Table of Contents

September 15, 2009; 151 (6)

Articles

  • Case Management for Depression by Health Care Assistants in Small Primary Care Practices: A Cluster Randomized Trial

    • Jochen Gensichen,
    • Michael von Korff,
    • Monika Peitz,
    • Christiane Muth,
    • Martin Beyer,
    • Corina Güthlin,
    • Marion Torge,
    • Juliana J. Petersen,
    • Thomas Rosemann,
    • Jochem König,
    • Ferdinand M. Gerlach,
    • and for PRoMPT (PRimary care Monitoring for depressive Patients Trial)
    Ann Intern Med September 15, 2009 151:369-378; doi:10.1059/0003-4819-151-6-200909150-00001

    Gensichen and colleagues evaluated whether telephone case management facilitated by health care assistants can reduce depression symptoms and improve the process of care for patients with major depression in small primary care practices. Among the 626 adults with depression, those randomly assigned to receive case management reported slightly greater improvements in depression symptoms, better adherence to antidepressant therapies, and more favorable assessments of the quality of their care than did patients randomly assigned to receive usual care.

  • Ambulatory Care Among Young Adults in the United States

    • Robert J. Fortuna,
    • Brett W. Robbins,
    • and Jill S. Halterman
    Ann Intern Med September 15, 2009 151:379-385; doi:10.1059/0003-4819-151-6-200909150-00002

    Using cross-sectional data from 2 national ambulatory medical care surveys, Fortuna and coworkers examined ambulatory medical care and provision of preventive care among young adults age 20 to 29 years. They found that young adults have fewer ambulatory care visits than adolescents or adults 30 to 39 years of age. In addition, young adults who are male, black, or Hispanic have fewer visits than other young adults and infrequently receive preventive care.

  • The Net Value of Health Care for Patients With Type 2 Diabetes, 1997 to 2005

    • Karen N. Eggleston,
    • Nilay D. Shah,
    • Steven A. Smith,
    • Amy E. Wagie,
    • Arthur R. Williams,
    • Jerome H. Grossman,
    • Ernst R. Berndt,
    • Kirsten Hall Long,
    • Ritesh Banerjee,
    • and Joseph P. Newhouse
    Ann Intern Med September 15, 2009 151:386-393; doi:10.1059/0003-4819-151-6-200909150-00003

    In this economic analysis of observational cohort data from a small group of Mayo Clinic patients with type 2 diabetes, researchers assessed whether the value of changes in health care, defined as the prevention of future mortality and morbidity, exceeded the increase in costs of that management. They found that the economic value of improved outcomes exceeded the dollars spent to achieve those outcomes.

Academia and Clinic

  • Method for Establishing Authorship in a Multicenter Clinical Trial

    • David J. Whellan,
    • Stephen J. Ellis,
    • William E. Kraus,
    • Katie Hawthorne,
    • Ileana L. Piña,
    • Steven J. Keteyian,
    • Dalane W. Kitzman,
    • Lawton Cooper,
    • Kerry Lee,
    • and Christopher M. O'Connor
    Ann Intern Med September 15, 2009 151:414-420; doi:10.1059/0003-4819-151-6-200909150-00006

    Investigators in the HF-ACTION (Heart Failure and a Controlled Trial Investigation Outcomes of Exercise Training) trial created a scoring system to help designate authorship for multiple manuscripts related to the large multicenter trial. The system took into account individual investigators' contributions, roles, and preferences. Contributions were quantified on the basis of numbers of participants enrolled, adherence to study interventions, data completion, and other trial efforts.

Reviews

  • Systematic Review: Glucose Control and Cardiovascular Disease in Type 2 Diabetes

    • Tanika N. Kelly,
    • Lydia A. Bazzano,
    • Vivian A. Fonseca,
    • Tina K. Thethi,
    • Kristi Reynolds,
    • and Jiang He
    Ann Intern Med September 15, 2009 151:394-403; doi:10.1059/0003-4819-151-6-200909150-00137

    The relative benefits and harms of intensive versus conventional glucose control for type 2 diabetes is controversial. This review of 5 large trials found that, compared with conventional glucose control, intensive glucose control reduced the risk for cardiovascular disease (mostly nonfatal myocardial infarction) but not for cardiovascular death or all-cause mortality, and increased risk for severe hypoglycemia. Early trials suggested a possible decreased risk for death with intensive glucose control, whereas some more recent trials suggested a possible increased risk for death with more stringent glucose control.

  • Meta-analysis: Retinal Vessel Caliber and Risk for Coronary Heart Disease

    • Kevin McGeechan,
    • Gerald Liew,
    • Petra Macaskill,
    • Les Irwig,
    • Ronald Klein,
    • Barbara E.K. Klein,
    • Jie Jin Wang,
    • Paul Mitchell,
    • Johannes R. Vingerling,
    • Paulus T.V.M. deJong,
    • Jacqueline C.M. Witteman,
    • Monique M.B. Breteler,
    • Jonathan Shaw,
    • Paul Zimmet,
    • and Tien Y. Wong
    Ann Intern Med September 15, 2009 151:404-413; doi:10.1059/0003-4819-151-6-200909150-00005

    Retinal vessel caliber may be a novel marker of coronary heart disease (CHD) risk. However, the sex-specific effect, magnitude of association, and effect independent of traditional CHD disease risk factors remain unclear. In this meta-analysis of 21 428 participants from 6 population-based studies, variations in retinal vessel caliber (both wider venules and narrower arterioles) were associated with an increased risk for incident CHD in women but not in men. The risk associated with changes in retinal vessel caliber was higher among women without diabetes or hypertension.

Perspectives

  • Last-Resort Options for Palliative Sedation

    • Timothy E. Quill,
    • Bernard Lo,
    • Dan W. Brock,
    • and Alan Meisel
    Ann Intern Med September 15, 2009 151:421-424; doi:10.1059/0003-4819-151-6-200909150-00007

    Access to palliative sedation, a potential response to end-of-life suffering, is uneven and unpredictable, in part because of confusion about the different kinds of sedation. In their article, Quill and colleagues define 3 forms of palliative sedation and discuss ethical and legal issues related to their utilization.

Editorial

  • Progress on Primary Care Management of Depression

    • Allen J. Dietrich
    Ann Intern Med September 15, 2009 151:425-426; doi:10.1059/0003-4819-151-6-200909150-00008

    In this issue, Gensichen and colleagues found that provision of telephone support by established practice staff to patients with depression improved 12-month depression outcomes. The study demonstrates that office-based support provided by health care assistants can make a difference, and clinicians should consider providing telephone support for their patients with depression.

On Being a Doctor

  • A Role in Transition

    • Eliezer M. Van Allen
    Ann Intern Med September 15, 2009 151:427-428; doi:10.1059/0003-4819-151-6-200909150-00009

    I entered my call room and slipped off my shoes before lying down. I ran through the checklist of things that needed to happen for that woman by morning. Quickly, however, my mind wandered to a rather unexpected person, my grandmother, and an unexpected place, her kitchen…

Letters

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • Cheryl L. Phillips
    Ann Intern Med September 15, 2009 151:429; doi:10.1059/0003-4819-151-6-200909150-00010

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • Marie-Luz Villa
    Ann Intern Med September 15, 2009 151:429-430; doi:10.1059/0003-4819-151-6-200909150-00011

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • Heidi K. White,
    • Gwendolen Buhr,
    • Jose Gonzalez,
    • and on behalf of the North Carolina Medical Directors Association
    Ann Intern Med September 15, 2009 151:430-431; doi:10.1059/0003-4819-151-6-200909150-00012

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • Leslie S. Libow and
    • Gisele Wolf-Klein
    Ann Intern Med September 15, 2009 151:431; doi:10.1059/0003-4819-151-6-200909150-00013

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • William B. Freedberg
    Ann Intern Med September 15, 2009 151:431-432; doi:10.1059/0003-4819-151-6-200909150-00014

  • Would a Nursing Home Physician Specialty Resolve the Workforce Crisis in Long-Term Care?

    • Paul R. Katz,
    • Jurgis Karuza,
    • and Vincent Mor
    Ann Intern Med September 15, 2009 151:432; doi:10.1059/0003-4819-151-6-200909150-00015

  • Vitamin K to Correct Overanticoagulation

    • Mark W. Swaim and
    • B. Gail Macik
    Ann Intern Med September 15, 2009 151:432-433; doi:10.1059/0003-4819-151-6-200909150-00016

  • Vitamin K to Correct Overanticoagulation

    • Vittorio Pengo,
    • Gentian Denas,
    • and Seena Padayattil Jose
    Ann Intern Med September 15, 2009 151:433; doi:10.1059/0003-4819-151-6-200909150-00017

  • Vitamin K to Correct Overanticoagulation

    • Robert C. Pendleton and
    • Sara Vazquez
    Ann Intern Med September 15, 2009 151:433-434; doi:10.1059/0003-4819-151-6-200909150-00018

  • Vitamin K to Correct Overanticoagulation

    • Ayad Jindeel
    Ann Intern Med September 15, 2009 151:434; doi:10.1059/0003-4819-151-6-200909150-00019

  • Vitamin K to Correct Overanticoagulation

    • P. Dileep Kumar
    Ann Intern Med September 15, 2009 151:434-435; doi:10.1059/0003-4819-151-6-200909150-00020

  • Vitamin K to Correct Overanticoagulation

    • Mark A. Crowther and
    • David Garcia
    Ann Intern Med September 15, 2009 151:435; doi:10.1059/0003-4819-151-6-200909150-00021

  • Correction: Error in Name of Study Group Member

    Ann Intern Med September 15, 2009 151:435; doi:10.1059/0003-4819-151-6-200909150-00022

Medical Writings: Book Notes

  • The Changing Face of Medicine: Women Doctors and the Evolution of Health Care in America

    • Joslyn W. Fisher
    Ann Intern Med September 15, 2009 151:436; doi:10.1059/0003-4819-151-6-200909150-00023

  • Total Cure: The Antidote to the Health Care Crisis

    • G. Stuart Mendenhall
    Ann Intern Med September 15, 2009 151:436; doi:10.1059/0003-4819-151-6-200909150-00024

ACP Journal Club

  • Editorial: Accessing preappraised evidence: fine-tuning the 5S model into a 6S model

    Ann Intern Med September 15, 2009 151:JC3-2; doi:10.1059/0003-4819-151-6-200909150-02002

  • Review: Aspirin reduces vascular events but increases bleeding in primary and secondary prevention

    Ann Intern Med September 15, 2009 151:JC3-4; doi:10.1059/0003-4819-151-6-200909150-02004

  • Review: Aspirin does not reduce CV events but may reduce nonfatal stroke in peripheral artery disease

    Ann Intern Med September 15, 2009 151:JC3-5; doi:10.1059/0003-4819-151-6-200909150-02005

  • Review: Intensive glucose control reduced some CV events but did not change mortality in type 2 diabetes

    Ann Intern Med September 15, 2009 151:JC3-6; doi:10.1059/0003-4819-151-6-200909150-02006

  • Review: Erythropoiesis-stimulating agents increase mortality in patients with cancer

    Ann Intern Med September 15, 2009 151:JC3-7; doi:10.1059/0003-4819-151-6-200909150-02007

  • In patients with atrial fibrillation, adding clopidogrel to aspirin reduced major vascular events but increased bleeding

    Ann Intern Med September 15, 2009 151:JC3-8; doi:10.1059/0003-4819-151-6-200909150-02008

  • Ultrasonography-guided oral anticoagulant therapy reduced recurrent venous thromboembolism

    Ann Intern Med September 15, 2009 151:JC3-9; doi:10.1059/0003-4819-151-6-200909150-02009

  • Rosuvastatin reduced venous thromboembolism in healthy older adults with elevated C-reactive protein levels

    Ann Intern Med September 15, 2009 151:JC3-10; doi:10.1059/0003-4819-151-6-200909150-02010

  • Review: Steroid avoidance or withdrawal does not increase mortality or graft loss in kidney transplant patients

    Ann Intern Med September 15, 2009 151:JC3-11; doi:10.1059/0003-4819-151-6-200909150-02011

  • Review: Low-dose corticosteroids improve outcomes in acute lung injury and the acute respiratory distress syndrome

    Ann Intern Med September 15, 2009 151:JC3-12; doi:10.1059/0003-4819-151-6-200909150-02012

  • Cholinesterase inhibitors were associated with increased risk for syncope and its consequences in older persons with dementia

    Ann Intern Med September 15, 2009 151:JC3-13; doi:10.1059/0003-4819-151-6-200909150-02013

  • A ward-based pharmacist intervention reduced emergency department visits and drug-related readmissions in elderly patients

    Ann Intern Med September 15, 2009 151:JC3-14; doi:10.1059/0003-4819-151-6-200909150-02014

  • Review: 3 prediction rules, particularly ABCD, identify ED patients who can be discharged with low risk for stroke after TIA

    Ann Intern Med September 15, 2009 151:JC3-15; doi:10.1059/0003-4819-151-6-200909150-02015

  • Glossary

    Ann Intern Med September 15, 2009 151:JC3-16; doi:10.1059/0003-4819-151-6-200909150-02016
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This Issue

September 15, 2009; 151 (6)
  1. Articles
  2. Academia and Clinic
  3. Reviews
  4. Perspectives
  5. Editorial
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. ACP Journal Club

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