Table of Contents

May 18, 1999; 130 (10)

Articles

  • Low-Molecular-Weight Heparins Compared with Unfractionated Heparin for Treatment of Acute Deep Venous Thrombosis: A Cost-Effectiveness Analysis

    • Michael K. Gould,
    • Anne D. Dembitzer,
    • Gillian D. Sanders,
    • and Alan M. Garber
    Ann Intern Med May 18, 1999 130:789-799

    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.

  • Low-Molecular-Weight Heparins Compared with Unfractionated Heparin for Treatment of Acute Deep Venous Thrombosis: A Meta-Analysis of Randomized, Controlled Trials

    • Michael K. Gould,
    • Anne D. Dembitzer,
    • Ramona L. Doyle,
    • Trevor J. Hastie,
    • and Alan M. Garber
    Ann Intern Med May 18, 1999 130:800-809

    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.

  • Cost-Effectiveness of Transesophageal Echocardiography To Determine the Duration of Therapy for Intravascular Catheter-Associated Staphylococcus aureus Bacteremia

    • Allison B. Rosen,
    • Vance G. Fowler, Jr.,
    • G. Ralph Corey,
    • Stephen M. Downs,
    • Andrea K. Biddle,
    • Jennifer Li,
    • and James G. Jollis
    Ann Intern Med May 18, 1999 130:810-820

    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

  • Long-Term Mortality after Transsphenoidal Surgery for Cushing Disease

    • Brooke Swearingen,
    • Beverly M.K. Biller,
    • Fred G. Barker II,
    • Laurence Katznelson,
    • Steven Grinspoon,
    • Anne Klibanski,
    • and Nicholas T. Zervas
    Ann Intern Med May 18, 1999 130:821-824

    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.

  • Dialysis Patients' Preferences for Family-Based Advance Care Planning

    • Stephen C. Hines,
    • Jacqueline J. Glover,
    • Jean L. Holley,
    • Austin S. Babrow,
    • Laurie A. Badzek,
    • and Alvin H. Moss
    Ann Intern Med May 18, 1999 130:825-828

    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

  • Cross-Cultural Primary Care: A Patient-Based Approach

    • J. Emilio Carrillo,
    • Alexander R. Green,
    • and Joseph R. Betancourt
    Ann Intern Med May 18, 1999 130:829-834

    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.

  • A Consensus-Based Approach To Providing Palliative Care to Patients Who Lack Decision-Making Capacity

    • Jason H.T. Karlawish,
    • Timothy Quill,
    • Diane E. Meier,
    • and for the ACP-ASIM End-of-Life Care Consensus Panel
    Ann Intern Med May 18, 1999 130:835-840

    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

  • Primary Angioplasty Compared with Thrombolysis: New Issues in the Era of Glycoprotein IIb/IIIa Inhibition and Intracoronary Stenting

    • C. Michael Gibson
    Ann Intern Med May 18, 1999 130:841-847

    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.

Review

  • The Evolving Role of Ambulatory Arrhythmia Monitoring in General Clinical Practice

    • Peter J. Zimetbaum and
    • Mark E. Josephson
    Ann Intern Med May 18, 1999 130:848-856

    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.

Editorial

  • High-Priced Technology Can Be Good Value for Money

    • Milton C. Weinstein
    Ann Intern Med May 18, 1999 130:857-858

    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

  • The Doctor in the Family

    • Marie F. Johnson
    Ann Intern Med May 18, 1999 130:859-860

    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

    • Stephen G. Gelfand
    Ann Intern Med May 18, 1999 130:861

  • American College of Rheumatology Criteria for the Diagnosis of Vasculitis

    • Israel Heller,
    • Aharon Isakov,
    • and Marcel Topilsky
    Ann Intern Med May 18, 1999 130:861

  • American College of Rheumatology Criteria for the Diagnosis of Vasculitis

    • Jaya K. Rao,
    • Nancy B. Allen,
    • and Theodore Pincus
    Ann Intern Med May 18, 1999 130:862

  • Diabetes Case Management

    • Anne Nettles
    Ann Intern Med May 18, 1999 130:862

  • Diabetes Case Management

    • Mayer B. Davidson
    Ann Intern Med May 18, 1999 130:862

  • Diabetes Case Management

    • Robert F. DeBusk,
    • Nancy Houston Miller,
    • and Jeffrey A. West
    Ann Intern Med May 18, 1999 130:863

  • Diabetes Case Management

    • Ronald E. Aubert,
    • Janice Waters,
    • and William H. Herman
    Ann Intern Med May 18, 1999 130:863

  • Perioperative Supraventricular Tachyarrhythmia

    • David Amar
    Ann Intern Med May 18, 1999 130:863-864

  • Perioperative Supraventricular Tachyarrhythmia

    • Thomas H. Lee and
    • Carisi A. Polanczyk
    Ann Intern Med May 18, 1999 130:864

  • Therapy for Legionnaires Disease

    • James R. Johnson
    Ann Intern Med May 18, 1999 130:864

  • Therapy for Legionnaires Disease

    • Paul H. Edelstein
    Ann Intern Med May 18, 1999 130:864

Medical Writings: Book Notes

  • Management of Acute Coronary Syndromes

    • Warren Laskey
    Ann Intern Med May 18, 1999 130:865

  • Immigrant Women's Health: Problems and Solutions

    • Sarita Verma
    Ann Intern Med May 18, 1999 130:865-866

  • Cystic Fibrosis in Adults

    • Jonathan B. Zuckerman and
    • Robert M. Kotloff
    Ann Intern Med May 18, 1999 130:866

  • 1999 Guidelines for Infectious Diseases in Primary Care

    • J. V. Hirschmann
    Ann Intern Med May 18, 1999 130:866-867

  • Curriculum Development for Medical Education: A Six-Step Approach

    • Susan L. Rattner
    Ann Intern Med May 18, 1999 130:867

  • Delivering Health Care in America: A Systems Approach

    • Jane M. Geraci
    Ann Intern Med May 18, 1999 130:867-868

  • Primary Care: Balancing Health Needs, Services, and Technology

    • Robert A. Witzburg
    Ann Intern Med May 18, 1999 130:868

  • Office Orthopedics for Primary Care Diagnosis and Treatment

    • Hollis D. Day
    Ann Intern Med May 18, 1999 130:868

Currents

  • Nutrition and Policy. 2: The Role of Professional Societies

    • Aaron Levin
    Ann Intern Med May 18, 1999 130:869-870

  • Point-of-Care Testing: Instant Gratification?

    • Brigid Kane
    Ann Intern Med May 18, 1999 130:870-872

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med May 18, 1999 130:0
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This Issue

May 18, 1999; 130 (10)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Updates
  5. Review
  6. Editorial
  7. On Being a Doctor
  8. Letters
  9. Medical Writings: Book Notes
  10. Currents
  11. Book Listings
  12. Medical Notices

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