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 61-77 of 77 Articles
Ami Schattner, MD
I was going through my usual weekly early-afternoon clinic when I suddenly noticed that my manner with the patients was anything but usual.
Original Investigation 
Michael J. Orlich, MD, PhD; Pramil N. Singh, DrPH; Joan Sabaté, MD, DrPH; Jing Fan, MS; Lars Sveen; Hannelore Bennett, MS; Synnove F. Knutsen, MD, PhD; W. Lawrence Beeson, DrPH; Karen Jaceldo-Siegl, DrPH, MS; Terry L. Butler, DrPH; R. Patti Herring, PhD; Gary E. Fraser, PhD, MD

Importance  Colorectal cancers are a leading cause of cancer mortality, and their primary prevention by diet is highly desirable. The relationship of vegetarian dietary patterns to colorectal cancer risk is not well established.

Objective  To evaluate the association between vegetarian dietary patterns and incident colorectal cancers....

Original Investigation 
Elyn H. Wang, BA; Cary P. Gross, MD; Jon C. Tilburt, MD, MPH; James B. Yu, MD, MHS; Paul L. Nguyen, MD; Marc C. Smaldone, MD, MSHP; Nilay D. Shah, PhD; Robert Abouassally, MD; Maxine Sun, PhD; Simon P. Kim, MD, MPH
Includes: Supplemental Content

Importance  The current attitudes of prostate cancer specialists toward decision aids and their use in clinical practice to facilitate shared decision making are poorly understood.

Objective  To assess attitudes toward decision aids and their dissemination in clinical practice.

Design, Setting, and Participants  A survey was ...

Invited Commentary: Decision Aid Paradox; Michael J. Barry, MD
Original Investigation 
Matthew J. Bair, MD, MS; Dennis Ang, MD; Jingwei Wu, MS; Samantha D. Outcalt, PhD; Christy Sargent, BS; Carol Kempf, RN; Amanda Froman, BS; Arlene A. Schmid, PhD, OTR; Teresa M. Damush, PhD; Zhangsheng Yu, PhD; Louanne W. Davis, PsyD; Kurt Kroenke, MD
Includes: Supplemental Content

Importance  Despite the prevalence and the functional, psychological, and economic impact of chronic pain, few intervention studies of treatment of chronic pain in veterans have been performed.

Objective  To determine whether a stepped-care intervention is more effective than usual care, as hypothesized, in reducing pain-related disability, ...

Editor's Note: A Better Pain Plan; Joseph S. Ross, MD, MHS
Invited Commentary 
Michael J. Barry, MD
For most medical treatment decisions, there is more than one reasonable choice. Although bacterial meningitis needs antibiotics, decisions about treatments for conditions such as clinically localized prostate cancer have many options, including observation, radiation therapy, and surgery. In turn, each of these broad treatment categories has variants: watchful waiting, active ...
Editor's Note 
Joseph S. Ross, MD, MHS
Musculoskeletal pain is one of the most common reasons adults visit their primary care physician, an office encounter that typically starts with a discussion of the patient’s symptoms and physical function, continues with advice from the physician to lose weight and engage in rehabilitation exercises, and concludes with a prescription, ...
Challenges in Clinical Electrocardiography 
Arjun Sinha, MD, MS; Jasmine Rassiwala, MD, MPH; Nora Goldschlager, MD
A woman in her 60s with hypertension and hyperlipidemia presented with chest pain for 3 days. She denied any cardiac history but reported intermittent substernal chest pain for the past few months that had worsened in the past week. She denied associated symptoms. Her vital signs and cardiopulmonary examination results ...
Challenges in Clinical Electrocardiography 
Zaid Aziz, MD; Peter Mikolajczak, MD; Paul J. Hauptman, MD
A man in his 90s with a history of hypertension, hypercholesterolemia, sinus node dysfunction, and prior dual-chamber pacemaker implantation presented with 1 month of abdominal pain radiating to his back. The initial chest radiograph demonstrated a dual-chamber permanent pacemaker with an atrial lead in the right atrial appendage and ventricular ...
Research Letter 
Jonathan Michael Pell, MD; Mary Mancuso, MA; Shelly Limon, BSN, MS, CNRN; Kathy Oman, RN, PhD; Chen-Tan Lin, MD
In 2001, the Institute of Medicine1 recommended improving patient engagement by providing continuous care, allowing patients to be the source of control and fostering transparency with patients and families. Electronic health records (EHRs) facilitate these objectives via the use of patient portals.2 Giving outpatients direct access to their health information ...
Original Investigation 
Hung N. Luu, MD, PhD; William J. Blot, PhD; Yong-Bing Xiang, MD, MPH; Hui Cai, MD, PhD; Margaret K. Hargreaves, PhD; Honglan Li, MD, MPH; Gong Yang, MD, MPH; Lisa Signorello, ScD; Yu-Tang Gao, MD; Wei Zheng, MD, PhD; Xiao-Ou Shu, MD, PhD
Includes: Supplemental Content

Importance  High intake of nuts has been linked to a reduced risk of mortality. Previous studies, however, were primarily conducted among people of European descent, particularly those of high socioeconomic status.

Objective  To examine the association of nut consumption with total and cause-specific mortality in Americans ...

Editor's Note: Live Longer…for Peanuts; Mitchell H. Katz, MD
Original Investigation 
Emily G. McDonald, MD; Jonathon Milligan, MD; Charles Frenette, MD; Todd C. Lee, MD, MPH
Includes: Supplemental Content

Importance  Clostridium difficile infection (CDI) is associated with significant morbidity, mortality, and a high risk of recurrence. Proton pump inhibitor (PPI) use is associated with an initial episode of CDI, and PPIs are frequently overprescribed. For many, the use of PPIs could likely be discontinued before CDI ...

Invited Commentary 
Margaret C. Fang, MD, MPH
The recent 2014 American Heart Association, American College of Cardiology, and Heart Rhythm Society guideline for the management of patients with atrial fibrillation (AF) recommends using the CHA2DS2-VASc stroke risk score instead of the older CHADS2 score when deciding whether to recommend anticoagulant therapy, in essence lowering the threshold at ...
Editor's Note 
Mitchell H. Katz, MD
Multiple studies have demonstrated the beneficial effects of eating nuts. Nonetheless, the editors felt it was worth publishing another such study for 2 reasons. First, this study1 combined 3 cohorts to produce a large and diverse sample, including a predominately low socioeconomic cohort of Americans and 2 Chinese cohorts. The ...
Research Letter 
Emily C. O’Brien, PhD; Sunghee Kim, PhD; Paul L. Hess, MD; Peter R. Kowey, MD; Gregg C. Fonarow, MD; Jonathan P. Piccini, MD, MHS; Eric D. Peterson, MD, MPH
In 2014, the American Heart Association, American College of Cardiology, and Heart Rhythm Society published a revised guideline for atrial fibrillation (AF) treatment recommending use of a refined stroke risk score and revised threshold for oral anticoagulation (OAC) initiation.1 We assessed the potential effect of this new guideline by comparing ...
Invited Commentary: New Atrial Fibrillation Guideline; Margaret C. Fang, MD, MPH
Research Letter 
Mallika L. Mendu, MD, MBA; Andrew Lundquist, MD; Ayal A. Aizer, MD, MHS; David E. Leaf, MD, MMSc; Emily Robinson, MD, MPH; David J. R. Steele, MD; Sushrut S. Waikar, MD, MPH
Chronic kidney disease (CKD) affects approximately 13% of adults in the United States and is associated with significant morbidity, mortality, and costs.1- 3 There is a broad differential for CKD, including diabetes mellitus, hypertension, glomerulonephritis, tubulointerstitial disease, urologic causes, and unknown causes.2 To our knowledge, a comprehensive assessment of the ...
Original Investigation 
Athanase Benetos, MD, PhD; Carlos Labat, BSc; Patrick Rossignol, MD, PhD; Renaud Fay, PharmD; Yves Rolland, MD, PhD; Filippo Valbusa, MD; Paolo Salvi, MD, PhD; Mauro Zamboni, MD, PhD; Patrick Manckoundia, MD, PhD; Olivier Hanon, MD, PhD; Sylvie Gautier, MD
Includes: Supplemental Content

Importance  Clinical evidence supports the beneficial effects of lowering blood pressure (BP) levels in community-living, robust, hypertensive individuals older than 80 years. However, observational studies in frail elderly patients have shown no or even an inverse relationship between BP and morbidity and mortality.

Objective  To assess ...

Sign in

Purchase Options

• Subscribe to the journal

A free personal account provides

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