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4 May 1999 Annals of Internal Medicine Tip Sheet

Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 physicians trained in internal medicine.

ACP-ASIM Launches New Series of Papers on End-of-Life Care

The first paper in a new series from the American College of Physicians-American Society of Internal Medicine (ACP-ASIM) is published in the May 4, 1999, issue of Annals of Internal Medicine. (Article, p. 744; editorial, p. 772.) The College intends the series to help physicians and others caring for seriously ill or dying patients improve end-of-life care in the U.S. "Discussing Palliative Care," the first paper, suggests important ways in which physicians and others can improve their ability to elicit patient's concerns about their illnesses and the future, understand their needs, and attend to the many aspects of suffering.

Writers of an accompanying editorial list areas the ACP-ASIM series will address: better relief of physical symptoms, improved decision making about life-sustaining interventions, and more meaningful discussions with patients and families about end-of-life issues such as sadness, grief, and fear of the unknown. The writers say that excellent care to relieve suffering at end of life "will probably diminish interest in physician-assisted suicide." (For a news release on the paper and series, call 1-800-523-1546, ext. 2656.)

Study Evaluates Cost-Effectiveness of Strategies for Diagnosing Coronary Heart Disease (Article, p. 719.)

Annals Editor on JAMA: It's Easier to Unmake Than Make a Journal (Editorial, p. 774.)

Heart Catheters Tunneled Under the Skin Decrease Risk for Hospital-Acquired Infection (Article, p. 729.)

Carriers of Clotting Factor V Leiden Mutation Have Increased Risk for Fetal Loss (Brief Comm., p.763.)

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