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621. Medical Assistant-Based Care Management for High-Risk Patients in Small Primary Care Practices: A Cluster Randomized Clinical Trial.
作者: Tobias Freund.;Frank Peters-Klimm.;Cynthia M Boyd.;Cornelia Mahler.;Jochen Gensichen.;Antje Erler.;Martin Beyer.;Matthias Gondan.;Justine Rochon.;Ferdinand M Gerlach.;Joachim Szecsenyi.
来源: Ann Intern Med. 2016年164卷5期323-30页
Patients with multiple chronic conditions are at high risk for potentially avoidable hospitalizations, which may be reduced by care coordination and self-management support. Medical assistants are an increasingly available resource for patient care in primary care practices.
626. Effectiveness of Prevention Strategies for Contrast-Induced Nephropathy: A Systematic Review and Meta-analysis.
作者: Rathan M Subramaniam.;Catalina Suarez-Cuervo.;Renee F Wilson.;Sharon Turban.;Allen Zhang.;Cheryl Sherrod.;Jonathan Aboagye.;John Eng.;Michael J Choi.;Susan Hutfless.;Eric B Bass.
来源: Ann Intern Med. 2016年164卷6期406-16页
N-acetylcysteine, sodium bicarbonate, statins, and ascorbic acid have been studied for reducing contrast-induced nephropathy (CIN).
627. Comparative Effect of Contrast Media Type on the Incidence of Contrast-Induced Nephropathy: A Systematic Review and Meta-analysis.
作者: John Eng.;Renee F Wilson.;Rathan M Subramaniam.;Allen Zhang.;Catalina Suarez-Cuervo.;Sharon Turban.;Michael J Choi.;Cheryl Sherrod.;Susan Hutfless.;Emmanuel E Iyoha.;Eric B Bass.
来源: Ann Intern Med. 2016年164卷6期417-24页
Iodine contrast media are essential components of many imaging procedures. An important potential side effect is contrast-induced nephropathy (CIN).
629. Epilepsy.
This issue provides a clinical overview of epilepsy, focusing on diagnosis, prevention, treatment, and further considerations. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance of additional science writers and physician writers.
635. Should Patients Have Periodic Health Examinations?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
作者: Eileen E Reynolds.;James Heffernan.;Ateev Mehrotra.;Howard Libman.
来源: Ann Intern Med. 2016年164卷3期176-83页
Physicians and patients have come to expect that periodic health examinations (PHEs) are a standard part of comprehensive ongoing medical care. However, considerable research has not demonstrated a substantial benefit of the PHE. Given this lack of benefit and the high total cost of PHE to the health care system, the American Board of Internal Medicine (ABIM) Foundation and the Society of General Internal Medicine (SGIM) have identified "routine health checks in asymptomatic patients" as something of low value that physicians and patients should question, as a part of the Choosing Wisely campaign. Two discussants review the debate about PHE and consider the value of PHE for a healthy 70-year-old woman who appreciates seeing her physician annually.
638. Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening: A Retrospective Cohort Study.
作者: Christopher D Jensen.;Douglas A Corley.;Virginia P Quinn.;Chyke A Doubeni.;Ann G Zauber.;Jeffrey K Lee.;Wei K Zhao.;Amy R Marks.;Joanne E Schottinger.;Nirupa R Ghai.;Alexander T Lee.;Richard Contreras.;Carrie N Klabunde.;Charles P Quesenberry.;Theodore R Levin.;Pauline A Mysliwiec.
来源: Ann Intern Med. 2016年164卷7期456-63页
The fecal immunochemical test (FIT) is a common method for colorectal cancer (CRC) screening, yet its acceptability and performance over several rounds of annual testing are largely unknown.
640. Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians.
The presence of blood in the urine, or hematuria, is a common finding in clinical practice and can sometimes be a sign of occult cancer. This article describes the clinical epidemiology of hematuria and the current state of practice and science in this context and provides suggestions for clinicians evaluating patients with hematuria.
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