Ending Medical Reversal

Improving Outcomes, Saving Lives

AvVinayak K. Prasad,Adam S. Cifu

Inbunden, Engelska, 2015

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Beskrivning

We expect medicine to progress in an orderly fashion, with good medical practices being replaced by better ones. But some tests and therapies are discontinued because they are found to be worse, or at least no better, than what they replaced. Medications like Vioxx and procedures such as vertebroplasty for back pain caused by compression fractures are among the medical "advances" that turned out to be dangerous or useless. What Dr Vinayak K Prasad and Dr Adam S Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base-and then stop using it when it is found not to help, or even to harm, patients. Drs Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising.They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective.

Produktinformation

Utgivningsdatum:2015-12-27
Mått:152 x 229 x 23 mm
Vikt:499 g
Format:Inbunden
Språk:Engelska
Förlag:Johns Hopkins University Press
ISBN:9781421417721

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Mer om författaren

Vinayak K. Prasad, MD, MPH, is a practicing hematologist-oncologist and internal medicine physician. He is an assistant professor of medicine and public health at Oregeon Health & Science University. Adam S. Cifu, MD, is a professor of medicine at the University of Chicago. He is a practicing general internist, medical educator, and the coauthor of Symptom to Diagnosis: An Evidence-Based Guide.

Recensioner i media

Every doctor should read this book. JAMA Internal Medicine Dr. Prasad and Dr. Cifu offer a five-step plan, including pointers for determining if a given treatment is really able to do what you want it to do, and advice on finding a like-minded doctor who won't object to a certain amount of back-seat driving. Of course, there are no guarantees that their tips will endure forever, but they probably have a longer shelf life than most medical advice. New York Times When I describe Ending Medical Reversal as revolutionary, I don't use the term lightly. Go out and read it-right now. Common Sense Family Dr. ... Should be considered for undergraduate reading lists. Keep a copy in the pharmacy or your briefcase as a great icebreaker or discussion point with other local healthcare professionals. The Pharmaceutical Journal [A]n excellent and realistic discussion of some of the horror stories that occur in medical practice...The examples are quite interesting and certainly educational for all readers. Highly recommended. Choice Ending Medical Reversal goes far in teaching medical students and practicing physicians alike how to learn on our own. The Lancet This has to be on the reading list for medical and nursing students. Nursing Times

Innehållsförteckning

IntroductionPart IExamples, Frequency, and Consequences1. What Is Medical Reversal?2. Subjective OutcomesWhy Feeling Better Is Often Misleading3. Surrogate Outcomes4. Screening Tests5. Systems Failure6. Finding Flawed Therapies on Our Own7. The Frequency of Medical Reversal8. The Harms of Medical ReversalToday's Patients, Tomorrow's Patients, and the Health-Care FieldPart II9. A Primer on Evidence-Based MedicineWhat Is Evidence in Medicine?10. What Really Made You BetterWhen Evidence Gets ComplicatedPart III11. Scientific Progress, Revolution, and Medical Reversal12. Sources of Flawed Data13. Why Are We So Attracted to Flawed Therapies?Part IV14. Medical EducationA Very Good Place to Start15. Academic Medicine16. Reforming the SystemThe Burden of Proof and Nudging Our Way Past Reversal17. How Not to Become a Victim of Reversal18. Beyond DogmaWhen Randomized Trials Are UnnecessaryAcknowledgmentsAppendixReferencesIndex