 |
 |
|
Home |
Current Issue |
Past Issues |
In the Clinic |
ACP Journal Club |
CME |
Collections |
Audio/Video |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
|
Articles 
Michael K. Gould, Anne D. Dembitzer, Gillian D. Sanders, and Alan M. Garber Low-molecular-weight heparins are highly cost-effective for inpatient management of venous thromboembolism. This treatment reduces cost when small numbers of patients are eligible for outpatient management.
Michael K. Gould, Anne D. Dembitzer, Ramona L. Doyle, Trevor J. Hastie, and Alan M. Garber Low-molecular-weight heparin treatment reduces mortality rates after acute deep venous thrombosis. These drugs seem to be as safe as unfractionated heparin with respect to major bleeding complications and appear to be as effective in preventing thromboembolic recurrences.
Allison B. Rosen, Vance G. Fowler, Jr., G. Ralph Corey, Stephen M. Downs, Andrea K. Biddle, Jennifer Li, and James G. Jollis Within the limitations of existing empirical data, this study suggests that for patients with clinically uncomplicated catheter-associated Staphylococcus aureus bacteremia, the use of transesophageal echocardiography to determine therapy duration is a cost-effective alternative to 2- or 4-week empirical therapy.
Brief Communications
Brooke Swearingen, Beverly M.K. Biller, Fred G. Barker, II, Laurence Katznelson, Steven Grinspoon, Anne Klibanski, and Nicholas T. Zervas Survival of patients treated for Cushing disease with current management techniques between 1978 and 1996 was better than the poor survival historically associated with this disorder.
Stephen C. Hines, Jacqueline J. Glover, Jean L. Holley, Austin S. Babrow, Laurie A. Badzek, and Alvin H. Moss Patients generally do not want to participate in advance care planning with physicians. On the basis of face-to-face interviews with dialysis patients, this study found that most patients wanted to include their families more than their physicians in advance care planning.
Academia and Clinic
J. Emilio Carrillo, Alexander R. Green, and Joseph R. Betancourt In today's multicultural society, assuring high-quality health care for all patients requires that physicians understand how each patient's sociocultural background affects his or her health behavior and beliefs. This paper describes a cross-cultural curriculum designed to address these issues.
Jason H.T. Karlawish, Timothy Quill, Diane E. Meier for the ACP-ASIM End-of-Life Care Consensus Panel Making palliative care decisions for a patient who lacks decision-making capacity presents several challenges. The case commentary provided in this paper shows that physicians can guide a highly emotional and personal process in a structured manner that has meaning for the patient, family, physician, and other caregivers.
Updates
C. Michael Gibson The past decade has witnessed a dramatic expansion in the scope of mechanical and pharmacologic methods for opening occluded arteries in patients with myocardial infarction. This paper reviews data on the ability of six revascularization strategies to produce early, full, and sustained reperfusion.
Reviews
Peter J. Zimetbaum and Mark E. Josephson Ambulatory electrocardiographic monitors, particularly transtelephonic continuous-loop event recorders, aid in the diagnosis of symptomatic arrhythmias. These devices are also useful for monitoring the effectiveness and safety of antiarrhythmic medications.
Editorials
Milton C. Weinstein The cost-effectiveness papers by Rosen and Gould and their colleagues in this issue show that some cost-increasing technologies do indeed represent good value for money in the clinical uses for which they are evaluated.
On Being a Doctor
Marie F. Johnson The last thing my nephew and his family needed was another physician. They needed their aunt, their sister, their sister-in-law, not a doctor in the family.
Letters American College of Rheumatology Criteria for the Diagnosis of Vasculitis
Diabetes Case Management
Perioperative Supraventricular Tachyarrhythmia
Therapy for Legionnaires Disease
Warren Laskey
Sarita Verma
Jonathan B. Zuckerman and Robert M. Kotloff
J. V. Hirschmann
Susan L. Rattner
Jane M. Geraci
Robert A. Witzburg
Hollis D. Day
Aaron Levin
Brigid Kane
| ||||||||||||||||||||||||||||||||||||||||||||||||||
In this Issue
Articles
Previous Issue