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January/February 2000
ORIGINAL ARTICLES
Radiologic Tests after a New Diagnosis of Breast Cancer
Robert O. Dillman and Sherri Chico
Radiologic staging of breast cancer is unnecessary in women with a primary tumor less than 5 cm in diameter, clinically negative axillary nodes, and no signs or symptoms of metastatic disease.
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How Patients with Diabetes Perceive Their Risk for Major Complications
David Meltzer and Brian Egleston
Patients with diabetes significantly overestimate their risk for lower-leg amputation, blindness, and end-stage renal disease.
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Improving General Practice Care of Patients with Asthma or Chronic Obstructive Pulmonary Disease: Evaluation of a Quality System
Marielle P. Jans, François G. Schellevis, Wouter van Hensbergen, and Jacques Th. M. van Eijk
Practices implementing a quality system were more likely than control practices to comply with some guidelines for patients with asthma or chronic obstructive pulmonary disease. The quality system, however, required a considerable investment of time.
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CASE REPORT
Alternative Explanations for Poor Report Card Performance
Rachel Sorokin
Partial-year enrollment of patients interfered with the accuracy of four of five report cards in this group practice. Other recurring problems included diagnostic errors, missing laboratory data, and inadequate sample sizes—all of which may unnecessarily impugn good care.
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PATTERNS OF PRACTICE
Medication Review and Documentation in Physician Office Practice
Marjorie E. Jaski, Joanne G. Schwartzberg, Rosalie A. Guttman, and Maqsood Noorani
Although physicians report that they routinely document prescription medications, they much less frequently record the use of over-the-counter medications, nutritional supplements, and herbal medicines.
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Is Hospitalism New? An Analysis of Medicare Data from Washington State in 1994
Sanjay Saint, Dimitri A. Christakis, Laura-Mae Baldwin, and Roger Rosenblatt
Even before the term hospitalist was coined, a considerable number of physicians performed most of their work in the hospital.
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EDITORIALS
Improving Quality Improvement Research
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Risky Business
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Primer on Absolute vs. Relative Differences
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ETHICS MATTERS
Informed Consent for Screening by Community Sampling
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LETTER TO THE EDITOR
An Orthopedist Questions the Utility of Surgery for Back
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