Annals of Internal Medicine - Information for Authors
We also publish guidelines, position papers, letters, and essays about controversial medical issues, medical history, medicine and public policy, and patients’ of physicians’ experiences of illness. Requirements for all to the “Uniform Requirements for Manuscripts Submitted to Biomedical Journals,” developed by the International Committee of...
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http://www.annals.org/shared/author_info.html
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A Sustained Mortality Benefit from Screening for Abdominal A
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Moreover, long-term cost-effectiveness has been estimated only through health economic modeling (10) . We describe cost-effectiveness based on 7-year follow-up from the largest of the 4 trials of AAA screeningthe of life-years gained in patients in whom AAA rupture is avoided through elective surgery. It is therefore expected that...
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http://www.annals.org/cgi/content/full/146/10/699
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Cardiac Event Recorders Yield More Diagnoses and Are More Co
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Cost-Effectiveness Analysis We calculated incremental cost-effectiveness ratios (the additional cost per additional health outcome) of event monitors compared with Holter monitors for the primary and secondary end points monitors and the analysis system in our unit cost approximately $106 193; this results in an equivalent annual cost of $24 528.....
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http://www.annals.org/cgi/content/full/124/1_Part_1/16
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Discovering Depression in Medical Patients: Reasonable Expec
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Time, somatization, stigmatization, reimbursement, and comorbid medical conditions. Most medical outpatient visits last 15 minutes or less [5] , whereas visits to a mental health specialist typically last 30 minutes or longer [6 a medical encounter. During this encounter, the clinician must negotiate such competing priorities as acute symptoms,...
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http://www.annals.org/cgi/content/full/126/6/463
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Anxiety Disorders in Primary Care: Prevalence, Impairment, C
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Functional status (Medical Outcomes Study Short Form-20), depressive and somatic symptoms, and self-reported disability days and physician visits were also The Editors Anxiety and depression are the 2 most common mental health problems seen in the general medical setting (15) . Although increasing attention has been paid to anxiety, it still...
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http://www.annals.org/cgi/content/full/146/5/317
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Clinical and Economic Implications of the Multicenter Automa
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Cardiovascular Database between 1 January 1986 and 31 December 2001. Design: Cost-effectiveness analysis. Data Sources: Published literature, databases owned by Duke University Medical Center, and Medicare data. Target Population: Adults with a history of MI and an ejection fraction of or less. Time Horizon: Lifetime. Perspective: Societal. Interv...
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http://www.annals.org/cgi/content/full/142/8/593
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Implementing Antibiotic Practice Guidelines through Computer
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In response to these pressures, professional societies and individual investigators have outlined methods with which to 25, 27, 28] . Kassirer [30] has challenged the health care system to develop strategies that inform rather than enforce or control medical decisions. For more than a decade, we have been developing and investigating clinical...
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http://www.annals.org/cgi/content/full/124/10/884
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Measuring and Reporting Managed Care Performance: Lessons Le
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Three basic methods were used to collect data: compilation of administrative data, review of medical records, and a newly developed hybrid approach combining these two methods. Although some plans expected to be able to completeness, HEDIS results from these data sets alone were discouraging. These disappointing results led to the hybrid...
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http://www.annals.org/cgi/content/full/127/5_Part_2/726
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Measuring and Reporting Managed Care Performance: Lessons Le
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Three basic methods were used to collect data: compilation of administrative data, review of medical records, and a newly developed hybrid approach combining these two methods. Although some plans expected to be able to completeness, HEDIS results from these data sets alone were discouraging. These disappointing results led to the hybrid...
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http://www.annals.org/cgi/content/full/127/8_Part_2/726
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Predicting Who Dies Depends on How Severity Is Measured: Imp
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MedisGroups and the physiology score use clinical data abstracted from medical records for only the first 2 days of a hospitalization. Although the APR-DRGs measure was to using APR-DRGsa less expensive, discharge-abstract-based measure. This change was partially motivated by the perceived high cost of MedisGroups medical record reviews. Other...
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http://www.annals.org/cgi/content/full/123/10/763
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Prevention of Colorectal Cancer by Endoscopic Polypectomy --
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Nevertheless, the study contributes significantly to our current understanding and management of results) and specific (few false-positive results), simple to perform (for both patient and physician), and cost-effective. Although colonoscopy is a powerful diagnostic tool for detecting adenomatous polyps when present as grossly elevated mucosal...
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http://www.annals.org/cgi/content/full/123/12/949
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The Role of Pacing Modality in Determining Long-Term Surviva
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Because of the recent emphasis on the monitoring of outcomes of medical interventions to determine their cost-effectiveness [20] , we examined the potential benefit on long-term survival of physiologic pacing modalities in patients with the status, causes of death, and reprogramming of the initial pacing mode were ascertained through review of...
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http://www.annals.org/cgi/content/full/119/5/359
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Identification of Persons at High Risk for Type 2 Diabetes M
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Antonio, Texas. Participants: 1791 Mexican Americans and 1112 non-Hispanic whites without diabetes at baseline who were randomly selected from census tracts. Measurements: Medical history; body mass index; blood pressure; fasting and 2-hour plasma glucose levels; fasting serum total, low-density lipoprotein, and high Although adding the 2-hour glu...
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http://www.annals.org/cgi/content/full/136/8/575
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Predicting the Occurrence of Adverse Events after Coronary A
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These organizations directed the abstraction of clinical information according to the MedisGroups protocol [12-18] . MedisGroups is Part A, files (dates of death, hospital admission, and discharge; and ICD-9-CM diagnosis and procedure codes) was merged with clinical data to create the analytic files. Entrance into our study required the presence.....
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http://www.annals.org/cgi/content/full/118/1/18
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Public Health Surveillance for Hereditary Hemochromatosis --
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Advantages and complexity of claims data systems, their differences across states, confidentiality issues, the difficulties of using an outpatient procedure classification system, and problems in distinguishing incidence from prevalence need to be addressed before claims data can be systematically prevalence estimates for hemochromatosis may be.....
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http://www.annals.org/cgi/content/full/129/11_Part_2/980
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A National Survey of Primary Care Physicians' Methods for Sc
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While randomized, controlled trials have shown that FOBT reduces colorectal cancer incidence and mortality (8-13) , the effectiveness and cost-effectiveness of FOBT screening in general clinical practice depend on the degree to which health professionals follow and Prevention and the Centers for Medicare & Medicaid Services. The researchers used t...
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http://www.annals.org/cgi/content/full/142/2/86
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Management of Hypertension after Ambulatory Blood Pressure M
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During the study period, a standard instrument (Accutracker II, Suntech Medical Instruments, Raleigh, North Carolina) [5] was used for all recordings, and a standardized two-page consultative report was generated and sent to the referring physician. The report, prepared by members of our section, included patient demographic characteristics,...
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http://www.annals.org/cgi/content/full/118/11/833
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Quality Indicators for the Management of Pneumonia in Vulner
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Furthermore, the annual cost of treating patients with pneumonia in the United States is approximately $9.7 billion (2) , and most of 9) , a small matched casecontrol study (10) , a seroprevalence study (11) , a retrospective study (12) , a cost-effectiveness study (13) , and expert opinionbased recommendations from the Advisory Committee on...
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http://www.annals.org/cgi/content/full/135/8_Part_2/736
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Clinical Management of Intractable Constipation -- Camilleri
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75% success in several series. In a minority of patients with slow transit constipation unresponsive to medical treatment, subtotal colectomy with ileorectostomy is indicated and effective. We reviewed current knowledge and the advances in diagnosing setting, and subsequently focused on those few patients who are deemed intractable after appropria...
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http://www.annals.org/cgi/content/full/121/7/520
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A Framework for Capturing Clinical Data Sets from Computeriz
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The pressure to improve health care and provide better care at a lower cost has created new needs to access clinical data for outcome analysis [1] , quality assessment, guideline development [2] , utilization review, pharmacoepidemiology [3 of clinical data sets have grown dramatically. New data sets have been established by the National Center...
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http://www.annals.org/cgi/content/full/127/5_Part_2/675
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