Archives of Internal Medicine Study Highlights


Archives of Internal Medicine Study Highlights

  • Unemployment, multiple job losses and short periods without work may be associated with increased risk for acute myocardial infarction (AMI, heart attack) in a study that examined different dimensions of unemployment (Online First, see news release below).
  • A study suggests diagnostic tests are frequently repeated among Medicare beneficiaries, including those undergoing echocardiography (examination of the heart) for which 55 percent of patients had a second test within three years. Repeat testing for other examinations also was common: 44 percent of imaging stress tests were repeated within three years, as were 49 percent of pulmonary function tests, 46 percent of chest computed tomography, 41 percent of cystoscopies (an examination of the bladder), and 35 percent of upper endoscopies (examination of the digestive tract) (Online First, see news release below).
  • According to a research letter, nearly 4 in 10 American adults (37.8 percent) reported having taken any dietary supplement in the last two years, including 1 in 7 (13.9 percent) who reported taking supplements regularly in a survey of 1,579 individuals. Many of the reasons patients report for taking supplements were related to individual perceptions of benefits rather than scientific statements about efficacy (Online First).
  • A study in Canada of 301,591 newly treated hypertensive elderly patients (average age 81 years) suggests that those who began taking an antihypertensive drug had a 43 percent increased risk of having a hip fracture during the first 45 days following the start of treatment (Online First).
  • A research letter comparing e-visits and physician office visits for sinusitis and urinary tract infections (UTI) at four primary care practices in Pittsburgh suggests that: physicians were less likely to order a UTI-relevant test at an e-visit, few sinusitis-relevant tests were ordered for either type of visit and there was no difference in how many patients had a follow-up visit but physicians were more likely to prescribe an antibiotic at an e-visit for either condition (Online First).
  • A research letter reports that from 2006 through 2009, 1,020 of 33,045 office visits (3 percent) included stress management counseling by primary care physicians, although stress management counseling was the least common type of counseling compared with counseling about nutrition (16.8 percent), physical activity (12.3 percent), weight reduction (6.3 percent) and tobacco cessation (3.7 percent) (Online First).

(Arch Intern Med. Published online November 19, 2012. doi:10.1001/2013.jamainternmed.447; doi:10.1001/2013.jamainternmed.727; doi:10.1001/2013.jamainternmed.311; doi:10.1001/2013.jamainternmed.469; doi:10.1001/2013.jamainternmed.305; doi:10.1001/2013.jamainternmed.480. Available pre-embargo to the media at

Editor’s Note: Please see the articles for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

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