Table of Contents

December 3, 2002; 137 (11)

Articles

  • Implementation of a Voluntary Hospitalist Service at a Community Teaching Hospital: Improved Clinical Efficiency and Patient Outcomes

    • Andrew D. Auerbach,
    • Robert M. Wachter,
    • Patricia Katz,
    • Jonathan Showstack,
    • Robert B. Baron,
    • and Lee Goldman
    Ann Intern Med December 3, 2002 137:859-865

    A voluntary hospitalist service at a community-based teaching hospital had shorter lengths of stay, hospital costs, and mortality than physicians in the control group. The mortality benefit extended beyond hospitalization. Future studies should investigate the ways in which hospitalists increase clinical efficiency and may improve quality of care.

  • Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists

    • David Meltzer,
    • Willard G. Manning,
    • Jeanette Morrison,
    • Manish N. Shah,
    • Lei Jin,
    • Todd Guth,
    • and Wendy Levinson
    Ann Intern Med December 3, 2002 137:866-874

    Hospitalist care was associated with lower costs and short-term mortality in the second but not the first year of hospitalists' experience. Disease-specific physician experience may be an important determinant of the effectiveness of hospitalists.

  • Significant Differential Effects of Alendronate, Estrogen, or Combination Therapy on the Rate of Bone Loss after Discontinuation of Treatment of Postmenopausal Osteoporosis: A Randomized, Double-Blind, Placebo-Controlled Trial

    • Susan L. Greenspan,
    • Ronald D. Emkey,
    • Henry G. Bone III,
    • Stuart R. Weiss,
    • Norman H. Bell,
    • Robert W. Downs, Jr.,
    • Clark McKeever,
    • Sam S. Miller,
    • Michael Davidson,
    • Michael A. Bolognese,
    • Anthony L. Mulloy,
    • Norman Heyden,
    • Mei Wu,
    • Amarjot Kaur,
    • and Antonio Lombardi
    Ann Intern Med December 3, 2002 137:875-883

    Bone loss accelerates after withdrawal of estrogen therapy but not after withdrawal of alendronate or combination therapy. When managing postmenopausal osteoporosis, clinicians should consider the effects of withdrawing therapy.

Brief Communications

  • Reversal of Warfarin-Induced Excessive Anticoagulation with Recombinant Human Factor VIIa Concentrate

    • Ruby Anne E. Deveras and
    • Craig M. Kessler
    Ann Intern Med December 3, 2002 137:884-888

    Safe, rapid, and effective administration of recombinant factor VIIa corrects very prolonged international normalized ratios and can avert or reverse bleeding associated with warfarin anticoagulation.

Academia and Clinic

  • Advising Patients Who Seek Complementary and Alternative Medical Therapies for Cancer

    • Wendy A. Weiger,
    • Michael Smith,
    • Heather Boon,
    • Mary Ann Richardson,
    • Ted J. Kaptchuk,
    • and David M. Eisenberg
    Ann Intern Med December 3, 2002 137:889-903

    This article summarizes current evidence on the efficacy and safety of selected complementary and alternative medical therapies commonly used by patients with cancer. Therapies include dietary modification and supplementation, herbal products and other biological agents, acupuncture, massage, exercise, and psychological and mind–body therapies.

Review

  • Effects of Subclinical Thyroid Dysfunction on the Heart

    • Bernadette Biondi,
    • Emiliano A. Palmieri,
    • Gaetano Lombardi,
    • and Serafino Fazio
    Ann Intern Med December 3, 2002 137:904-914

    Because the heart responds to the minimal but persistent changes in circulating thyroid hormone levels, subclinical thyroid dysfunction is not simply a compensated biochemical change. Physicians should consider timely treatment of subclinical thyroid dysfunction to avoid adverse cardiovascular effects.

Clinical Guidelines

  • Screening for Prostate Cancer: Recommendation and Rationale

    • U.S. Preventive Services Task Force*
    Ann Intern Med December 3, 2002 137:915-916

    The U.S. Preventive Services Task Force concludes that the evidence is insufficient to recommend for or against routine screening for prostate cancer using prostate-specific antigen testing or digital rectal examination.

  • Screening for Prostate Cancer: An Update of the Evidence for the U.S. Preventive Services Task Force

    • Russell Harris and
    • Kathleen N. Lohr
    Ann Intern Med December 3, 2002 137:917-929

    This systematic review supports the U.S. Preventive Services Task Force's position on screening for prostate cancer.

Editorial

  • The Who, What, When, Where, Whom, and How of Hospitalist Care

    • The Editors
    Ann Intern Med December 3, 2002 137:930-931

    In this issue, two studies by Auerbach and Meltzer and colleagues corroborate past research on hospitalists and are the first to report that hospitalists' outcomes, including patient survival, improve as hosptiatlists gain experience. Given these results, is it time to recommend that hospitalists care for all hospitalized patients?

Letters

Medical Writings

  • Fiction as Resistance

    • Samuel Shem
    Ann Intern Med December 3, 2002 137:934-937

    The great themes of fiction are love and death. Death is always a theme in medicine. So too, I would argue, in its many spirits, is love. And one of those spirits is resistance.

Medical Writings: Book Notes

  • Bioterrorism: Guidelines for Medical and Public Health Management

    • Elias Abrutyn
    Ann Intern Med December 3, 2002 137:938

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Hospitalists and the Costs and Outcomes of Hospital Care

    Ann Intern Med December 3, 2002 137:I-16

  • Hospitalists and the Costs and Outcomes of Hospital Care

    Ann Intern Med December 3, 2002 137:I-25

  • Bone Loss after Stopping Estrogen or Alendronate Therapy

    Ann Intern Med December 3, 2002 137:I-31

  • A New Way To Reverse Excessive Blood Thinning from Warfarin

    Ann Intern Med December 3, 2002 137:I-41

  • Screening for Prostate Cancer: A Recommendation from the U.S. Preventive Services Task Force

    Ann Intern Med December 3, 2002 137:I-48
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This Issue

December 3, 2002; 137 (11)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Review
  5. Clinical Guidelines
  6. Editorial
  7. Letters
  8. Medical Writings
  9. Medical Writings: Book Notes
  10. Ad Libitum
  11. Book Listings
  12. Medical Notices
  13. Summaries for Patients

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