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 Showing 61-75 of 75 Articles
Original Investigation 
Jennifer Tjia, MD, MSCE; Becky A. Briesacher, PhD; Daniel Peterson, MA; Qin Liu, MD, PhD; Susan E. Andrade, ScD; Susan L. Mitchell, MD, MPH

Importance  Advanced dementia is characterized by severe cognitive impairment and complete functional dependence. Patients’ goals of care should guide the prescribing of medication during such terminal illness. Medications that do not promote the primary goal of care should be minimized.

Objectives  To estimate the prevalence of ...

Topics: dementia; drug usage
Original Investigation 
Jonathan S. Lee, MD; Wato Nsa, MD, PhD; Leslie R. M. Hausmann, PhD; Amal N. Trivedi, MD, MPH; Dale W. Bratzler, DO, MPH; Dana Auden, MS; Maria K. Mor, PhD; Kristie Baus, RN, MS; Fiona M. Larbi, RN, BSN, CPAN; Michael J. Fine, MD, MSc
Includes: Supplemental Content

Importance  Nearly every US acute care hospital reports publicly on adherence to recommended processes of care for patients hospitalized with pneumonia. However, it remains uncertain how much performance of these process measures has improved over time or whether performance is associated with superior patient outcomes.

Objectives  ...

Patrick G. O’Connor, MD, MPH; Robert J. Sokol, MD; Gail D’Onofrio, MD, MS
Substance use is highly prevalent, a substantial cause of morbidity and mortality and accounts for over $500 billion in economic costs in the United States annually. The 2012 National Survey on Drug Use and Health (NSDUH),1 which surveyed Americans 12 years or older, reported that 32% binge drink and nearly ...
Research Letter 
Michael E. Johansen, MD, MS; Timothy R. Huerta, PhD, MS; Caroline R. Richardson, MD
Proton pump inhibitors (PPIs) are a class of therapeutically equivalent medications when used at equivalent doses.1,2 Despite this, high-cost PPIs continue to be used when low-cost equivalents are available. We sought to estimate the national loss associated with the use of high-cost PPIs over their lower-cost alternatives. Furthermore, we investigated ...
Research Letter 
Sean B. Smith, MD; Gregory W. Ruhnke, MD, MS, MPH; Curtis H. Weiss, MD, MS; Grant W. Waterer, MBBS, MS, MBA; Richard G. Wunderink, MD
The Nationwide Inpatient Sample aggregated data from approximately 20% of US hospital admissions from 1993 to 2011. Prior literature found that pneumonia admissions decreased following the introduction of the pneumococcal vaccine in 2000.1 The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), codes provide information regarding pneumonia pathogens, but ...
Research Letter 
Clement J. McDonald, MD; Fiona M. Callaghan, PhD; Arlene Weissman, PhD; Rebecca M. Goodwin, JD; Mallika Mundkur, MD; Thomson Kuhn, MS
Physicians complain about the time costs and other effects of electronic medical records (EMRs).1- 3 In a small survey,4 family practice physicians reported an EMR-associated loss of 48 minutes of free time per clinic day (P < .05). We collaborated with the American College of Physicians (ACP) to revise the ...
I hope that the article by Tjia and colleagues1 in this issue of JAMA Internal Medicine is read not just by clinicians who care for patients with advanced dementia and nursing home residents. The article contributes to the literature and practice in 2 important ways. First, the study’s strengths advance ...
Joseph R. Roberts, MD, PGY-2; Kiran Bambha, MD, MSc
Vinod E. Nambudiri, MD, MBA
Pratik Patel, MD; Htin Aung, MD; Jason Post, MD
Invited Commentary 
Vinay Prasad, MD
Prostate-specific antigen (PSA) screening has been a disappointing public health strategy. The history of the PSA test will one day serve as a reminder that, although all of us in health care want to do everything possible to reduce the mortality of cancer, the early adoption of screening techniques on ...
Original Investigation 
Michael P. Bogenschutz, MD; Dennis M. Donovan, PhD; Raul N. Mandler, MD; Harold I. Perl, PhD; Alyssa A. Forcehimes, PhD; Cameron Crandall, MD, PhD; Robert Lindblad, MD; Neal L. Oden, PhD; Gaurav Sharma, PhD; Lisa Metsch, PhD; Michael S. Lyons, MD, MPH; Ryan McCormack, MD; Wendy Macias Konstantopoulos, MD, MPH; Antoine Douaihy, MD

Importance  Medical treatment settings such as emergency departments (EDs) present important opportunities to address problematic substance use. Currently, EDs do not typically intervene beyond acute medical stabilization.

Objective  To contrast the effects of a brief intervention with telephone boosters (BI-B) with those of screening, assessment, and ...

Research Letter 
Aner Tal, PhD; Scott Zuckerman, MD; Brian Wansink, PhD
Television (TV) has generally been blamed for helping make Americans overweight1 owing to both its distracting influence and its encouragement of a sedentary lifestyle.2- 4 Indeed, a recent correlational analysis5 of dinner patterns illustrated that the frequency of TV viewing during dinner was 1 of the 2 largest correlates of ...
Research Letter 
Jesse D. Sammon, DO; Daniel Pucheril, MD, MBA; Mireya Diaz, PhD; Adam S. Kibel, MD; Philip W. Kantoff, MD; Mani Menon, MD; Quoc-Dien Trinh, MD
Includes: Supplemental Content
Routine screening for prostate cancer using prostate-specific antigen (PSA) is a widely contested practice, and recommendations have recently changed dramatically. In October 2011, the US Preventative Services Task Force recommended against screening in any age group,1 yet current nationwide patterns of PSA screening are largely unknown. We sought to elucidate ...
Challenges in Clinical Electrocardiography 
David Snipelisky, MD; Maegan Roberts, MS; Joseph Blackshear, MD

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