Table of Contents

September 3, 2002; 137 (5 Part 1)

Articles

  • The Canadian National Breast Screening Study-1: Breast Cancer Mortality after 11 to 16 Years of Follow-up: A Randomized Screening Trial of Mammography in Women Age 40 to 49 Years

    • Anthony B. Miller,
    • Teresa To,
    • Cornelia J. Baines,
    • and Claus Wall
    Ann Intern Med September 3, 2002 137:305-312

    After 11 to 16 years of follow-up, four or five annual screenings with mammography, breast physical examination, and breast self-examination had not reduced breast cancer mortality compared with usual community care after a single breast physical examination and instruction on breast self-examination. The study data show that true effects of 20% or greater are unlikely.

  • Relationship of Antihypertensive Treatment Regimens and Change in Blood Pressure to Risk for Heart Failure in Hypertensive Patients Randomly Assigned to Doxazosin or Chlorthalidone: Further Analyses from the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial

    • Barry R. Davis,
    • Jeffrey A. Cutler,
    • Curt D. Furberg,
    • Jackson T. Wright, Jr.,
    • Michael A. Farber,
    • James V. Felicetta,
    • John D. Stokes,
    • and for the ALLHAT Collaborative Research Group*
    Ann Intern Med September 3, 2002 137:313-320

    In high-risk patients with hypertension, the higher risk for heart failure while taking doxazosin compared with chlorthalidone is attenuated but not eliminated by adding other antihypertensive drugs. The small observed difference in systolic blood pressure does not explain this increased risk.

  • Angiotensin-Converting Enzyme Gene Polymorphism Is Associated with Vulnerability to Alcoholic Cardiomyopathy

    • Joaquim Fernández-Solà,
    • Josep María Nicolás,
    • Josep Oriola,
    • Emilio Sacanella,
    • Ramón Estruch,
    • Emanuel Rubin,
    • and Alvaro Urbano-Márquez
    Ann Intern Med September 3, 2002 137:321-326

    Vulnerability to cardiomyopathy among chronic alcohol abusers is partially genetic and is related to presence of the angiotensin-converting enzyme DD genotype. This finding demonstrates genetic susceptibility to alcohol-induced myocardial damage.

Academia and Clinic

  • Are Bad Outcomes from Questionable Clinical Decisions Preventable Medical Errors? A Case of Cascade Iatrogenesis

    • Timothy P. Hofer and
    • Rodney A. Hayward
    Ann Intern Med September 3, 2002 137:327-333

    This article analyzes the case of a 40-year-old woman with a history of chronic aortic dissection and pericardial effusion who was admitted with unilateral swelling of her left breast and arm accompanied by dyspnea. During hospitalization, the patient developed complications from the diagnostic and therapeutic procedures. This case illustrates some limitations of routinely undertaking time-consuming and costly reviews, or “root-cause analyses,” as a patient safety strategy when they are unlikely to reveal remediable “errors” or to suggest better systems of care that will prevent errors.

Perspectives

  • Do Ask, Do Tell

    • Jennifer E. Potter
    Ann Intern Med September 3, 2002 137:341-343

    The author presents vignettes from her personal experiences as a lesbian patient and doctor to illustrate the importance of creating an environment in which sexual orientation can be disclosed and to portray the challenges and rewards of coming out as a gay physician.

Clinical Guidelines

  • Screening for Breast Cancer: Recommendations and Rationale

    • U.S. Preventive Services Task Force*
    Ann Intern Med September 3, 2002 137:344-346

    The U.S. Preventive Services Task Force recommends screening mammography, with or without clinical breast examination, every 1 to 2 years for women aged 40 and older.

  • Breast Cancer Screening: A Summary of the Evidence for the U.S. Preventive Services Task Force

    • Linda L. Humphrey,
    • Mark Helfand,
    • Benjamin K.S. Chan,
    • and Steven H. Woolf
    Ann Intern Med September 3, 2002 137:347-360

    This systematic review supports the U.S. Preventive Services Task Force's position on breast cancer screening.

Editorials

  • Screening Mammography for Younger Women: Back to Basics

    • Harold Sox
    Ann Intern Med September 3, 2002 137:361-362

    This issue of Annals adds fuel to the breast cancer screening debate. It contains the U.S. Preventive Services Task Force recommendations on breast cancer screening, a summary of the supporting evidence, an editorial about dealing responsibly with conflicting evidence, and a report from the Canadian National Breast Screening Study. It's a debate worth following closely, because women are deciding about breast cancer screening, and it's our role to keep them informed as best we can.

  • The Mammography Dilemma: A Crisis for Evidence-Based Medicine?

    • Steven N. Goodman
    Ann Intern Med September 3, 2002 137:363-365

    The newest contretemps over mammography is yet the latest eruption from a debate that has been simmering for decades. But a closer look at this controversy, which is officially joined here by publication of the rationale for the recommendations of the U.S. Preventive Services Task Force, shows that its focus has shifted in a way that continues to pose a dilemma not only for women and their doctors but for evidence-based medicine itself.

On Being a Doctor

  • A Walk on the Beach

    • David S. Pisetsky
    Ann Intern Med September 3, 2002 137:366-367

    In August of each year, I take a 2-week vacation with my family, wanting to get as far away as possible from the hospital where I'm the rheumatology division chief. This year, however, my plans for rest went awry when, on the Monday of my second week on vacation, I decided to take a walk on the beach.

Letters

  • Rapidly Progressive Glomerulonephritis

    • Mark Denton,
    • Colm Magee,
    • and John Niles
    Ann Intern Med September 3, 2002 137:W1

  • Prognostic Disclosure

    • James R. Webster, Jr.
    Ann Intern Med September 3, 2002 137:368

  • Prognostic Disclosure

    • David Grossman
    Ann Intern Med September 3, 2002 137:368

  • Prognostic Disclosure

    • Michael GuntherMaher
    Ann Intern Med September 3, 2002 137:368

  • Prognostic Disclosure

    • Elizabeth B. Lamont and
    • Nicholas A. Christakis
    Ann Intern Med September 3, 2002 137:368-369

  • Continuous Positive Airway Pressure in Patients without Daytime Sleepiness

    • Lawrence E. Kline and
    • Arthur Dawson
    Ann Intern Med September 3, 2002 137:369-370

  • Continuous Positive Airway Pressure in Patients without Daytime Sleepiness

    • Ferran Barbé,
    • Lola R. Mayoralas,
    • and Alvar G.N. Agusti
    Ann Intern Med September 3, 2002 137:370

  • Colloid Use in the Critically Ill

    • Mahlon M. Wilkes and
    • Roberta J. Navickis
    Ann Intern Med September 3, 2002 137:370

  • Colloid Use in the Critically Ill

    • Deborah Cook
    Ann Intern Med September 3, 2002 137:370-371

  • Clinical Assessment and D-Dimer Testing in Deep Venous Thrombosis

    • Abel Wakai
    Ann Intern Med September 3, 2002 137:371

  • Clinical Assessment and D-dimer Testing in Deep Venous Thrombosis

    • Clive Kearon and
    • Jeffrey S. Ginsberg
    Ann Intern Med September 3, 2002 137:371-372

  • Physicians and Patient Spirituality

    • Susan B. LeGrand
    Ann Intern Med September 3, 2002 137:372

  • Physicians and Patient Spirituality

    • John Graner
    Ann Intern Med September 3, 2002 137:372

  • Sprout-Associated Outbreaks

    • Robert J. Lodato
    Ann Intern Med September 3, 2002 137:372-373

  • Sprout-Associated Outbreaks

    • Janet Mohle-Boetani,
    • Jeff Farrar,
    • and S. Benson Werner
    Ann Intern Med September 3, 2002 137:373

  • Newspaper Reporting of Screening Mammography

    • Michael Rosen
    Ann Intern Med September 3, 2002 137:373-374

  • Newspaper Reporting of Screening Mammography

    • Joel G. Ray
    Ann Intern Med September 3, 2002 137:374

  • Clozapine-Associated Neuroleptic Malignant Syndrome

    • Anne M. Baciewicz,
    • Rajesh Chandra,
    • and Patrick Whelan
    Ann Intern Med September 3, 2002 137:374

  • Superior Sagittal Sinus Thrombosis and HIV

    • Muhammed S. Karim,
    • Muhammed K. Athar,
    • and Michel W. Ghobrial
    Ann Intern Med September 3, 2002 137:375

Medical Writings

  • Metaphorical Medicine: Using Metaphors To Enhance Communication with Patients Who Have Pulmonary Disease

    • Alejandro C. Arroliga,
    • Sara Newman,
    • David L. Longworth,
    • and James K. Stoller
    Ann Intern Med September 3, 2002 137:376-379

    The authors describe the frequency with which pulmonary and critical care physicians use metaphors in explaining diagnosis or treatment to their patients. Through this study, they have begun to assemble a “catalog” of metaphors for a variety of pulmonary issues that may be useful to colleagues seeking new communicative strategies.

Medical Writings: Book Notes

  • Evidence-Based Diagnosis: A Handbook of Clinical Prediction Rules

    • Helen K. Delichatsios
    Ann Intern Med September 3, 2002 137:380

  • Clinical Trials

    • Charles Moldow
    Ann Intern Med September 3, 2002 137:380

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Mammograms in Women Age 40 to 49: Results of The Canadian Breast Cancer Screening Study

    Ann Intern Med September 3, 2002 137:I-28

  • Blood Pressure Drugs and Heart Failure

    Ann Intern Med September 3, 2002 137:I-38

  • Genetic Variations and the Risk for Alcohol-Induced Weakness of the Heart

    Ann Intern Med September 3, 2002 137:I-44

  • Screening for Breast Cancer: Recommendations from the U.S. Preventive Services Task Force

    Ann Intern Med September 3, 2002 137:I-47

Updates from the Annual Session

  • Update in General Internal Medicine

    • Catherine Reinis Lucey and
    • Carmella A. Cole
    Ann Intern Med September 3, 2002 137:334-340

    This Update addresses new lessons learned about secondary prevention in cardiovascular disease, the management of systolic dysfunction, the specific choice of antihypertensive agents for special populations, the significance of Helicobacter pylori infection, the management of thromboembolic disease, and the use of estrogen replacement therapy.

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This Issue

September 3, 2002; 137 (5 Part 1)
  1. Articles
  2. Academia and Clinic
  3. Perspectives
  4. Clinical Guidelines
  5. Editorials
  6. On Being a Doctor
  7. Letters
  8. Medical Writings
  9. Medical Writings: Book Notes
  10. Ad Libitum
  11. Book Listings
  12. Medical Notices
  13. Summaries for Patients
  14. Updates from the Annual Session

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