Table of Contents

September 7, 2004; 141 (5)

Articles

  • A Clinical Prediction Rule for Diagnosing Severe Acute Respiratory Syndrome in the Emergency Department

    • Gabriel M. Leung,
    • Timothy H. Rainer,
    • Fei-Lung Lau,
    • Irene O.L. Wong,
    • Anna Tong,
    • Tai-Wai Wong,
    • James H.B. Kong,
    • Anthony J. Hedley,
    • Tai-Hing Lam,
    • and for the Hospital Authority SARS Collaborative Group
    Ann Intern Med September 7, 2004 141:333-342

    A simple model uses clinical data at the time of presentation to an emergency department during an acute outbreak of severe acute respiratory syndrome to identify patients with a high likelihood of this infection. For the free electronic version of the decision aid for this article, go to www.annals.org/pda.

  • Cost-Effectiveness of Cardiac Resynchronization Therapy in Patients with Symptomatic Heart Failure

    • Graham Nichol,
    • Padma Kaul,
    • Ella Huszti,
    • and John F.P. Bridges
    Ann Intern Med September 7, 2004 141:343-351

    The incremental cost per quality-adjusted life-year for cardiac resynchronization is similar to that of other commonly used interventions but is sensitive to changes in several key variables. Clinicians should not recommend resynchronization therapy for patients with comorbid illness that shortens life expectancy.

  • Location of Adenomas Missed by Optical Colonoscopy

    • Perry J. Pickhardt,
    • Pamela A. Nugent,
    • Pauline A. Mysliwiec,
    • J. Richard Choi,
    • and William R. Schindler
    Ann Intern Med September 7, 2004 141:352-359

    Neither optical colonoscopy nor virtual colonoscopy is a perfect test: Each misses 10% to 14% of adenomas that measure 6 mm or greater.

  • Clinical Characteristics and Functional Outcomes of West Nile Fever

    • John T. Watson,
    • Peter E. Pertel,
    • Roderick C. Jones,
    • Alicia M. Siston,
    • William S. Paul,
    • Constance C. Austin,
    • and Susan I. Gerber
    Ann Intern Med September 7, 2004 141:360-365

    West Nile fever is a more severe illness than has previously been documented. Mandatory reporting of West Nile fever cases in addition to West Nile meningoencephalitis cases could allow more accurate and timely recognition of the geographic distribution of West Nile virus infections and could inform public health interventions.

Improving Patient Care

  • A Controlled Trial To Increase Detection and Treatment of Osteoporosis in Older Patients with a Wrist Fracture

    • Sumit R. Majumdar,
    • Brian H. Rowe,
    • Deb Folk,
    • Jeffrey A. Johnson,
    • Brian H. Holroyd,
    • Donald W. Morrish,
    • Walter P. Maksymowych,
    • Ivan P. Steiner,
    • Charles H. Harley,
    • Brian J. Wirzba,
    • David A. Hanley,
    • Sandra Blitz,
    • and Anthony S. Russell
    Ann Intern Med September 7, 2004 141:366-373

    In a multifaceted intervention directed at patients and their physicians, the rates of testing and treatment for osteoporosis after emergency department care for a fragility fracture were more than 3 times the rates in controls.

Updates

  • Update in Gastroenterology and Hepatology

    • Norton J. Greenberger and
    • Prateek Sharma
    Ann Intern Med September 7, 2004 141:374-380

    This year's Update in Gastroenterology and Hepatology incorporates articles on screening and surveillance for Barrett esophagus, antimicrobial resistance in Helicobacter pylori, treatment for recurrent ulcer bleeding, celiac disease diagnosis, optimal treatment of inflammatory bowel disease, probiotics for antibiotic-associated diarrhea, aspirin for preventing colorectal adenomas, chronic liver disease diagnosis, and the causes of acute liver failure.

Review

  • Systematic Review: Cardiac Resynchronization in Patients with Symptomatic Heart Failure

    • Finlay A. McAlister,
    • Justin A. Ezekowitz,
    • Natasha Wiebe,
    • Brian Rowe,
    • Carol Spooner,
    • Ellen Crumley,
    • Lisa Hartling,
    • Terry Klassen,
    • and William Abraham
    Ann Intern Med September 7, 2004 141:381-390

    In selected patients with heart failure, cardiac resynchronization therapy improves functional and hemodynamic status, reduces heart failure hospitalizations, and may reduce all-cause mortality.

Medicine and Public Issues

  • Assessing the New Medicare Prescription Drug Law

    • Robert B. Doherty
    Ann Intern Med September 7, 2004 141:391-395

    This paper explains the policy decisions that shaped the Medicare Modernization Act. It describes the new private health plan options and improvements to traditional Medicare and discusses the impact on beneficiaries in different income and assets categories.

Editorials

  • Accurate Clinical Prediction of Severe Acute Respiratory Syndrome: Are We There Yet?

    • John A. Jernigan,
    • Rita F. Helfand,
    • and Umesh D. Parashar
    Ann Intern Med September 7, 2004 141:396-398

    If severe acute respiratory syndrome (SARS) recurs, we will need accurate clinical strategies for detecting early cases so that we don't overburden the health care and public health systems with patients who are concerned about SARS but don't have it. In this issue, Leung and colleagues report on a decision rule that may prove helpful as an early case-detection strategy. We hope that other centers will try to validate this decision rule so that we will know if we have a proven strategy for coping with future outbreaks of SARS.

  • Cardiac Resynchronization for Heart Failure

    • Mark A. Hlatky and
    • Barry M. Massie
    Ann Intern Med September 7, 2004 141:399-400

    In this issue, McAlister and associates summarize the evidence on cardiac resynchronization therapy for heart failure, and Nichol and coworkers analyze the cost-effectiveness of this therapy. Cardiac resynchronization therapy may be worth its high cost if it substantially improves patient survival, quality of life, or both. The weight of current evidence suggests that this therapy does improve functional status and quality of life.

  • Colonoscopy: As Good as Gold?

    • David Lieberman
    Ann Intern Med September 7, 2004 141:401-403

    Colonoscopy, as a gold standard, has lost some of its glitter. Nevertheless, it remains the preeminent procedure for diagnosing and treating colonic neoplasia. The data on colonoscopy accuracy, such as the findings reported in a study in this issue, are a humbling reminder of the limitations of colonoscopy.

On Being a Patient

  • Physician as Patient: Lessons To Learn

    • Peter A. Beatty
    Ann Intern Med September 7, 2004 141:404-405

    I lost my vision when I awoke on the morning of the anniversary of my wife's death from disseminated breast cancer. As a physician, I had rarely given much credence to “stress” as a factor in illness. I am more of a believer now.

Letters

  • Noninvasive Ventilation in Exacerbations of Chronic Obstructive Pulmonary Disease: Implications of Different Meta-Analytic Strategies

    • John V. Peter and
    • John L. Moran
    Ann Intern Med September 7, 2004 141:W-78-W-79

  • Aspirin Use and Risk for Colorectal Adenoma

    • Henry Scovern
    Ann Intern Med September 7, 2004 141:406

  • Aspirin Use and Risk for Colorectal Adenoma

    • Andrew T. Chan and
    • Charles S. Fuchs
    Ann Intern Med September 7, 2004 141:406

  • Malpractice Reform and Medical Injury

    • Stanley J. Zimmerman
    Ann Intern Med September 7, 2004 141:406

  • New Treatments for Brittle Bones

    • Susan Ott
    Ann Intern Med September 7, 2004 141:406-407

  • Low-Molecular-Weight Heparin for Pulmonary Embolism

    • Anita Karne and
    • Nirav R. Shah
    Ann Intern Med September 7, 2004 141:407

  • Low-Molecular-Weight Heparin for Pulmonary Embolism

    • John W. Eikelboom,
    • Andrew McQuillan,
    • and Daniel J. Quinlan
    Ann Intern Med September 7, 2004 141:407-408

  • Alcohol Use and Diabetes Mellitus

    • Hirohito Sone,
    • Nobuhiro Yamada,
    • Sachiko Mizuno,
    • Rei Aida,
    • and Yasuo Ohashi
    Ann Intern Med September 7, 2004 141:408-409

  • Alcohol Use and Diabetes Mellitus

    • Luca Mascitelli and
    • Francesca Pezzetta
    Ann Intern Med September 7, 2004 141:409

  • Alcohol Use and Diabetes Mellitus

    • Andrea A. Howard,
    • Julia H. Arnsten,
    • and Marc N. Gourevitch
    Ann Intern Med September 7, 2004 141:409

  • Hospice Effect on Medicare Expenditures

    • Pedro Gozalo,
    • Vince Mor,
    • and Susan Miller
    Ann Intern Med September 7, 2004 141:409-410

  • Hospice Effect on Medicare Expenditures

    • Diane Campbell,
    • Joanne Lynn,
    • and Lisa R. Shugarman
    Ann Intern Med September 7, 2004 141:410

  • Silo-Filler's Disease, the Acute Respiratory Distress Syndrome, and Oxides of Nitrogen

    • James F. Leavey,
    • Robert L. Dubin,
    • Navdeep Singh,
    • and David A. Kaminsky
    Ann Intern Med September 7, 2004 141:410-411

Medical Writings: Book Notes

  • Case Studies in Genes and Disease: A Primer for Clinicians

    • Linda Pinsky
    Ann Intern Med September 7, 2004 141:412

  • Stem Cell Transplantation for Hematologic Malignancies

    • Camille N. Abboud
    Ann Intern Med September 7, 2004 141:412

Ad Libitum

Medical Notices

  • Medical Notices

    Ann Intern Med September 7, 2004 141:0

Summaries for Patients

  • Predicting Which Patients Have Severe Acute Respiratory Syndrome

    Ann Intern Med September 7, 2004 141:I-12

  • The Cost-Effectiveness of Cardiac Resynchronization Therapy for Heart Failure

    Ann Intern Med September 7, 2004 141:I-29

  • How Often Does Colonoscopy Fail To Detect Polyps?

    Ann Intern Med September 7, 2004 141:I-42

  • Clinical Characteristics and Consequences of West Nile Fever

    Ann Intern Med September 7, 2004 141:I-53

  • Increasing the Detection and Treatment of Osteoporosis in Patients Who Present to an Emergency Department with a Wrist Fracture

    Ann Intern Med September 7, 2004 141:I-54

  • Cardiac Resynchronization Therapy for Heart Failure

    Ann Intern Med September 7, 2004 141:I-64
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This Issue

September 7, 2004; 141 (5)
  1. Articles
  2. Improving Patient Care
  3. Updates
  4. Review
  5. Medicine and Public Issues
  6. Editorials
  7. On Being a Patient
  8. Letters
  9. Medical Writings: Book Notes
  10. Ad Libitum
  11. Medical Notices
  12. Summaries for Patients

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