MD, MPH; Jeffrey Todd Kullgren, MD, MS, MPH; Katherine Prenovost, PhD; Eve A. Kerr, MD, MPH

This survey study of primary care physicians assessed perceived barriers to deintensifying treatment in patients with diabetes at risk for hypoglycemia.

Invited Commentary: Targeting Vascular Risk Factors in Older Adults; Enrico Mossello, MD, PhD
From The JAMA Network 
Karla Kerlikowske, MD

This summary and comparison of 2015 breast cancer screening recommendations from the American Cancer Society and US Preventive Services Task Force highlights the importance of a favorable benefit to harm ratio in the creation of mammography screening guidelines.

Janice K. Louie, MD, MPH; Harry Lampiris, MD

This short review of the literature on neuraminidase inhibitor effectiveness on influenza virus concludes that, while randomized clinical trials are lacking, observation data suggest benefit, especially in high-risk patients.

Teachable Moment 
Maen D. Abou Ziki, MD; David N. Podell, MD, PhD; Danise M. Schiliro, MD

This case report uses the example of a patient with scurvy to illustrate the importance of the basic history and physical examination, even in the age of more modern technological diagnostic techniques.

Original Investigation 
Hannah T. Neprash, BA; Michael E. Chernew, PhD; Andrew L. Hicks, MS; Teresa Gibson, PhD; J. Michael McWilliams, MD, PhD
Includes: Supplemental Content

Importance  Financial integration between physicians and hospitals may help health care provider organizations meet the challenges of new payment models but also may enhance the bargaining power of provider organizations, leading to higher prices and spending in commercial health care markets.

Objective  To assess the association ...

Invited Commentary: Hospital Acquisition of Physician Groups; James D. Reschovsky, PhD; Eugene Rich, MD
Invited Commentary 
James D. Reschovsky, PhD; Eugene Rich, MD

An important goal of the Affordable Care Act is to transform the US health care system from one characterized by high costs, poor quality, and fragmented care to one focused on comprehensive, coordinated, and efficient care. The Centers for Medicare & Medicaid Services (CMS) is working to meet ...

Research Letter 
Rafael D. Romo, PhD, RN; Sei J. Lee, MD, MAS; Yinghui Miao, MPH; W. John Boscardin, PhD; Alexander K. Smith, MD, MS, MPH

This study used Health and Retirement Study data to compare older adults’ predictions of their own survival with their actual survival.

This review of approvals of cancer drugs based on a surrogate end point by the US Food and Drug Administration assesses the postmarketing findings for overall survival.

Teachable Moment 
Joseph W. Howells, DO; Patricia A. Short, MD

This case report describes a patient whose medical history, clinical presentation, and other known factors should have prompted greater suspicion of false-positive serum ammonia elevation.

Original Investigation 
Myreen E. Tomas, MD; Sirisha Kundrapu, MD; Priyaleela Thota, MD; Venkata C. K. Sunkesula, MD; Jennifer L. Cadnum, BS; Thriveen Sankar Chittoor Mana, MS; Annette Jencson, BS, CIC; Marguerite O’Donnell, RN; Trina F. Zabarsky, RN; Michelle T. Hecker, MD; Amy J. Ray, MD; Brigid M. Wilson, PhD; Curtis J. Donskey, MD
Includes: Supplemental Content

Importance  Contamination of the skin and clothing of health care personnel during removal of personal protective equipment (PPE) contributes to dissemination of pathogens and places personnel at risk for infection.

Objectives  To determine the frequency and sites of contamination on the skin and clothing of personnel ...

Invited Commentary: Health Care Worker Self-contamination; Michelle Doll, MD; Gonzalo M. Bearman, MD, MPH
Original Investigation 
Alan Rosenberg, MD; Abiy Agiro, PhD; Marc Gottlieb, MPA; John Barron, PharmD; Peter Brady, MBA; Ying Liu, MS; Cindy Li, MSc; Andrea DeVries, PhD
Includes: Supplemental Content

Importance  The Choosing Wisely campaign consists of more than 70 lists produced by specialty societies of medical practices or procedures of minimal clinical benefit to patients in most situations, with recommendations regarding judicious use.

Objective  To quantify the frequency and trends of some of the earliest ...

Invited Commentary: Changing Clinician Behavior When Less Is More; Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS
Invited Commentary 
Michelle Doll, MD; Gonzalo M. Bearman, MD, MPH

The vulnerability of health care workers to acquisition and propagation of infectious agents has received global attention because of recent outbreaks of highly communicable and fatal diseases, including Ebola virus disease and severe acute respiratory syndrome. The emergence of these high-profile pathogens has prompted calls for better personal ...

Invited Commentary 
Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS

The American Board of Internal Medicine Foundation intended for the Choosing Wisely campaign to support conversations between clinicians and their patients about what care is necessary.1 The campaign sought to do so by involving professional societies in creating lists of unnecessary tests and procedures and disseminating the ...

Special Communication 
Aaron S. Kesselheim, MD, JD, MPH; Michael S. Sinha, MD, JD, MPH; Steven Joffe, MD, MPH

Although insider trading is illegal, recent high-profile cases have involved physicians and scientists who are part of corporate governance or who have access to information about clinical trials of investigational products. Insider trading occurs when a person in possession of information that might affect the share price of ...

Original Investigation 
Mads E. Jørgensen, MB; Mark A. Hlatky, MD; Lars Køber, MD, DSc; Robert D. Sanders, MD, PhD, FRCA; Christian Torp-Pedersen, MD, DSc; Gunnar H. Gislason, MD, PhD; Per Føge Jensen, MD, PhD; Charlotte Andersson, MD, PhD
Includes: Supplemental Content

Importance  Perioperative β-blocker strategies are important to reduce risks of adverse events. Effectiveness and safety may differ according to patients’ baseline risk.

Objective  To determine the risk of major adverse cardiovascular events (MACEs) associated with long-term β-blocker therapy in patients with uncomplicated hypertension undergoing noncardiac surgery....

Editor's Note 
Joseph S. Ross, MD, MHS; Mitchell H. Katz, MD

When a patient is made to wait a long time to receive care from a physician or other health care professional, the implicit message is clear: the patient’s time is less important than the clinician’s. Although patients are understanding of waits due to professional emergencies (eg, when an ...

Sign in

Purchase Options

• Subscribe to the journal
• Rent this article ?

A free personal account provides

• Free current issues on The JAMA Network Reader
• Free quizzes on The JAMA Network Challenge
• Commenting and personalized alerts