773. HIV Salvage Therapy Does Not Require Nucleoside Reverse Transcriptase Inhibitors: A Randomized, Controlled Trial.
作者: Karen T Tashima.;Laura M Smeaton.;Carl J Fichtenbaum.;Adriana Andrade.;Joseph J Eron.;Rajesh T Gandhi.;Victoria A Johnson.;Karin L Klingman.;Justin Ritz.;Sally Hodder.;Jorge L Santana.;Timothy Wilkin.;Richard H Haubrich.; .
来源: Ann Intern Med. 2015年163卷12期908-17页
Nucleoside reverse transcriptase inhibitors (NRTIs) are often included in antiretroviral regimens in treatment-experienced patients in the absence of data from randomized trials.
774. Lactation and Progression to Type 2 Diabetes Mellitus After Gestational Diabetes Mellitus: A Prospective Cohort Study.
作者: Erica P Gunderson.;Shanta R Hurston.;Xian Ning.;Joan C Lo.;Yvonne Crites.;David Walton.;Kathryn G Dewey.;Robert A Azevedo.;Stephen Young.;Gary Fox.;Cathie C Elmasian.;Nora Salvador.;Michael Lum.;Barbara Sternfeld.;Charles P Quesenberry.; .
来源: Ann Intern Med. 2015年163卷12期889-98页
Lactation improves glucose metabolism, but its role in preventing type 2 diabetes mellitus (DM) after gestational diabetes mellitus (GDM) remains uncertain.
775. Four-Week Direct-Acting Antiviral Regimens in Noncirrhotic Patients With Hepatitis C Virus Genotype 1 Infection: An Open-Label, Nonrandomized Trial.
作者: Anita Kohli.;Sarah Kattakuzhy.;Sreetha Sidharthan.;Amy Nelson.;Mary McLaughlin.;Cassie Seamon.;Eleanor Wilson.;Eric G Meissner.;Zayani Sims.;Rachel Silk.;Chloe Gross.;Elizabeth Akoth.;Lydia Tang.;Angie Price.;Tim A Jolley.;Benjamin Emmanuel.;Michael Proschan.;Gebeyehu Teferi.;Jose Chavez.;Stephen Abbott.;Anuoluwapo Osinusi.;Hongmei Mo.;Michael A Polis.;Henry Masur.;Shyam Kottilil.
来源: Ann Intern Med. 2015年163卷12期899-907页
Treatment of chronic hepatitis C virus (HCV) infection with direct-acting antivirals (DAAs) for 6 weeks achieves sustained virologic response (SVR) rates of 95% in some patients. If effective, shorter therapeutic courses could improve adherence and treatment costs.
777. Using Behavioral Economics to Design Physician Incentives That Deliver High-Value Care.
作者: Ezekiel J Emanuel.;Peter A Ubel.;Judd B Kessler.;Gregg Meyer.;Ralph W Muller.;Amol S Navathe.;Pankaj Patel.;Robert Pearl.;Meredith B Rosenthal.;Lee Sacks.;Aditi P Sen.;Paul Sherman.;Kevin G Volpp.
来源: Ann Intern Med. 2016年164卷2期114-9页
Behavioral economics provides insights about the development of effective incentives for physicians to deliver high-value care. It suggests that the structure and delivery of incentives can shape behavior, as can thoughtful design of the decision-making environment. This article discusses several principles of behavioral economics, including inertia, loss aversion, choice overload, and relative social ranking. Whereas these principles have been applied to motivate personal health decisions, retirement planning, and savings behavior, they have been largely ignored in the design of physician incentive programs. Applying these principles to physician incentives can improve their effectiveness through better alignment with performance goals. Anecdotal examples of successful incentive programs that apply behavioral economics principles are provided, even as the authors recognize that its application to the design of physician incentives is largely untested, and many outstanding questions exist. Application and rigorous evaluation of infrastructure changes and incentives are needed to design payment systems that incentivize high-quality, cost-conscious care.
778. Prevention of Hepatitis C by Screening and Treatment in U.S. Prisons.
作者: Tianhua He.;Kan Li.;Mark S Roberts.;Anne C Spaulding.;Turgay Ayer.;John J Grefenstette.;Jagpreet Chhatwal.
来源: Ann Intern Med. 2016年164卷2期84-92页
The prevalence of hepatitis C virus (HCV) in U.S. prisoners is high; however, HCV testing and treatment are rare. Infected inmates released back into society contribute to the spread of HCV in the general population. Routine hepatitis screening of inmates followed by new therapies may reduce ongoing HCV transmission.
780. Hepatitis B Virus Reactivation and Prophylaxis During Solid Tumor Chemotherapy: A Systematic Review and Meta-analysis.
作者: Sonali Paul.;Akriti Saxena.;Norma Terrin.;Kathleen Viveiros.;Ethan M Balk.;John B Wong.
来源: Ann Intern Med. 2016年164卷1期30-40页
Solid tumor chemotherapy regimens pose a risk for hepatitis B virus (HBV) reactivation, but screening and antiviral prophylaxis remains controversial because of insufficient evidence.
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