Summer2016.Pdf
Total Page：16
File Type：pdf, Size：1020Kb
Indexed in MEDLINE, PubMed, and PubMed Central PRSRT STD US POSTAGE National Library of Medicine PAID 500 NE Multnomah St, Suite 100 PORTLAND OR PERMIT NO 1452 Portland, Oregon 97232 20 No. 3 — Summer 2016 Volume Change Service Requested Summer 2016 Volume 20 No. 3 A peer-reviewed journal of medical science, social science in medicine, and medical humanities Original Research & Contributions 4 Weight Loss and the Prevention of Weight Regain: Evaluation of a Treatment Model of Exercise Self-Regulation Generalizing to Controlled Eating 18 A Pharmacist-Staffed, Virtual Gout Management Clinic for Achieving Target Serum Uric Acid Levels: A Randomized Clinical Trial 24 Exploring the Reality of Using Patient THE PERMANENTE JOURNAL Experience Data to Provide Resident Feedback: A Qualitative Study of Attending Physician Perspectives 31 Physicians Experiencing Intense Emotions While Seeing Their Patients: What Happens? 38 Difference in Effectiveness of Medication Adherence Intervention by Health Literacy Level 45 Lifestyle and Self-Management by Those Who Live It: Patients Engaging Patients in a Chronic Disease Model Special Reports 51 Improving Care in Older Patients with Diabetes: A Focus on Glycemic Control 57 Evidence-Based Workflows for Thyroid and Parathyroid Surgery 74 The Truth about Truth-Telling in American Medicine: A Brief History Review Articles 78 Hyperparathyroidism of Renal Disease 84 Recurrence of Epithelioid Hemangioendo- thelioma during Pregnancy: Case Report and Systematic Review Narrative Medicine 102 The Use of Narrative as a Treatment Approach for Obesity: A Storied Educational Program Description 107 You Are Not Alone: Ten Strategies for Surviving a Malpractice Lawsuit Follow @PermanenteJ Printed on acid-free paper. See inside for additional content ISSN 1552-5767 as well as articles found only online www.thepermanentejournal.org BOOKS PUBLISHED BY Summer 2016/ Volume 20 No. 3 PERMANENTE AUTHORS: The PermanenteJournal ORIGINAL RESEARCH able feedback, 4) lack of timeliness in the & CONTRIBUTIONS delivery of feedback, 5) unclear benefit of Sponsored by the National Permanente patient experience survey data as a tool for Your Guy’s Guide to Gynecology: 4 Weight Loss and the Prevention of providing resident feedback, and 6) lack of A Reference for Men and Women Medical Groups Bruce Bekkar, MD; Uda Wahn, MD Weight Regain: Evaluation of a Treat- individualized feedback. ment Model of Exercise Self-Regulation ISBN-10: 0965506746 Mission: The Permanente Journal advances Generalizing to Controlled Eating. 31 Physicians Experiencing Intense ISBN-13: 978-0965506748 knowledge in scientific research, clinical James J Annesi, PhD, FAAHB, FTOS, Emotions While Seeing Their Patients: FAPA; Ping H Johnson, PhD; East Sandwich, MA: North Star Publications medicine, and innovative health care delivery. What Happens? Joana Vilela da Silva, (Ant Hill Press); 2000. Gisèle A Tennant, PhD; Kandice J Porter, MD; Irene Carvalho, PhD Hardcover: 325 pages PhD; Kristin L McEwen $24.95 Circulation: 25,000 print readers per A self-report survey was completed by 127 For decades behavioral weight-loss treat- quarter, 6900 eTOC readers, and in 2015, physicians, with 52 (43%) reporting experi- ments have been unsuccessful beyond encing intense emotions frequently. Coping 1.4 million page views on TPJ articles the short term. In this study, women with strategies to deal with the emotion at the in PubMed from a broad international obesity were randomized into either a moment included behavioral and cognitive readership. comparison treatment that incorporated approaches. Choking-up/crying, touch- a print manual plus telephone follow-ups ing, smiling, and providing support were (n = 55) or into an experimental treatment significantly associated with an immediate Picking up the Pieces: of The Coach Approach exercise-support positive impact on the physician-patient What Everyone Needs to protocol followed after 2 months by group relationship. Withdrawing from the situa- Know When a Child Dies nutrition sessions focused on generalizing tion, imposing, and defending oneself were Adrienne L Burnell, RN, MS, PhD; self-regulatory skills from an exercise associated with a negative impact. George M Burnell, MD support to a controlled eating context ISBN-10: 1516859405 (n = 55). Improvements in all psychological 38 Difference in Effectiveness of ISBN-13: 978-1516859405 Medication Adherence Intervention ON THE COVER: measures, physical activity, and fruit and by Health Literacy Level. Ashli A createspace.com; 2015 Roman Stonemason vegetable intake were significantly greater Owen-Smith, PhD, SM; David H Smith, Paperback: 206 pages by Tom Janisse, MD, MBA in the experimental group. Change in $26.45 self-regulation best predicted weight loss, PhD, RPh; Cynthia S Rand, PhD; Jeffrey A Roman stonemason whereas change in self-efficacy best pre- O Tom, MD, MS; Reesa Laws; Amy works to repair the vulner- dicted maintenance of lost weight. Waterbury, MPH; Andrew Williams, able corner of a 1000-year- PhD; William M Vollmer, PhD 18 A Pharmacist-Staffed, Virtual Gout old structure. He stands Promoting Adherence to Improve Effective- If you are a Permanente author and would like your book cited here, Management Clinic for Achieving sturdy in his fashionably ness of Cardiovascular Disease Therapies send an e-mail to [email protected]. Target Serum Uric Acid Levels: buckled black boots, blue (PATIENT) was a randomized clinical trial A Randomized Clinical Trial. jeans with plaster-clouded designed to test the impact, compared Robert Goldfien, MD; Alice Pressman, knees, and traditional with usual care, of two technology-based PhD, MS; Alice Jacobson, MS; Michele Ng, blue work coat with lapels. interventions that leveraged interactive PharmD; Andrew Avins, MD, MPH Kneepads wait to support voice recognition to promote medication his delicate work close to the ground, hammering The authors conducted a parallel-group, adherence. The differences in intervention additional bits of marble, variously sized, to fit all filling randomized, 26-week, controlled trial of a effects for high vs low health literacy in this defects. He restores a historic work of masonry 30 pharmacist-staffed, telephone-based pro- exploratory analysis are consistent with generations after its construction and reconstruction, gram for managing hyperuricemia vs usual the hypothesis that individuals with lower done just like this in just this way, in a process first care. Among 37 participants randomized health literacy may derive greater benefit learned during the transition from wood to stone. to the intervention group, 13 (35%) had a from this type of intervention compared serum uric acid level (sUA) ≤ 6.0 mg/dL at with individuals with higher health literacy. Some hours into mixing mud, his dextrous hands with 26 weeks vs 5 of 40 participants (13%) in precision and artistry carefully prep the faces for a final the control group (p = 0.03). A structured 45 Lifestyle and Self-Management by Those fresh surface coat, smooth to the touch. When he is pharmacist-staffed program was more ef- Who Live It: Patients Engaging Patients done, the pads, hammer, slab, and bits all fit into his fective than usual care for achieving target in a Chronic Disease Model. Michelle T metal pail, then into his bicycle basket for a ride home sUA levels. These results suggest that Jesse, PhD; Elizabeth Rubinstein; Anne through Roman traffic. He looks back to view with a structured program could significantly Eshelman, PhD, ABPP; Corinne Wee; pleasure and a sure sense of contribution his master improve gout management. Mrunalini Tankasala; Jia Li, PhD; Marwan work of art. Abouljoud, MD, CPE, MMM, FACS 24 Exploring the Reality of Using Patient Of 1862 patient satisfaction surveys, 823 Dr Janisse is the Editor-in-Chief of The Permanente Experience Data to Provide Resident were returned (44.2%). Patients and their Journal and Publisher of The Permanente Press. Feedback: A Qualitative Study of supports appreciated that the program Attending Physician Perspectives. volunteer was a transplant recipient and Steffanie Campbell, MD; Heather noted gratitude for the lifestyle information. Honoré Goltz, PhD, LMSW, MEd; Sarah Five areas were associated with the suc- Njue, MPH; Bich Ngoc Dang, MD cess of Transplant Living Community: 1) 112 CME EVALUATION FORM From 7/2013 to 8/2013, in-depth, face- a “champion”; 2) a receptive health care to-face, semistructured interviews were environment; 3) a high level of visibility conducted with 9 attending physicians to physicians and staff; 4) a lifestyle plan who precept residents in internal medicine (“Play Your ACES” [Attitude, Compliance, at 2 continuity clinics (75% of eligible at- Support, and Exercise]), and 5) a strong The Permanente Journal tendings). Content analysis identified 6 volunteer structure. It is feasible to inte- 500 NE Multnomah St, Suite 100 potential barriers in using patient experi- grate a sustainable patient-led lifestyle and ence survey data: 1) perceived inability self-management educational group into Portland, Oregon 97232 of residents to learn or to incorporate a busy tertiary care clinic for patients with www.thepermanentejournal.org feedback, 2) punitive nature of feedback, complex chronic illnesses. ISSN 1552-5767 3) lack of training in the delivery of action- Follow @PermanenteJ For information and/or rates for placing an The Permanente Journal/Perm J 2016 Summer:20(3) announcement here, please contact [email protected]. CME credits are available online at www.tpjcme.org.