Annals of Internal Medicine最新文献

{"title":"Web Exclusive. Annals Video Summary - Impact of Genomic Classifiers on Risk Stratification and Treatment Intensity in Patients With Localized Prostate Cancer.","authors":"","doi":"10.7326/ANNALS-24-03632-VS","DOIUrl":"10.7326/ANNALS-24-03632-VS","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"e2403632VS"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Web Exclusive. Annals Graphic Medicine - Passages.","authors":"Ankit Mehta","doi":"10.7326/ANNALS-24-00684-GM","DOIUrl":"10.7326/ANNALS-24-00684-GM","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"e2400684GM"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Web Exclusive. Annals Consult Guys - Care of Patients With Low Cardiac Risk but Incidental Coronary Artery Calcification.","authors":"Howard H Weitz, Geno J Merli","doi":"10.7326/ANNALS-25-00667-CG","DOIUrl":"10.7326/ANNALS-25-00667-CG","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":"178 2","pages":"e2500667CG"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Web Exclusive. Annals On Call - Teaching Diagnostic Reasoning.","authors":"Robert M Centor, Rabih Geha, Reza Manesh","doi":"10.7326/ANNALS-25-00438-OC","DOIUrl":"10.7326/ANNALS-25-00438-OC","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":"178 2","pages":"e2500438OC"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Nuances of Performance Measurement and Clinical Guidelines.","authors":"Amir Qaseem, Caroline L Goldzweig, Karen Campos, Brook Watts, Elisa I Choi, Samantha Tierney, Nick Fitterman, Rebecca A Andrews, Rebecca A Andrews, Caroline L Goldzweig, Nick Fitterman, Peter Basch, Elisa I Choi, Roger Chou, Roger S Khetan, Scott T MacDonald, Nancy L Miller, Cristin A Mount, Rhea E Powell, Nicole J Van Groningen, Brook Watts","doi":"10.7326/ANNALS-24-02092","DOIUrl":"10.7326/ANNALS-24-02092","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"288-289"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Synchronous Postdischarge Contacts on Health Care Use and Patient Satisfaction : A Systematic Review and Meta-analysis.","authors":"Joel C Boggan, Spoorthi Sankineni, Paul A Dennis, Dazhe Chen, Tina Wong Sledge, David Halpern, Sharron Rushton, John W Williams, Tatyana Der, Amir Alishahi Tabriz, Adelaide M Gordon, Morgan Jacobs, Nathan A Boucher, Maria Colandrea, Anastasia-Stefania Alexopoulos, Joanne Roman Jones, Nina Leflore-Lloyd, Sarah Cantrell, Karen M Goldstein, Jennifer M Gierisch","doi":"10.7326/ANNALS-24-01140","DOIUrl":"10.7326/ANNALS-24-01140","url":null,"abstract":"<p><strong>Background: </strong>Postdischarge contacts (PDCs) after hospitalization are common practice, but their effectiveness in reducing use of acute care after discharge remains unclear.</p><p><strong>Purpose: </strong>To assess the effects of PDC on 30-day emergency department (ED) visits, 30-day hospital readmissions, and patient satisfaction.</p><p><strong>Data sources: </strong>MEDLINE, Embase, and CINAHL searched from 2012 to 25 May 2023.</p><p><strong>Study selection: </strong>Randomized and nonrandomized trials of PDC within 7 days.</p><p><strong>Data extraction: </strong>Two investigators independently screened articles and assessed risk of bias (ROB). Single reviewers extracted data, with verification by second investigators. Random-effects meta-analyses were done on outcomes shared by at least 3 studies, and the certainty of evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework.</p><p><strong>Data synthesis: </strong>Of 13 included studies (11 randomized trials [RTs]), 12 delivered PDCs via telephone. Three of 11 RTs were rated as having low ROB, with 1 rated high. Most PDC interventions (<i>n</i> = 10) consisted of single telephone contacts, often within 3 days. Eight studies focused on patients identified as higher-risk by the authors. There were no differences in 30-day ED use (5 RTs; 3054 patients; risk difference, 0.00 [95% CI, -0.02 to 0.03]; moderate certainty) or 30-day hospital readmissions (7 RTs; 7075 patients; risk difference, 0.00 [CI, -0.02 to 0.02]; moderate certainty) with PDC.</p><p><strong>Limitation: </strong>Adherence and fidelity to PDC interventions were poorly described, and only 1 study investigated nontelephone PDC.</p><p><strong>Conclusion: </strong>Postdischarge contacts within 7 days of discharge were not associated with reductions in 30-day ED use or readmissions compared with usual care. Health systems should reconsider the utility of universal PDCs because multifaceted interventions targeting higher-risk patients may be necessary to reduce use of acute care after discharge.</p><p><strong>Primary funding source: </strong>Department of Veterans Affairs. (PROSPERO: CRD42023465675).</p>","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"229-240"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Germline <i>UBA1</i> Variant With Somatic Amplification in a Woman With Inflammatory Diseases and Myelodysplastic Syndrome.","authors":"Maria Creignou, Maria Sirenko, Pedro L Moura, Teresa Mortera-Blanco, Marios Dimitriou, Birgitta Sander, Dylan Domenico, Juan E Arango Ossa, Bianca Tesi, David B Beck, Petter Woll, Sten-Eirik W Jacobsen, Elli Papaemmanuil, Elsa Bernard, Eva Hellström-Lindberg","doi":"10.7326/L24-0125","DOIUrl":"10.7326/L24-0125","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"300-304"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemochromatosis.","authors":"William C Palmer, Fernando F Stancampiano","doi":"10.7326/ANNALS-24-03710","DOIUrl":"10.7326/ANNALS-24-03710","url":null,"abstract":"<p><p>Hemochromatosis is an inheritable condition that mainly affects White populations of European descent. Most patients remain asymptomatic, but others develop advanced organ damage that reduces quality of life and long-term survival. Arthropathy, diabetes mellitus, cirrhosis, hypogonadotropic hypogonadism, and cardiomyopathy are key clinical manifestations. Primary care and hospital medicine physicians play an essential role in early identification of this disease, which can be accomplished via standard hematologic testing. Early diagnosis and therapeutic phlebotomy improve clinical outcomes.</p>","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"ITC17-ITC32"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summary for Patients: Efficacy and Safety of Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss Among Adults Without Diabetes.","authors":"","doi":"10.7326/ANNALS-24-01590-PS","DOIUrl":"https://doi.org/10.7326/ANNALS-24-01590-PS","url":null,"abstract":"","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":"178 2","pages":"I19"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In adults with obesity and knee OA, adding weekly semaglutide to diet and activity counseling reduced weight and knee pain at 68 wk.","authors":"David S H Bell","doi":"10.7326/ANNALS-24-03988-JC","DOIUrl":"10.7326/ANNALS-24-03988-JC","url":null,"abstract":"<p><strong>Clinical impact ratings: </strong>GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text] Rheumatology: [Formula: see text].</p>","PeriodicalId":7932,"journal":{"name":"Annals of Internal Medicine","volume":" ","pages":"JC20"},"PeriodicalIF":19.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}