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 ng her $406 per month) and a complicated non-pharmacological regimen. Adverse interactions between drugs and diseases could result.

For the present, widely used CPGs offer little guidance to clinicians caring for older patients with several chronic diseases. The use of CPGs as the basis for pay-for-performance initiatives that focus on specific treatments for single diseases may be particularly unsuited to the care of older individuals with multiple chronic diseases. Quality improvement and pay-for-performance initiatives within the medical care system should be designed to improve the quality of care for older patients with multiple chronic diseases; a critical first step is research to define measures of the quality of care needed by this population, including care coordination, education, empowerment for self-management, and shared decision making based on the individual circumstances of older patients, said the authors.

Source: Newswis
'"/>




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:
*Name:
*Comment:
*Email:


(Date:10/18/2018)... (PRWEB) , ... October 18, 2018 , ... Today Jon ... to everyone in healthcare, told attendees of the National Association of Long Term ... Waldo?' book series, you always began with the understanding that Waldo was in the ...
(Date:10/18/2018)... ... October 18, 2018 , ... Fellow Health Partners, Inc. , a ... four doctors who have agreed to join its Advisory Board. , CEO Michael N. ... that is helping to guide Fellow Health Partners. They will provide strategic as well ...
(Date:10/17/2018)... ... ... Power to Decide, the campaign to prevent unplanned pregnancy, announced the launch of the ... the HHS Office of Adolescent Health, Innovation Next is a unique accelerator program aimed ... ideas. , This year, five new teams will be selected to participate in the ...
(Date:10/17/2018)... ... , ... A new report from The Fenway Institute and ... management of lesbian, bisexual, gay, transgender, questioning, and intersex (LGBTQI) youth in juvenile ... justice system, especially lesbian and bisexual girls and youth of color. It also ...
(Date:10/16/2018)... ... October 16, 2018 , ... CCC ( ... midstream and downstream operators today announces Total Train Comprehensive Release version 14.1 (TTCR ... critical system components focused on improving cybersecurity defense around turbomachinery. The upgrade ...
Breaking Medicine News(10 mins):
(Date:10/11/2018)... ... October 11, 2018 , ... ... communications, billing, and payments solutions, announced today that it has completed the ... a premier healthcare provider of patient revenue cycle engagement, billing, and payments ...
(Date:10/11/2018)... , ... October 11, 2018 , ... In the last ... Europe in two core families and allowance of six more in USA, China and ... the heart of its MRI safety and security products. , The patents assigned from ...
(Date:10/7/2018)... ... October 07, 2018 , ... Dr. B. Aviva Preminger, elite plastic surgeon ... is an Ivy League-educated, Board Certified woman plastic surgeon specializing in cosmetic and reconstructive ... known for their exclusivity, and luxurious lifestyle publication is privileged to present Dr. Preminger ...
Breaking Medicine Technology: