Table of Contents

October 5, 2004; 141 (7)

Articles

  • Prednisone plus Methotrexate for Polymyalgia Rheumatica: A Randomized, Double-Blind, Placebo-Controlled Trial

    • Roberto Caporali,
    • Marco A. Cimmino,
    • Gianfranco Ferraccioli,
    • Roberto Gerli,
    • Catherine Klersy,
    • Carlo Salvarani,
    • Carlomaurizio Montecucco,
    • and for the Systemic Vasculitis Study Group of the Italian Society for Rheumatology
    Ann Intern Med October 5, 2004 141:493-500

    The purpose of combination therapy with prednisone and methotrexate in polymyalgia rheumatica is to reduce the amount of prednisone required to maintain remission. In this randomized trial, the addition of methotrexate to prednisone reduced the incidence of flare-ups and the amount of prednisone needed to maintain remission.

  • Screening for Chlamydia trachomatis in Women 15 to 29 Years of Age: A Cost-Effectiveness Analysis

    • Delphine Hu,
    • Edward W. Hook III,
    • and Sue J. Goldie
    Ann Intern Med October 5, 2004 141:501-513

    Annual Chlamydia trachomatis screening for all women 15 to 29 years of age and selective targeting of those with a history of infection for semiannual screening is very cost-effective. This analysis extends the upper end of the recommended age range for screening from age 25 to age 29.

  • The Effect of Long-Term Intake of cis Unsaturated Fats on the Risk for Gallstone Disease in Men: A Prospective Cohort Study

    • Chung-Jyi Tsai,
    • Michael F. Leitzmann,
    • Walter C. Willett,
    • and Edward L. Giovannucci
    Ann Intern Med October 5, 2004 141:514-522

    A high intake of polyunsaturated and monounsaturated fats reduces cholesterol biosynthesis. In this long-term study of a large cohort of men, a diet high in unsaturated fats was associated with a reduced risk for gallstone disease.

Improving Patient Care

  • A Multimethod Quality Improvement Intervention To Improve Preventive Cardiovascular Care: A Cluster Randomized Trial

    • Steven Ornstein,
    • Ruth G. Jenkins,
    • Paul J. Nietert,
    • Chris Feifer,
    • Loraine F. Roylance,
    • Lynne Nemeth,
    • Sarah Corley,
    • Lori Dickerson,
    • W. David Bradford,
    • and Cara Litvin
    Ann Intern Med October 5, 2004 141:523-532

    In this trial of 20 primary care practices, intervention practices received quarterly site visits, had meetings about quality improvement, and received copies of practice guidelines and quarterly performance reports. Control practices received only the guidelines and performance reports. Both groups had about the same improvement in providing guideline-recommended care for cardiovascular disease.

  • Lost in Transition: Challenges and Opportunities for Improving the Quality of Transitional Care

    • Eric A. Coleman and
    • Robert A. Berenson
    Ann Intern Med October 5, 2004 141:533-536

    Transitional care is concerned with assuring continuity of purpose during the transfer from one level of care to another. It is a time of risk to the patient, at least in part because the involved health professionals do not take responsibility for assuring a smooth transition.

Reviews

  • Systematic Review: Computed Tomography and Ultrasonography To Detect Acute Appendicitis in Adults and Adolescents

    • Teruhiko Terasawa,
    • C. Craig Blackmore,
    • Stephen Bent,
    • and R. Jeffrey Kohlwes
    Ann Intern Med October 5, 2004 141:537-546

    Computed tomography is probably more accurate than ultrasonography for diagnosing appendicitis in adults and adolescents. This conclusion is uncertain because we have so few studies in which all study participants received the gold standard diagnostic reference test.

  • Malaria-Related Deaths among U.S. Travelers, 1963–2001

    • Robert D. Newman,
    • Monica E. Parise,
    • Ann M. Barber,
    • and Richard W. Steketee
    Ann Intern Med October 5, 2004 141:547-555

    This systematic review of malaria deaths in the United States from 1963 through 2001 describes trends, elucidates risk factors, and identifies potential public health actions to prevent future malaria-related deaths among U.S. travelers.

Medicine and Public Issues

  • Insuring the Uninsured: Will the 2004 Election Provide an Answer?

    • Thomas Bodenheimer
    Ann Intern Med October 5, 2004 141:556-561

    The author discusses universal health insurance strategies, summarizes and critiques the Bush and Kerry health insurance plans, and explores the use of tax credits to facilitate the purchase of individual insurance policies. He contrasts the presidential candidates' proposed strategies to those of professional organizations such as the American College of Physicians and the American Medical Association.

Clinical Guidelines

  • Primary Care Management of Chronic Stable Angina and Asymptomatic Suspected or Known Coronary Artery Disease: A Clinical Practice Guideline from the American College of Physicians

    • Vincenza Snow,
    • Patricia Barry,
    • Stephan D. Fihn,
    • Raymond J. Gibbons,
    • Douglas K. Owens,
    • Sankey V. Williams,
    • Christel Mottur-Pilson,
    • Kevin B. Weiss,
    • and for the American College of Physicians/American College of Cardiology Chronic Stable Angina Panel*
    Ann Intern Med October 5, 2004 141:562-567

    This paper summarizes the treatment and follow-up recommendations of the 2002 American College of Cardiology/American Heart Association guideline. It covers patients with chronic stable angina who have not had a recent acute myocardial infarction or revascularization procedure and asymptomatic patients with known or suspected coronary disease based on electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests.

Editorials

  • Methotrexate in Polymyalgia Rheumatica: Kernel of Truth or Curse of Tantalus?

    • John H. Stone
    Ann Intern Med October 5, 2004 141:568-569

    Readers must decide whether Caporali and colleagues' trial of methotrexate in polymyalgia rheumatica reveals a kernel of truth about methotrexate or bespeaks the curse of Tantalus: a desirable result placed just beyond the reach of those who would grasp it.

  • Chlamydia Screening: Expanding the Scope

    • Walter E. Stamm
    Ann Intern Med October 5, 2004 141:570-572

    The findings reported by Hu and colleagues in this issue reinforce recommended practice for chlamydia screening and force us to confront our failure to fully implement the clinical practices that the evidence so strongly supports.

On Being a Doctor

  • Northwoods Elegy

    • David P. Steensma
    Ann Intern Med October 5, 2004 141:573-574

    I've learned from past trips that it may be easy to escape the daily routine of the clinic, but it is not so simple to leave the patients behind. During breaks from paddling, when my friend and I let our small boat drift aimlessly in the current, I often find myself puzzling over an ongoing difficult case, wondering how an old patient is doing, or simply remembering. Today I can't get the French man out of my mind.

Letters

  • Chronic Pancreatitis Associated with Adult-Onset Type II Citrullinemia: Clinical and Pathologic Findings

    • Shu-ichi Ikeda,
    • Shigeyuki Kawa,
    • Yo-ichi Takei,
    • Kanji Yamamoto,
    • Hisashi Shimojo,
    • Ken-ichi Tabata,
    • Keiko Kobayashi,
    • and Takeyori Saheki
    Ann Intern Med October 5, 2004 141:W-109-W-110

  • Survival versus Prognosis in Alzheimer Disease

    • Lauris C. Kaldjian
    Ann Intern Med October 5, 2004 141:575

  • Survival versus Prognosis in Alzheimer Disease

    • Eric B. Larson,
    • James D. Bowen,
    • and Wayne C. McCormick
    Ann Intern Med October 5, 2004 141:575

  • Screening for Hepatitis C Virus Infection in Adults

    • Josiah D. Rich,
    • Lynn E. Taylor,
    • and Scott A. Allen
    Ann Intern Med October 5, 2004 141:575-576

  • Screening for Hepatitis C Virus Infection in Adults

    • Ned Calonge and
    • Janet D. Allan
    Ann Intern Med October 5, 2004 141:576

  • Addressing the Limitations of Structured Abstracts

    • Matthew Falagas and
    • Pashalis I. Vergidis
    Ann Intern Med October 5, 2004 141:576-577

  • Selective Decontamination of the Digestive Tract and Prevention of Ventilator-Associated Pneumonia

    • Paul Baines and
    • Hendrik van Saene
    Ann Intern Med October 5, 2004 141:577

  • Selective Decontamination of the Digestive Tract and Prevention of Ventilator-Associated Pneumonia

    • Harold R. Collard,
    • Sanjay Saint,
    • and Michael A. Matthay
    Ann Intern Med October 5, 2004 141:577-578

  • The Domain of General Internal Medicine: A Perspective from Trainees

    • Vineet Arora and
    • Phil Hemstreet
    Ann Intern Med October 5, 2004 141:578

  • The Domain of General Internal Medicine: A Perspective from Trainees

    • Eric B. Larson and
    • for the SGIM Task Force on the Domain of General Internal Medicine
    Ann Intern Med October 5, 2004 141:578

  • Variability in Diagnostic Probability Estimates

    • Milo A. Puhan,
    • Johann Steurer,
    • Lucas M. Bachmann,
    • and Gerben ter Riet
    Ann Intern Med October 5, 2004 141:578-579

Medical Writings: Book Notes

Ad Libitum

Medical Notices

  • Medical Notices

    Ann Intern Med October 5, 2004 141:0

Summaries for Patients

  • Prednisone plus Methotrexate for Polymyalgia Rheumatica

    Ann Intern Med October 5, 2004 141:I-12

  • The Cost-Effectiveness of Screening for Chlamydia in Women 15 to 29 Years of Age

    Ann Intern Med October 5, 2004 141:I-29

  • Dietary Fat and Risk for Gallstone Disease in Men

    Ann Intern Med October 5, 2004 141:I-43

  • A Comparison of Different Programs To Improve Preventive Care for Cardiovascular Conditions

    Ann Intern Med October 5, 2004 141:I-53
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This Issue

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

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