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doi: 10.1001/jamainternmed.2019.1529pmid: 31157820
This Perspective addresses the growing use of marijuana among US residents and why physicians should expand their understanding of its health effects.
Taran, Shaurya; Detsky, Allan S.
doi: 10.1001/jamainternmed.2019.1922pmid: 31206133
This essay explores how diagnosing disease may be thought of in similar terms as interpreting modern art.
doi: 10.1001/jamainternmed.2019.2273pmid: 31260029
This article cites the case of a patient with diabetes who avoided potential foot amputation to discuss the importance of nutritional education for physicians and the importance of discussing beneficial nutritional practices with patients.
Noel, J. Ariana; Bota, Sarah E.; Petrcich, William; Garg, Amit X.; Carrero, Juan Jesus; Harel, Ziv; Tangri, Navdeep; Clark, Edward G.; Komenda, Paul; Sood, Manish M.
doi: 10.1001/jamainternmed.2019.0631pmid:
Kitahara, Cari M.; Berrington de Gonzalez, Amy; Bouville, Andre; Brill, Aaron B.; Doody, Michele M.; Melo, Dunstana R.; Simon, Steven L.; Sosa, Julie A.; Tulchinsky, Mark; Villoing, Daphnée; Preston, Dale L.
Merkow, Ryan P.; Yang, Anthony D.; Pavey, Emily; Song, Min-Woong; Chung, Jeanette W.; Bentrem, David J.; Bilimoria, Karl Y.
doi: 10.1001/jamainternmed.2019.0914pmid: 31206142
Key PointsQuestionAre there differences between hospitals affiliated with Medicare Prospective Payment System (PPS)-exempt cancer centers, hospitals affiliated with National Cancer Institute–designated cancer centers (NCI-CCs), and hospitals that provide cancer care in the United States? FindingsHospitals affiliated with PPS-exempt cancer centers and NCI-CCs, but not other hospitals that provide cancer care, had generally similar hospital characteristics, basic cancer-related services, patient comorbidity burden, and cancer surgery outcomes. MeaningAdditional transparency is required regarding how PPS-exempt cancer centers are selected and maintained; moreover, rather than limiting public reporting of cancer quality metrics to PPS-exempt hospitals, public reporting of cancer quality metrics for all hospitals would be beneficial to the medical community and the public.
Showing 1 to 10 of 41 Articles
Key PointsQuestionIs the use of sodium polystyrene sulfonate associated with a higher risk of hospitalization for adverse gastrointestinal events? FindingsIn this population-level cohort study of 20 020 matched individuals, sodium polystyrene sulfonate use was associated with a 1.9-fold higher risk of hospitalization within 30 days of initial prescription for adverse gastrointestinal events compared with nonuse. MeaningThe use of sodium polystyrene sulfonate was associated with a high risk of hospitalization for serious adverse gastrointestinal events.
Key PointsQuestionIs radioactive iodine absorbed dose associated with overall and site-specific cancer mortality in patients with hyperthyroidism? FindingIn this cohort study of 18 805 patients with hyperthyroidism treated with radioactive iodine, a statistically significant positive dose-response relationship for risk of death was observed for all solid cancers (6% increase in risk per 100-mGy dose to the stomach), breast cancer (12% increase in risk per 100-mGy dose to the breast), and all solid cancers excluding breast (5% increase in risk per 100-mGy dose to the stomach). MeaningThis study’s findings suggest a modest positive association between greater organ-absorbed doses of radioactive iodine and risk of solid cancer death; additional studies are needed to fully weigh the risks and advantages of radioactive iodine and other treatment options for patients with hyperthyroidism.