Navigation Links
Physicians Lack Clinical Guidelines For Treating Elderly With Multiple Illnesses

According to an article in JAMA, clinicians lack guidelines for treating the elderly with many illnesses.

The aging of the population and the increasing prevalence of chronic diseases pose challenges to the development and application of clinical practice guidelines (CPGs Clinical practice guidelines are based on clinical evidence // and expert consensus to help decision making about treating specific diseases. Most CPGs address single diseases in accordance with modern medicine’s focus on disease and pathophysiology. However, physicians who care for older adults with multiple diseases must strike a balance between following CPGs and adjusting recommendations for individual patients’ circumstances. Difficulties escalate with the number of diseases the patient has.

Researchers from Johns Hopkins University, Baltimore had examined how CPGs address co-morbidity in older patients and explored what happens when multiple single-disease CPGs are applied to a hypothetical 79-year-old woman with 5 common chronic diseases.

Two investigators independently assessed whether each CPG addressed older patients with co-morbidities, goals of treatment, interactions between recommendations, burden to patients and caregivers, patient preferences, life expectancy, and quality of life. For a hypothetical 79-year-old woman with chronic obstructive pulmonary disease, type 2 diabetes, osteoporosis, hypertension, and osteoarthritis, the authors aggregated the recommendations from the relevant CPGs.

The researchers found that most CPGs did not modify or discuss the applicability of their recommendations for older patients with multiple co-morbidities. Most also did not comment on burden, short- and long-term goals, and the quality of the underlying scientific evidence, nor give guidance for incorporating patient preferences into treatment plans. If the relevant CPGs were followed, the hypothetical patient would be prescribed 12 medications (costi
'"/>




Page: 1 2

Related medicine news :

1. Startling Expose – Physicians Often Have No Regular Source Of Health Car
2. "Make AIDS Therapy affordable" - Physicians demand
3. Physicians Consider Self-Prescribing Ethical
4. Physicians Need To Treat Patients With Respect For Treatment To Be Effective
5. Resident Physicians Need More Preparations To Treat Patients From Different Cultures
6. Physicians To Discuss Ways To Save Premature Babies From RSV
7. Physicians should encourage US women to breastfeed
8. Yale University guidelines for Physicians and Pharmaceutical industry
9. Physicians Get To Choose Their Patients
10. Experienced Physicians Diagnose Heart Disease’s Earlie
11. Physicians Say No to Euthanasia
Post Your Comments:
(Date:7/2/2015)... ... 02, 2015 , ... The report summarizes key statistics of ... is a valuable source of guidance and direction for companies and individuals interested ... the Gelatin Capsule industry including capacity, production, production value, cost and profit, supply ...
(Date:7/2/2015)... ... ... and fatalities spike on the 4th of July. In fact, because of drunk drivers, the ... being on the road. According to attorney David J. Maloney , the statistics are ... between 2007 and 2011 were caused by drunk driving over the 4th of July weekend, ...
(Date:7/2/2015)... ... 2015 , ... It’s no secret that what we consume can have an effect on the body. And during ... dehydrated or perhaps even undernourished if not eating enough of the right foods, as well as ... time of year to overdo it on the food front as well, with sweet treats like ...
(Date:7/2/2015)... ... July 02, 2015 , ... Cs ... for Semiconductor Timing announced the release and publication of their newest offering to ... based publication and Newsletter. , Designed in support of coverage for the ...
(Date:7/1/2015)... ... July 01, 2015 , ... In the United States, summer has always ... countries like Saudi Arabia and Dubai, the summer temperatures are so hot, that July ... dentist Dr. Sam Saleh of ORA Dentistry Spa notes that a trip to the ...
Breaking Medicine News(10 mins):Health News:Gelatin Capsule Market Outlook & Forecast Report 2015-2020 2Health News:Gelatin Capsule Market Outlook & Forecast Report 2015-2020 3Health News:Gelatin Capsule Market Outlook & Forecast Report 2015-2020 4Health News:Attorney David Maloney Stresses Safety through Sobriety 2Health News:Iryna Lobur Shares Healthy Treats to Eat for Summer 2Health News:Cs &A Releases the SEMI TIMING Newsletter Specific to the Semiconductor Timing Industry 2Health News:Cs &A Releases the SEMI TIMING Newsletter Specific to the Semiconductor Timing Industry 3Health News:Cs &A Releases the SEMI TIMING Newsletter Specific to the Semiconductor Timing Industry 4Health News:Dr. Sam Saleh Invites Vacationing International Patients to Get a Same-Day Hollywood Smile During the July Travel Season 2
... ROCKVILLE, Md., April 14 A new Web ... innovations in the delivery of,health services was launched ... The resource - called the Health Care Innovations ... AHRQ,s Health Care Innovations Exchange is the federal ...
... protein profile has been identified in the blood of ... diagnosis and treat the disease, researchers say. , They ... of large numbers of proteins and found among 96 ... controls. , We can diagnose this disease with ...
... Golfers, Including First-Timers Faldo, Weekley, Snedeker, Howell III, Diaz and ... ... 14 Brad Faxon and Billy,Andrade, PGA TOUR Professionals and co-hosts of ... edition,today. The 2008 CVS Caremark Charity Classic is set for June 22 ...
... - A restricted-calorie diet inhibited the development of precancerous ... the activation of two signaling pathways known to contribute ... of Texas M. D. Anderson Cancer Center report today ... , An obesity-inducing diet, by contrast, activated those pathways, ...
... April 14 Hispanic doctors from,across the U.S. ... Latinos and the findings of three "Health Disparities ... Health (OMH) and,the National Hispanic Medical Association (NHMA)., ... conference of the National,Hispanic Medical Association, a nonprofit ...
... Home to State-of-the-Art Learning Environment, MALVERN, Pa., ... the expansion of clinical education,offerings with the opening ... of Utah in Salt Lake City. Through an ... Radiology, under the direction,of Dr. Steve Stevens, Siemens ...
Cached Medicine News:Health News:AHRQ Web Resource Features 100 Examples of Health Care Innovations and Tools 2Health News:AHRQ Web Resource Features 100 Examples of Health Care Innovations and Tools 3Health News:Potential blood test for chronic sinusitis identified 2Health News:CVS Caremark Charity Classic Golf Tournament Unveils 10th Anniversary Field 2Health News:CVS Caremark Charity Classic Golf Tournament Unveils 10th Anniversary Field 3Health News:Calorie restriction limits Calorie restriction inhibits, obesity fuels development of epithelial can 2Health News:NHMA, Office of Minority Health Unveil Findings of Summits to Eliminate Health Disparities at Conference April 17-20 2Health News:Siemens New Clinical Education Training Facility Opens Doors and Expands Offerings for Imaging Professionals 2
(Date:7/2/2015)... Va. , July 2, 2015  The ... an agreement with ASHP, an organization that represents ... as a provider of continuing education for recertification ... designated track of geriatric programs for this purpose.  ... Pharmacists as authorized providers for the CCGP Professional ...
(Date:7/2/2015)... 2015   BioLife Solutions , Inc. (NASDAQ: BLFS ... grade cell and tissue hypothermic storage and ... biologistics cold chain management app for smart shippers ... Business Magazine has included BioLife in its annual list ... Washington state for 2015. Now ...
(Date:7/2/2015)... -- Legal-Bay LLC, The Lawsuit Settlement Funding Company, announced ... in the Southern District of West Virginia ... Ethicon for a single trial to take place on ... women include claims from the women plaintiffs that they ... Johnson,s Ethicon subsidiary. The cases against Ethicon are among ...
Breaking Medicine Technology:Commission for Certification in Geriatric Pharmacy Adds ASHP as Professional Development Program Provider 2BioLife Solutions Named One of the 100 Best Companies to Work For in Washington State 2BioLife Solutions Named One of the 100 Best Companies to Work For in Washington State 3Judge Sets Single Trial for 26 Ethicon Mesh Cases, says Legal-Bay Lawsuit Settlement Funding 2Judge Sets Single Trial for 26 Ethicon Mesh Cases, says Legal-Bay Lawsuit Settlement Funding 3
Microforceps with "nail-like" end-gripping platforms; for precise grasping and improved visualization of thin membranes in the macular region....
Microforceps : Eckardt End & Side Gripping Forceps...
Blunt tipped forceps with very small grasping platforms on each tip. For grasping very fine membranes or grasping membranes adherent to the retinal surface....
Blunt tIpped forceps with small grasping platform on each tip. For grasping fine membranes or grasping membranes adherent to the retinal surface....
Medicine Products: